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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 05WC 37041 LANE, TERRY WIDOWER AND N INNESS FARM SUPPLY 12/27/04 JAMES M RIDGE LAW OFFICE COZZI & GOGGIN-WARD 2 05WC 41650 OLESON, DAVID J STATE OF ILLINOIS @ 07/27/05 STEPHEN P. KELLY DEAN L SUTTON, PC 07WC021673 -C EAST MOLINE CORRECTIONAL C 08WC021329 -C 3 05WC 43603 19B MORRISON, MARGARET OSF ST ANTHONY'S 07/02/04 HOPKINS & HUEBNER PC 4 06WC 35158 SCHOFIELD, JEAN LOWE'S 05/26/06 STRONG LAW OFFICE INMAN & FITZGIBBONS 15WC005231 -C 5 06WC 51959 SANCHEZ, ROMAN GREAT DANE TRAILERS 06/13/06 BLACK & JONES SPIEGEL & CAHILL, PC 6 10WC 09390 CARRILLO, KELLI J LUMEA STAFFING 12/19/09 BLACK & JONES 7 10WC 20536 PATINO-GARCIA, RUDOLFO VERN BLANKENSHIP & VERN W 02/12/10 HOPKINS & HUEBNER PC 8 10WC 28672 WILSON, JAMES DEPARTMENT OF TRANSPORTAT 02/20/10 JAMES M RIDGE LAW OFFICE ASSISTANT ATTORNEY GENERAL 9 11WC 16128 LIRA, DAVID CLIMCO COILS CO 02/10/10 PIGNATELLI & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 10 11WC 18572 LAWSON, SHAWN RIPCO, LTD 10/21/10 CAPRON & AVGERINOS PC SCOPELITIS GARVIN LIGHT 11 11WC 25049 MINTO, JOHN STAFFING SOLUTIONS SOUTHE 01/28/11 JAMES G AHLBERG NYHAN BAMBRICK KINZIE & LOWR 12 11WC 34785 BLACK-COZAD, ANNA STATE OF ILLINOIS @ 07/28/11 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 13 11WC 35575 JACKSON, KEITH ROCK ISLAND-MILAN 08/18/11 HOPKINS & HUEBNER PC INMAN & FITZGIBBONS 11WC035576 -C 14 11WC 42148 HENNIS, CONNIE DONALDSON CO INC 09/20/11 GESMER LAW OFFICES, PC LEAHY EISENBERG & FRAENKEL 15WC006592 -C 15 11WC 43102 VEGA, CARMEN FARMLAND FOODS 02/14/11 EPSTEIN, JACK R LAW OFFICE STEPHEN P. KELLY 16 11WC 43378 FICKLING, PATRICIA STATE OF ILLINOIS @ 01/25/10 JAMES M RIDGE & ASSOC PC ASSISTANT ATTORNEY GENERAL 17 11WC 44878 BURCH, LISHA MCLAUGHLIN BODY 09/02/11 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 12WC 06109 LANNING, TERRY JOHN DEERE SEEDING GROUP 07/21/11 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 19 12WC 08942 WEBER, ANN ARC OF THE QUAD CITIES 03/31/10 MARSZALEK AND MARSZALEK THOMAS & PORTELA 20 12WC 10858 MEYERS, PAULA ILLINOIS YOUTH CENTER KEW @ 02/27/12 JAMES M RIDGE & ASSOC PC ASSISTANT ATTORNEY GENERAL 21 12WC 22580 BEESON, MARK KINSETH HOTEL CORP 05/25/12 KATZ HUNTOON & FIEWEGER P HOLECEK & ASSOCIATES 22 12WC 23979 COCHRAN, SUSAN K CITY OF MOLINE 07/02/09 SPECTOR TAPPA & NATHAN CALIFF & HARPER PC 23 12WC 25926 PULLEN, SCOTT CITY OF GALESBURG 05/06/12 JAMES M RIDGE & ASSOC PC JAMES M KELLY 24 12WC 32756 WAGER, LOUIS JR ILLINOIS YOUTH CENTER KEW @ 08/16/12 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 25 12WC 37112 BENSON, DAVID MENK USA 09/06/12 PIGNATELLI & ASSOCIATES GRANT & FANNING 26 12WC 39086 MALEK, CORY STATE OF ILLINOIS @ 08/31/12 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 27 12WC 40083 ROTH, DEBRA TRINITY AMBULANCE 05/14/12 JAMES M RIDGE & ASSOC PC CALIFF & HARPER PC 28 12WC 41200 ROACH, GLYNN R JR CORNERSTONE PROPERTIES IN 01/12/12 KATZ HUNTOON & FIEWEGER P 29 12WC 43461 MAHNESMITH, PATRICE IRENE SFD HOLDINGS INC D/B/A 09/01/11 AMES LAW OFFICES LAWRENCE COZZI - LAW OFFICES 30 12WC 43747 WILSON, SCOTT P SVITHIOD CLUB OF MOLINE 04/09/12 VANDERGINST LAW PC BETTY NEUMAN & MCMAHON 31 12WC 44579 NEYENS, CARA TRINITY MEDICAL CENTER-WE 05/27/12 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 32 13WC 03047 ANDERSON, STEVEN L DEPARTMENT OF MILITARY AF @ 03/30/11 WINSTEIN KAVENSKY & WALLAC ASSISTANT ATTORNEY GENERAL

