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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 16587 GALAS, ROBERT A DOOLING MACHINE 03/12/03 BECKER & GALANTI ROBERTS PERRYMAN BOMKAMP 2 05WC 54089 WALTERS, REGINA OLIN CORPORATION 06/08/05 PETER BLASI LLC KEEFE & DEPAULI 09WC013839 -C 3 07WC 21644 COOPER, JOHNIE SPRINGFIELD STALLIONS W 04/07/07 JEROME LEFTON LAW OFFICE 4 07WC 26321 WANN, KIMBERLYA RYAN'S FAMILY STEAK HOUSE 05/03/06 TERRY L PEEBLES RIPES NELSON BAGGOT KALOBRAT 5 07WC 29941 19B WARREN, BRYAN US STEEL 06/20/07 BECKER & GALANTI KEEFE & DEPAULI 6 07WC 30577 JONES, DONNIE ED SMITH D/B/A R&R CONSTR W 06/13/06 7 07WC 33406 COOPER, JOHNIE SPRINGFIELD STALLIONS 04/07/07 JEROME LEFTON LAW OFFICE 8 08WC 34617 WEBB, MATTHEW L TRU BILT BUILDING COMPANY 07/11/08 LAW OFFICE OF JAMES PARROT FEIRICH MAGER GREEN & RYAN 9 09WC 01094 19B GUITHUES, SAMUEL W GATEWAY REGIONAL MEDICAL 03/23/08 BEATTY & MOTIL WIEDNER & MCAULIFFE LTD 10 09WC 13990 TURNER, RICHARD A VILLAGE OF MARYVILLE 02/27/09 BECKER SCHROADER & CHAPMAN FEIRICH MAGER GREEN & RYAN 11 09WC 17494 COOK, KENNETH GUARANTEE ELECTRICAL CO 11/20/08 MCGLYNN & MCGLYNN ROBERT J HAYES LAW OFFICE 12 09WC 38614 AGLES, WILLIAM III SPECTRULITE CONCORTIUM IN 07/31/03 DAVID JEROME 13 09WC 38622 DOLLINS, WILLIAM SPECTRULITE CONSORTIUM, I 02/01/01 BROWN & BROWN 14 09WC 38623 POINTER, JEFFREY SPECTRULITE CONSORTIUM, I 07/31/02 BROWN & BROWN 15 09WC 38966 HAGEN, LINDELL SPECTRULITE CONSORTIUM IN 07/31/03 BROWN & BROWN 16 09WC 38972 HACKE, FRED JR SPECTRULITE CONSORTIUM IN 07/31/02 BROWN & BROWN

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 09WC 42258 MAYES, DEREK SPECTRULITE CONSORTIUM, I 01/01/98 BROWN & BROWN 18 09WC 44523 THOMA, JAMES D FREEBURG COMMUNITY SCHOOL 11/07/08 KEEFE & DEPAULI FEATHERSTUN GAUMER POSTLEWAI 022 09WC027564 -C 10WC021021 -C 19 09WC 47656 JONES, MICHAEL SPECTRULITE CONSORTIUM IN 10/01/02 BROWN & BROWN 20 09WC 47691 VOEGELE, THOMAS JR SPECTRULITE CONSORTIUM IN 10/01/02 BROWN & BROWN 21 10WC 01974 CORMIER, JAMES PAYNECREST ELECTRIC INC 12/05/09 SCHUCHAT, COOK & WERNER EVANS & DIXON, LLC 22 10WC 06077 DONAT, BRENDA LEIGH CITY OF BELLEVILLE 02/03/09 KOPIS LAW OFFICE BECKER PAULSON & HOERNER PC 23 10WC 11640 BONE, KIMBERLY BOND COUNTY SCHOOL DISTRI 10/30/09 BROWN & BROWN ROUSE & CARY 24 10WC 13071 KELLER, LINDA K SIU EDWARDSVILLE @ 02/18/10 SL CHAPMAN LLC ASSISTANT ATTORNEY GENERAL 25 10WC 20990 SALVAGGIO, JOHN CASINO QUEEN 04/22/10 GLASS & KOREIN LLC BECKER PAULSON & HOERNER PC 26 10WC 34665 HOPKINS, LARRY CITY OF EAST ST LOUIS 07/05/09 GLASS & KOREIN LLC CHAD A JENNINGS 27 10WC 38243 DAVIS, DARREN PJR & ASSOCIATES 06/16/10 COOK SHEVLIN YSURSA ET AL STONE & JOHNSON CHARTERED 28 10WC 41502 FULKERSON, ROBERT III LANAHAN BROTHERS W 04/04/09 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 29 10WC 41638 DE CARLO, CHERI WALGREEN'S 08/19/10 KOLKER LAW OFFICES MCANANY VANCLEVE & PHILLIPS 30 10WC 42183 GARDNER, STACEY ST OF IL DEPT OF CORRECTI @ 10/08/10 LAW OFFICE OF CELESTINE DO ILLINOIS ATTORNEY GENERAL 11WC024916 -C ILLINOIS DEPARTMENT 31 10WC 42776 MILLER, KATHIE CASINO QUEEN 09/30/10 BROWN & BROWN MICHEAL NESTER 32 10WC 44636 BECKWITH, RICKEY CONAGRA FOODS 05/12/10 KEEFE CAMPBELL & ASSOC LLC 33 10WC 47500 DECKER, KAREN J ILLINOIS CENTER FOR AUTIS 05/30/09 CALLIS LAW FIRM ROBERT J HAYES LAW OFFICE

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 11WC 09688 COOPER, DARLENE ILLINOIS CENTRAL SCHOOL B 02/08/11 JOHNSTON LAW OFFICES EVANS & DIXON, LLC 35 11WC 12343 HUGHES, BOBBY E SOLVAY FLUORIDES INC 04/16/08 SCHUCHAT, COOK & WERNER GALLIANNI DOELL & COZZI LTD 36 11WC 16700 KNOX, GLEASON SPECTRULITE CONSORTIUM IN 02/01/02 BROWN & BROWN 37 11WC 16721 THOMPSON, DONALD SPECTRULITE CONSORTIUM, I 06/01/96 DAVID JEROME 38 11WC 16724 HENDRIX, MIKE SPECTRULITE CONSORTIUM, I 02/01/02 DAVID JEROME 39 11WC 16735 PARKER, THOMAS E ST CLAIR COUNTY HIGHWAY D 02/15/11 CHATHAM & BABKA BECKER PAULSON & HOERNER PC 15WC012106 -C 40 11WC 16805 ROCKETT, CHARLES SPECTRULITE CONSORTIUM, I 12/01/93 BROWN & BROWN 41 11WC 18426 ZYWICKI, BRIAN FAIRVIEW HEIGHTS POLICE D 03/22/11 BECKER SCHROADER & CHAPMAN 42 11WC 20781 DENNIS, THOMAS CODE RED SAFETY 04/26/11 KOLKER LAW OFFICES HOLTKAMP LIESE ET AL 43 11WC 21179 19B COOK, KEVIN REHKEMPER & SON BUILDING 02/24/11 LESKERA LAW FIRM BRYCE DOWNEY & LENKOV LLC 44 11WC 21575 HOPKINS, LARRY CITY OF ST EAST LOUIS 05/23/11 GLASS & KOREIN LLC CLAYBORNE SABO & WAGNER 45 11WC 21919 UNGER, SCOTT RONALD CHERNE 01/15/11 MILLER, WILLIAM R LAW OFFI HEYL ROYSTER VOELKER & ALLEN 46 11WC 23040 EDWARDS, BONITA STATE OF ILLINOIS @ 01/25/11 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 47 11WC 23585 HEARD, BEVERLY SPECTRULITE CONSORTIUM, I 02/01/02 BROWN & BROWN 48 11WC 23852 DELFEL, JASON CHARTER COMMUNICATIONS 05/05/11 BROWN & BROWN HENNESSY & ROACH, PC 49 11WC 24328 BOYD, JOYCE CASINO QUEEN 03/27/11 GALANTI LAW OFFICES BECKER PAULSON & HOERNER PC 50 11WC 24942 COX, HOPE A GLOBAL BRASS 06/16/11 MICHAEL J BRUNTON LAW OFFI KEEFE & DEPAULI 51 11WC 29052 HOFMEISTER, CHARLES GIBCO MOTOR EXPRESS LLC 04/07/11 STRONG LAW OFFICE HINSHAW & CULBERTSON

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 52 11WC 30583 DICKERSON, BRADLEY ALTON MENTAL HEALTH @ 11/03/10 UNSELL, EDWARD W LAW OFFIC ASSISTANT ATTORNEY GENERAL 53 11WC 30835 19B YORK, LOUISE LA PETITE ACADEMY 07/26/11 BROWN & BROWN HENNESSY & ROACH PC 54 11WC 35252 19B SMITH, JAMES HAYWARD BAKER 09/02/11 BEATTY & MOTIL RUSIN & MACIOROWSKI LTD 55 11WC 36053 NASH, JACKIE STATE OF ILLINOIS @ 02/18/11 LAW OFFICE KEITH SHORT ASSISTANT ATTORNEY GENERAL 56 11WC 42922 19B HICKEY, TRAVIS RMR CONSTRUCTION 09/29/11 HOWERTON, DORRIS & STONE THOMAS & PORTELA 57 11WC 47164 DELFEL, JASON CHARTER COMMUNICATIONS 10/21/11 BROWN & BROWN HENNESSY & ROACH, PC 58 11WC 47236 ANDERSON, LISA ILLINOIS DEPARTMENT OF @ 10/27/11 BROWN & BROWN ASSISTANT ATTORNEY GENERAL 59 11WC 47996 MEARS, BRADLEY OLIN CORPORATION 10/06/11 SCROGGINS LAW OFFICE KEEFE & DEPAULI 60 11WC 48233 JENKINS, DOUGLAS E EDWARDSVILLE TOWNSHIP HWY 07/12/11 GLASS & KOREIN LLC CRAIG & CRAIG 61 12WC 01200 CAMPBELL, RICHARD ASF-KEYSTONE, INC 09/12/11 DAVID JEROME BOGGS AVELLINO 62 12WC 03791 DZIUROWITZ, HEINZ III DOMINOS 06/27/11 WILLIAMSON WEBSTER ET AL INMAN & FITZGIBBONS 63 12WC 08259 WILSON, MICAH TEAM INDUSTRIAL SERVICES 02/16/12 BECKER SCHROADER & CHAPMAN MCANANY VANCLEVE & PHILLIPS 64 12WC 09314 SULLIVAN, TIM CONSOLIDATED GRAIN & 09/11/11 HENNESSEY LAW FIRM ROUSE & CARY 65 12WC 10611 JOHNSON, LISA CHILD'S PLAY THERAPY, LLC 09/15/10 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 66 12WC 11868 BELCHER, DARRELL GLOBAL BRASS 03/29/12 GALANTI LAW OFFICES 67 12WC 13724 KING, SHARON BELLEVILLE HEALTH 03/18/12 GOLDLENBERG, HELLER, ANTOG KEEFE CAMPBELL & ASSOC LLC

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 68 12WC 15884 JOSEPH, KAREN POWER MAINTENANCE & 03/13/12 COOK SHEVLIN YSURSA ET AL GAROFALO SCHREIBER STORM 69 12WC 18003 STEELE, RHONDA METRO 04/11/12 GALANTI LAW OFFICES EVANS & DIXON, LLC 15WC005785 -C 70 12WC 19082 RICHTER, KATHLEEN M PRAIRIE STATE GENERATING 07/17/11 BONIFIELD & ROSENSTENGEL P 71 12WC 19500 CHAMBERLAIN, DARNELL DEANS DAIRY HOLDING LLC 04/28/12 SCHOEN WALTON TELKEN & FOS BRADY, CONNOLLY & MASUDA, PC 72 12WC 21414 19B BOWMAN, RHONDA GATEWAY REGIONAL 05/19/12 RICH RICH COOKSEY PC WIEDNER & MCAULIFFE LTD 73 12WC 22506 THOMAS, WAYNE LTI TRUCKING SERVICES 02/13/12 DENIS A MC GRADY, JR MCANANY VANCLEVE & PHILLIPS 74 12WC 23424 APONTE, WILFREDO TEAM INDUSTRIAL SERVICES 06/09/12 SCHREINER MALLOY & ETZLER HENNESSY & ROACH, PC 75 12WC 25400 JONES, RONNIELEE IDOT 07/16/12 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 76 12WC 25436 STANKUS, TWYLA DAIRY KING 08/08/11 COOK SHEVLIN YSURSA ET AL RUSIN & MACIOROWSKI LTD 77 12WC 27304 CARROLL, SHANNON APRIA HEALTHCARE 09/28/09 GLASS & KOREIN LLC LITCHFIELD CAVO 78 12WC 28462 LINDSEY, MICHAEL D HUNTER LEASING D/B/A W 06/25/12 MORMINO,VELLOFF,EDMONDS,SN 79 12WC 29677 WHITEHEAD, ROBERT US STEEL 07/31/11 JOSEPH L SAMUELSON PC KEEFE & DEPAULI 80 12WC 30255 19B COOK, KEVIN REM STAFFING 07/10/12 DAVID JEROME 81 12WC 30333 DORNER, JASON CITY OF ALTON 06/22/12 WILLIAMS CAPONI & ASSOC SCHREMPF, BLAINE, KELLY & DA 82 12WC 32934 WHITE, DONALD AMERICAN STEEL 06/06/12 GOLDLENBERG, HELLER, ANTOG BOGGS AVELLINO 83 12WC 33484 BRIDGER, HARDIGREW C LFI STAFFING, INC & 05/12/12 MATEYKA & ASSOCIATES ROUSE & CARY 84 12WC 34575 CHUMBLEY, BRAD R J CORMAN RAILROAD CO LL 11/07/11 KEEFE & GRIFFITHS PC EVANS & DIXON, LLC 85 12WC 36201 GRUBBS, DANIEL SPECTRULITE CONSORTIUM, I 03/01/01 BROWN & BROWN

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 86 12WC 39084 JACKSON, RANDY AMERICAN STEEL 03/27/12 BOGGS AVELLINO 87 12WC 39443 CONKLIN, ROBERT J STANFORD CONTRACTOR SER 09/25/12 KIRKPARTICK LAW OFFICES HENNESSY & ROACH, PC 88 12WC 40997 ATKINS, CURTIS US STEEL 11/01/12 BROWN & BROWN KEEFE & DEPAULI 89 12WC 41223 HOLMES, DAVID BRAND INSULATION 11/15/12 GALANTI LAW OFFICES 90 12WC 41313 DARROUGH, MARY (WIDOW OF PEABODY COAL CO # 08/21/11 CULLEY & WISSORE KEVIN M HAZLETT LLC 91 12WC 42322 LANGENHORST, JEROME BRADS HOME REPAIR 10/15/12 HUSTAVA, JOHN H 92 12WC 42332 THOMPSON, SHARMAINE ALTON MENTAL HEALTH 11/28/12 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 93 12WC 43867 FLEIGLE, GREGORY HERITAGE ENVIORMENTAL SER 08/21/12 CALLIS PAPA HALE & SZEWCZY MCANANY VANCLEVE & PHILLIPS 94 13WC 02840 HORD, TRUMAN SPECTRULITE CONSORTIUM IN 04/01/99 BROWN & BROWN 95 13WC 04272 GILL, DONALD JR DOOR CONTROLS ST LOUIS 08/23/12 BROWN & BROWN BROWN & JAMES, PC 96 13WC 05320 JONES, TYRES AMERICAN STEEL FOUNDRIES 12/16/12 GALANTI LAW OFFICES BONALDI CLINTON & DAVIS LTD 97 13WC 05701 VOSS, TRACEY ANDERSON HOSPITAL 07/12/10 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 98 13WC 06144 LEWIS, CURTIS GEORGE THOMAS @ W 12/06/12 CALLIS PAPA HALE & SZEWCZY NEAL GERBERT & EISENBERG 99 13WC 06859 EDWARDS, M M RENEE HELP AT HOME 09/16/12 KASSLY BONE ENGLISH ET AL ROUSE & CARY 100 13WC 08347 GEASLEY, RONNIE SAVE 10/12/12 WILLIAMS CAPONI & ASSOC BRADY CONNOLLY & MASUDA PC 101 13WC 08388 SCHAEFER, JENNIFER SAINT ANTHONY'S 10/26/12 LAW OFFICE KEITH SHORT NYHAN BAMBRICK KINZIE & LOWR 102 13WC 09452 STONER, AMY BELLEVILLE AREA SPECIAL 02/09/12 LAW OFFICE KEITH SHORT WIEDNER & MCAULIFFE LTD 103 13WC 12785 RYAN, SHEILA, ESTATE ADMI JUNEAU & ASSOCIATES # 04/02/13 HUSTAVA, JOHN H PATRICIA M CARAGHER

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 104 13WC 13747 JOHNSON, ELLIOTT J SR ILLINOIS JACKS LLC 03/08/13 JOHN B RAFFAELLE ADELSON TESTAN & BRUNDO 105 13WC 14057 19B TAYLOR, SHANON ALTON MENTAL HEALTH 03/01/13 GALANTI LAW OFFICES DIANA E. WISE 106 13WC 15983 MONTGOMERY, EMMA AMERICAN STEEL 08/11/11 GALANTI LAW OFFICES BOGGS AVELLINO 107 13WC 19455 BLUNK, ROGER IL DEPT OF REHABILITATION 05/27/13 ARMBRUSTER DRIPPS ASSISTANT ATTORNEY GENERAL 108 13WC 21688 WILLIAM, JOHN A SPECTRULITE CONSORTIUM IN # 08/29/02 BROWN & BROWN 109 13WC 25659 GOLLIDAY, REGINALD AMSTED RALL/AMERICAN STEE 10/26/12 JOHNSON GRAY LLC BOGGS AVELLINO 110 13WC 26149 19B DEPROW, CARLOS U.S. STEEL CORP 07/09/13 BEATTY & MOTIL KEEFE & DEPAULI 13WC026181 -C US STEEL CORP 111 13WC 27148 HARRIS, CORLOTTA DHS DIVISION OF @ 06/13/13 SCHOEN WALTON TELKEN & FOS ASSISTANT ATTORNEY GENERAL 112 13WC 29010 19B PARKS, GARY QUALAWASH 01/03/13 GALANTI LAW OFFICES THOMAS & ASSOCIATES 113 13WC 30035 TOLL, DANIEL K SCHMITT CHEVROLET 05/23/13 BONIFIELD & ROSENSTENGEL P RODDY LAW LTD 114 13WC 30528 CARTER, DAVID U S STEEL 12/02/12 BECKER SCHROADER & CHAPMAN 115 13WC 31742 DUNCAN, RICKY A AMEREN ILLINOIS 09/04/13 NELSON & NELSON LEMP & ANTHONY, PC 116 13WC 32235 MAPLES, BARBARA J ALTON MENTAL HEALTH @ 02/11/13 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 117 13WC 35337 DESHON, JOSEPH OLIN/GLOBAL BRASS 05/08/13 LAW OFFICE KEITH SHORT KEEFE & DEPAULI 118 13WC 36478 CALHOON, JASON R SINTZEL INVESTMENTS, INC @ 10/11/11 CLAY BARKLEY ST CLAIR ASSISTANT ATTORNEY GENERAL 119 13WC 37773 SWIFT, ROBYN MADISON COUNTY SHERIFF 02/13/11 BUTLER & KEMPER SCHREMPF, BLAINE, KELLY & DA 120 13WC 37839 OLLER, CLINTON S ILLINOIS DEPARTMENT OF TR @ 10/16/13 SCHUCHAT, COOK & WERNER ASSISTANT ATTORNEY GENERAL 121 13WC 38074 19B GROSHANS, ANGELA DHS ALTON MENTAL HEALTH C @ 08/11/13 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 13WC 39550 LYNCH, RICK SPECTRULITE CONSORTIUM IN 05/01/02 BROWN & BROWN 123 13WC 39624 AMOS, RONNIE TELCOPRIME INC 06/05/13 BROWN & BROWN PATRICIA M CARAGHER 124 13WC 40518 MANCUSO, SUSAN SUBURBAN JOURNALS 10/30/13 GALANTI LAW OFFICES GAROFALO SCHREIBER STORM 125 13WC 40942 RAKOWSKI, ELIZABETH VIDEOJET TECHNOLOGIES 09/24/13 BOYNE, KEVIN PC WIEDNER & MCAULIFFE LTD 126 13WC 41173 STANLEY, RONALD J WILLIAM F BROCKMAN INC 06/12/13 SMITH ALLEN MENDENHALL ET PATRICIA M CARAGHER 127 13WC 42352 HAWKINS, CYDIK METRO CONTRACT SERVICES I 12/14/13 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 128 13WC 42584 DONABY, DONNY METRO EAST INDUSTRIES INC 11/21/13 NELSON & NELSON KEEFE & DEPAULI 129 14WC 00810 COLLINS, EUGENE R USIC A/K/A UNITED STATES 12/31/13 BOYNE, KEVIN PC ROUSE & CARY 130 14WC 01077 19B YARBER, DEBORAH BELLEVILLE SCHOOL DISTRIC 11/12/13 BADGLEY, BRAD L RUSIN & MACIOROWSKI LTD 131 14WC 01191 LOVELACE, THERESA H MERRY MAIDS 03/21/13 WILLIAM BERRY & ASSOCIATES RODDY LAW LTD 132 14WC 03808 PALMITER, SOMNUEK BELLEVILLE SHOE MFG CO 02/03/11 MCGLYNN & MCGLYNN EVANS & DIXON, LLC 133 14WC 04570 RUGGIE, GEORGE OLIN WINCHESTER 11/14/13 ARMBRUSTER DRIPPS KEEFE & DEPAULI 134 14WC 05040 CHMIELEWSKI, GENE CASINO QUEEN 11/02/13 LAW OFFICE KEITH SHORT BECKER PAULSON & HOERNER PC 135 14WC 05197 ERNST, CHARLES JET AVIATION ST LOUIS INC 01/16/14 BROWN & BROWN MATHIS MARIFIAN RICHTER ET A 136 14WC 06582 MALONE, MATTHEW OLIN WINCHESTER 02/14/14 ARMBRUSTER DRIPPS KEEFE & DEPAULI 137 14WC 06960 HOWELL, RICHARD E ILLINI ENVIRONMENTAL INC 11/14/13 LESKERA LAW FIRM KNELL LAW LLC 138 14WC 08113 COMBS, MICHAEL D SR U S STEEL 02/12/14 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 139 14WC 08606 HARTLINE, DANIEL R VEE-JAY CEMENT CONTRACTIN 11/25/13 BEATTY & MOTIL KEEFE CAMPBELL & ASSOC LLC

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 140 14WC 12208 DELRE, ROBERT P JR STOCK TRANSPORT INC 02/07/14 FISHER KERHOVER & WELGE JAMES M KELLY 141 14WC 12265 FITZWATER, JIM MR BULTS INC 03/10/14 BROWN & BROWN WIEDNER & MCAULIFFE LTD 142 14WC 12796 ORIADE AGBOOLA, TEMILADE ILLINOIS DEPARTMENT OF @ 01/21/14 WALTON TELKEN FOSTER LLC ASSISTANT ATTORNEY GENERAL 143 14WC 12932 LIEBI, ROBERT J IL DEPARTMENT OF @ 04/08/13 RIDGE & DOWNES LLC ELIZABETH LEAHY 144 14WC 12970 GROVE, GLENN EXPRESS EMPLOYMENT PROFES 03/18/14 BROWN & BROWN MC ANDREWS & NORGLE LLC 145 14WC 14744 NIEDERHOFER, VICKI A. ILLINOIS DEPT. OF EMPLOYM 04/11/14 COOK SHEVLIN YSURSA ET AL ASSISTANT ATTORNEY GENERAL 146 14WC 15645 PROUGH, MICHAEL JERSEY COUNTY 03/07/13 SCHOEN WALTON TELKEN & FOS BECKER PAULSON & HOERNER PC 147 14WC 16350 AGNEY, TONY WINCHESTER 04/17/14 KEEFE & DEPAULI 148 14WC 16359 19B DOWNARD, JANICE CAHOKIA DISTRICT 187 01/07/14 KOLKER LAW OFFICES CLAYBORNE SABO & WAGNER 149 14WC 16583 BECK, HATTIE TOUCHETTE REGIONAL HOSPIT 04/25/14 SCHOEN WALTON TELKEN & FOS CLAYBORNE SABO & WAGNER 150 14WC 18876 CORNELL, PATRICIA EXTENDED STAY AMERICA 05/05/14 BROWN & BROWN RUSIN & MACIOROWSKI LTD 151 14WC 18885 TYLER, BARBARA A WOOD RIVER MOOSE 06/14/12 PERICA LAW FIRM LAW OFFICES STEVEN PILAND 152 14WC 19613 DUPREE, TOMMY L PTS OF AMERICA 12/15/13 HART & HART HENNESSY & ROACH, PC 153 14WC 19619 JACOBER, BRENT SECURITAS SECURITY SERVIC 05/18/14 KULLMAN KLEIN & DIONEDA MCANANY VANCLEVE & PHILLIPS 154 14WC 20023 RIGSBY, BEVERLY A KRAFT FOODS INC/CAPRI SUN 04/30/13 GLASS & KOREIN GAROFALO SCHREIBER STORM 155 14WC 20028 JOHNSON, TOM CASINO QUEEN 02/09/09 HANAGAN & MCGOVERN PC BECKER PAULSON & HOERNER PC 156 14WC 20129 19B DEANGELO, MARK URS 02/25/14 WOMICK LAW FIRM CHTD HEYL ROYSTER VOELKER & ALLEN 157 14WC 20227 MILLESON, SHAWN REPUBLIC SERVICES 05/08/14 RICH RICH COOKSEY PC 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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 158 14WC 20882 OGDEN, STEVE ALTON SCHOOL DISTRICT 05/05/14 GALANTI LAW OFFICES KNAPP, OHL & GREEN 159 14WC 21115 WALKER, HENRY BI-STATE DEVELOPMENT AGEN 02/02/14 HUSTAVA, JOHN H BROWN & JAMES, PC 160 14WC 21525 KAISER, STEVEN J AT&T 05/10/12 JOSEPH E. HOEFERT HENNESSY & ROACH, PC 161 14WC 22688 MITCHELL, TED URS CORP 10/01/13 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 162 14WC 23439 OVERTON, LISA STATE OF ILLINOIS @ 06/12/14 SCHOEN WALTON TELKEN & FOS ASSISTANT ATTORNEY GENERAL 163 14WC 23591 ROGERS, NATHAN ALTON STEEL 06/26/14 KEEFE CAMPBELL & ASSOC LLC 164 14WC 24511 19B FRASER, DARREL OLIN WINCHESTER 07/14/14 ARMBRUSTER DRIPPS KEEFE & DEPAULI 165 14WC 25159 WESTERHEIDE, MICHAEL G ST OF IL DEPT OF @ 03/21/14 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 166 14WC 27691 ALDRICH, SHANNA D CARING FIRST NURSING HOME 05/20/14 BONIFIELD & ROSENSTENGEL P BOGGS AVELLINO 167 14WC 27772 GRANDFIELD, CLAUDE E DOYLE BROTHERS FARMS 05/01/14 RIDGE & DOWNES LLC BRADY, CONNOLLY & MASUDA, PC 168 14WC 27918 LANTER, DANNY COUNTRYWIDE HR 07/15/14 KOLKER LAW OFFICES STEPHEN H LARSON LAW OFFICE 169 14WC 28305 BIGGINS, TIMOTHY VILLAGE OF ST JACOB 06/08/14 KULLMAN KLEIN & DIONEDA SCHREMPF, BLAINE, KELLY & DA 170 14WC 28343 BROWN, SCOTT W AMEREN IP 07/15/14 NELSON & NELSON LEMP & ANTHONY, PC 171 14WC 29158 PAINTER, ANDREA VILLAGE OF GLEN CARBON 04/28/12 STRONG LAW OFFICE KEEFE & DEPAULI 172 14WC 29770 STONE, JEFFREY GILSTER-MARY LEE CORP 10/10/13 LAW OFFICE KEITH SHORT FEIRICH MAGER GREEN & RYAN 173 14WC 32634 HOHE, RAYMOND L ILLINOIS-AMERICAN 12/01/13 MCGLYNN & MCGLYNN 174 14WC 33299 MARCHWINSKI, MARK A CULLIGAN WATER 10/23/13 NELSON & NELSON GAROFALO SCHREIBER STORM 175 14WC 33527 RIVERA, ISRAEL AMERICAN STEEL FOUNDRES 07/17/14 BECKER SCHROADER & CHAPMAN

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 14WC 33573 MCMINN, JOHN BEELMAN TRUCK CO 05/21/14 SCHREMPF, BLAINE, KELLY & MCANANY VANCLEVE & PHILLIPS 177 14WC 34444 DICKERSON, BRADLEY ALTON MENTAL HEALTH CENTE @ 05/09/14 UNSELL, EDWARD W LAW OFFIC ASSISTANT ATTORNEY GENERAL 178 14WC 34905 MEZYK, ANTHONY IN-LAND TECHNOLOGIES SERV 08/20/12 PAUL STORMENT III PATRICIA M CARAGHER 179 14WC 35360 HENDRIX, CHRISTINA WELLSPRING RESOURCES 07/15/14 KOLKER LAW OFFICES NOBLE & ASSOCIATES PC 180 14WC 35505 HOOD, GARY ARROW SHEDS 08/15/14 WILLIAMSON WEBSTER ET AL HENNESSY & ROACH, PC 181 14WC 35773 HURST, MICHAEL L EAGLE FABRICATIONS 08/01/11 PERICA LAW FIRM MCANANY VANCLEVE & PHILLIPS 14WC036212 -C 182 14WC 37191 PETTY, SHARI CROTHALL HEALTH CARE INC 10/20/14 183 14WC 37791 GOODMAN, ROBERT MARATHON PETROLEUM COMPAN 10/20/14 BECKER SCHROADER & CHAPMAN BRYCE DOWNEY & LENKOV LLC 184 14WC 38376 19B GAVIN, JOHN GERO FLOW PRODUCTS 06/02/14 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD 185 14WC 38737 FUCHS, DENNIS LOU FUSZ 10/17/14 LIESER LAW FIRM 186 14WC 38761 DALTON, JEFFREY OLIN CORPORATION 10/21/14 ARMBRUSTER DRIPPS KEEFE & DEPAULI 187 14WC 39007 19B COLLMAN, KATRINA ST OF IL DEPT OF OFFICE O @ 05/05/14 SMITH ALLEN MENDENHALL ET ASSISTANT ATTORNEY GENERAL 188 14WC 39607 MANUEL, SYLVESTER CERRO FLOW 09/29/14 BEMENT & STUBBLEFIELD RUSIN & MACIOROWSKI LTD 189 14WC 40028 SHAW, MARIO AMERICAN STEEL FOUNDRIES 09/16/14 GALANTI LAW OFFICES BOGGS AVELLINO 190 14WC 40058 LAWRENCE, GERALDINE M BETHALTO COMMUNITY UNIT 10/09/14 191 14WC 40108 GARNER, DARRYL L SR FEDEX GROUND PACKAGE 10/31/14 SCHUCHAT, COOK & WERNER SCOPELITIS GARVIN LIGHT 192 14WC 40230 CHAMBERLAIN, DARNELL DEAN'S DAIRY HOLDING LLC 11/07/14 SCHOEN WALTON TELKEN & FOS 193 14WC 40364 SMITH, TERESA KRAFT FOODS 11/13/14

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 14WC 40399 TAYLOR, DOLORES M CATHOLIC CHILDREN'S HOME 10/31/14 MORMINO,VELLOFF,EDMONDS,SN HARRIS DOWELL FISHER & HARRI 195 14WC 40854 WESTERHEIDE, MICHAEL G IDOT @ 03/22/10 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 196 14WC 41699 LARAMORE, STANLEY RUSH TRUCKING 10/30/14 BROWN & CROUPPEN 197 14WC 42250 THOMAS, BRITTINY ST PAUL'S HOME 08/06/14 SCHOEN WALTON TELKEN & FOS 198 14WC 42760 BLAYLOCK, RONALD G SUPERIOR EXPRESS, INC 08/07/14 PADBERG CORRIGAN APPELBAUM ARCHER LASSA & MCHUGH 199 15WC 01044 ATKINS, CURTIS US STEEL CORP 08/27/14 BROWN & BROWN KEEFE & DEPAULI 200 15WC 01267 PURKAPLE, MARK SGS PETROLEUM SERVICES 12/23/14 BROWN & BROWN WIEDNER & MCAULIFFE LTD 201 15WC 01430 JACKSON, STEVEN ST OF IL DEPT OF 02/13/14 RIDGE & DOWNES ASST ATTY GENERAL 202 15WC 01868 JOHNSTON, DENNIS W SHARKEY TRANSPORTATION IN 01/29/14 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 203 15WC 02678 GREELING, STEVE BARRETT HEATING & COOLING 10/01/12 DENIS A MC GRADY, JR HEYL ROYSTER VOELKER & ALLEN 204 15WC 02694 DEVINE, KAITLYN AERIE'S RIVERVIEW WINERY 09/20/14 GALANTI LAW OFFICES RUSIN & MACIOROWSKI LTD 205 15WC 02706 FERRELL, SHAUN D&J EXTERIORS AND BOBCAT 11/20/14 CHATHAM & BARICEVIC BRUCE WARREN 206 15WC 02835 WALLACE, QUEEN VITAS HOSPICE HEALTH CARE 01/03/15 RICH RICH COOKSEY PC ANCEL GLINK DIAMOND BUSH & E 207 15WC 02969 LOVSEY, CURTIS D EDWARDSVILLE SCHOOL 06/18/14 NELSON & NELSON KNAPP, OHL & GREEN 208 15WC 03701 DEADMOND, ROBERT D. CITY OF COLLINSVILLE 09/05/14 THOMAS W DUDA BECKER PAULSON & HOERNER PC 209 15WC 03740 FULLER, TAMISHA MARKA NURSING HOME 01/17/15 BOYNE, KEVIN PC LITCHFIELD CAVO 210 15WC 04509 DEPROW, CARLOS U.S. STEEL CORP 07/29/14 BEATTY & MOTIL KEEFE & DEPAULI 211 15WC 04575 KOHNEN, DENNIS IL DEPT OF TRANSPORTATION @ 05/20/14 COOK SHEVLIN YSURSA ET AL ELIZABETH LEAHY

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 15WC 04713 STEWART, LYNNE COPE PLASTICS INC 06/20/14 SMITH ALLEN MENDENHALL ET HENNESSY & ROACH, PC 213 15WC 05631 ORTIZ-VASQUEZ, ROER UNITRAC RAILROAD MATERIAL 01/08/15 GOLDBERG WEISMAN & CAIRO L LAW OFFICES STEVEN PILAND 214 15WC 05869 FRENCH, TINA LOUISE EDWARDSVILLE NURSING 08/07/14 MEEHAN LAW FIRM 215 15WC 05898 STORMER, ROSE M. WOOD RIVER-HARTFORD SCHOO 05/07/14 SCHOEN WALTON TELKEN & FOS ROSARIO CIBELLA 216 15WC 05905 WESLEY, RONNIE BEVERLY FARM FOUNDATIONS 10/06/13 KANOSKI BRESNEY 217 15WC 06120 WILLIAMS, KENNETH BRANDING IRON HOLDINGS, I 12/12/14 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 218 15WC 06386 ARNOLD, RAVEN THE MASCHHOFFS 09/30/14 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 219 15WC 06393 WILLIAMS, KENNETH BRANDING IRON HOLDINGS, I 09/30/14 BROWN & BROWN HANSEN & ENRIGHT 220 15WC 06605 SHANK, LISA BARBER VOSS HOME CARE TEA 12/05/14 ROTH LAW OFFICES GAROFALO SCHREIBER STORM 221 15WC 06913 DALEY, MICHAEL JONES MOTOR FREIGHT 01/23/15 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 222 15WC 07250 SNYDER, ED OLIN 07/11/14 LAW OFFICE KEITH SHORT KEEFE & DEPAULI 223 15WC 07876 GOURLEY, NANCY A AT&T 03/30/12 SCOTT P. HOLWITT HENNESSY & ROACH, PC 224 15WC 08204 STUDNICKI, ROBERTA J SIUE @ 01/29/15 PERICA LAW FIRM ASSISTANT ATTORNEY GENERAL 225 15WC 08465 WILLIAMS, KENNETH BRANDING IRON HOLDINGS, I 03/01/14 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 226 15WC 08522 JERNIGAN, ARTHUR RAND DIVERSIFIED 06/20/12 BROWN & BROWN 227 15WC 08602 GLOVER, CHERYL FIRSTSOURCE 02/12/15 BROWN & BROWN HOLTKAMP LIESE ET AL 228 15WC 09033 SPIRES, WAYNE MSI CONSTRUCTION 01/30/15 DENNIS SHEVLIN KEEFE & DEPAULI 229 15WC 09156 GOODWIN, KIMBERLY TOUCHETTE REGIONAL HOSPIT 03/06/15

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 15WC 09774 LOVE, CARL WORLDWIDE TECHNOLOGY 11/19/14 HENNESSY & ROACH, PC 231 15WC 09877 MILLER, KATHIE CASINO QUEEN 09/24/12 BROWN & BROWN KRISTINE MCGEE MACK 232 15WC 09906 DOWDY, BRIAN K BELLEVILLE POLICE DEPT 09/20/14 BONIFIELD & ROSENSTENGEL P 233 15WC 10574 WINTER, MARY OLAN MILLS 05/03/09 GLASS & KOREIN MORROW WILLNAUER 234 15WC 10702 MAKAREWICZ, PAMELA CHILDREN'S HOME AND AID 05/14/14 BROWN & CROUPPEN WIEDNER & MCAULIFFE LTD 235 15WC 10764 FIKES, EARLINE CAHOKIA SCHOOL DIST 187 02/12/15 BONIFIELD & ROSENSTENGEL P CLAYBORNE SABO & WAGNER 236 15WC 10816 FOOR, SANDRA L MEYER HONDA AUTO COMPANY 04/07/14 LAW OFFICE GARY MACK WIEDNER & MCAULIFFE LTD 237 15WC 10861 KAUFFOLD, LINDSEY S CITY OF BELLEVILLE 01/19/15 KEEFE & DEPAULI BECKER PAULSON & HOERNER PC 238 15WC 10908 MANDRELL, RAYMOND BRAND ENERGY SERVICES 02/26/15 BECKER SCHROADER & CHAPMAN BRADY, CONNOLLY & MASUDA, PC 239 15WC 11337 BILLUPS, STEPHEN ELITE STAFFING 03/23/15 LAW OFFICES OF GAROFALO SCHREIBER STORM 240 15WC 11727 STANISLAWSKY, RALPH OMNICARE 04/04/14 NELSON & NELSON MORROW WILLNAUER 241 15WC 11863 BULVA, WILLIAM U S STEEL CORP 04/02/15 BEATTY & MOTIL KEEFE & DEPAULI 242 15WC 12248 BUSCH, ERIK STERITECH 02/02/15 KEEFE & GRIFFITHS PC PATRICIA M CARAGHER 243 15WC 12414 JOHNSON, WILLIE BEA SIUE HEAD START @ 04/17/13 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 244 15WC 12600 SCHMIDT, EDWARD CHALLENGE UNLIMITED 10/01/14 MEYERS & FLOWERS 245 15WC 12832 KEMPFER, JUSTEN DYNEGY MIDWEST 03/09/15 KEEFE & DEPAULI 246 15WC 12865 HEAVENS, MICHAEL AMERICAN STEEL FOUNDRIES 04/07/15 GALANTI LAW OFFICES BOGGS AVELLINO 247 15WC 13194 19B LOVE, CONNIE RGIS INVENTORY 12/23/14 RICH RICH COOKSEY PC QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 15WC 13567 HUMES, BRIDGETT ROMA PIZZA CO 04/01/14 KEEFE & GRIFFITHS PC STEPHEN H LARSON LAW OFFICE 249 15WC 13823 WADE, CHAS WOLFF CONSTRUCTION 06/27/13 PETER BLASI LLC 250 15WC 14125 FLOWERS, ROSEMARY E KRAFT FOODS CAPRI SUN PLA 10/15/12 UNSELL, EDWARD W LAW OFFIC 251 15WC 14493 KIRN, ARLENE ELITE STAFFING 04/09/15 LAW OFFICE OF JAMES PARROT 252 15WC 15002 NICHOLSON, GAYSHON CHEDDARS CASUAL CAFE 02/26/15 DAVID H. BONE LLC STEPHEN H LARSON LAW OFFICE 253 15WC 15513 OTT, JUSTIN MC CULLOUGH'S FLOORING 04/27/15 DANIEL J. GAUTHIER 254 15WC 15537 COURTRIGHT, STEVEN CHECKER CAB CO 03/28/15 BROWN & BROWN ROUSE & CARY 255 15WC 15656 HOWELL, BRIDGETTE EAST ST LUOIS SCHOOL DIST 03/18/15 HUSTAVA, JOHN H BECKER PAULSON & HOERNER PC 256 15WC 15699 SADLER, MONTY ANDERSON CORPORATION 03/18/13 LAW OFFICES OF ELLEN E MOR 257 15WC 15778 HAIR, TERRY REHKEMPER AND SON 06/19/14 HUSTAVA, JOHN H WIEDNER & MCAULIFFE LTD 258 15WC 15960 GILLESPIE, LACHELL JUVENILE TRANSITIONAL 11/13/12 NELSON & NELSON HENNESSY & ROACH, PC 259 15WC 16433 MURRY, CORNELIUS ILL DEPT OF TRANSPORTATIO @ 05/29/13 BOYNE, KEVIN PC ASSISTANT ATTORNEY GENERAL 260 15WC 16480 JACKSON, KATHY ALTON MENTAL HEALTH CENTE 07/17/13 BROWN & CROUPPEN ASSISTANT ATTORNEY GENERAL 261 15WC 16967 SPRUELL, ANGELA SWIC 03/16/15 BROWN & BROWN BECKER PAULSON & HOERNER PC 262 15WC 17188 MURRY, CORNELIUS STATE OF ILLINOIS @ 12/23/14 BOYNE, KEVIN PC 263 15WC 17780 EMBRICH, BRIAN BAXMEYER CONSTRUCTION 04/27/15 BROWN & BROWN INMAN & FITZGIBBONS 264 15WC 17923 THOMAS, MARK ALDI'S 05/14/14 HUSTAVA, JOHN H LYNN D BARNETT 265 15WC 17929 SPANGENBERG, LEON E DRESSLER TRUCK SERVICE 04/10/15 SCANLON, CHARLES R