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 13WC 06806 HERBERT, NORMA TRINITY REGIONAL HEALTH S 12/30/12 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 34 13WC 14973 19B NIMRICK, DANIEL YARGER'S DELIVER, INC. 08/10/12 SCHWEICKERT & GANASSIN BETTY NEUMAN & MCMAHON 13WC014974 -C 13WC023897 -C 13WC024370 -C 17WC007577 -C MIDWEST JANITORIAL SRVCS, 17WC007578 -C 35 13WC 16276 YOUNG, ROBERT C.A. ELEVATOR CONSTRUCTION 08/16/11 MERTES & MERTES PC WOLF LAW LTD 36 13WC 18190 ZUNIGA, JAVIER ALL FREIGHT SYSTEMS INC 05/14/13 THOMAS R LICHTEN PERRY GENTILE 37 13WC 20342 TAYLOR, ROBRINA FRIENDSHIP MANOR 03/16/13 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 38 13WC 25557 DUNCAN, WAYNE A FARMLAND FOODS 09/12/12 RIDGE & DOWNES STEPHEN P. KELLY 39 13WC 26694 KELLY, TIMOTHY JOHN DEERE HARVESTER 10/28/10 WILLIAM P LANDON CALIFF & HARPER PC 40 13WC 28003 COLUNGA, SERGIO DIVERSIFIED MAINTENANCE 09/01/12 HOPKINS & HUEBNER PC HOLECEK & ASSOCIATES 41 13WC 29655 SHELDON, DEBBIE JOHN DEERE 08/18/13 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 42 13WC 33059 EMIN, JASON RPL 09/17/13 BLACK & JONES HOLECEK & ASSOCIATES 43 13WC 35553 DURHAM, CHARLOTTE GOOD SHEPARD 03/25/13 MICHEAL J GALVIN DAMON YOUNG 44 13WC 35663 19B WILLIAMSON, TESSA COVENTRY LIVING CENTER 08/06/13 HARVEY & STUCKEL WOLFE & JACOBSON, LTD 45 13WC 39137 WEBB, ROSA L MENARDS INC 12/27/12 MERTES & MERTES PC CHILTON YAMBERT PORTER LLP 13WC039138 -C 14WC000592 -C 14WC001864 -C

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 13WC 39687 CRANE, CASANDRA FARMLAND FOODS 02/01/13 WILLIAMS & SWEE STEPHEN P. KELLY 47 13WC 40207 DEVILDER, DARRELL CITY OF ROCK ISLAND 09/23/13 THOMAS W DUDA BETTY NEUMAN & MCMAHON 13WC040208 -C 48 13WC 42115 SHOVER, JAMES J RAYNOR GARAGE DOORS 08/01/13 REESE & REESE LAW OFFICES JOSEPH MARCINIAK 49 14WC 02646 JOHNSON, JAMES A CITY OF GALESBURG 02/03/11 SAUNDERS CONDON & KENNY JAMES M KELLY 50 14WC 02970 DRISCOLL, JOE INDUSTRIAL MECHANICAL @ W 06/20/13 PIGNATELLI & ASSOCIATES 51 14WC 03251 19B SCHROEDER, NANETTE SWIFT TRANSPORTATION 12/19/13 CAPRON & AVGERINOS PC LEWIS RICE & FINGERSH LC 52 14WC 03678 BROWN, KENNETH W BUTLER GRAIN & CATTLE CO 04/14/13 KATZ HUNTOON & FIEWEGER P BRADY, CONNOLLY & MASUDA, PC 53 14WC 03731 SELLERS, WILLIAM JOHN DEERE HARVESTER 08/14/13 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 54 14WC 05251 OLSON, JEFFRY ILLINOIS YOUTH CENTER KEW @ 01/06/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 55 14WC 08235 BRAND, JOHN ST OF IL @ 11/20/13 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 56 14WC 08614 SHIELDS, LORI SHERRARD HIGH SCHOOL 10/31/13 WINSTEIN KAVENSKY & WALLAC ROSARIO CIBELLA 57 14WC 09958 SETCHELL, SHANNON E (ON B R & J ENTERPRISE OF IL, I 07/25/11 PIGNATELLI & ASSOCIATES MC ANDREWS & NORGLE LLC 58 14WC 11828 STRUCK, MARY STATE OF ILLINOIS @ 01/29/14 PETER D CORTI LAW GROUP ASSISTANT ATTORNEY GENERAL 59 14WC 12867 VEGA, MARIO FARMLAND FOODS 04/15/13 HOPKINS & HUEBNER PC STEPHEN P. KELLY 60 14WC 13255 DE COSTER, NATHAN ST OF IL DEPT OF @ 03/15/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 14WC013659 -C ILLINOIS YOUTH CENTER KEWA 14WC019038 -C 14WC019039 -C ILLINOIS YOUTH CENTER KEWA 14WC026783 -C 16WC006051 -C ILLINOIS YOUTH CENTER KEWA 61 14WC 15843 KAALBERG, KENNETH L JOHN DEERE PARTS 12/05/13 MARSZALEK AND MARSZALEK CALIFF & HARPER PC

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 14WC 17723 RASMUSSEN, JERRY GREAT DANE 07/04/13 LAW OFFICE OF CHRIS DOSCOT SPIEGEL & CAHILL, PC 63 14WC 19034 LANZEN, JUSTIN JOHN DEERE HARVESTER 12/23/13 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 64 14WC 21180 MANG, THUANG TYSON FOODS, INC 11/09/13 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 65 14WC 21352 MUYA, THIERRY B FARMLAND FOODS, INC 01/10/14 LEADERS LAW CENTER LLC STEPHEN P. KELLY 66 14WC 22000 BURNS, CHRISTOPHER DD NETWORKS 03/14/14 DWORKIN AND MACIARIELLO 67 14WC 22806 JACO, DONOVAN BRANCHFIELD CASTINGS 04/15/13 STRONG LAW OFFICE STONE & JOHNSON CHARTERED 68 14WC 25634 THOMPSON, SUSAN FIRST STUDENT 06/09/14 PIGNATELLI & ASSOCIATES WIEDNER & MCAULIFFE LTD 69 14WC 27986 STROPE, LAURA STATE OF ILLINOIS @ 01/04/14 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 70 14WC 28301 NASH, VICTORIA HOPE CREEK CARE CENTER 05/08/12 WARNER & ZIMMERLE BETTY NEUMAN & MCMAHON 71 14WC 31502 ELVIRA, DARIO CORPORATE SERVICES INC 08/22/14 SCOTT B SHAPIRO GRANT & FANNING 72 14WC 31844 SULLIVAN, KERRY M MOLINE SCHOOL DIST 40 06/19/12 KATZ HUNTOON & FIEWEGER P PERRY GENTILE 14WC031845 -C 14WC031846 -C 14WC031847 -C 14WC031848 -C 73 14WC 32554 SETCHELL, SHANNON E ON R & J ENTERPRISE OF IL IN 07/25/11 PIGNATELLI & ASSOCIATES MC ANDREWS & NORGLE LLC 74 14WC 33105 LELOOSE, GERALD JOHN DEERE CYLINDER 04/17/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 75 14WC 36235 GRIMM, TRACI JOHN DEERE HARVESTER 01/29/14 ANDREW BRIBRIESCO CALIFF & HARPER PC 76 14WC 36685 GUYER, GARRETT TRI-CITY ELECTRIC 08/09/14 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 77 14WC 36864 HANES, JOHN ESIQC LLC 09/16/14 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 78 14WC 39065 ANDERSON, ALLISON (FRIEND EAST MOLINE F.D. # 06/23/13 SEIDMAN MARGULIS & FAIRMAN MCCARTHY, CALLAS & FEENEY PC

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 79 14WC 41101 JOHNSTON, ERICKA 7-ELEVEN 12/28/13 MARKS INJURY LAW MC ANDREWS & NORGLE LLC 80 14WC 41257 NICHOLSON, SHEILA STATE OF ILLINOIS 07/16/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 16WC019436 -C 81 15WC 01671 ROSS, GEORGETTE GANA-A 'YOO SERVICES CORP 11/24/14 RIDGE & DOWNES COZZI & GOGGIN-WARD 82 15WC 02751 DAVIS, SARAH L ELITE STAFFING INC 12/19/14 VITELL & SPITZ LTD BRADY CONNOLLY & MASUDA PC 83 15WC 04182 SANCHEZ, FERNANDO J TENNANT TRUCK LINES INC 07/24/14 KATZ HUNTOON & FIEWEGER P BETTY NEUMAN & MCMAHON 84 15WC 04327 SMITH, SHAWNA KNOX COUNTY NURSING 03/11/14 STEPHEN P. KELLY BUSH MOTTO CREEN KOURY 85 15WC 04347 