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 266 15WC 18125 REMER, DANNY II JARDEN FARMS 05/23/14 267 15WC 18173 HOVIS, DONNIE JR. GEMINI MOTOR TRANSPORT 03/02/14 BROWN & BROWN GAROFALO SCHREIBER STORM 268 15WC 18199 SMITH, JIMMIE JR. COMMERCIAL LAND SCAPE SER 05/07/15 ROBERT J BASSETT 269 15WC 18347 MCAFEE, BRENT OLIN WINCHESTER 02/10/15 ARMBRUSTER DRIPPS KEEFE & DEPAULI 270 15WC 18484 FENTON, DALE FACTORY MOTOR PARTS 05/21/15 BROWN & CROUPPEN MCANANY VANCLEVE & PHILLIPS 271 15WC 18658 KIDWELL, PATRICK A LOWES 05/14/15 JOSEPH E. HOEFERT KEEFE CAMPBELL & ASSOC LLC 272 15WC 18887 COUGHLIN, TAMMY GREEN EARTH GREENHOUSES 05/09/15 HENNESSY & ROACH, PC 273 15WC 19064 SKELTON, TAMBLA LYNN ELLI ALTON MENTAL HEALTH & 02/27/15 MILLER, WILLIAM R LAW OFFI 274 15WC 19189 MURRY, CORNELIUS ILLINOIS DEPARTMENT OF @ 05/27/15 BOYNE, KEVIN PC 275 15WC 19367 DAMM, JOSHUA A HOME DEPOT 03/22/15 LAW OFFICE KEITH SHORT ADELSON TESTAN & BRUNDO 276 15WC 19464 GUARDIAN, SANDRA ROSE ACRE FARMS 02/28/15 JANICE K. PULVER THOMPSON & MCDONALD LAW OFFI 277 15WC 19545 KOVALY, RICHARD CASSENS TRANSPORT 01/21/15 KNAPP, OHL & GREEN 278 15WC 19734 ANDERSON, DEAN A BROOKLYN ILL POLICE DEPT 01/14/15 JOSEPH E. HOEFERT 279 15WC 19754 BYRD, JUSTEN RAY SHAW HEAVY EQUIPMT REPAIR 01/10/14 STEGMEYER & STEGMEYER LTD BRYCE DOWNEY & LENKOV LLC 280 15WC 19815 WATT, KATIE ALDI'S 04/07/15 LAW OFFICE KEITH SHORT LYNN D BARNETT 281 15WC 19847 BROWN, LARRY WESTERN OIL INC AKA MIDWE 02/13/15 ERIN M. PHILLIPS HENNESSY & ROACH, PC 282 15WC 20114 GREGORY, GALE YALE ENFORCEMENT SERVICES # 10/17/14 CULLEY & WISSORE THOMAS & ASSOCIATES 283 15WC 20122 FRANKLIN, MICHAEL TED'S RECYCLING 02/01/14 SMITH AMUNDSEN LLC

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 15WC 20390 POWERS, JAMES THOMAS GROPPEL D/B/A 07/20/14 NORBERT GOETTEN 285 15WC 20420 JACKSON, JOSHUA FEDERAL EXPRESS 03/27/15 BUTLER & KEMPER 286 15WC 21344 HILL, SUSAN ALTON MENTAL HEALTH @ 04/02/15 SMITH ALLEN MENDENHALL ET ASSISTANT ATTORNEY GENERAL 287 15WC 21427 COHOON, JEFF PEABODY COAL CO 05/23/15 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 288 15WC 21484 HIBBETS, MATT GRANITE CITY POLICE DEPT 06/18/15 GALANTI LAW OFFICES KEEFE & DEPAULI 289 15WC 21937 MORGAN, AUDREY EXTRA HELP 12/02/14 BECKER SCHROADER & CHAPMAN 290 15WC 21946 FULTZ-KING, LISA CASINO QUEEN 02/24/15 BROWN & BROWN MICHAEL NESTER 291 15WC 21981 DALTON, JEFFREY OLIN CORPORATION 03/13/15 ARMBRUSTER DRIPPS KEEFE & DEPAULI 292 15WC 22217 DOWDY, BRIAN K CITY OF BELLEVILLE-POLICE 04/11/15 BONIFIELD & ROSENSTENGEL P BECKER PAULSON & HOERNER PC 293 15WC 22301 STONE, RONALD U.S. STEEL CORP 05/15/15 BEATTY & MOTIL KEEFE & DEPAULI 294 15WC 22303 FINCK, JESS E DAVITA DIALYSIS 01/27/15 SCROGGINS LAW OFFICE WIEDNER & MCAULIFFE LTD 295 15WC 22412 MOUSER, KYLE AMERICAN STEEL FOUNDRIES 03/11/15 296 15WC 22551 PARKS, STEPHEN R. HANSEN AND SON CONTRACTIN 05/23/14 NELSON & NELSON 297 15WC 22600 JOHNSON, TONYA DILLARD'S 06/18/15 NELSON & NELSON MCANANY VANCLEVE & PHILLIPS 298 15WC 22655 CLOWERS, JOHN LOWE'S 04/27/15 KEEFE & GRIFFITHS PC KEEFE CAMPBELL & ASSOC LLC 299 15WC 22800 ALLSMAN, DANIEL CHARLES WILEY 11/01/14 BROWN & BROWN 300 15WC 22896 ALEXANDER, CARVETTE TMCI TRUCKING 06/19/15 301 15WC 23536 RUSSELL, DENNIS W STONETRENDS, INC 04/06/15 LAW OFFICES OF MARY CREAME ARCHER LASSA & MCHUGH

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 15WC 23887 RIEDLE, RUSSELL ALTON MENTAL HEALTH @ 04/10/15 ASSISTANT ATTORNEY GENERAL 303 15WC 24617 KOLWEIER, SHELLY KELLER CONSTRUCTION # 05/28/15 SCHOEN WALTON TELKEN & FOS ROUSE & CARY 304 15WC 25192 POHLMAN, KIM LOWE'S 06/14/15 MORMINO,VELLOFF,EDMONDS,SN KEEFE CAMPBELL & ASSOC LLC 305 15WC 25284 19B GERECKE, ANTHONY UNITE PARCEL SERVICE 05/15/15 BROWN & CROUPPEN MCANANY VANCLEVE & PHILLIPS 306 15WC 25387 NOLL, PAUL J STAFFING SYNERGIES INC 03/24/15 PATRICIA M CARAGHER 307 15WC 25662 LYNCH, JAMES ROBERT CREEDEN ASSOCIATES 01/17/12 KEEFE & GRIFFITHS PC LAW OFFICE PAUL LARIMORE 308 15WC 25779 BEAN, RONALD AMSTED INDUSTRIES INCORPO 03/10/15 CLAY BARKLEY ST CLAIR BOGGS AVELLINO 309 15WC 25847 GUNTER, ALLEN PEABODY GATEWAY SERVICES 11/18/13 CULLEY & WISSORE KEEFE & DEPAULI 310 15WC 26408 ZEISSET, CHARLES JR. BOEING COMPANY 06/20/14 BUTLER & KEMPER EVANS & DIXON, LLC 311 15WC 26563 HUGHES, LEONDRA AMSTED RAIL 05/20/15 KOLKER LAW OFFICES 312 15WC 27375 GANSZ, TERRY OLIN WINCHESTER 07/27/15 EDMONDS LAW OFFICE KEEFE & DEPAULI 313 15WC 27429 JONES, CHRIS IDOT @ 08/11/15 BROWN & BROWN ASSISTANT ATTORNEY GENERAL 314 15WC 27444 BRIGGS, BRADLEY M JR GRANITE CITY SCHOOL DISTR 01/09/14 GLASS & KOREIN KNAPP, OHL & GREEN 315 15WC 27498 MARKS, JOE U.S. STEEL 04/11/15 HUSTAVA, JOHN H KEEFE & DEPAULI 316 15WC 27505 ARNOLD, RAVEN THE MASCHOFFS 08/11/14 BROWN & BROWN HANSEN & ENRIGHT 317 15WC 27507 VIVEROS-GUEVARA, JONATHAN TEK RECYCLING INC 10/01/14 LASHLY & BAER PC 318 15WC 27541 FARRELL, RICHARD SPECTRULITE CONSORTIUM IN 01/01/93 BROWN & BROWN 319 15WC 27633 GARCIA, ISRAEL NATL MAINTENANCE& REPAIR 04/25/15 HUSTAVA, JOHN H KEEFE CAMPBELL & ASSOC LLC

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 15WC 27646 MAY, GREGORY EXPRESS EMPLOYMENT 08/05/15 KEEFE & GRIFFITHS PC MC ANDREWS & NORGLE LLC 321 15WC 27675 FOXWORTH, ROSEMARY CAJUN OPERATING COMPANY 07/31/14 NELSON & NELSON HOLTKAMP LIESE ET AL 322 15WC 27802 CORNELL, PATRICIA EXTENDED STAY AMERICA 05/19/15 BROWN & BROWN 323 15WC 28197 KING, DUSTIN AUTO XTREME COLLISION 07/20/15 STEELE LAW OFFICE 324 15WC 28620 SMITH, BRIAN GELLY EXCAVATING & 05/29/15 COOK SHEVLIN YSURSA ET AL 325 15WC 28726 BETTORF, WILLIAM B ALTON MENTAL HEALTH 01/01/15 326 15WC 28794 BAXTON, MICHAEL JR. CITY OF EAST ST. LOUIS, I 08/18/15 THE JONES LAW FIRM PC CLAYBORNE SABO & WAGNER 327 15WC 30054 IVES, PATRICIA A MILITARY DELI & BAKERY SE 06/19/15 P. MICHAEL READ LAW OFFICE 328 15WC 30074 POINTER, LARRY SUNCOKE ENERGY 04/29/15 BECKER SCHROADER & CHAPMAN MCBREARTY, BRIAN K 329 15WC 30602 RAWLINGS, DAVID ABENGOA BIO ENERGY OF IL 07/21/15 HENNESSEY LAW FIRM 330 15WC 30616 REAY, STEVEN ST CLAIR COUNTY 09/16/15 HUSTAVA, JOHN H HEYL ROYSTER VOELKER & ALLEN 331 15WC 31068 BROOKS, JAMES M TEAM INDSUTRIAL SERVICES 08/19/14 ERIN M. PHILLIPS HENNESSY & ROACH, PC 332 15WC 31501 JOHNSON, HELEN ANDERSON HOSPITAL 05/21/14 NOLAN DRAFAHL NYHAN BAMBRICK KINZIE & LOWR 333 15WC 31755 MILLS, JOHN U.S. STEEL 06/01/14 LAW OFFICE OF THOMAS SCHOO KEEFE & DEPAULI 334 15WC 31890 KOMOROMI, ANTHONY CITY OF GRANITE CITY 08/18/16 GALANTI LAW OFFICES KEEFE & DEPAULI 335 15WC 32981 METZE, TERRA COLLINSVILLE BUILDING & L 07/06/15 CHATHAM & BARICEVIC RUSIN & MACIOROWSKI LTD 336 15WC 33460 SUMMERS, DEBORAH STAR CUSHION PRODUCTS * 09/11/15 NELSON & NELSON 337 15WC 33526 RITTMEYER, AMY SAINT CLAIR 10/05/15 DENNIS SHEVLIN BECKER PAULSON & HOERNER PC

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 15WC 33709 DEVINE, WILLIAM HAAGS FOOD 09/21/15 BROWN & CROUPPEN RIPES NELSON BAGGOT KALOBRAT 339 15WC 33796 WALLACE, JERMAINE DW MERTZKE EXCAVATING & 09/17/15 QUINTAIROS PRIETO WOOD & BOY 340 15WC 34020 NIKOLAISEN, STEVE T AIR METHODS 02/16/14 BONIFIELD & ROSENSTENGEL P QUINN JOHNSTON HENDERSON ETA 15WC034021 -C 15WC034022 -C 15WC034023 -C 15WC034024 -C 15WC034025 -C 15WC038195 -C 16WC026729 -C 16WC026730 -C 341 15WC 34175 SHAW, DARRELL EDWARDSVILLE COMMUNITY UN 03/13/15 SCHOEN WALTON TELKEN & FOS 342 15WC 34341 IGLEHART, KRIS D NUPLEX RESINS, LLC 06/18/13 BONIFIELD & ROSENSTENGEL P 343 15WC 34450 OGDEN, STEVE ALTON SCHOOL DISTRICT 09/28/15 GALANTI LAW OFFICES KNAPP, OHL & GREEN 344 15WC 34763 FRIERSON, ESTELLA SNL CONCESSIONS 12/01/14 HOFFMAN & SLOCOMB ASSISTANT ATTORNEY GENERAL 345 15WC 34910 HARVEY, MICHAEL CITY OF ALTON 11/24/14 SMITH ALLEN MENDENHALL ET SCHREMPF, BLAINE, KELLY & DA 346 15WC 34926 ROBY, HIRAM AMSTED RAIL 09/18/15 KULLMAN KLEIN & DIONEDA BOGGS AVELLINO 347 15WC 35003 BEAN, RONALD AMSTED INDUSTRIES 09/23/15 CLAY BARKLEY ST CLAIR BOGGS AVELLINO 348 15WC 35212 STOLLARD, JOHN LOWE'S 03/26/15 WEIL MUENSTER & WIGGINTON KEEFE CAMPBELL & ASSOC LLC 349 15WC 35711 WYLIE, AMANDA PERE MARQUETTE YOUTH CENT @ 10/10/15 KOLKER LAW OFFICES ASSISTANT ATTORNEY GENERAL 350 15WC 35949 WILLIAMS, TOMORRA ELITE STAFFING 09/30/15 SCHOEN WALTON TELKEN & FOS 351 15WC 36394 LEE, JAMES ALLEN SPECTRUMS BRANDS 09/01/13 JOHNSTON LAW OFFICE 352 15WC 36448 TIPPETT, DEBRA CAHOKIA SCHOOL DISRICT 18 05/29/14 JUNCKER, DANIEL K PC CLAYBORNE SABO & WAGNER 353 15WC 37728 REICHLING, JOHN L KEELEY CONSTRUCTION 10/21/15 WEIL MUENSTER & WIGGINTON MCCARTHY LEONARD KAEMMER

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 15WC 37960 SKEENS, JAMES FL SMIDTH 08/24/15 KEEFE & GRIFFITHS PC 355 15WC 38302 BROWN, SCOTT W AMEREN IP 04/16/15 NELSON & NELSON LEMP & MURPHY 356 15WC 38309 LAMMERS, BRYAN BREESE CARING FIRST NURSI 11/13/15 NELSON & NELSON 357 15WC 38330 MUSIAL, STANLEY F U.S. MINERALS 10/23/15 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 358 15WC 38578 LILLER, ROBERT GENERAL MINE SERVICES REP 10/28/14 CULLEY FEIST KUPPART & TAY MCBREARTY, BRIAN K 359 15WC 38836 MILLS, JOHN US STEEL 02/07/15 LAW OFFICE OF THOMAS SCHOO KEEFE & DEPAULI 360 15WC 38868 IMPASTATO, DEAN PEABODY GATEWAY SVCS LLC 03/03/14 CULLEY & WISSORE KEEFE & DEPAULI 361 15WC 38952 GADDY, RYAN LABOR PARTNERS LLC 10/19/15 BEATTY & MOTIL HEYL ROYSTER VOELKER & ALLEN 362 15WC 39278 ANDERSON, ANTHONY MEMORIAL HOSPITAL 06/18/15 BECKER PAULSON & HOERNER P MATHIS MARIFIAN RICHTER ET A 363 15WC 39558 BROWN, TANGULA METRO BI STATE 11/23/15 JEFFREY GAULT BROWN & JAMES, PC 364 15WC 39675 WILHELM, JAMES PEABODY COAL CO 07/05/15 BROWN & BROWN KEEFE & DEPAULI 365 15WC 39690 MORTON, TRACY GATEWAY PACKAGING 10/19/15 BROWN & BROWN LAW OFFICES STEVEN PILAND 366 15WC 41594 CROCKETT, JOSEPH E ALORTON POLICE DEPARTMENT @ 10/19/15 MARK GEORGE NIESEN HENNESSY & ROACH, PC 367 15WC 41641 ARNOLD, FRANK J CITY OF COLLINSVILLE 11/07/15 THOMAS W DUDA BECKER PAULSON & HOERNER PC 368 15WC 42217 HOWARD, MARK WW TRANSPORT, INC. 12/04/15 SCHOEN WALTON TELKEN & FOS 369 15WC 42653 MUCKENSTURM, DEAN ROWAN TILE 10/24/15 NELSON & NELSON BRADY, CONNOLLY & MASUDA, PC 370 16WC 00054 BOYCE, MONROE JIFFY LUBE 07/01/13 LAW OFFICE KEITH SHORT KEEFE CAMPBELL & ASSOC LLC 16WC000380 -C 371 16WC 00127 DUGAN, ANTHONY DYNEGY MIDWEST GENERATION 12/07/15 NELSON & NELSON KEEFE & DEPAULI

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 16WC 00257 DAVITZ, JEFFREY C II HAYES MECHANICAL 12/10/15 CHATHAM & BARICEVIC GAROFALO SCHREIBER STORM 373 16WC 00419 MENDOZA, ANGELA HOLTEN MEAT, INC. 10/07/15 BROWN & BROWN HANSEN & ENRIGHT 374 16WC 00420 CANNON, DEMETRIUS ELITE STAFFING 12/07/15 SCHOEN WALTON TELKEN & FOS 375 16WC 00566 THOMPSON, GERALD AMERICAN STEEL FOUNDRIES 12/22/15 GALANTI LAW OFFICES BOGGS AVELLINO 376 16WC 00642 MOLLET, THOMAS AMSCO MECHANICAL, INC. 06/16/15 COOK SHEVLIN YSURSA ET AL 377 16WC 00746 YOTTER, KEVIN JOSEPH STATE OF ILLINOIS @ 07/16/15 UNSELL, EDWARD W LAW OFFIC ASSISTANT ATTORNEY GENERAL 378 16WC 00765 MULDROW-REED, KIMBERLY ARAMARK 11/03/14 MARK S PEEBLES 379 16WC 00930 WOOD, JOSEPH KEELEY & SONS INC 08/24/15 GALANTI LAW OFFICES CLAYBORNE SABO & WAGNER 380 16WC 01294 WILLIAMS, DARIUS SUPPLIED INDUSTRIAL SOLUT 04/20/15 SCHULTZ & MYERS LLC HENNESSY & ROACH, PC 381 16WC 01400 PERONI, ALISSA DOLLAR TREE 07/19/15 EVANS & DIXON, LLC 382 16WC 01528 NELSON, ROGER JET AVIATION, INC. 07/29/15 WINTERS BREWSTER CROSBY ET MATHIS MARIFIAN RICHTER ET A 383 16WC 02171 MASSA, ROBERT U S STEEL CORPORATION 09/23/15 BEATTY & MOTIL KEEFE & DEPAULI 384 16WC 02250 BALLARD, MATT HOERNIS AUTO BODY 02/24/15 JUNCKER, DANIEL K PC 16WC026493 -C 16WC026497 -C 385 16WC 02446 GARRISON, LARRY GBW RAILCAR SVCS 01/07/16 SAUTER, SULLIVAN & EVANS HENNESSY & ROACH 386 16WC 02978 BENSON, DEBORAH CENTURY CASTING CORP # 01/12/14 CULLEY & WISSORE HEYL ROYSTER VOELKER & ALLEN 387 16WC 03084 WALTERS, THOMAS ALLEN URS 01/06/16 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 388 16WC 03194 CLARK, RICKY METRO EAST INDUSTRIES 11/06/15 TOMMIE A. HARSLEY III KEEFE & DEPAULI

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 16WC 03528 RODRIGUEZ, DAVID KEHRER BROTHERS ROOFING 11/14/14 RIDGE & DOWNES LAW OFFICE CRAIG A HANSEN 390 16WC 03643 RICE, RICHARD STATE OF IL/IDNR @ 11/03/15 RICH RICH COOKSEY PC AARON L. WRIGHT 16WC019345 -C 391 16WC 03903 SNYDER, DAWN SIUE @ 01/14/16 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 392 16WC 04039 ROSE, TRACY GUARANTEE CONSTRUCTION 12/02/15 ONDER SHELTON O'LEARY EVANS & DIXON, LLC 393 16WC 04045 WILBERT, JOHN SYNCREON 01/13/16 RICH RICH COOKSEY PC STEPHEN H LARSON LAW OFFICE 394 16WC 04065 PERRY, LARRY A PRAIRIE STATE GENERATING 06/19/15 RON D COFFEL & ASSOC 395 16WC 04707 KABURECK, ELMER H III OTO DEVELOPMENT/HILTON GA 12/12/15 NELSON & NELSON LAW OFFICE CRAIG A HANSEN 396 16WC 05375 MCCLAIN, JEFF KEELEY & SONS 05/01/15 DENNIS SHEVLIN CLAYBORNE SABO & WAGNER 397 16WC 05641 MATT, JOSEPH TANK TRAILER CLEANING 09/04/15 KOLKER LAW OFFICES MCANANY VANCLEVE & PHILLIPS 398 16WC 05650 CRUTCHER, JILL HOSKINS MOTO MART 01/27/16 BROWN & BROWN HENNESSY & ROACH, PC 399 16WC 05799 SMITH, JONATHAN L OZ ARC/GAS EQUIPMENT & SU 12/07/15 SCOTT P. HOLWITT MCANANY VANCLEVE & PHILLIPS 400 16WC 05884 GARRETT, CAROLYN EXTRA HELP, INC 12/01/15 SAUTER, SULLIVAN & EVANS MCANANY VANCLEVE & PHILLIPS 401 16WC 05893 FOY, ROBERT SUNRISE TRANSPORT, LLC 07/06/15 MATHIS MARIFIAN RICHTER ET 402 16WC 05905 LATHROM, TIM UNITED METHODIS VILLAGE 11/30/15 BROWN & BROWN 403 16WC 05918 BAYER, TODD ABC 02/09/16 GALANTI LAW OFFICES COZZI & GOGGIN-WARD 404 16WC 06065 FRANKE, ROBERT A ALTON FIRE DEPT 09/22/11 CONNOR LAW OFFICES SCHREMPF, BLAINE, KELLY & DA 405 16WC 06688 DAMPIER, DESHAUN AMSTED RAIL 11/30/15 KEEFE & GRIFFITHS PC 406 16WC 07058 SCHROEDER, LESLIE BEELMAN TRUCK COMPANY 09/23/15 NELSON & NELSON CRAIG & CRAIG

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 16WC 07135 ROBINSON, KASEY DEFENDER SERVICES 02/22/16 GALANTI LAW OFFICES LAW OFFICE PAUL LARIMORE 408 16WC 07142 GRUENINGER, CHOTINAN NPG 04/10/15 BROWN & BROWN BOGGS AVELLINO ETAL 409 16WC 07198 NELSON, JOAN ELMWOOD NURSING & REHAB 01/20/16 JEROME LEFTON LAW OFFICE 410 16WC 07415 RUPPEL, DANIEL E HAAG FOOD SERVICE INC W 02/16/15 KEEFE & DEPAULI 411 16WC 07432 MARCHIO, JACK BOND COUNTY CUSD # 2 01/29/16 MCCARTHY ROWDEN & BAKER RUSIN & MACIOROWSKI LTD 412 16WC 07727 NORMAN, AARON ROBERT SANDERS WASTE SYST 07/17/15 KEEFE & GRIFFITHS PC WIEDNER & MCAULIFFE LTD 413 16WC 07845 JOHNSON, ALEX AMERICAN STEEL FOUNDRIES 03/01/16 GALANTI LAW OFFICES BOGGS AVELLINO 414 16WC 08185 SCHMIDT, TAMMY LANGA RESOURCES DBA LOGOL 04/29/15 HENNESSEY LAW FIRM HENNESSY & ROACH, PC 415 16WC 08394 HANNEMANN, MICHAEL IDOT @ 02/08/16 BROWN & BROWN ELIZABETH LEAHY 416 16WC 08399 MUIR, J R ELITE STAFFING 02/29/16 BROWN & BROWN 417 16WC 09067 DREW, JOSEPH FERRELLGAS 11/21/15 GALANTI LAW OFFICES KNELL & O'CONNOR 418 16WC 09275 HARDIN, DIANA L WISE COMPANY 10/15/15 HASSAKIS & HASSAKIS LAW OFFICE CRAIG A HANSEN 419 16WC 09652 FULLER, SNOWBIA SCHOOL DISTRICT 189 # 02/27/15 NEVILLE RICHARDS ET AL BECKER PAULSON & HOERNER PC 420 16WC 09687 ROMIOUS, CORTEZ USF HOLLAND, INC. 03/19/16 LESKERA LAW FIRM HENNESSY & ROACH, PC 421 16WC 09689 SHAFER, STEPHEN ALTON MENTAL HEALTH,ST. O @ 02/29/16 SMITH ALLEN MENDENHALL ET ASSISTANT ATTORNEY GENERAL 422 16WC 09695 STEELE, RHONDA METRO 02/20/16 GALANTI LAW OFFICES EVANS & DIXON, LLC 423 16WC 09763 BAXTON, MICHAEL SR. AMSTED INDUSTRIES INCORPO 04/09/15 CLAY BARKLEY ST CLAIR BOGGS AVELLINO 424 16WC 09809 LINDLEY, ROBERT JR GENERAL PARTS, INC 06/19/13 UNSELL & SCHUMAN GOLDBERG & SEGALLA LLP

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 16WC 09933 HAMILTON, LOREN IMPERIAL MANUFACTURING GR 03/09/16 WALTON TELKEN FOSTER LLC EVANS & DIXON, LLC 426 16WC 09964 ADDISON, CINDY R BEVERLY FARM FOUNDATION, 02/16/16 SCHREMPF, BLAINE, KELLY & HOLTKAMP LIESE ET AL 427 16WC 09983 WEAVER-JOHNSON, KATHRYN PRECISION PRACTICE MANAGE 03/22/16 KEEFE & GRIFFITHS PC STEPHEN H LARSON LAW OFFICE 428 16WC 10154 SIDO, JAMES E URS 04/10/13 UNSELL, EDWARD W LAW OFFIC HEYL ROYSTER VOELKER & ALLEN 429 16WC 10270 WANICK, BONNIE OLIN/WINCHESTER 03/31/13 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 430 16WC 10339 WRIGLEY, LISA COOPER B-LINE 03/27/14 ARMBRUSTER DRIPPS HENNESSY & ROACH, PC 431 16WC 10353 MC EWEN, STEVEN INTERNATIONAL MULCH 12/18/15 SMITH ALLEN MENDENHALL ET 432 16WC 10477 KNIPP, JEFF CITY OF ALTON 04/20/15 SCHUCHAT, COOK & WERNER SCHREMPF KELLY & NAPP 433 16WC 10732 BANCROFT, ELIZABETH A COLLINSVILLE COMMUNITY UN 01/20/15 NELSON & NELSON 434 16WC 10736 SULLIVAN, JAMES M II EXPRESS SERVICES, INC 02/12/16 BOYNE, KEVIN PC MC ANDREWS & NORGLE LLC 435 16WC 10939 POPPEN, CHRISTINE RED BUD REGIONAL HOSPITAL 02/13/16 NELSON & NELSON POWER & CRONIN LTD 436 16WC 11034 HOWELL, RAMON MIKE'S INCORPORATED 03/30/16 HUSTAVA, JOHN H 437 16WC 11039 WITCHER, LAWRENCE AMERICAN STEEL FOUNDRIES 02/26/16 GALANTI LAW OFFICES BOGGS AVELLINO 438 16WC 11052 LESCH, SHAMEIA LIBERTY VILLAGE 06/10/15 KEEFE & GRIFFITHS PC 439 16WC 11201 JINKERSON, TERRY W. CASINO QUEEN, INC. 08/16/14 LYNN D BARNETT BECKER PAULSON & HOERNER PC 440 16WC 11408 BYRD, MARCIA L PARENTS & FRIENDS OF 03/26/16 WILLIAMS CAPONI & ASSOC BOGGS AVELLINO 441 16WC 11698 MOSBY, DEVANN SERVEPRO,INC. 04/02/15 SAUTER, SULLIVAN & EVANS RIPES NELSON BAGGOT KALOBRAT 442 16WC 11721 CAMPBELL-BATES, CHRISTIAN LOWE'S HOME IMPROVEMENT 03/18/16 WALTON TELKEN FOSTER LLC KEEFE CAMPBELL & ASSOC LLC

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 16WC 11742 UJOH, CHRISTIAN ROESLEIN & ASSOCIATES INC 04/08/14 RICH RICH COOKSEY PC EVANS & DIXON, LLC 444 16WC 11913 BAKER, CATHY CFA STAFFING 02/01/15 MEYERS & FLOWERS 445 16WC 12019 KAUFFOLD, LINDSEY S CITY OF BELLEVILLE 03/15/16 KEEFE & DEPAULI BECKER PAULSON & HOERNER PC 446 16WC 12371 THORSEN, THOR ALTON MENTAL HEALTH CENTE @ 03/17/16 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 447 16WC 12483 TROECKLER, THERESA CAPTIAN D'S SEAFOOD KITCH 01/05/15 BRADLEY LAW FIRM 448 16WC 12519 PORTELL, RANDOLPH VEOLIA ENVIRONMENTAL SERV 06/13/13 GOLDENBERG, HELLER, ANTOGN EVANS & DIXON, LLC 449 16WC 12652 STARKS, LEWIS M SCHENKER, INC D/B/A 02/08/15 WALTON TELKEN FOSTER LLC 450 16WC 12918 STANTON, JAMES OLIN WINCHESTER 02/09/16 ERIN M. PHILLIPS KEEFE & DEPAULI 451 16WC 13198 BRAGGS, COLAN BRANDING IRON 03/12/16 MARK S PEEBLES LAW OFFICE CRAIG A HANSEN 452 16WC 13394 PINKSTON, DAVID OLIN WINCHESTER 03/08/16 ARMBRUSTER DRIPPS KEEFE & DEPAULI 453 16WC 13526 HOMES, DANIEL GENERAL ELECTRIC HEALTHCA 08/31/15 HUSTAVA, JOHN H CRAIG & CRAIG 454 16WC 13829 BECKNER, RONALD CLINTON COUNTY HIGHWAY DE 01/31/06 BEATTY & MOTIL BECKER PAULSON & HOERNER PC 455 16WC 13901 SUKUP, JEFF PHILIPS INTERIOR EXTERIOR 04/18/16 KEEFE & DEPAULI HENNESSY & ROACH 456 16WC 13949 CLIFTON, MIKE USF HOLLAND 04/21/16 GALANTI LAW OFFICES HENNESSY & ROACH, PC 457 16WC 13962 ARAIZA, JORDAN A BELLEVILLE FIRE DEPARTMEN 02/10/16 THOMAS W DUDA BECKER PAULSON & HOERNER PC 458 16WC 13968 EISKANT, KENNETH EARL JR PLOCHER CONSTRUCTION CO. 07/30/15 BECKER SCHROADER & CHAPMAN KNAPP, OHL & GREEN 459 16WC 13974 DEMERY, MIKE AMERICAN STEEL FOUNDRIES 04/18/16 GALANTI LAW OFFICES 460 16WC 13979 GRAVITT, JAMES E FBK MANAGEMENT 05/07/15 BONIFIELD & ROSENSTENGEL P

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 16WC 13996 REEDER, JAMIE R&L CARRIERS 03/11/16 BROWN & BROWN SLAVIN & SLAVIN 462 16WC 14028 BYRD, LESTER IL DEPT OF PUBLIC HEALTH @ 07/07/15 THE ROBBINS LAW FIRM ASSISTANT ATTORNEY GENERAL 463 16WC 14167 OTTO, JAMIE L ROESLEIN MODULAR FABRICAT 10/08/15 GOLDENHERSH & GOLDENHERSH EVANS & DIXON, LLC 464 16WC 14276 LUNA, MIGUEL OLDCASTLE LAWN&GARDEN MID 03/29/16 SCHREMPF, BLAINE, KELLY & MCANANY VANCLEVE & PHILLIPS 465 16WC 14616 NEUBAUER, EMIL SPECTRULITE CONSORTIUM IN 12/01/99 BROWN & BROWN 466 16WC 14619 BOYD, ALBERT SPECTRULITE CONSORTIUM IN 02/01/89 BROWN & BROWN 467 16WC 14676 CHILDS, DERRICK AMERICAN STEEL FOUNDRIES 04/27/16 GALANTI LAW OFFICES BOGGS AVELLINO 468 16WC 14695 HUMMERT, PATRICIA CITIZENS COMMUNITY BANK 04/20/15 BONIFIELD & ROSENSTENGEL P BRADY, CONNOLLY & MASUDA, PC 469 16WC 15337 BECKER, SCOTT ILLINOIS STATE POLICE @ 05/05/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 470 16WC 15391 PRESSWOOD, RICHARD LIBERTY IMPROVEMENT 10/28/15 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 471 16WC 15535 STREATER, KESHA BI-STATE DEVELOPMENT 04/21/16 RICH RICH COOKSEY PC EVANS & DIXON, LLC 472 16WC 15576 19B MAYWEATHER, MELLOWNE RALLY'S 04/30/16 BROWN & CROUPPEN HENNESSY & ROACH, PC 473 16WC 15583 YUENGEL, MELISSA A DELI STAR CORPORATION 07/07/15 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 16WC015600 -C 474 16WC 16176 DENNISON, LAURA L ARROW SHEDS LLC 02/24/16 NELSON & NELSON LAW OFFICE CRAIG A HANSEN 475 16WC 16235 KOCH-HARRIS, PAMELA A FIRST STUDENT 02/16/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 476 16WC 16282 ANDERSON, CHRISTOPHER L LABOR FINDERS 05/10/16 BONIFIELD & ROSENSTENGEL P GAROFALO SCHREIBER STORM 477 16WC 16294 HOLTMAN, CHRISTOPHER LOWE'S HOME IMPROVEMENT 03/21/16 JOHNSTON LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 478 16WC 16555 HUMPHREY, NORA ROSE ACRE FARMS, INC. 01/04/16 BROWN & BROWN THOMPSON & MCDONALD LAW OFFI