ZEBRANI, MAROUANE TYSON FOODS, INC 07/27/12 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 15WC014177 -C 16WC019204 -C 86 15WC 05227 WULF, MARY A HELP AT HOME 07/30/14 VANDERGINST LAW PC COZZI & GOGGIN-WARD 87 15WC 05441 BALLARD, JULIA K. WARREN ACHIEVEMENT CENTER 11/08/11 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 15WC005442 -C 88 15WC 05577 PLAINES, RUBY FRIENDSHIP MANOR 01/08/14 WARNER & ZIMMERLE ROBERT L. SMITH 89 15WC 06209 BUCHHOLZ, JOSHUA MAZEL & CO 02/02/15 PIGNATELLI & ASSOCIATES BRADY, CONNOLLY & MASUDA, PC 90 15WC 07057 PRESCOTT, DOUG VALLEY CONSTRUCTION CO 11/04/14 LEE, MARK N LAW OFFICE 91 15WC 07608 ATIVOKU, AFFI SMITHFIELD FARMLAND CORP 08/06/14 ANESI OZMON RODIN NOVAK KO STEPHEN P. KELLY 92 15WC 08920 OGOUBI, AFI TYSON FRESH MEATS, INC. 06/12/14 LEADERS LAW CENTER LLC 93 15WC 09558 ILES, JAMIELYNN GALESBURG COTTAGE HOSPITA 11/23/14 SIMPSON PETERSON POWER & CRONIN LTD 94 15WC 10347 MILLER, RICKY J. PRECISION LASER ALIGNMENT 11/26/12 HOPKINS & HUEBNER PC 95 15WC 10729 CARY, JONATHAN P ROCK ISLAND POLICE DEPART 01/27/15 RIDGE & DOWNES BETTY NEUMAN & MCMAHON

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 96 15WC 11498 METTLER, JASON TRI OAK FOODS 02/18/15 WARREN E DANZ, PC MCANANY VANCLEVE & PHILLIPS 97 15WC 12288 PETRI, TODD B HILL CORRECTIONAL CENTER @ 04/01/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 98 15WC 12664 KATENDE, JEAN CLAUDE FARMLAND FOODS 10/16/14 DODD & MAATUKA LLC STEPHEN P. KELLY 99 15WC 12891 COLLINS, DANNY CITY OF GALESBURG 04/04/14 RIDGE & DOWNES JAMES M KELLY 100 15WC 13750 CLAYTON, ROGER IDOT @ 10/29/14 BLACK & JONES ASSISTANT ATTORNEY GENERAL 101 15WC 14257 DAVIS, RUTHY A JOHN DEERE HARVESTER WORK 08/12/12 ANESI OZMON RODIN NOVAK KO BOZEMAN NEIGHBOUR PATTON & N 102 15WC 15758 BATES, CURTIS W THE SEDONA GROUP 11/11/14 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 103 15WC 18294 SMALL, GWENDOLYN HOPE CREEK CARE CENTER 02/08/15 GOLDSTEIN BENDER & ROMANOF BROOKS LAW FIRM 104 15WC 18493 GASKIN, ANGELA L FEDEX FREIGHT CORP 09/05/12 CERVATES & GORDON PLC QUINTAIROS PRIETO WOOD & BOY 15WC018494 -C 15WC018495 -C 105 15WC 18801 ATWATER-HENRY, ARETHA JOHN DEERE HARVESTER WORK 03/04/15 ANDREW BRIBRIESCO CALIFF & HARPER PC 106 15WC 19603 TALUNGE, NESTOR FARMLAND FOODS INC 12/13/14 BROWN & BROWN STEPHEN P. KELLY 15WC029035 -C 15WC029376 -C 107 15WC 19984 TSANGALA, WILFRID FARMLAND FOODS, INC. 11/28/14 BROWN & BROWN STEPHEN P. KELLY 15WC029438 -C FARMIAND FOODS INC 15WC029474 -C 108 15WC 20380 WHEELER, MICHAEL DEERE HARVESTER 12/07/10 VANDERGINST LAW PC CALIFF & HARPER PC 109 15WC 20399 EXBOM, RANDY R. ATLAS ROOFING CORP. 03/06/15 KATZ HUNTOON & FIEWEGER P RODDY LAW LTD 110 15WC 20624 CHRISTIANSON, GARY RICK L. MCFAIL D/B/A CABI W 02/22/15 STRONG LAW OFFICE MCCARTHY, CALLAS & FEENEY PC 111 15WC 21375 WOOD, ADAM JOHN DEERE HARVESTER WORK 04/29/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 112 15WC 22102 WILSON, SHANNON DEPARTMENT OF HUMAN SERVI @ 06/29/13 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 113 15WC 22660 PEREZ-HERNANDEZ, ROSA FARMLAND FOODS 09/25/14 VANDERGINST LAW PC STEPHEN P. KELLY 114 15WC 23331 