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 COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 16WC 16629 BROWN, BERNARD DYNEGY MIDWEST GENERATION 03/23/16 WINTERS BREWSTER CROSBY ET KEEFE & DEPAULI 480 16WC 16641 COLLINS, JACE DYNAMIC TRANSIT COMPANY 01/24/16 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 481 16WC 16852 WILLIAMS, EARLE ILLINOIS CENTRAL SCHOOL B 04/21/16 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 482 16WC 16890 HAMON, TERRY G. NEW ATHENS POLICE DEPARTM 06/03/13 LAW OFFICE RHONDA FISS KEEFE & DEPAULI 483 16WC 17068 BRANDENBERG, NANCY E. ILLINOIS CENTRAL SCHOOL B 05/13/16 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 484 16WC 17075 COLE, SANDRA AMERICAN REDCROSS 04/25/16 BROWN & BROWN EVANS & DIXON, LLC 485 16WC 17117 BROWN, LETICIA VISION WORKS 01/31/16 BROWN & BROWN HENNESSY & ROACH, PC 486 16WC 17125 JONES, JOHN B&W POOL AND SPA WORLD 05/12/16 BROWN & BROWN KEEFE & DEPAULI 487 16WC 17217 FINLEY, CARLOS L MEDLINE INDUSTRIES, INC 05/11/16 BROWN & BROWN GAROFALO SCHREIBER STORM 488 16WC 17402 HODGES, LAURIE ST ELIZABETH HOSPITAL 10/28/14 CALLIS PAPA HALE & SZEWCZY MICHAEL NESTER 489 16WC 17671 KORTE, KURT U.S. STEEL CORPORATION 01/29/16 BEATTY & MOTIL KEEFE & DEPAULI 490 16WC 17682 FORT, KATHRYN R. DOMINO'S 05/26/16 SCHREMPF, BLAINE, KELLY & 491 16WC 17885 MURRELL, SAMUEL ELITE STAFFING 05/11/16 GALANTI LAW OFFICES 492 16WC 17893 SCOTT, HERMAN CLOVERLEAF GOLF COURSE 05/25/16 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE ET AL 493 16WC 17896 MORGAN, JEREMY KEHRER BROTHERS ROOFING 08/11/15 KEEFE & GRIFFITHS PC HOLTKAMP LIESE ET AL 494 16WC 18101 PEKINSON, PAUL D OLIN CORP 05/24/16 GLASS & KOREIN KEEFE & DEPAULI 495 16WC 18346 PIERCE, ROBERT ALLAN CENTRAL COMMUNITY HIGH SC 03/21/16 NELSON & NELSON WIEDNER & MCAULIFFE LTD 496 16WC 18350 PIERCE, ROBERT ALLAN CENTRAL COMMUNITY HIGH SC 01/05/16 NELSON & NELSON WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 497 16WC 18369 DEWALL, DAVID CITY OF ALTON 02/06/15 SMITH ALLEN MENDENHALL ET SCHREMPF, BLAINE, KELLY & DA 498 16WC 18437 WASHINGTON, CEDRIC AMERICAN STEEL FOUNDRIES 05/30/16 GALANTI LAW OFFICES 499 16WC 18448 HARGRAVE, RONALD L. VEOLIA ES INDUSTRIAL 05/20/16 SAUTER, SULLIVAN & EVANS INMAN & FITZGIBBONS 500 16WC 18510 HARGRAVE, RONALD L VEOLIA ES INDUSTRIAL SRVS 05/20/16 SAUTER, SULLIVAN & EVANS INMAN & FITZGIBBONS 501 16WC 18597 MOORE, DANIEL CUSTOM FRAME WORK 05/25/16 BROWN & CROUPPEN THOMPSON & MCDONALD LAW OFFI 502 16WC 19045 JOHNSON, GARY W IMEL PEST CONTROL 04/12/16 WENDLER LAW PC WIEDNER & MCAULIFFE LTD 503 16WC 19321 GILL, ROBERT KUHL LUMBER AND PALLETTE 08/03/15 HANAGAN & MCGOVERN PC 504 16WC 19354 WEST, EVONNE R. ALDI FOODS 04/10/16 JOSEPH E. HOEFERT LYNN D BARNETT 505 16WC 19356 COOK, GREGORY UNIQUE PERSONNEL CONSULTA 04/21/16 BROWN & BROWN HENNESSY & ROACH, PC 506 16WC 19411 ROBINSON, TAMMY R HANLEY INDUSTRIES, INC 01/12/16 NELSON & NELSON KNELL & O'CONNOR 507 16WC 19715 BOGGS, TIMOTHY MEYLAN ENTERPRISES, INC 05/04/16 BROWN & BROWN 508 16WC 20085 KELLER, SHANE HIRELEVEL POWERED BY EXTR 02/29/16 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 509 16WC 20117 EISENBEIS, JOHN AIR PRODUCTS AND CHEMICAL 11/20/15 BROWN & BROWN 510 16WC 20149 REIDELBERGER, LORNE US STEEL 01/25/16 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 511 16WC 20313 WALLING, STEPHANIE M NORTHGATE SMALL ANIMAL HO 02/29/16 NELSON & NELSON MCANANY VANCLEVE & PHILLIPS 512 16WC 20471 CLINE, ALFRED REPUBLIC SERVICES 06/09/16 KEEFE & GRIFFITHS PC 513 16WC 20770 ANTHONY, TINA MEDASSIST/FIRST SOURCE 04/01/15 KOLKER LAW OFFICES HOLTKAMP LIESE ET AL 514 16WC 20861 FRANK, ALBERT FW TRUCKING 05/24/16 BROWN & BROWN WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 515 16WC 20890 JONES, CHRISTINE ST CLAIR COUNTY 03/29/16 KASSLY BONE ENGLISH ET AL BECKER PAULSON & HOERNER PC 516 16WC 21152 BEAN, PERCY SIU-TRANSPORTATION @ 03/01/16 LAW OFFICE OF CELESTINE DO 517 16WC 21209 JONES, CHARLES AMERICAN STEEL FOUNDRIES 06/29/16 GALANTI LAW OFFICES 518 16WC 21297 LAMBORN, CAROL CEDAR TRAILS 11/21/14 KEEFE & DEPAULI HENNESSY & ROACH 519 16WC 21310 SULENTIC, LINDA SEARS HOMETOWN & OUTLET S 05/20/16 LAW OFFICE KEITH SHORT GAROFALO SCHREIBER STORM 16WC021300 -C SEARD HOETOWN & OUTLET STO 520 16WC 21451 ADAMS, ANTHONY PSC, LLC 04/02/15 LAW OFFICE ROBERT G WATERS WOLFE & JACOBSON, LTD 521 16WC 21470 MORDIS, MICHAEL W. CEDAR CREEK CONSTRUCTION 06/24/16 LAW OFFICE KEITH SHORT BRUCE WARREN 522 16WC 21723 CURRIER, KENNETH M. AG VALLEY RAILROAD 08/01/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 523 16WC 21954 SYKES, MARLON ABM INDUSTRIES INC 06/17/16 BROWN & BROWN 524 16WC 21975 MCEWEN, DONNA FAIRMOUNT PARK RACETRACK 08/05/15 COOK SHEVLIN YSURSA ET AL 525 16WC 22219 BURGESS JR, KENNETH CHIP & CHAN INC D/B/D 05/11/16 BADGLEY, BRAD L SCHREMPF KELLY & NAPP 526 16WC 22275 BRIDGES, KRISTIANA CASEY'S GENERAL STORE 06/22/16 GALANTI LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 527 16WC 22558 WEBER, BRITTNEY MED STAR AMBULANCE, INC 03/02/16 KATZMAN & SUGDEN RODDY LAW LTD 528 16WC 22762 MC MAHAN, RICHARD LATNER DISTRIBUTING 11/10/15 KOPIS LAW OFFICE HARRIS DOWELL FISHER & HARRI 529 16WC 22968 WAGNER, JAMES B PEABODY GATEWAY MINE SERV 05/20/15 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 530 16WC 23224 LEE, DIANE KAREN VANARODY DMV 02/20/16 ERIN M. PHILLIPS LAW OFFICES STEVEN PILAND 531 16WC 23408 MOORE-WILSON, TISHA AGENCY FOR COMMUNITY TRAN 10/02/15 BROWN & CROUPPEN 532 16WC 23539 HOOKER, KAREN BELLEVILLE AREA SPECIAL 04/28/16 KATZMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 533 16WC 23552 LUNA, MIGUEL OLDCASTLE LAWN & 11/10/15 SCHREMPF, BLAINE, KELLY & MCANANY VANCLEVE & PHILLIPS 534 16WC 23600 CARROLL, SHARON YALE ENFORCEMENT SERVICES 03/27/16 DAVID H. BONE LLC STEPHEN H LARSON LAW OFFICE 535 16WC 23863 GRANT, JOHN M. NATIONAL MAINTENANCE & RE 04/07/15 SMITH ALLEN MENDENHALL ET 536 16WC 23910 PESAVENTO, DOMINIC COAL AGE INC 05/05/14 CULLEY FEIST KUPPART & TAY MCANANY VANCLEVE & PHILLIPS 537 16WC 24040 BERRY, RICHARD SHOP-N-SAVE 07/19/16 BECKER SCHROADER & CHAPMAN BOGGS AVELLINO ETAL 538 16WC 24421 GRIMES, SANDRA SUE AMERICAN WATER 07/25/16 MILLER, WILLIAM R LAW OFFI CLAYBORNE SABO & WAGNER 539 16WC 24484 WEST, IEHESHIA ALDI INC O'FALLON DIVISIO 03/15/16 KEVIN J. KUBITSCHEK LYNN D BARNETT 540 16WC 24535 MILLENDER, ANTONIO AMERICAN STEEL FOUNDRIES 02/18/16 GALANTI LAW OFFICES BOGGS AVELLINO 541 16WC 24616 PALISOC, EMIL J. WALGREENS CO. 03/16/16 LEONARD S. BECKER 542 16WC 24688 DIEGO, JAVIER DIXIE J HARR THOROUGHBRED 04/26/16 DEPAOLO ZADEIKIS GORE 543 16WC 24814 OLDHAM, CAROLYN HAND HAMPTON INN 07/30/16 MANDEL & MANDEL LLP 544 16WC 24962 WATER, JIMMY DARLING INGREDIENTS, INC 09/03/15 BECKER SCHROADER & CHAPMAN QUINN JOHNSTON HENDERSON ETA 545 16WC 25034 CONNELL, PATRICIA UNITED METHODIST VILLAGE 06/01/16 BROWN & BROWN HENNESSY & ROACH PC 546 16WC 25037 SHOEMAKER, GARY METRO EAST INDUSTRIES 07/15/16 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 547 16WC 25041 BUCKLEY, JEANETTE SCHNUCK MARKETS, INC. 07/14/16 SAUTER, SULLIVAN & EVANS LEMP & MURPHY 548 16WC 25211 EILAND JR, JAMES MADISON COUNTY TRANSIT 09/27/14 549 16WC 25439 HOLSHOUSER, JACK T JF ELECTRIC INCORPORATED 01/01/16 NELSON & NELSON ROUSE & CARY 550 16WC 25684 TOLAN, ALVIN METRO TRANSIT 04/23/16 BRADLEY LAW FIRM EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 16WC 25693 VOTSMIER, JAMES R. SIUE @ 07/31/13 SCHREMPF KELLY & NAPP ILLINOIS ATTORNEY GENERAL 552 16WC 25698 HODGES, DEMARCO AMERICAN STEEL FOUNDRIES 08/17/16 GALANTI LAW OFFICES 553 16WC 25719 BEYER, JOSEPH HARRISONVILLE TELEPHONE C 12/09/14 MCCARTHY ROWDEN & BAKER 554 16WC 25774 ADAMS, DANIELLE HOSPICE OF SOTHERN ILLINO 10/30/15 BROWN & CROUPPEN HOLTKAMP LIESE ET AL 555 16WC 25860 KNOP, JACOB M ROBERT CHICK FRITZ I NC 10/26/15 KEEFE & GRIFFITHS PC HEYL ROYSTER VOELKER & ALLEN 556 16WC 25879 MICHAEL, LEON KELLER CONSTRUCTION 08/24/14 GALANTI LAW OFFICES ROUSE & CARY 557 16WC 25986 SELDERS, STEPHEN ST CLAIR ALUMINUM & 07/08/16 HOLLORAN & SCHWARTZ 558 16WC 26367 RUTTER, RYAN HOLTEN MEAT COMPANY 05/13/16 CHRISTINA SUGDEN EVANS & DIXON, LLC 559 16WC 26389 WILLIAMS, LACRESHA WALGREENS DISTRIBUTION CE 04/19/16 BEATTY & MOTIL 560 16WC 26413 SHRICKENBERG, ANDREW ST ELIZABETH'S HOSPITAL 01/06/16 NELSON & NELSON MICHAEL NESTER 561 16WC 26445 SEIFFERT, GALE ALHAMBRA CARE CENTER 07/29/15 BECKER SCHROADER & CHAPMAN 562 16WC 26904 GARRIS, MARK A ELLIS TRUCKING INC 04/21/16 LAW OFFICE OF ROBERT BATES KEEFE CAMPBELL & ASSOC LLC 563 16WC 27080 SCHNEIDER, SHANNON UNIVERSAL PROTECTION SERV 07/30/16 GALANTI LAW OFFICES SPIEGEL & CAHILL, PC 564 16WC 27320 JORDAN, SHARON IMPERIAL MANUFACTURING GR 09/22/15 WALTON TELKEN FOSTER LLC EVANS & DIXON, LLC 565 16WC 27555 BALLARD, JAMES J GATEWAY FS INC 01/21/16 JAMES STIEHL 566 16WC 27562 SHERER, KIMBERLEY D QUALITY BUSINESS SOLUTION 06/20/16 SMITH ALLEN MENDENHALL ET REED ARMSTRONG GORMAN ET AL 567 16WC 28088 LOPEZ, JERRY LARRY FLYNT'S 08/27/16 KNELL & O'CONNOR 568 16WC 28131 ISAAC, OMAR C REPUBLIC SERVICES 08/19/16 COOK SHEVLIN YSURSA ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 569 16WC 28136 LAIR, MICHAEL ARDENT MILLS 07/14/16 BROWN & BROWN 570 16WC 28249 SAUNDERS, KAHLI B ST. ELIZABETH'S HOSPITAL 10/28/15 BONIFIELD & ROSENSTENGEL P MICHAEL NESTER 571 16WC 28370 BILLHARTZ, MICHAEL R SWIC ATS 10/24/14 NELSON & NELSON BECKER PAULSON & HOERNER PC 572 16WC 28565 MILLBURG, JONATHON C PRAIRIE STATE GENERATING 03/15/16 NELSON & NELSON 573 16WC 29163 ANDERSON, ANTHONY MEMORIAL HOSPITAL 02/18/16 BOYNE, KEVIN PC MATHIS MARIFIAN RICHTER ET A 574 16WC 29239 VAUGHN, ROBERT NELSON TREE SERVICE 03/22/16 SMITH ALLEN MENDENHALL ET 575 16WC 29371 WESSEL, GREGORY D & K BACKHOE SERVICE 06/11/16 COOK SHEVLIN YSURSA ET AL 576 16WC 29596 RAY, CASSANDRA BARBER CHRISTIAN HOME CAR 07/08/16 KEEFE & GRIFFITHS PC INMAN & FITZGIBBONS 577 16WC 29625 MANGRUM, BRANDYN KUNA FOOD SERVICES 08/03/16 BECKER PAULSON & HOERNER P POWER & CRONIN LTD 578 16WC 29730 BARRETT, MICHAEL J BLUE MARK PROPERTY MGMT, 09/13/16 WIMMER & STIEHL ROUSE & CARY 579 16WC 29793 ROBINSON, WILLIAM RAY ILLINOIS DEPARTMENT OF @ 08/25/16 DELANO LAW OFFICES LLC ILLINOIS ATTORNEY GENERAL 580 16WC 29902 FITZGERALD, MALENA ARGOSY CASINO 05/09/16 WALTON TELKEN FOSTER LLC HEPLER BROOM LLC 581 16WC 30083 SIGITE, RANDALL L SHAFER EXCAVATING 09/30/13 JESSICA KOESTER LLC BRYCE DOWNEY & LENKOV LLC 582 16WC 30134 WALLHEIMER, WALTER J AT&T 08/26/16 BONIFIELD & ROSENSTENGEL P HENNESSY & ROACH, PC 583 16WC 30348 WILLIAMS, YOLANDA MADISON COMMUNITY UNIT 05/10/16 WALTON TELKEN FOSTER LLC 584 16WC 30428 PARKER, CEDRIC F PENN NATIONAL GAMING/ 02/22/16 ARMBRUSTER DRIPPS HEPLER BROOM LLC 585 16WC 30636 MASSA, JOHN CITY OF BELLEVILLE 08/04/15 BOYNE, KEVIN PC BECKER PAULSON & HOERNER PC 586 16WC 31309 SMITH, TINA M 800 DEGREES WOOD 09/17/16 RICHARD LECINSKI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 587 16WC 31480 PARKER, AMANDA GENCO 09/16/16 GALANTI LAW OFFICES SPIEGEL & CAHILL, PC 588 16WC 31612 HEIDRICH, JOSHUA GREY MEYER D/B/A 09/09/16 BROWN & BROWN KEEFE CAMPBELL & ASSOC LLC 589 16WC 31698 KOSTYSHOCK, RALPH STUTZ EXCAVATING, INC 09/06/16 WALTON TELKEN FOSTER LLC WOLF LAW LTD 590 16WC 31723 MOSLEY, MARLOWE CARITAS FAMILY SOLUTIONS 10/29/14 ONDER SHELTON O'LEARY 591 16WC 31784 SYKES, CHRISTOPHER APPLEBEE'S 09/16/16 BROWN & CROUPPEN THOMPSON & MCDONALD LAW OFFI 592 16WC 31865 KRATSCHMER, LORI ROYAL LIVING CENTER 11/20/15 WILLIAMSON WEBSTER ET AL 593 16WC 31973 CANTER, JAMIE SWIFT TRANSPORATION 09/12/16 BOYNE, KEVIN PC WIEDNER & MCAULIFFE LTD 594 16WC 32471 BOWERS, PATRICIA A WEXFORD HEALTH SOURCES 06/22/16 BONIFIELD & ROSENSTENGEL P RUSIN & MACIOROWSKI LTD 595 16WC 32475 SNEED, EUGENE W CDS 06/17/16 LAW OFFICE OF SUSAN GRAMME 596 16WC 32578 SMITH, LARRY CERRO FLOW PRODUCTS 05/21/16 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD 597 16WC 32666 WARREN, GEORGE RURAL KING SUPPLY 06/22/15 BEMENT & STUBBLEFIELD THOMPSON & MCDONALD LAW OFFI 598 16WC 32775 EVANS, DIANNAH ST OF IL TRI STAR RISK MG @ 05/19/16 599 16WC 32890 LUDGATE, WILLIAM V QUALITY RAIL SERVICE 09/06/16 RICH RICH COOKSEY PC 600 16WC 33014 WYNN, ARDITH R K TEN, LLC 05/03/16 CROWDER & SCOGGINS LTD HEYL ROYSTER VOELKER & ALLEN 601 16WC 33093 EDWARDS, MELVIN AMERICAN STEEL FOUNDRIES 09/16/16 GALANTI LAW OFFICES BOGGS AVELLINO 602 16WC 33208 JONES, CHANGA K EMPIRE COMFORT SYSTEM 04/04/16 THOMAS W DUDA 16WC033209 -C 603 16WC 33231 CARTA, DOROTHY CHALLENGE UNLIMITED 08/22/16 PERICA LAW FIRM HEYL ROYSTER VOELKER & ALLEN 604 16WC 33390 FLETCHER, RONNIE NIGHT HAWK COAL 04/04/16 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 605 16WC 33495 SCHMIDT JR., DONALD L ALTON SCHOOL DISTRICT 04/09/14 606 16WC 33597 BASTING, JOSHUA T PRAIRIE STATE GENERATING 10/10/16 HARRIS & JONES EVANS & DIXON, LLC 607 16WC 33671 MCKENZIE, SHERINA BRANIDING IRON HOLDINGS, 01/27/16 NELSON & NELSON LAW OFFICE CRAIG A HANSEN 608 16WC 33883 FRYE, JOHN CERRO FLOW PRODUCTS 11/06/14 BROWN & BROWN RUSIN & MACIOROWSKI LTD 609 16WC 33904 HICKS, JONATHAN IDOT @ 09/22/16 BECKER SCHROADER & CHAPMAN ELIZABETH LEAHY 610 16WC 33937 SCHREDER, DAVID BRUCE CONCRETE CONSTRUCTI 07/01/16 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 611 16WC 34055 SWIFT, BRIAN HOFFMAN HOME IMPROVEMENT 11/15/14 LAW OFFICE RHONDA FISS KEEFE & DEPAULI 612 16WC 34182 NELSON, JUSTIN AMAZON 10/23/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 613 16WC 34998 FLAXBEARD, KEITH MI SUPPORT SERVICES 09/28/16 MILLER, WILLIAM R LAW OFFI HENNESSY & ROACH, PC 614 16WC 35171 BUGG, MARY FIRST STUDENT 08/30/16 GALANTI LAW OFFICES 615 16WC 35289 HARRIS, DEITRA ANN AMERICAN WATER 05/05/15 MILLER, WILLIAM R LAW OFFI 616 16WC 35411 FLOYD, KIMBERLYN F ST PAUL HOME FOR THE AGED 10/27/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 617 16WC 35430 HILL, DELVIN E METRO DEVELOPMENT AGENCY 08/25/16 KEEFE & GRIFFITHS PC BROWN & JAMES, PC 618 16WC 35449 ROBISON, LESTER HEADWATER 10/01/16 RICH RICH COOKSEY PC LAW OFFICE CRAIG A HANSEN 619 16WC 35460 WILLIS, TERRASHA HOLTEN MEAT, INC 10/03/16 BROWN & BROWN EVANS & DIXON, LLC 620 16WC 35476 HARRIS, DEITRA ANN AMERICAN WATER 09/27/16 MILLER, WILLIAM R LAW OFFI 621 16WC 35565 JOHNSON, IVORY BEST MEDICAL TRIP, INC 10/12/16 KEEFE & GRIFFITHS PC 622 16WC 35589 SWINK, DEON SPAETH WELDING INC 08/18/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 623 16WC 35706 LACY, TERRY GLOBAL BRASS 08/08/16 GALANTI LAW OFFICES KEEFE & DEPAULI 624 16WC 35827 URBANSKI, STEPHEN RMR CONSTRUCTION 10/21/16 NELSON & NELSON 625 16WC 35863 LACY, TERRY GLOBAL BRASS 08/08/16 GALANTI LAW OFFICES KEEFE & DEPAULI 626 16WC 36213 WATERSON, SCOTT SEARS APPLIANCE & 10/27/16 HENNESSEY LAW FIRM MCANANY VANCLEVE & PHILLIPS 627 16WC 36260 MAYO, AARON PRAIRIE STATE 11/09/16 KEEFE & DEPAULI 628 16WC 36405 BURGESS, NORMAN EXPRESS EMPLOYMENT 11/14/16 GALANTI LAW OFFICES MC ANDREWS & NORGLE LLC 629 16WC 36495 SIDWELL, JOHN MAHONEY ASPHALT, LLC 09/01/16 KHOURI LAW FIRM 630 16WC 36779 DUNCAN, JONATHAN GBW RAILCAR SERVICES, LLC 11/11/16 JOHNSTON LAW OFFICE HENNESSY & ROACH 631 16WC 37042 WILSON, MARSHALL CITY OF BELLEVILLE 05/25/16 SCHULTZ & MYERS LLC BECKER PAULSON & HOERNER PC 632 16WC 37068 WYROSTEK, THOMAS MISSISSIPPI VALLEY INGERG 08/11/12 LIESER LAW FIRM EVANS & DIXON, LLC 633 16WC 37370 SNIPES, CHERYL ALTON SCHOOL DISTRICT #11 10/24/16 PERICA LAW FIRM MCANANY VANCLEVE & PHILLIPS 634 16WC 37637 SULLIVAN, WESTLEY J STANDARD LABORATORIES INC 06/02/15 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 635 16WC 37716 ANDERSON, JOHN TRANSPORT LABOR CONTRACT/ 08/05/16 MATTEA, BRUCE 636 16WC 37775 MULLEN, DAVID HARVEST TRANSPORT SERVICE 11/26/16 KEEFE & DEPAULI 637 16WC 37850 STEPHENS, ERIC BELLEVILLE SHOE COMPANY 10/27/16 NELSON & NELSON 638 16WC 37854 SMITHSON, ERIC FASTENAL 09/02/16 JOHNSTON LAW OFFICE STEPHEN H LARSON LAW OFFICE 639 16WC 37923 MOSS, RODNEY POWER MAINTENANCE 04/18/10 HUSTAVA, JOHN H 640 16WC 37932 SANDERS, MICHAEL ILLINOIS EPA @ 05/31/16 GALANTI LAW OFFICES ELIZABETH LEAHY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 641 16WC 38157 WATKINS, BRYAN REDNOUR STEEL ERECTORS 09/21/16 O'LEARY SHELTON CORRIGAN INMAN & FITZGIBBONS 642 16WC 38395 ANDERSON, TIFFANY L OTO DEVELOPMENT, LLC 10/02/16 NELSON & NELSON LAW OFFICE CRAIG A HANSEN 643 16WC 38522 MOORE, DANON AMERICAN STEEL FOUNDRIES 11/29/16 GALANTI LAW OFFICES 644 16WC 38592 NOWAK, JAMIE R CITY OF BELLEVILLE 09/20/16 KEEFE & DEPAULI BECKER PAULSON & HOERNER PC 645 16WC 38599 RUSHING, TONI ILLINOIS CENTER FOR AUTIS 09/28/16 JOHNSTON LAW OFFICE WIEDNER & MCAULIFFE LTD 646 16WC 38662 VINSON, LAMONT HOME DEPOT 01/21/16 BROWN & CROUPPEN 647 16WC 38719 HOSMAN, PARVIN PRAIRIE STATE GENERATING 05/12/16 CULLEY & WISSORE EVANS & DIXON, LLC 648 16WC 39008 HARRIS, TRACY AMAZON 12/15/16 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 649 16WC 39115 ARNOLD, RAVEN THE MASCHHOFFS 10/30/16 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 650 16WC 39275 GREEN, ANDREW ABBOTT 09/28/16 GALANTI LAW OFFICES ARNETT LAW GROUP 651 16WC 39281 OWOSENI, BABATUNDE PARAGON SYSTEMS, INC 12/15/16 GALANTI LAW OFFICES HENNESSY & ROACH, PC 652 16WC 39446 BURTON, DEREK AMAZON 12/09/16 SAUTER, SULLIVAN & EVANS WIEDNER & MCAULIFFE LTD 653 16WC 39451 PACHECO, MANUEL PAUL CRAYNE 11/07/16 LESKERA LAW FIRM 654 17WC 00032 HALAVONICH, DAVID L VEOLIA ENVIRONMENTAL SERV 06/11/16 DOUGLAS B MCKECHAN EVANS & DIXON, LLC 655 17WC 00183 GEARS, DAVID SPECTRULITE CONSORTIUM, I 02/01/02 BROWN & BROWN 656 17WC 00184 MAYVILLE, JOHN CITY OF BELLEVILLE 09/02/16 KEEFE & DEPAULI BECKER PAULSON & HOERNER PC 657 17WC 00211 CLAYPOOL, KELLY MEDSTAR AMBULANCE 11/30/16 RICH RICH COOKSEY PC MCANANY VANCLEVE & PHILLIPS 658 17WC 00226 BEARD, TERRENCE HIRE LEVEL 12/20/16 SAUTER, SULLIVAN & EVANS MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 659 17WC 00522 SWINK, KIMBERLY SAVE-A-LOT 12/10/16 NELSON & NELSON BOGGS AVELLINO ETAL 660 17WC 00720 RODRIGUEZ, JOHN DARLING INTERNATIONAL, IN 01/08/14 SCROGGINS LAW OFFICE 661 17WC 00889 SMITH, KEITH US STEEL CORP 12/22/16 BEATTY & MOTIL KEEFE & DEPAULI 662 17WC 00911 HARDY, VICTORIA J STIFEL 09/07/16 MILLER/SALSBURY LAW FIRM STEPHEN H LARSON LAW OFFICE 663 17WC 00969 COOPER, TROY AT&T 11/30/15 JOSEPH L SAMUELSON PC INMAN & FITZGIBBONS 17WC000970 -C 664 17WC 01070 CLAYTON, LEE AMAZON.COM INC STL 6 10/24/16 THE FISCHER LAW FIRM LLC WIEDNER & MCAULIFFE LTD 665 17WC 01135 LAZANTE, CYNTHIA MASCOUTAH SCHOOL DISTRICT 02/08/16 BROWN & CROUPPEN INMAN & FITZGIBBONS 666 17WC 01155 DARR, DENNIS C OLIN CORPORATION 11/17/15 JOSEPH E. HOEFERT KEEFE & DEPAULI 667 17WC 01160 MOORE, JENNIFER THE MASCHHOFFS LLC 01/02/17 BOYNE, KEVIN PC 668 17WC 01218 MC CRACKEN, RANDY METRO 02/19/16 BROWN & BROWN EVANS & DIXON, LLC 669 17WC 01538 SNYDER, BARBARA TONKA CLIPPERS 05/02/16 MICHAEL J BRUNTON LAW OFFI QUINN JOHNSTON HENDERSON ETA 670 17WC 01539 WRIGHT, SHANEK'E FIRST STUDENT, INC 12/19/16 WIMMER & STIEHL 671 17WC 01549 STROUD, LAVERNE, WIDOW OF FREEMAN UNITED COAL # 11/20/16 CULLEY FEIST KUPPART & TAY 672 17WC 01652 TWIGGS, STEPHEN CONCRETE CORING CO 10/13/16 WILLIAMSON WEBSTER ET AL WIEDNER & MCAULIFFE LTD 673 17WC 01685 SMITH, CHARLES HEYES MECHANICAL 10/27/16 KIRKPARTICK LAW OFFICES GAROFALO SCHREIBER STORM 674 17WC 01836 KROEGER, BROC W MAINS TREE SVC 05/31/16 CHATHAM & BARICEVIC ROUSE & CARY 675 17WC 01919 19B MOLLET, MERLE HIGHLAND SUPPLY CORP. 09/21/16 GLASS & KOREIN STEPHEN H LARSON LAW OFFICE 676 17WC 02031 COLBERT, CASSANDRA HOELSCHER INTERIORS 12/21/16 BECKER SCHROADER & CHAPMAN JELLIFFE FERRELL DOERGE PHEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 677 17WC 02046 WILLIAMS, DEBORAH METRO/BISTATE DEVELOPMENT 12/13/16 CARAWAY FISHER BROWN & JAMES, PC 678 17WC 02082 BARKER, PAUL SYNCREON 09/19/16 BROWN & CROUPPEN STEPHEN P. KELLY 679 17WC 02356 LAWRENCE, KRISTINA GREAT CLIPS/MODERN DAY CL 10/11/16 NELSON & NELSON QUINN JOHNSTON HENDERSON ETA 680 17WC 02539 FOULKS, HENRY RHEKEMPER & SON, INC. 12/08/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 681 17WC 02629 NEAL, JERRY JR LOUIS DREYFUS CORPORATION 11/26/16 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 682 17WC 02834 DAIKER, KENNETH ELLINGSON TRENCHLESS LLC 12/16/16 NORBERT GOETTEN STEPHEN H LARSON LAW OFFICE 683 17WC 02890 ROBINSON, KARA FIRST SOURCE SOLUTIONS 01/17/17 GOLDENHERSH & GOLDENHERSH 684 17WC 02900 STOBBS, CRAIG RED BUD IGA 12/09/15 HAMMOND SHINNERS TURCOTTE 685 17WC 03046 NEUMEYER, VICKIE EAST ST LOUIS SCHOOL DIST 01/01/17 CHATHAM & BARICEVIC BECKER PAULSON & HOERNER PC 686 17WC 03052 POWERS, ERICA AMAZON.COM INC 10/11/16 WALTON TELKEN FOSTER LLC WIEDNER & MCAULIFFE LTD 687 17WC 03152 GOLLIDAY, ALVIN JR EMPIRE COMFORT SYSTEM 08/25/16 BROWN & BROWN KEEFE & DEPAULI 688 17WC 03265 RICHTER, DONNA SOUTHERN ILLINOIS BUILDER 08/01/16 ARMBRUSTER DRIPPS BRADY, CONNOLLY & MASUDA, PC 689 17WC 03481 TUCKER, STEVEN GATEWAY FABRICATORS, INC. 10/19/16 LAW OFFICES STEVEN PILAND 690 17WC 03632 ZOTZ, BRETT RURAL KING 08/31/16 BOYNE, KEVIN PC KEEFE CAMPBELL & ASSOC LLC 691 17WC 03999 SPARKS, CAROLYN LOWES 10/15/16 WILLIAM BERRY & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 692 17WC 04086 DODSON, DWAYNE SPARTAN LIGHT METALS 10/04/16 NELSON & NELSON 693 17WC 04092 DAVIS, TYLER INTEGRITY STAFFING SOLUTI 01/12/17 WALTON TELKEN FOSTER LLC SLAVIN & SLAVIN 694 17WC 04099 HANELINE, JENNIFER R HIGHER LEVEL 01/23/17 JOSEPH E. HOEFERT MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 695 17WC 04104 STANDLEY, ROBERT PEABODY COAL 11/18/16 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 696 17WC 04123 POOLE, ASHLEY ALTON MEMORIAL HOSPITAL 12/12/16 MORMINO,VELLOFF,EDMONDS,SN HOLTKAMP LIESE ET AL 697 17WC 04136 CAVE, KENNETH SONNY PAST AUTO BODY 12/15/16 LAW OFFICE OF THOMAS SCHOO 698 17WC 04434 FRENCH, RICHARD A GODFREY ANIMAL CONTROL 07/02/13 JOSEPH E. HOEFERT EVANS & DIXON, LLC 699 17WC 04547 IIIFF, DANA SCHNUCKS 08/25/16 700 17WC 04616 BAKERT, TOMMY AXCESS STAFFING 01/31/17 BECKER SCHROADER & CHAPMAN BRADY, CONNOLLY & MASUDA, PC 701 17WC 04728 KECK, MICHAEL T AMEREN 01/10/17 NELSON & NELSON CLAYBORNE SABO & WAGNER 702 17WC 04821 CAMPBELL, JANET ILLINOIS VALLEY ECONOMIC 10/20/16 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 703 17WC 04836 DAHM, JAMES F CITY OF BELLEVILLE-POLICE 02/17/16 BONIFIELD & ROSENSTENGEL P BECKER PAULSON & HOERNER PC 704 17WC 04861 SMITH, CHELSEA GRANITE CITY SCHOOL 01/05/17 LYNN D BARNETT 705 17WC 04890 STANDAL, DANIEL B AT&T 08/31/16 SCOTT P. HOLWITT 706 17WC 05036 REUTER, CRAIG ELECTRO DOOR SYSTEMS 04/28/16 RICH RICH COOKSEY PC LIVINGSTONE MUELLER ET AL 707 17WC 05049 WATSON, CHARLENE FAMILY DOLLAR 09/24/16 LIESER LAW FIRM 708 17WC 05092 WASHINGTON, BENETTA Y INTEGRITY STAFFING 12/01/16 DAVID H. BONE LLC SLAVIN & SLAVIN 709 17WC 05190 HAMOR, ALLAN R ILMO PRODUCTS CO 06/11/15 WENDLER LAW PC STEPHEN H LARSON LAW OFFICE 710 17WC 05726 IRVIN, SHANE A GREENSCAPE LAWNCARE & 09/19/16 711 17WC 05749 TEER, LEE ANGELA BELLEVILLE SHORE MFG COMP 02/10/17 SAUTER, SULLIVAN & EVANS 712 17WC 05790 WORLEY, THOMAS U.S. STEEL CORP 12/19/15 BEATTY & MOTIL KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 713 17WC 05863 HAWKES, JANET MAGNESIUM ELEKTRON 10/26/16 BECKER SCHROADER & CHAPMAN BRADY, CONNOLLY & MASUDA, PC 714 17WC 05878 BLOOMQUIST, DAMIEN DOMINO'S PIZZA 10/12/16 JUSTIN B MATTEA 715 17WC 06026 GREENLEE, LAEN AMAZON 02/05/17 BOYNE, KEVIN PC WIEDNER & MCAULIFFE LTD 716 17WC 06065 FERNANDEZ, JASON U.S. STEEL CORPORATION 01/28/17 BEATTY & MOTIL KEEFE & DEPAULI 717 17WC 06361 CHAPMAN, DARRYL S AMK HEATING & COOLING INC 01/31/17 SCHREMPF KELLY & NAPP 718 17WC 06390 GREER, TYRONE H DB SCHENKER 02/14/17 BONIFIELD & ROSENSTENGEL P LAW OFFICE PAUL LARIMORE 719 17WC 06396 ROBINSON, ANTRANESHIA MEDLINE 01/13/17 WALTON TELKEN FOSTER LLC GAROFALO SCHREIBER STORM 720 17WC 06428 BAIOTTO, DAN MENASHA CORP 02/02/17 BECKER SCHROADER & CHAPMAN 721 17WC 06536 ROTH, KEITH DYNEGY MIDWEST GENERATION 10/10/14 CARAWAY FISHER 722 17WC 07072 ARRENDONDO, JUAN EAGLES STONE MASONRY WORK 07/24/16 SCHREMPF KELLY & NAPP 723 17WC 07088 POOL, MICHAEL U.S. STEEL CORPORATION 02/18/17 BEATTY & MOTIL KEEFE & DEPAULI 724 17WC 07093 BOYER, VICKI M BEVERLY FARMS FOUNDATION 12/05/16 GOLDENBERG HELLER ANTOGNOL HOLTKAMP LIESE ET AL 725 17WC 07333 HAYES, MARIA METRO 02/06/17 JEFFREY GAULT EVANS & DIXON, LLC 726 17WC 07393 LITTLE, CRYSTAL AMAZON 11/16/16 WALTON TELKEN FOSTER LLC WIEDNER & MCAULIFFE LTD 727 17WC 07399 LACK, TIMOTHY S ALLISON CONCRETE, INC. 02/17/17 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 728 17WC 07410 REED, FELICIA A BI-STATE DEVELOPMENT AGEN 07/30/15 RICH RICH COOKSEY PC BROWN & JAMES, PC 729 17WC 07432 VALLE, JOHN AMERICAN CENTRAL PORT 02/16/17 HUSTAVA, JOHN H WIEDNER & MCAULIFFE LTD 730 17WC 07609 CALLIES, TERESA ALTON SCHOOL DISTRICT #11 02/16/16 GALANTI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 731 17WC 07614 LEWIS, PAUL CITY OF JERSEYVILLE 01/31/16 GALANTI LAW OFFICES SCHREMPF KELLY & NAPP 732 17WC 07778 MATHIAS, ED IDOT 02/16/17 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 733 17WC 07784 WALKER, TONY L METRO EAST INDUSTRIES, IN 10/17/16 DENNIS SHEVLIN KEEFE & DEPAULI 734 17WC 07796 KAMPMANN, KIRSTINA EDWARDSVILLE NURSING & RE 12/05/16 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 735 17WC 07833 WRIGHT, DEONTE METRO EAST INDUSTRIES 11/28/16 HUSTAVA, JOHN H KEEFE & DEPAULI 736 17WC 07888 TUETKEN, MARVIN IDOT @ 12/16/16 JOSEPH L SAMUELSON PC ELIZABETH LEAHY 737 17WC 07959 STEELE, KATHY DOLLAR GENERAL 02/25/16 WILLIAMS CAPONI & ASSOC LEAHY EISENBERG & FRAENKEL 738 17WC 07962 WAGNER, MARK A SUIZA DAIRY GROUP 01/13/17 SCHUCHAT, COOK & WERNER BRADY, CONNOLLY & MASUDA, PC 739 17WC 07977 RUSSELL, RANDY TERRA SOURCE GLOBAL 09/09/16 CARAWAY FISHER FEIRICH MAGER GREEN & RYAN 740 17WC 08026 ERNST, SCOTT VEOLIA ENVIRONMENTAL SERV 04/16/14 GOLDENBERG HELLER ANTOGNOL EVANS & DIXON, LLC 741 17WC 08435 CURLOVIC, ANDREA ALTON MENTAL HEALTH CENTE @ 02/26/17 ARMBRUSTER DRIPPS ASSISTANT ATTORNEY GENERAL 742 17WC 08557 LUSHER, RALPH F MAVERICK TRANSPORTATION, 03/26/14 LIESER LAW FIRM 743 17WC 09110 WEBER, EDWARD WASTE MANAGEMENT 04/22/15 RICH RICH COOKSEY PC GAROFALO SCHREIBER STORM 744 17WC 09197 ARCEGA, RANDY JIM'S FORMAL WEAR LLC 06/13/16 NELSON & NELSON KEEFE & DEPAULI 745 17WC 09247 GRAELISH, IDELLA BELLEVILLE EAST LAUNDROMA 01/24/17 BROWN & BROWN 746 17WC 09251 RICHARDS, MARY US STEEL 02/01/17 BECKER SCHROADER & CHAPMAN 747 17WC 09260 MCINTYRE, ANNETTE TOUCHETTE REGIONAL HOSPIT 01/10/17 748 17WC 09406 BERNARD, ERIC GRP MECHANICAL CO 07/11/16 CHATHAM & BARICEVIC KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 749 17WC 09457 MCCOY, CHARLES R WILLIAM F. BROCKMAN CO. 12/29/15 JOSEPH E. HOEFERT EVANS & DIXON, LLC 750 17WC 09481 BLASSINGAME, MARY (MOTHER TAVERN ON MAIN 02/25/17 BROWN & BROWN 751 17WC 09555 LEWIS, ROBERT DEAN FOODS 12/02/15 COOK SHEVLIN YSURSA ET AL 752 17WC 09570 MURRAY, MARION CARLISLE CONSTR MATERIALS 09/06/16 BROWN & BROWN KNAPP, OHL & GREEN 753 17WC 09574 CONNORS, MONTE STEVE CRAWFORD TRUCKING I 03/20/17 NELSON & NELSON ARCHER LASSA & MCHUGH 754 17WC 10060 REYNOLDS, JOSHUA M EXPRESS PROFESSIONALS 03/20/17 JOSEPH E. HOEFERT MC ANDREWS & NORGLE LLC 755 17WC 10075 JENSEN, JEFFREY J CITY OF BELLEVILLE 05/19/16 KEEFE & DEPAULI BECKER PAULSON & HOERNER PC 756 17WC 10159 MITCHELL, BRANDY DSW INC 08/05/16 LIESER LAW FIRM 757 17WC 10195 JOHNSON, AMANDA MANPOWER 10/10/16 GARY L. BEMENT HENNESSY & ROACH, PC 758 17WC 10234 MEYER, STEVEN ALTON STEEL 02/21/17 GALANTI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 759 17WC 10253 BUSS, RUTH PEABODY COAL CO # 10/08/16 CULLEY & WISSORE KEEFE & DEPAULI 760 17WC 10288 LITTLE, WAYNE A WAYNE A LITTLE 02/24/17 WALTON TELKEN FOSTER LLC 761 17WC 10305 KING, TREVOR BELLEVILLE BOOT COMPANY 10/13/16 BROWN & BROWN EVANS & DIXON, LLC 762 17WC 10319 CHEATHAM, CHRIS LKQ 06/08/16 JUNCKER, DANIEL K PC BRYCE DOWNEY & LENKOV LLC 763 17WC 10324 KELLER, MELISSA BASSC 08/26/16 KIRKPARTICK LAW OFFICES WIEDNER & MCAULIFFE LTD 764 17WC 10355 PRESLEY, TIMOTHY JOSEPH L BERLINGERI CARPE 02/22/17 KING LAW FIRM HENNESSY & ROACH 765 17WC 10364 RUSSELL, SEAN S&L INDUSTRIES 01/30/17 JOHNSTON LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 766 17WC 10585 BESAW, ROBERT FRITO LAY, INC 03/09/16 MORMINO,VELLOFF,EDMONDS,SN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 767 17WC 10640 BARGE, DARON ILLINOIS STATE POLICE @ 12/16/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 768 17WC 10704 DEBOURGE, DAVID ROBERT CHICK FRITZ INC 06/10/15 BROWN & CROUPPEN 769 17WC 10734 SKAGGS, ALVIN SECURITAS 01/20/17 BECKER SCHROADER & CHAPMAN STONE & JOHNSON CHARTERED 770 17WC 10740 BRANDMEYER, JEFFREY REHKEMPER & SONS, INC 01/25/17 KATZMAN & SUGDEN 771 17WC 10749 COTTRELL, JAMES NU WAY RENTALS 06/27/16 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 772 17WC 10797 BRINKMANN, RICHARD P KIRBY-SMITH MACHINERY 05/31/16 LYNN D BARNETT EVANS & DIXON, LLC 773 17WC 10805 LEWIS, BENNY C CAHOKIA UNIT SCHOOL 02/15/17 LAW OFFICE JASON GOING 774 17WC 10848 COX, STEPHANIE YALE ENFORCEMENT SERVICE 02/17/17 CARAWAY FISHER STEPHEN H LARSON LAW OFFICE 775 17WC 10936 LASK, MARK CITY OF EDWARDSVILLE 02/26/17 BEATTY & MOTIL SCHREMPF KELLY & NAPP 776 17WC 11087 DACHSTEINER JR, CHARLES W GUARENTEE ELECTRICAL 02/09/17 CLAY BARKLEY ST CLAIR 777 17WC 11330 MEYER JR, VERNON UNITED STATES STEEL CORP 03/08/17 RICH RICH COOKSEY PC KEEFE & DEPAULI 778 17WC 11477 BROWN, BLAKE M AMAZON.COM 11/29/16 SMITH ALLEN MENDENHALL ET WIEDNER & MCAULIFFE LTD 779 17WC 11576 TILLEY, DENNIS PRAIRIE STATE GENERATIGN 07/01/16 RICH RICH COOKSEY PC EVANS & DIXON, LLC 780 17WC 11606 MCGEE, KATRINA SEARS 04/11/17 CHATHAM & BARICEVIC 781 17WC 11622 MCGUIRE, REBECCA SCOTT CREDIT UNION 02/07/17 SMITH ALLEN MENDENHALL ET 782 17WC 11636 FAULKNER, JOHN PROLOGISTIX 03/20/17 SMITH ALLEN MENDENHALL ET 783 17WC 11854 STONE, JEREMY VILLAGE OF MARYVILLE 06/17/14 RUSIN & MACIOROWSKI