STEINERT, ROBERT J IL DEPT OF TRANSPORTATION @ 08/11/14 KATZ HUNTOON & FIEWEGER P ASSISTANT ATTORNEY GENERAL 115 15WC 23581 SCHRADER, JANET FARM AND FLEET 06/23/15 PIGNATELLI & ASSOCIATES WOLFE & JACOBSON, LTD 116 15WC 23896 MC GRUDER, PHILIP A. HOWE OVERHEAD DOORS 03/31/15 VANDERGINST LAW PC BRYCE DOWNEY & LENKOV LLC 117 15WC 25887 PIMENTA, JESSICA COTTAGE HOSPITAL 03/02/15 LAW OFFICE OF CHRIS DOSCOT POWER & CRONIN LTD 118 15WC 26003 GOUDY, LARRY GALESBURG CUSD #205 08/18/14 LEE, MARK N LAW OFFICE KNELL LAW LLC 119 15WC 27172 HERNANDEZ, JACQUELINE (WI XYLEM, LTD 05/16/15 RIDGE & DOWNES LLC CASSANO & ASSOCIATES 15WC030390 -C 120 15WC 27387 MARLOW, ADALINE STATE OF IL DIVISION OF @ 05/22/15 WINSTEIN KAVENSKY & WALLAC ASSISTANT ATTORNEY GENERAL 121 15WC 27527 MONTGOMERY, TORI M SEDONA STAFFING 03/01/15 MERTES & MERTES PC BETTY NEUMAN & MCMAHON 15WC027700 -C 122 15WC 27664 FOX, JOSEPH EAST MOLINE CORRECTIONAL @ 08/07/15 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 123 15WC 28966 SUNDAY, TIM VERN'S FARM SUPPLY 08/14/15 PIGNATELLI & ASSOCIATES HOLECEK & ASSOCIATES 124 15WC 29628 FRANCIS, JAKE EAST MOLINE 08/23/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 125 15WC 30073 PRESTON, JAMIE FIRST STUDENT INC 12/02/14 SCHWEICKERT & GANASSIN 126 15WC 31594 PEREZ, APOLONIA FARMLAND FOODS 07/06/15 VANDERGINST LAW PC STEPHEN P. KELLY 127 15WC 31848 PAR, SIMI TYSON FRESH MEATS 06/24/13 VANDERGINST LAW PC BRYCE DOWNEY & LENKOV LLC 15WC031879 -C 128 15WC 33164 CRANDALL, DENVER CENTURYLINK 06/09/14 REHN LAW LLC MC ANDREWS & NORGLE 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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 129 15WC 35074 OLALDE, DEBRA L EXCEPTIONAL CARE & 10/08/14 MERTES & MERTES PC LAW OFFICES FRANCESCA LARSEN 130 15WC 35427 PHILBRICK, JAMES OSTROM PAINTING & SANDBLA 09/29/15 HOWERTON, DORRIS & STONE 131 15WC 35870 SMITH, TERRY E GATES RUBBER COMPANY 03/27/15 LAW OFFICE OF CHRIS DOSCOT QUINTAIROS PRIETO WOOD & BOY 132 15WC 36563 PETERS, DAN W DAVS DUNN'S AUTOBODY INC 06/15/14 KINGERY DURREE WAKEMAN & R NYHAN BAMBRICK KINZIE & LOWR 15WC038493 -C DAVE DUNN'S AUTOBODY INC 15WC038727 -C 15WC038728 -C DAVE DUNN'S AUTOBODY INC 17WC022582 -C 133 15WC 37072 ABBOTT, CYNTHIA JOHN DEERE 09/17/12 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 134 15WC 38300 CULLOTTA, JOCLAIRE M MACLEAN FOGG COMPONENT 06/07/15 WARD MURRAY PACE & JOHNSON 135 15WC 38467 YOUNGBLOOD, ASHLEY US SECURITY ASSCOCIATES 06/12/15 GOLDFINE & BOWLES COZZI & GOGGIN-WARD 136 15WC 38485 HOBSON, MICHAEL SCHNEIDER NATIONAL 02/14/15 SHELDON I MINKOW & ASSOCIA 137 15WC 38673 KETCHAM, TRUDY VALLEY CONSTRUCTION 10/26/15 WINSTEIN KAVENSKY & WALLAC 138 15WC 39260 BABCOCK, JAMES GATES CORPORATION 10/09/15 REHN & SKINNER LLC QUINTAIROS PRIETO WOOD & BOY 139 15WC 41332 FAY, BRIAN GALAXT 1 DISH NETWORK 02/28/13 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 15WC000038 -C 140 16WC 02310 HAAN, DARREN JOHN DEERE HARVESTER 02/14/13 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 141 16WC 02820 PARKINSON, SUSAN UNITYPOINT HEALTH TRINITY 07/07/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 