LTD 784 17WC 11977 EZELL, DAWN SHUETTE'S MARKET 03/07/17 LAW OFFICE JOSHUA KARMEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 785 17WC 12122 LINDER, DANIEL E&A DRYWALL 03/09/17 SMITH ALLEN MENDENHALL ET 786 17WC 12145 FRANKLIN, WARREN P DEAN FOODS 03/15/17 NELSON & NELSON BRADY, CONNOLLY & MASUDA, PC 787 17WC 12195 TROY, ALICIA M ADVANCED AUTO PARTS 01/30/17 WALTON TELKEN FOSTER LLC 788 17WC 12202 BRUNSMAN, ERIC CDS, INC 10/07/16 WALTON TELKEN FOSTER LLC LAW OFFICES STEVEN PILAND 789 17WC 12268 WEGRZYN, WALTER KNIPP ROOFING, INC 04/05/16 MATHIS MARIFIAN RICHTER ET 790 17WC 12331 WILSON, JOE GMS MINE REPAIR & MAINT I 11/15/16 CULLEY FEIST KUPPART & TAY 791 17WC 12491 STEPHENS, KEPPI L MACY'S INC 05/27/15 SMITH ALLEN MENDENHALL ET BRYCE DOWNEY & LENKOV LLC 792 17WC 12498 FLEMING, WENDY METRO 04/05/17 BROWN & BROWN EVANS & DIXON, LLC 793 17WC 12555 THRONTON, DAVID T HIRE LEVEL 03/13/17 JOSEPH E. HOEFERT MCANANY VANCLEVE & PHILLIPS 794 17WC 12742 JUNGE, FLETA DRIVE LINE RETAIL 04/06/17 LAW OFFICE KEITH SHORT 795 17WC 12785 GRIFFIN, TYEASHA CEDAR RIDGE HEALTH & REHA 03/13/17 WALTON TELKEN FOSTER LLC 796 17WC 12815 PHILLIPS, CASEY BELLEVILLE AREA HUMANE SO 04/21/17 GALANTI LAW OFFICES 797 17WC 12992 ALTEVOGT, JOSEPH HIGHLAND MACHINE & SCREW 02/21/17 RICH RICH COOKSEY PC 798 17WC 12998 JOHNSON, DESHALL INTEGRITY HEALTHCARE 03/13/17 JOSEPH E. HOEFERT 799 17WC 13018 HUDSON, CRAIG USF HOLLAND 03/16/17 SCANLON, CHARLES R HENNESSY & ROACH, PC 800 17WC 13139 DAKE, JAMES W RICH LOGISTICS 04/11/17 PETER BLASI LLC GAROFALO SCHREIBER STORM 17WC020696 -C 801 17WC 13268 SMITH, LISA KRAFT HEINZ CO 04/05/17 NELSON & NELSON GAROFALO SCHREIBER STORM 802 17WC 13279 KAEMMERER SR., DEVIN A CARGILL 05/09/14 MCGLYNN & MCGLYNN LIVINGSTONE MUELLER ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 803 17WC 13283 COLLINS, DAVID NELSON TREE SERVICE INC 04/14/17 BROWN & BROWN ADELSON TESTAN & BRUNDO 804 17WC 13445 BOEDEKER, BRIAN CHARTER 02/07/17 MILLER, WILLIAM R LAW OFFI BRADY, CONNOLLY & MASUDA, PC 805 17WC 13463 RICE, GREGORY PEDESTAL FOODS 04/14/17 THE FISCHER LAW FIRM LLC 806 17WC 13542 LOVELESS, TRESEA HERITAGE ENVIRONMENTAL 04/18/17 GALANTI LAW OFFICES 807 17WC 13598 BAGLEY, JANA J SPARTAN LIGHT METAL PRODU 04/17/17 FISHER KERKHOVER & COFFEY HENNESSY & ROACH, PC 808 17WC 13792 BLACK, HATTIE MERIDIAN VILLAGE 11/11/16 BOYNE, KEVIN PC 809 17WC 13794 WILLIAMS, DENERIO HEALTHCARE SERVICE GROUP 03/14/17 RICH RICH COOKSEY PC BRADY, CONNOLLY & MASUDA, PC 17WC015417 -C BRIA OF BELLEVILLE 810 17WC 13798 KNEELAND, VALERIE SUN BASKET 03/08/17 BROWN & BROWN 811 17WC 13801 EMSHOUSEN, MARK S STATE OF ILLINOIS @ 07/21/16 LESKERA LAW FIRM ASSISTANT ATTORNEY GENERAL 812 17WC 13841 BERTSCHINGER, GREGORY AFTON CHEMICAL 04/04/17 CHATHAM & BARICEVIC 813 17WC 13866 WETZEL, LUCAS ROTHMAN FURNITURE 08/08/16 NELSON & NELSON 814 17WC 14149 EDWARDS, DAWN AMAZON 02/02/17 MCCARTHY ROWDEN & BAKER 815 17WC 14248 RUSH, GLORIA PAPA JOHN'S INTERNATIONAL 01/13/17 LAW OFFICE OF THOMAS SCHOO 816 17WC 14664 MCINTYRE, ANNETTE TOUCHETTE REGIONAL HOSPIT 01/10/17 817 17WC 14671 VOIGT, GERALD AECOM-URS 05/04/17 CARAWAY FISHER HENNESSY & ROACH, PC 818 17WC 14739 JOHNSON, GARY W IMEL PEST CONTROL 04/26/17 WENDLER LAW PC WIEDNER & MCAULIFFE LTD 819 17WC 14746 TARTER-MCCLAIN, BONNIE AMAZON 03/15/17 JOHNSTON LAW OFFICE 820 17WC 14794 REINHARDT, JACQUELINE INTERNATIONAL PAPER 05/09/17 BECKER SCHROADER & CHAPMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 821 17WC 14811 COOPER, CASSANDRA LAND OF LINCOLN LEGAL ASS 12/02/16 BUTLER & KEMPER LAW OFFICES STEVEN PILAND 822 17WC 14821 GREEN, JOHN JR PEOPLEASE CORPORATION 03/06/17 CANTOR & BURGER MCANANY VANCLEVE & PHILLIPS 823 17WC 14856 ROSS, DARLENE BASSC 06/28/16 CARAWAY FISHER 824 17WC 14867 BROWN, CHRISTINA AMAZON 01/30/17 SMITH ALLEN MENDENHALL ET WIEDNER & MCAULIFFE LTD 825 17WC 15027 CONNOUR, KELLY AMAZON DISTRIBUTION CENTE 01/05/17 WALTON TELKEN FOSTER LLC 826 17WC 15029 WENTLING, MONA M AMAZON.COM, INC 12/12/16 WALTON TELKEN FOSTER LLC 827 17WC 15112 PARKER, AMANDA CFA STAFFING 03/16/17 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD 828 17WC 15202 NEWINGHAM, RAY FUNK PEST CONTROL & 12/13/16 WOODRUFF & JOHNSON HENNESSY & ROACH, PC 829 17WC 15395 MENDOZA, ANGELA HOLTEN MEAT, INC 04/19/17 BROWN & BROWN EVANS & DIXON, LLC 830 17WC 15399 REXFORD, TERRY OLIN CORPORATION 09/22/16 NELSON & NELSON KEEFE & DEPAULI 831 17WC 15419 SPAGNA, TIMOTHY AT&T 07/23/16 JUSTIN B MATTEA 832 17WC 15424 DAVIS, THOMAS J (GUARDIAN JACK IN THE BOX 02/24/17 WENDLER LAW PC HENNESSY & ROACH, PC 833 17WC 15448 RHODES JR, BUD G JLP HOMES 12/28/16 BONIFIELD & ROSENSTENGEL P 834 17WC 15473 TATE MERTEN, MICHAEL GRANITE CITY CUSD #9 04/04/17 GALANTI LAW OFFICES 835 17WC 15711 HOUSE, SHAY AMAZON DISTRIBUTION CENTE 01/12/17 WALTON TELKEN FOSTER LLC 836 17WC 15720 SMITH, TIERRA GATEWAY REGIONAL MEDICAL 06/24/15 TOMMIE A. HARSLEY III 837 17WC 15721 ADAMS, ZACHARY PRAIRIE STATE GENERATING 11/12/15 RICH RICH COOKSEY PC 838 17WC 15831 KOERKENMEIER, NEAL WILKE WINDOW & DOOR, INC 05/27/16 DRAFAHL LAW FIRM HOLTKAMP LIESE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 839 17WC 15865 CHILDS, TARA INTEGRITY STAFFING SOLUTI 01/26/17 WALTON TELKEN FOSTER LLC SLAVIN & SLAVIN 840 17WC 15919 BRYANT, CASSANDRA JERSEY COMMUNITY HOSPITAL 05/01/17 GALANTI LAW OFFICES GAROFALO SCHREIBER STORM 841 17WC 16016 SMITHEE, CARLA A WAFFLE HOUSE, INC 04/24/17 LESKERA LAW FIRM MORROW WILLNAUER 842 17WC 16077 BELL, MAUREEN MEMORIAL HOSPITAL 04/30/17 NELSON & NELSON MATHIS MARIFIAN RICHTER ET A 843 17WC 16094 JACKSON, THOMAS III PALLET LOGISTICS MANAGEME 01/10/17 RICHARD LECINSKI HUCK HOWE & TOBIN 844 17WC 16136 PEARSON, JACQUELINE CASINO QUEEN 01/13/17 BROWN & BROWN 845 17WC 16231 MCCALEB, CHARLES VEE-JAY CEMENT CONTRACTIN 06/10/16 DENNIS SHEVLIN 846 17WC 16255 MILLER, TRACEE ROYAL LIVIN CENTER 05/14/17 BROWN & BROWN RUSIN & MACIOROWSKI LTD 847 17WC 16436 MCBRIDE, EDWARD E GODFREY FIRE PROTECTION D 03/08/17 THOMAS W DUDA KEEFE & DEPAULI 848 17WC 16460 RUSHING, CHARLIE RUSHING, CHARLIE 01/20/16 BROWN & BROWN 849 17WC 16473 GAINES, KERNAISHA AMAZON 05/19/17 GALANTI LAW OFFICES 850 17WC 16623 WERNER, MICHAEL UPS 04/05/17 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 851 17WC 16663 NORMAN, THERESA D HELP AT HOME LLC 12/27/16 WILLIAMS CAPONI & ASSOC HENNESSY & ROACH, PC 852 17WC 16755 OSBORNE, ALICE SUZANNE BETHESDA HEALTH GROUP INC 12/16/16 LAW OFFICE OF SUSAN GRAMME 853 17WC 16777 DAVIS, SHANNON ABBOTT EMS 03/18/17 JOSEPH L SAMUELSON PC ARNETT LAW GROUP 854 17WC 16782 DAVIS, JAMES A FRESH WAREHOUSE 05/16/17 BADGLEY, BRAD L HENNESSY & ROACH, PC 855 17WC 16806 KENT, DONALD KR DRENTH TRUCKING INC 12/19/14 KIRKPARTICK LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 856 17WC 16812 BERGMAN, MARK STATE OF ILLINOIS, DEPT O @ 08/28/14 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 857 17WC 16839 LOVE, RITA ALTON MENTAL HEALTH CENTE @ 05/29/17 ARMBRUSTER DRIPPS ASSISTANT ATTORNEY GENERAL 858 17WC 16898 LANGFORD, SHELBY LIFE LINE SCREENING 05/09/17 BROWN & BROWN 859 17WC 16899 ELMORE, TIMOTHY JAMES GREEN MANAGEMENT 05/15/17 BROWN & BROWN 860 17WC 17036 FORREST, JASON LOWE'S 06/15/16 BOYNE, KEVIN PC 861 17WC 17043 KELSO, MICHAEL ALTON STEEL 09/08/15 GALANTI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 862 17WC 17284 SCOTT, SHERRI CLINTON MANOR LIVING CENT 06/01/17 LAW OFFICE KEITH SHORT 863 17WC 17314 GOODWIN, VICKY HITZ MEMORIAL HOME 11/08/16 DWORKIN AND MACIARIELLO BOGGS AVELLINO 864 17WC 17356 LOPEZ RODRIGUEZ, JESUS MJ RESURRECTION, INC 01/19/17 JOHN M CICHELERO PC 865 17WC 17378 CROUCH, THOMAS CAHOKIA SCHOOL DISTRICT 01/24/17 RICH RICH COOKSEY PC KNAPP, OHL & GREEN 866 17WC 17595 POMEROY, JASON R ACCREDITED ROOFING 05/16/17 ANESI OZMON RODIN NOVAK KO ROUSE & CARY 867 17WC 17603 THOMPSON, JESSICA DOMINO'S PIZZA 04/18/17 NESSLER, FREDERIC LAW OFFI 868 17WC 17671 HAWKINS, JODY D MEINEKE CAR CARE CENTER 04/14/17 BADGLEY, BRAD L 869 17WC 17968 JENNINGS, COREY JUVENILE TRANSITIONAL CEN 05/11/16 JOSEPH L SAMUELSON PC 870 17WC 18025 WATSON, MARY KRAFT HEINZ 04/25/17 RICH RICH COOKSEY PC GAROFALO SCHREIBER STORM 871 17WC 18200 MONROE, JOSHUA CHARTER COMMUNICATION 04/21/17 STORMENT LAW OFFICE 872 17WC 18203 BALTA, ALEXANDER CARDINAL VENDING 03/23/17 JEFFREY GAULT STEPHEN H LARSON LAW OFFICE 873 17WC 18208 PARKER, RYAN T ALTON POLICE DEPT 02/01/16 JOSEPH E. HOEFERT SCHREMPF KELLY & NAPP 874 17WC 18228 DUGGAR, JOEY STULTS BACKHOE SERVICES W 12/29/16 GALANTI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 875 17WC 18268 JONES, PAUL EXPRESS EMPLOYMENT 05/16/17 NELSON & NELSON 876 17WC 18305 WINDHAM, ERIC C & L TILING INC * 02/12/13 STEPHEN H LARSON LAW OFFICE 877 17WC 18487 MCEVILLY, CHRISTOPHER J STATE OF ILLINOIS-DOT @ 10/17/16 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 878 17WC 18686 BOESCHEN, WILLIAM V GMS MINE REPAIR & MAINTEN 07/07/14 KEEFE & DEPAULI LITCHFIELD CAVO 879 17WC 18800 LOVELESS, CATHERINE ALTON STEEL INC. 07/13/16 JULIAN GORI & ASSOC KEEFE CAMPBELL & ASSOC LLC 880 17WC 18842 THOMAS, JOHN A THE HANOR COMPANY OF WI, 09/08/15 NESSLER, FREDERIC LAW OFFI LITCHFIELD CAVO 881 17WC 18906 LIERA, MARIA KRUCKEBERG FARMS INC 04/19/17 JOHN M CICHELERO PC 882 17WC 18921 RAMBO, TIMOTHY CAHOKIA SCHOOL DISTRICT 06/14/17 BECKER SCHROADER & CHAPMAN 883 17WC 18965 LATTA, TOI STEAK 'N SHAKE 05/31/17 BROWN & BROWN LAW OFFICE TARUN RANA 884 17WC 18983 DARR, ALAN D FRED WEBER, INC D/B/A 07/31/15 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE ET AL 885 17WC 19192 WOODS, PAMELA LAND OF LINCOLN LEGAL ASS 07/08/14 RICH RICH COOKSEY PC 886 17WC 19193 WOODS, PAMELA LAND OF LINCOLN LEGAL ASS 01/07/16 RICH RICH COOKSEY PC 887 17WC 19272 DUNN, ROCKY AMERICAN STEEL FOUNDRIES 12/05/16 GALANTI LAW OFFICES 888 17WC 19278 DEAL, TYKIE ONIN STAFFING, LLC 06/21/17 ROTH LAW OFFICES 889 17WC 19307 EVANS, TOBY EXPRESS TEMPORARY SERVICE 05/09/17 RICH RICH COOKSEY PC MC ANDREWS & NORGLE LLC 17WC019308 -C 890 17WC 19310 EVANS, TOBY DAR PRO 05/17/17 RICH RICH COOKSEY PC 891 17WC 19336 NEUNER, DAVE R&D MACHINE, D/B/A 09/04/15 JUNCKER, DANIEL K PC 892 17WC 19398 ALMOS, SHAWN DB SCHENKER 05/10/16 ROTH LAW OFFICES LAW OFFICE PAUL LARIMORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 893 17WC 19447 SCHWENDEMAN, DIANE FARMER'S MARKET 06/02/16 NELSON & NELSON BRADY, CONNOLLY & MASUDA, PC 894 17WC 19465 ZAMORA, TOMASA AMAZON 10/21/16 NELSON & NELSON 895 17WC 19470 NORRENBERNS, TERRANCE SPAETH WELDING 08/09/16 BROWN & CROUPPEN 896 17WC 19492 HUCK, WILLIAM GBW RAILCAR SERVICES 04/10/17 GALANTI LAW OFFICES HENNESSY & ROACH 897 17WC 19498 KATANA, MICHAEL IMO'S PIZZA 06/07/17 BROWN & CROUPPEN INMAN & FITZGIBBONS 898 17WC 19559 SPRINGMAN, SUE TARGET 04/28/17 BROWN & BROWN KEEFE CAMPBELL & ASSOC LLC 899 17WC 19565 WILLIAMS, JODI CUSTOM STAFFING SERVICES 02/27/17 HANAGAN & MCGOVERN PC 900 17WC 19632 SCHWARTZ, FREDERICK LANC HSHS ST ELIZABETH'S HOSPI 12/25/16 BROWN & BROWN 901 17WC 19678 STEWART, RAYMOND BOEING 06/26/15 ARMBRUSTER DRIPPS WIEDNER & MCAULIFFE LTD 902 17WC 19686 SCHEMPP, HAROLD KETTLER CASTING COMPANY 10/22/15 BROWN & CROUPPEN 903 17WC 19742 WHITLEY, CHRIS E TURNER ELECTRIC 05/01/17 SCHUCHAT, COOK & WERNER ATWILL & MONTGOMERY 904 17WC 20121 HATCHER, NICKOLE THOMAS INDUSTRIAL COATING 05/12/17 BECKER SCHROADER & CHAPMAN STEPHEN H LARSON LAW OFFICE 905 17WC 20133 EDWARDS, SANDRA MASCOUTAH CMM UNIT SD #19 11/01/16 KULLMAN KLEIN & DIONEDA INMAN & FITZGIBBONS 906 17WC 20238 BARUXEN, SUSAN ARDENT MILLS, LLC 11/07/16 SMITH ALLEN MENDENHALL ET WIEDNER & MCAULIFFE LTD 907 17WC 20244 FRAWLEY JR., ED CITY OF FAIRVIEW HTS CODE 02/06/17 JOSEPH L SAMUELSON PC INMAN & FITZGIBBONS 908 17WC 20410 LOPEZ, ALEJANDRO THE LOADING DOCK 06/17/17 ARMBRUSTER DRIPPS INMAN & FITZGIBBONS 909 17WC 20521 HOPKINS, SHIRLEY DIANA CLYDE MATHEWS DBA SUNSET 05/26/17 BROWN & BROWN 910 17WC 20652 EMMERICK, BRYAN KORTE & LUITJOHAN 06/21/17 GOLDENBERG HELLER ANTOGNOL LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 911 17WC 20717 MORRIS, JESSE GMS MINE REPAIR & MAINTEN 07/05/17 SAM C MITCHELL & ASSOCIATE LITCHFIELD CAVO 912 17WC 20726 JOHN G. SMITH III HOLLAND CONSTRUTION SERVI 02/16/17 DENNIS SHEVLIN 913 17WC 20736 OSBORNE, MARK A HOLTEN MEAT, INC 06/09/17 BEATTY & MOTIL EVANS & DIXON, LLC 914 17WC 20752 GRAVOIS, SYD M T-J TRANSPORT, INC 06/28/17 MORMINO,VELLOFF,EDMONDS,SN ROBERT L. SMITH 915 17WC 20833 SEK, JOHN GLOBAL BRASS 09/01/16 GALANTI LAW OFFICES KEEFE & DEPAULI 916 17WC 20917 WAGSTER, DARRELL T. VRS 11/08/16 JOSEPH E. HOEFERT 917 17WC 21028 WILLIAMS, KIANA RANDSTAD 04/08/17 SWANEY, JEFFREY R 918 17WC 21113 LEPP, THOMAS G PEPSI CO 07/15/16 SCHUCHAT, COOK & WERNER 919 17WC 21213 GOODWIN, MEKA BRANDON IRON 03/07/17 GLASS & KOREIN EVANS & DIXON, LLC 920 17WC 21329 PRICE, SALLIE ST.CLAIR ASSOCIATED VOCAT 02/07/17 GLASS & KOREIN RUSIN & MACIOROWSKI LTD 921 17WC 21636 MOHAMMED, JOCKEY SCHILLI CORPORATION 05/25/17 SAUTER, SULLIVAN & EVANS 922 17WC 21665 FLOOD, ASIA STEAK N SHAKE 07/04/17 LAW OFFICE KEITH SHORT 923 17WC 21703 BRAND, TAUNA HEC, INC 01/21/17 FISHER KERHOVER & WELGE 924 17WC 21721 VINES, ERIC WEST STAR AVIATION 04/08/16 QUINTAIROS PRIETO WOOD & BOY 925 17WC 21815 HEER, BRENDA BROWN-MCFARKLAND, INC D/B 06/06/17 BOYNE, KEVIN PC 926 17WC 22050 HENRY, DONALD R HEARTLAND HOMES 02/13/17 BONIFIELD & ROSENSTENGEL P COZZI & GOGGIN-WARD 927 17WC 22360 CRUMP, CHARLES AMERICAN STEEL FOUNDRIES 07/24/17 GALANTI LAW OFFICES 928 17WC 22369 CRIDER, SANDRA KRAFT 12/05/16 BECKER SCHROADER & CHAPMAN GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 929 17WC 22385 DILL, MATT AUFFENBERG AUTO MALL 05/02/17 KIRKPARTICK LAW OFFICES 930 17WC 22449 LOMBARDO, NICK FAST EDDIE'S BON AIR 04/15/17 GALANTI LAW OFFICES 931 17WC 22499 LOWERY, RICHARD HOME MEDICAL EQUIPMENT 06/26/17 KEEFE & GRIFFITHS PC 932 17WC 22529 FAITH, DUSTIN ADDUS HOME CARE 07/13/17 DWORKIN AND MACIARIELLO 933 17WC 22557 BORJA, THERESA INTEGRITY HEALTHCARE, SMI 04/05/17 BROWN & BROWN 934 17WC 22575 SOENS, KIM SIU DENTAL SCHOOL 07/18/17 GALANTI LAW OFFICES 935 17WC 22578 MENN, MICHAEL PERM-A-GREEN LAWN & LANDS * 06/24/17 LESKERA LAW FIRM LAW OFFICES STEVEN PILAND 936 17WC 22685 HENDRICKS, RHONDA ILLINOIS STATE POLICE MET 06/16/17 BROWN & CROUPPEN ASSISTANT ATTORNEY GENERAL 937 17WC 22713 ROBINSON, DAWN CARITAS FAMILY SOLUTIONS * 01/22/17 BROWN & BROWN 938 17WC 22756 WRIGHT, SHAMEKE FIRST STUDENT INC 12/19/16 WIMMER & STIEHL 939 17WC 22847 HARRISON, ROSE J PRAIRIE FARMS DAIRY 06/23/17 BROWN & BROWN KNAPP, OHL & GREEN 940 17WC 22958 SHERWOOD, NANCY BEST WESTERN - ALTON 07/24/17 GALANTI LAW OFFICES COZZI & GOGGIN-WARD 941 17WC 22963 HUGHES, TOMMIE STAFFING SYNERIES 10/31/16 MELVIN J SMITH & ASSOC LAW OFFICES STEVEN PILAND 942 17WC 22986 CROOK BANDY, SHARON KAY HOYLETON YOUTH & FAMILY S 04/28/17 COOK SHEVLIN YSURSA ET AL KEEFE & DEPAULI 943 17WC 23151 HILEMAN, JAMES T PRECOAT METALS 07/31/17 BECKER SCHROADER & CHAPMAN LEMP & MURPHY 944 17WC 23398 JOHNSON, RUTHIE ARGOSY 06/29/17 GALANTI LAW OFFICES HEPLER BROOM LLC 945 17WC 23481 JASON, ADRIEA GEODIS OZBURN HESSEY LOGI 03/14/17 LAW OFFICE OF SUSAN GRAMME HARRIS DOWELL FISHER & HARRI 946 17WC 23493 SCHULTZE, JOSHUA SLOAN IMPLEMENT COMPANY 07/24/17 BROWN & CROUPPEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 947 17WC 23787 MANKA, URIAH D BLUFF CITY MINERALS 09/01/16 MILLER, WILLIAM R LAW OFFI 948 17WC 23853 ANTHONY, TINA MEDASSIST/FIRSTSOURCE 01/19/17 CARAWAY FISHER 949 17WC 23957 PALECEK, ALBERT AMERICA'S AUTO AUCTION 07/12/17 BROWN & BROWN 950 17WC 23964 KINZEL, MICHAEL DAVID HEPP TRUCKING, INC 08/15/16 GOLDENHERSH & GOLDENHERSH 951 17WC 24063 BARRETT, TERRY TEAM INDUSTRIAL SERVICES 03/01/17 LAW OFFICE OF THOMAS SCHOO 952 17WC 24105 PROFFITT, THOMAS L CITY OF GRAFTON 02/22/16 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 953 17WC 24201 STEVENSON, JAKYYRAH WHITE CASTLE 06/13/17 GALANTI LAW OFFICES 954 17WC 24233 EPPERSON, JOYCE A GATEWAY REGIONAL MEDICAL 01/04/16 PETER BLASI LLC 955 17WC 24272 FRAWLEY, CODY WOODS BASEMENT SYSTEMS IN * 07/31/17 LAW OFFICE KEITH SHORT QUINN JOHNSTON HENDERSON ETA 956 17WC 24293 KLEINE, SARA ROSEWOOD CARE CENTER * 04/03/17 KULLMAN KLEIN & DIONEDA 957 17WC 24315 HAUSER, EVAN A FINE SWINE * 07/31/17 CHATHAM & BARICEVIC RUSIN & MACIOROWSKI LTD 958 17WC 24318 CONNORS, PAMELA AMAZON * 09/20/16 WILLIAMS CAPONI & ASSOC 959 17WC 24342 BERNETT, JUSTIN FEDEX OFFICE * 06/12/17 LIESER LAW FIRM 960 17WC 24369 NIX, JAMES S&H TRANSPORTATION INC * 07/22/17 NELSON & NELSON 961 17WC 24394 MOORE, KELLY BELLEVILLE TOWNSHIP HSD # * 08/30/16 NELSON & NELSON 962 17WC 24546 THOMAS, SCALISE KRAFT FOODS * 06/14/17 RICH RICH COOKSEY PC 963 17WC 24638 HINDS, TERRY HOLTON MEAT FACTORY * 07/28/17 WALTON TELKEN FOSTER LLC 964 17WC 24660 JOHNSON, JAIREN RALLYS HAMBURGER * 08/14/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 965 17WC 24706 RANDLE, ALBERT BOEING CO * 07/06/17 BUTLER & KEMPER EVANS & DIXON, LLC 966 17WC 24787 TESREAU, PAULA FAVORITE HEALTHCARE STAFF * 03/27/17 DAVID W MARTAY STEPHEN H LARSON LAW OFFICE 967 17WC 24851 BELLEVILLE, WILLIAM AECOM ENERGY & CONSTRUCTI * 06/19/17 BEATTY & MOTIL 968 17WC 24978 GEORGE, JILL FRITO LAY * 12/05/16 BECKER SCHROADER & CHAPMAN 969 17WC 25114 JARRETT, AMY ALTON MEMORIAL HOSPITAL * 07/12/16 HOLTKAMP LIESE ET AL 970 17WC 25177 PRESTITO, TAMMY CIRCLE K * 07/31/17 ARMBRUSTER DRIPPS NYHAN BAMBRICK KINZIE & LOWR 971 17WC 25497 ABBETT, CHELSIE ALTON MENTAL HEALTH * 08/24/17 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 972 17WC 25528 SCHULT, JIMMY VON ALST OPERATING * 07/24/17 RICH RICH COOKSEY PC 973 17WC 25573 JETER, CONRAD U.S STEEL CORPORATION * 01/19/16 BEATTY & MOTIL 974 17WC 25597 HOLLENBERG, JAMES R KRAFT HEINZ COMPANY * 04/05/16 BADGLEY, BRAD L GAROFALO SCHREIBER STORM 975 17WC 25615 CAMPLIN, CURTIS INNOVATIVE STAFF SOLUTION * 07/27/17 FISHER KERHOVER & WELGE 976 17WC 25635 BROWN, TANGULA BI-STATE DEVELOPMENT * 07/19/17 RICH RICH COOKSEY PC BROWN & JAMES, PC 977 17WC 25644 HARRIS, ANDREW S PRAIRIE STATE GENERATING * 08/19/17 HARRIS & JONES 978 17WC 25739 LIM, MAN J AMERICAN STEEL * 02/27/16 BECKER SCHROADER & CHAPMAN 979 17WC 25749 BURCH, KIM AMAZON * 10/01/16 DAVID W MARTAY 980 17WC 25772 LEVY, DAVID HUBBELL, INC (DELAWARE), * 05/25/17 KATZMAN & ASSOCIATES 981 17WC 25973 HUME, TIMOTHY BELLEVILLE SCHOOL DISTRIC * 07/24/17 KIRKPARTICK LAW OFFICES 982 17WC 26069 MOLES, DOUGLAS CPC LOGISTICS, INC. * 04/14/17 JOHNSTON LAW OFFICE LEAHY WRIGHT & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 983 17WC 26091 SCHURTZ, DANNY CITY OF GRANITE CITY * 08/25/17 LAW OFFICE OF THOMAS SCHOO KEEFE & DEPAULI 984 17WC 26119 JOHNSON, MADELYN SCHOOL DISTRICT 189 * 11/16/16 GOLDBLATT + SINGER 985 17WC 26122 PIERCE, ROBERT A UNION UNITED METHODIST CH * 09/12/14 NELSON & NELSON GANAN & SHAPIRO 986 17WC 26198 WILLIAMS, ANNIECE METRO BI-STATE * 06/27/17 GOLDBLATT + SINGER 987 17WC 26205 ACKERMAN, TRACY CUSTOMIZED DISTRIBUTION * 03/15/17 GALANTI LAW OFFICES LAW OFFICES STEVEN PILAND 988 17WC 26303 FORSTING, ZACHARIAH JBC CARPENTRY * 08/09/17 GALANTI LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 989 17WC 26426 HERZOG, KENNETH SR. LIESE LUMBER COMPANY, INC * 09/26/16 BADGLEY, BRAD L LITCHFIELD CAVO 990 17WC 26477 HICKS, SHAUN USF HOLLAND * 07/21/17 FLOYD LAW FIRM 991 17WC 26479 FRISCHMAN, KURT USF HOLLAND * 06/16/17 992 17WC 26490 LOGAN, DAWN AMAZON * 08/11/17 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 993 17WC 26670 CUTLER, SHEILA PET DAIRY/DEANS FOODS * 04/24/13 RICH RICH COOKSEY PC BRADY, CONNOLLY & MASUDA, PC 994 17WC 26711 BRENDEL, ELENORA DB SCHENKER * 09/10/16 ROTH LAW OFFICES 995 17WC 26798 KENNEDY, RICHARD TOUCHETTE REGIONAL HOSPIT * 06/11/17 RICH RICH COOKSEY PC CLAYBORNE SABO & WAGNER 996 17WC 26827 FRIDGE, ORLANDO AMAZON * 02/20/17 STORMENT LAW OFFICE 997 17WC 26830 RACKLEY, PATRICIA M ELITE STAFFING * 04/16/17 BROWN & BROWN 998 17WC 26914 WILSON, NICOLETTE FEDEX * 08/25/17 HUSTAVA, JOHN H WIEDNER & MCAULIFFE LTD 999 17WC 26926 POURDAS, TAMMY FAIRMOUNT PARK, INC * 04/22/16 ROTH LAW OFFICES RIPES NELSON BAGGOT KALOBRAT 1000 17WC 27012 DUNLAP, LISA NICHELLE AMAZON.COMDEDC, LLC DBAST * 04/15/17 KATZMAN & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1001 17WC 27027 SCHAEFER, JASON GRANITE CITY POLICE * 09/01/17 GALANTI LAW OFFICES 1002 17WC 27070 STORK, LORETTA RURAL KING * 08/22/17 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 1003 17WC 27084 KOHNZ, MARLENE AETNA INSURANCE COMPANY * 10/31/16 LASHLY & BAER PC 1004 17WC 27122 MCCLOUGHAN, BRETT ALLIANCE CORPORATE * 10/06/16 ROTH LAW OFFICES 1005 17WC 27233 FRANKLIN, DEANGELO EAST ST LOUIS * 08/22/17 RICH RICH COOKSEY PC 1006 17WC 27240 WALLEN, KATHY CITY OF BELLEVILLEPOLICE * 01/11/17 BONIFIELD & ROSENSTENGEL P 1007 17WC 27599 ALDRICH, MICHAEL NELSON TREE SERVICE * 07/26/17 CARAWAY FISHER ADELSON TESTAN & BRUNDO 1008 17WC 27626 O'NEAL, JAMES SR. MENARDS * 06/09/17 WALTON TELKEN FOSTER LLC 1009 17WC 27673 RIGGINS, CHRIS GEODIS LOGISTICS, LLC * 07/20/17 ROTH LAW OFFICES HARRIS DOWELL FISHER & HARRI 1010 17WC 27809 SMITH, TAKEISHA FEDEX * 08/13/17 KEEFE & GRIFFITHS PC 1011 17WC 27834 DUNCAN, RICKY A AMEREN ILLINOIS * 10/08/14 NELSON & NELSON LEMP & MURPHY 1012 17WC 27972 STUBY, MATT W.W. TRANSPORT INC * 09/07/17 NELSON & NELSON 1013 17WC 27995 LEATHERS, CAROLINE EDWARDSVILLE SCHOOL DISTR * 05/02/17 GALANTI LAW OFFICES 1014 17WC 28178 MUDD, SCOTT HARRISONVILLE * 09/17/15 MCCARTHY ROWDEN & BAKER 1015 17WC 28311 HUBER, JEFF CONTRACT TRANSPORT INC * 07/06/17 RICH RICH COOKSEY PC MCBREARTY, BRIAN K 1016 17WC 28356 GRIGSBY, MICHAEL ALTON STEEL, INC * 09/15/17 GORI, JULIAN & ASSOC KEEFE CAMPBELL & ASSOC LLC 1017 17WC 28381 DIETRICH, KURT WENNEMAN MEAT CO * 05/06/17 JUNCKER, DANIEL K PC 1018 17WC 28405 ATIS, SHEN LAZER SPOT * 09/05/17 JEFFREY GAULT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1019 17WC 28585 BUMPHUS, JOHN DAN JR UNIQUE PERSONNEL CONSULTA * 07/17/15 HENNESSY & ROACH, PC 1020 17WC 28782 RAY, DAVID ILLINOIS DEPARTMENT * 10/28/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 1021 17WC 28815 POWERS, JAMES THOMAS GROPPEL * 06/29/17 NORBERT GOETTEN 1022 17WC 29222 WAGNER, KAREEM MJ RESURRECTION * 07/21/17 BROWN & CROUPPEN 1023 17WC 29696 SCOTT, RONALD CITY OF ALTON * 08/28/17 SMITH ALLEN MENDENHALL ET 1024 17WC 29706 OWENS, DALE JR. HELP AT HOME INC * 06/26/17 NELSON & NELSON 1025 17WC 29743 SIMS, ARTHUR JR DMS CONTRACTING, INC * 09/05/17 COOK SHEVLIN YSURSA ET AL 1026 17WC 29793 WEATHERS, ROBERT L CENTIMARK * 09/05/17 GLASS & KOREIN 1027 17WC 29862 BERKEMANN, HERMAN BEELMAN READY MIX * 05/30/17 RICH RICH COOKSEY PC HARRIS DOWELL FISHER & HARRI 1028 17WC 29887 STOPHER, DAVID IDOT @ 08/10/17 BECKER SCHROADER & CHAPMAN 1029 17WC 29890 ODEN, MICHELLE HIRELEVEL/EXTRA HELP TEMP * 08/25/17 LAW OFFICE OF THOMAS SCHOO 1030 17WC 29910 CRADER, STEVEN ALTON STEEL INC * 09/13/17 GORI, JULIAN & ASSOC KEEFE CAMPBELL & ASSOC LLC 1031 17WC 29925 RENTH, MARK SHILOH VALLEY * 10/22/15 WEIL MUENSTER & WIGGINTON 1032 17WC 30009 COUCH, DARRELL USF HOLLAND * 08/24/17 FLOYD LAW FIRM 1033 17WC 30030 FAIRCHILD, NATHAN CAHOKIA SCHOOL DISTRICT * 03/16/17 RICH RICH COOKSEY PC 1034 17WC 30035 JUENGER, SCOTT PRAIRIE STATE GENERATING * 12/13/16 EVANS & DIXON, LLC 1035 17WC 30043 PENNY, KASHA S CARITAS FAMILY SOLUTIONS * 08/27/17 PETER BLASI LLC 1036 17WC 30120 MANNING, ALBERTA L AMAZON.COM.DEDC LLC * 06/24/17 KHOURI LAW FIRM WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1037 17WC 30125 VAHLKAMP, DAVID FINE FINISH CONCRETE * 07/25/17 BLAKE MEINDERS 1038 17WC 30137 MAGRATH, JASON ALTON SCHOOL DISTRICT * 09/21/17 GALANTI LAW OFFICES 1039 17WC 30162 WILLIAMS, RONALD M LAZOR SPOT, INC * 09/05/17 ROBERT S FLAVIN PC 1040 17WC 30169 MIKULEZA, ALICE V LOWE'S * 09/10/17 WILLIAM BERRY & ASSOCIATES 1041 17WC 30242 MIKULEZA, ALICE V LOWE'S * 09/01/16 WILLIAM BERRY & ASSOCIATES 1042 17WC 30331 GILBERT, ALEXANDER TOUCHETTE REGIONAL HOSPIT * 03/24/17 TAMEEKA PURCHASE CLAYBORNE SABO & WAGNER 1043 17WC 30340 HILL, LINDA MENARD'S * 09/18/17 BROWN & BROWN 1044 17WC 30359 LIEBERT, ANDREW A RHONDA & NEIL SCHAEFER D/ * 07/06/16 CROWDER & SCOGGINS 1045 17WC 30409 SOLDMAN, JANET UPCHURCH READY MIX CONCRE * 09/09/17 BROWN & BROWN 1046 17WC 30470 SMITH, PRECIOUS AMAZON * 09/26/17 DWORKIN AND MACIARIELLO 1047 17WC 30509 MCCOMBS, AARON EMPIRE COMFORT SYSTEMS * 08/07/17 CHATHAM & BARICEVIC 1048 17WC 30524 DUPRE, JESSE EAGLE TUBULAR PRODUCTS IN * 07/12/17 WALTON TELKEN FOSTER LLC 1049 17WC 30535 PERRY, DOMINIQUE MADISON PUBLIC SCHOOLS * 06/15/17 BROWN & BROWN 1050 17WC 30547 STRINGER, KENNETH D WIESE USA * 09/08/17 LESKERA LAW FIRM 1051 17WC 30570 SHELTON, MICHAEL OLIN * 09/13/17 GALANTI LAW OFFICES KEEFE & DEPAULI 1052 17WC 30585 SEEHAUSEN, CHARLES D JR COUNTRY CLUB LAWN * 09/12/17 WALTON TELKEN FOSTER LLC 1053 17WC 30721 KLEINE, SARA ROSEWOOD CARE CENTER * 04/03/17 KULLMAN KLEIN & DIONEDA 1054 17WC 30735 MIKOLASZUK, NANCY FEDEX * 09/22/17 BECKER SCHROADER & CHAPMAN HANSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1055 17WC 30769 GATHING, SHIELETA MCDONALD'S * 10/05/17 KOLKER & GERMEROTH 1056 17WC 30837 CASE, STEVE TRINITY SVCS, INC * 03/18/16 BOGGS AVELLINO 1057 17WC 30845 WHALEY, LARRY IDOT @ * 05/18/17 HUSTAVA, JOHN H 1058 17WC 30901 REGAN, JAMES PFUND CONSTRUCTION INC * 10/05/17 LAW OFFICE KEITH SHORT 1059 17WC 31021 SIMPSON, CHARLOTTE MEMORIAL HOSPITAL * 06/06/17 LESKERA LAW FIRM 1060 17WC 31041 RABLE, TAMMIE WILLOWCREEK REHAB & NURSI * 09/05/17 RICH RICH COOKSEY PC 1061 17WC 31059 DUNHAM, DARLENE IMPERIAL MANUFACTURING * 11/19/16 MEEHAN LAW FIRM 1062 17WC 31077 LEWIS, ROBERT B DEANS FEEDS * 07/31/17 SCROGGINS LAW OFFICE 1063 17WC 31083 MUELLER, NEAL KOERNER DISTRIBUTOR * 09/07/17 KLAR, IZSAK, STENGER LLC 1064 17WC 31096 CALDWELL, RUTH AGENCY FOR COMM TRANSIT * 08/14/17 RICH RICH COOKSEY PC KEEFE & DEPAULI 1065 17WC 31145 DAVIS, CURTIS NG HEIMOS GREENHOUSE, INC * 10/11/17 BROWN & CROUPPEN MORROW WILLNAUER 1066 17WC 31432 GILBERT, ALEXANDER TOUCHETTE REGIONAL HOSPIT * 03/24/17 TAMEEKA PURCHASE CLAYBORNE SABO & WAGNER 1067 17WC 31450 GOODMAN, ROBERT IL DEPT OF TRANSPORTATION @ * 09/11/17 GLASS & KOREIN 1068 17WC 31554 PIRTLE, KELLY E. WOOD RIVER - HARTFORD * 09/08/16 HENNESSY & ROACH, PC 1069 17WC 31808 MASSIE, ROGER MIDDENDORF, INC * 07/17/17 NELSON & NELSON 1070 17WC 31830 WHITE, CLIFTON D AMEREN ILLINOIS * 09/17/16 HARRIS & JONES LEMP & MURPHY 1071 17WC 31848 JONES, EDGAR EAST ST LOUIS HOUSING * 07/26/17 BOYNE, KEVIN PC 1072 17WC 32062 SCHORR, RICHARD R SOUTHWESTERN ILLINOIS COL @ * 09/29/17 WENDLER LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1073 17WC 32084 HOOD, SAM USF HOLLAND * 10/24/17 LESKERA LAW FIRM HENNESSY & ROACH, PC 1074 17WC 32230 BARNES, AUDY BREAKTHRU BEVERAGE * 10/19/17 MILLER, WILLIAM R LAW OFFI 1075 17WC 32244 FUNK, ALAN OLIN * 07/11/17 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 1076 17WC 32267 DIXON, LISA R SODEXHO * 11/29/16 BONIFIELD & ROSENSTENGEL P 1077 17WC 32298 KRUSE, TODD MADISON COUNTY * 03/04/17 GOLDENBERG HELLER ANTOGNOL SCHREMPF KELLY & NAPP 1078 17WC 32410 COPSEY, RANDY ILLINOIS STATE POLICE @ * 10/07/16 GALANTI LAW OFFICES 1079 17WC 32434 GRAHAM, PAUL T EMPIRE COMFORT SYSTEMS * 10/09/17 RICHARD LECINSKI 1080 17WC 32449 TORREZ, ANDREW TRACTOR SUPPLY CO * 05/31/17 RICH RICH COOKSEY PC HENNESSY & ROACH, PC 1081 17WC 32473 KELLER, CYNTHIA RED BUD REGIONAL HOSPITAL * 06/15/15 COOK SHEVLIN YSURSA ET AL 1082 17WC 32491 ADAMS, KIMBEL L JR CHARTER SPECTRUM * 03/09/17 CLAY BARKLEY ST CLAIR 1083 17WC 32520 ROLLBERG, JACQUELINE CASEY'S GENERAL STORE * 02/24/16 BROWN & BROWN 1084 17WC 32527 HUELSMANN, LORI A ANDERSON HOSPITAL * 02/27/17 NYHAN BAMBRICK KINZIE & LOWR 1085 17WC 32627 HALEY, DEBRA WALMART * 07/27/17 LAW OFFICE KEITH SHORT 1086 17WC 32635 MCLAUGHLIN, DAVID REPUBLIC SERVICES * 09/25/17 BROWN & CROUPPEN 1087 17WC 32654 MUELLER, LAVONDA AMAZON DISTRIBUTION CENTE * 01/20/17 BROWN & CROUPPEN 1088 17WC 32701 DORRIS, GARY LOWE'S * 12/18/16 RICH RICH COOKSEY PC 1089 17WC 32707 WURST, RANDALL R TMR/ TOTALL MIDWEST TRANS * 08/30/17 GLASS & KOREIN 1090 17WC 32822 GREYTAK, RICK GRS AUCTION SERVICES * 08/01/17 LAW OFFICE KEITH SHORT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1091 17WC 32881 GILL, ROBERT D GRANITE CITY PICKLING & * 07/27/17 WIEDNER & MCAULIFFE LTD 1092 17WC 32902 SMALLEY, KYLE LAKESIDE ROOFING CO * 08/02/17 JOSEPH L SAMUELSON PC 1093 17WC 32960 WALLS, TRACY SHOP-N-SAVE * 08/28/17 BECKER SCHROADER & CHAPMAN 1094 17WC 33027 MCMURRAY, FELECIA DYNEGY INC * 09/17/17 RICH RICH COOKSEY PC 1095 17WC 33107 HIRSCH, GREG MCCRIGHT & ASSOCIATES, LL * 10/07/15 LAW OFFICES STEVEN PILAND 1096 17WC 33147 ESCOBEDO, MANUEL EMPLOYER SOLUTIONS * 03/02/16 ROTH LAW OFFICES 1097 17WC 33181 FARMER, PATRICK WAL-MART ASSOCIATES, INC * 07/25/17 EARLY & MIRANDA PC 1098 17WC 33391 ROBERTS, DONALD W III WAL-MART ASSOCIATES INC * 05/23/17 WIEDNER & MCAULIFFE LTD 1099 17WC 33466 KENNER, JEFFERY C CAHOKIA UNIT SCHOOL DIST * 11/03/17 BECKER SCHROADER & CHAPMAN 1100 17WC 33492 WAECHERLE, DAN SR JHK INC DBA KERNAN RENTAL * 07/24/17 BROWN & BROWN 1101 17WC 33510 SMITH, CATHY R ST LOUIS BREAD CO * 10/18/17 JOSEPH E. HOEFERT 1102 17WC 33568 HUNTER, JOHN CHS INC * 10/04/16 HENNESSY & ROACH, PC 1103 17WC 33640 KOCH, DEBORAH L TOTAL EYEWARE OUTLET * 11/01/17 SMITH ALLEN MENDENHALL ET 1104 17WC 33649 WELLS, TIFFANY SUPPORT SYSTEMS & SERVICE * 10/16/17 LAW OFFICE KEITH SHORT 1105 17WC 33717 JONES, CLAUDINE HOLTEN MEATS * 06/15/16 1106 17WC 33751 ROBERTSON, ALAN CITY OF ALTON * 05/15/17 GALANTI LAW OFFICES 1107 17WC 33770 THARP, JOHN MATTHEW WSM INC SI * 08/21/17 SCHREMPF KELLY & NAPP 1108 17WC 33781 BARTON, DARYL W ARAMARK * 09/21/17 WALTON TELKEN FOSTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 12/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1109 17WC 33808 SMITH, NICHOLAS HAMEL SEED & FARM SUPPLY * 04/01/16 MCCARTHY ROWDEN & BAKER 1110 17WC 33829 LACEY, GEORGE BELLEVILLE SHOE MANUFACTU * 07/26/17 EVANS & DIXON, LLC