142 16WC 03209 KOESTER, LANA HANCOCK FABRICS 09/01/15 CAPRON & AVGERINOS PC 143 16WC 03666 HICKS, DERRICK JOHN DERRE DAVENPORT WORK 11/15/15 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 144 16WC 03946 MONROE, GARY CAP STONE 01/11/16 RIDGE & DOWNES 145 16WC 04049 EDWARDS, RAYMOND JOHN DEERE HARVESTER 08/12/13 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 146 16WC 04912 GUERRERO,CELSO C/OGUERRER BNSF RAILWAY # 02/01/15 PETER F FERRACUTI & ASSOCI 147 16WC 05685 WEST, WADE W. DAV AND TY ENTERPRISES, I 12/23/15 STENGEL BAILEY ROBERTSON 148 16WC 05748 ZAAGMAN, CANDACE ST OF IL COMPTROLLER 01/15/16 PIGNATELLI & ASSOCIATES ASSISTANT ATTORNEY GENERAL 149 16WC 06139 PAINTER, LEAH HYVEE 01/16/16 LAW OFFICE DAVID HUNT QUINN JOHNSTON HENDERSON ETA 150 16WC 06427 DESHEPPER, LISA GALESBURG COTTAGE HOSPITA 09/15/15 GOLDBERG WEISMAN & CAIRO L 151 16WC 06603 HAHN, DAN DEERE & COMPANY INC/JOHN 03/24/15 SCHWEICKERT & GANASSIN LANE & WATERMAN 152 16WC 07046 SHAFFER, PENNY JOHN DEERE HARVESTER WORK 06/01/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 153 16WC 07336 AVILA, PENNY J GANA-A'YOO SERVICES CORP 06/01/13 KATZ HUNTOON & FIEWEGER P COZZI & GOGGIN-WARD 154 16WC 07604 WINKLER, AMY HEADSTART 01/26/16 STEPHEN P. KELLY 16WC007731 -C 155 16WC 07807 DEVILDER, DARRELL CITY OF ROCK ISLAND 12/21/15 THOMAS W DUDA BETTY NEUMAN & MCMAHON 156 16WC 08016 BAYONA, BENJAMIN SKOOG LANDSCAPE AND DESIG 11/13/15 EPSTEIN, JACK R LAW OFFICE 157 16WC 08374 HAAN, DARREN JOHN DEERE HARVESTER 09/03/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 158 16WC 08563 MEYER, AMY E CITY OF STERLING 05/18/13 MERTES & MERTES PC ANCEL GLINK DIAMOND BUSH & E 159 16WC 09058 FELDHAN, GARRETT VALSPAR CORP 10/22/14 RUSIN & MACIOROWSKI LTD 160 16WC 09071 COLBERG, TRACY A WINNING WHEELS 04/13/15 MERTES & MERTES PC BOGGS AVELLINO 161 16WC 09308 BLANTON, ANTHONY TYSON FOODS INC 09/17/15 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 162 16WC 09430 PEREZ, OTONIEL JMF 12/28/15 WINSTEIN KAVENSKY & WALLAC COZZI & GOGGIN-WARD 163 16WC 09675 DECRANE KAHA, SAMANTHA L. HYVEE, INC. 08/15/13 VANDERGINST LAW PC HOPKINS & HUEBNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 164 16WC 09747 WILLER, GARY HOTLINE FREIGHT SYSTEM 02/04/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 165 16WC 10658 ROCKWELL, SHELLEY JOHN DEERE HARVESTER 11/10/15 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 166 16WC 10731 RAMSDALE, NICHOLAS EAST MOLINE CORRECTIONAL @ 12/10/15 WARNER & ZIMMERLE ASSISTANT ATTORNEY GENERAL 167 16WC 11161 MAYHEW, TROY FARMLAND FOODS INC 05/01/14 DWORKIN AND MACIARIELLO STEPHEN P. KELLY 168 16WC 11580 DOY, JAMES HEYL TRUCK LINES 03/14/16 PORRO NIERMANN LAW GROUP BETTY NEUMAN & MCMAHON 169 16WC 11970 HARTMAN, LOIS I AGRI-KING INC 08/11/14 KATZ HUNTOON & FIEWEGER P HOLECEK & ASSOCIATES 170 16WC 12036 SIGEL, GORDON R KIMBALL MIDWEST 02/15/16 REESE & REESE LAW OFFICES JOSEPH MARCINIAK 171 16WC 12107 DELAROSA, SANDRA A DEERE & CO/HARVESTER WORK 03/10/16 KATZ HUNTOON & FIEWEGER P CALIFF & HARPER PC 172 16WC 12358 STENDER, LISA D MPK ACQUISITIONS INC A.K. 01/20/16 HOPKINS & HUEBNER PC 173 16WC 13902 ADAMS, THOMAS STERLING STEEL CO LLC 04/20/16 STROW LAW LLC RUSIN & MACIOROWSKI LTD 174 16WC 14066 WOOD, ORYN SMITHFIELD FARMLAND 09/01/15 RIDGE & DOWNES STEPHEN P. KELLY 175 16WC 14673 HUFELD, RANDY BERTIS CARLSON TRUCKING I 04/13/16 STRONG LAW OFFICE JAMES M KELLY 176 16WC 14684 MURPHEY, NICKIE M. HILLCREST NURSING HOME 12/16/15 HOPKINS & HUEBNER PC INMAN & FITZGIBBONS 16WC021643 -C 177 16WC 14870 HOMAN, KYLE ARAMARK UNIFORM SERVICES 01/14/16 WARNER & ZIMMERLE 178 16WC 15249 OLDFATHER, DONNA ALLIED BARTON SECURITY SE 04/22/16 SIMPSON PETERSON GAROFALO SCHREIBER STORM

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 179 16WC 15628 STROUSS, BRIAN ILLINOIS STATE POLICE @ 05/06/16 RIDGE & DOWNES KRISTINA D DION 180 16WC 16050 HARRISON, BEN D ARROWHEAD RANCH INC 11/19/14 COZZI & GOGGIN-WARD 16WC016051 -C 181 16WC 16115 MURILLO, ANGELICA HON MILAN CONSOLIDATED 05/07/15 WARNER & ZIMMERLE 182 16WC 16907 STRONG, LISA GATES CORP 02/10/16 REHN LAW LLC 183 16WC 17148 PRICE, CASEY M CITY OF ROCK ISLAND 04/18/16 THOMAS W DUDA BETTY NEUMAN & MCMAHON 16WC017149 -C 184 16WC 18031 RICHARDS, KAMI L. JOHN DEERE HARVESTER WORK 07/29/12 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 185 16WC 18359 GILLMAN, KEVIN MEDIACOM COMMUNICATIONS C 08/27/13 STENGEL BAILEY ROBERTSON 186 16WC 18542 NOBLE, JEFFREY JOHN DEERE HARVESTER WORK 02/18/16 HOPKINS & HUEBNER PC BOZEMAN NEIGHBOUR PATTON & N 187 16WC 19353 UNAKIS, CHRISTOPHER GENERAL GRIND & MACHINE 04/13/16 SIMPSON PETERSON 188 16WC 19601 DALRYMPLE, PAULETTE BECK OIL CO 04/14/16 JAY H JANSSEN CAPUANI, FRANK S 189 16WC 20920 BUSHNELL, ELIZABETH IL DEPT OF CORRECTIONS @ 05/06/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 190 16WC 21108 FRANCISKO, STEVEN ILLINOIS DEPT OF NATURAL 04/13/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 191 16WC 21361 HAMILTON, KAYTLIN EXCEPTIONAL CARE & TRAINI 08/31/15 PIGNATELLI & ASSOCIATES 192 16WC 21475 VANRYCKE, CASSANDRA SEVEN ELEVEN 04/25/16 STRONG LAW OFFICE MC ANDREWS & NORGLE LLC 193 16WC 21796 DAVY, THADDEUS ELITE STAFFING 06/06/16 CHRISTINE A KEYS PC 194 16WC 21969 MENDOZA, ANGIE TYSON FOODS INC 04/02/16 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 195 16WC 22559 SAMUELSON, CHARLENE JOHN DEERE PDC 04/15/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 196 16WC 22973 DEFILIPPI, FRED BERTIS CARLSON TRUCKING I 03/04/16 LAW OFFICE DAVID HUNT JAMES M KELLY

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 197 16WC 23768 COOK, KIMBERLY JOHN DEERE 01/08/15 CHRISTINE A KEYS PC CALIFF & HARPER PC 198 16WC 23802 DRAKE, DAVID JOHN DEERE HARVESTER WORK 07/17/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 199 16WC 24260 WADHAMS, RODNEY SMITHFIELD FARMLAND 06/17/16 RIDGE & DOWNES STEPHEN P. KELLY 200 16WC 24467 DANIEL, JAY CITY OF KEWANEE 11/18/15 WINSTEIN KAVENSKY & WALLAC ANCEL GLINK DIAMOND BUSH & E 201 16WC 24542 MAHONEY, SHAWN P&P INDUSTRIES, INC. 06/22/16 WINSTEIN KAVENSKY & WALLAC HOLECEK & ASSOCIATES 202 16WC 24801 BATTLE, PATRICE JOHN DEERE HARVESTER 06/23/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 203 16WC 25789 CORBEN, BENJAMIN M ESTATE MANGIERI ELECTRIC, INC # 07/29/16 FADI B. RUSTOM 204 16WC 26385 SLAUGHTER, DIANNE JOHN DEERE HARVESTER WORK 01/29/09 HOPKINS & HUEBNER PC CALIFF & HARPER PC 205 16WC 26406 KABEYA, ELYSEE KANYEBA FARMLAND FOODS 07/21/16 LAW OFFICE DAVID HUNT 206 16WC 26864 SANCHEZ, JAVIER TYSON FOODS 05/17/16 PETER F FERRACUTI & ASSOCI BRYCE DOWNEY & LENKOV LLC 207 16WC 27167 GUERRERO, MIGUEL A FARMLAND FOODS 07/16/15 REHN LAW LLC 208 16WC 27498 ELLIOT, JUSTIN THOMPSON TIRE 08/16/16 CROWLEY & PRILL BETTY NEUMAN & MCMAHON 209 16WC 28181 SANDERS, ASHLEY MANPOWER 08/31/16 PIGNATELLI & ASSOCIATES HENNESSY & ROACH PC 210 16WC 28352 MICHAEL, JOSHUA STEWART SPREADING INC 08/25/16 SCHWEICKERT & GANASSIN RODDY LAW LTD 211 16WC 28531 HICKS, GAYLA DICK BLICK ART MATERIALS 12/09/15 RIDGE & DOWNES LAW OFFICES JOSEPH MARCINIAK 212 16WC 28586 GILHOOLY, MELISSA KAY THE ROCK ISLAND BOATWORKS 12/11/15 HEIPLE LAW OFFICE HOLECEK & ASSOCIATES 17WC028166 -C 213 16WC 29005 THOMAS, JAMES MOLINE POLICE DEPARTMENT 04/08/16 RIDGE & DOWNES CALIFF & HARPER PC 17WC032325 -C 214 16WC 29072 NACHE, MICHAEL SR EBY-BROWN COMPANY LLC 12/17/15 BOSHARDY LAW OFFICE PC COZZI & GOGGIN-WARD

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 215 16WC 29268 NACHE SR, MICHAEL EBY-BROWN COMPANY 09/01/15 BOSHARDY LAW OFFICE PC COZZI & GOGGIN-WARD 216 16WC 29736 DUNSWORTH, KELLEY MID-AMERICAN ENERGY CO 05/01/15 CHRISTINE A KEYS PC 217 16WC 29817 PHELPS, JULIE LYNN SISTERS OF THE ORDER OF 12/23/15 KEYS LAW OFFICES 218 16WC 29835 KEELE, BONNIE DOLLAR GENERAL 05/27/16 PIGNATELLI & ASSOCIATES LEAHY EISENBERG & FRAENKEL 219 16WC 29924 RADOSEVICH, MARTHA ARAMRK 06/03/16 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 220 16WC 30154 LOPER, CLIFFORD BLICK ART MATERIALS 09/10/16 STRONG LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 221 16WC 30380 CRIDER, SARAH HALLCON 05/11/16 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 222 16WC 30458 COSGROVE, ERIC INDUSTRIAL TRADE SVC, LLC 09/21/16 VANDERGINST LAW PC 223 16WC 30718 JOHNSTON, RONALD BLICK & BLICK OIL INC 09/13/16 DWORKIN AND MACIARIELLO 224 16WC 31298 SWAN, JOSEPH B CITY OF EAST MOLINE 08/30/16 KATZ HUNTOON & FIEWEGER P MCCARTHY, CALLAS & FEENEY PC 16WC031299 -C 225 16WC 31530 REED, ALAN GALESBURG CASTINGS, INC 07/09/15 WINSTEIN KAVENSKY & WALLAC 226 16WC 31897 CLARK, BETTY STATE OF ILLINOIS DHS 08/19/16 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 227 16WC 32810 DANIELSEN, JEAN A LA LEASING, INC DBA 03/18/16 THOMAS E CADY 16WC032811 -C 228 16WC 33135 LOUGH, CHERYL GENESIS MEDICAL CTR 07/14/16 DWORKIN AND MACIARIELLO HOPKINS & HUEBNER PC 229 16WC 33147 TICE, RONALD L A-L-L EQUIPMENT CO 08/07/14 HOLECEK & ASSOCIATES 230 16WC 33206 WILLIAMSON, RYAN CITY OF ROCK FALLS 10/05/15 THOMAS W DUDA ANCEL GLINK DIAMOND BUSH & E 231 16WC 33744 SANCEN, JOSE JOHN DEERE 05/11/11 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 232 16WC 33745 SANCEN, JOSE JOHN DEERE 08/25/14 MARSZALEK AND MARSZALEK CALIFF & HARPER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 233 16WC 34084 JOHNSON, JARROD ILLINOIS STATE POLICE @ 01/08/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 234 16WC 35446 PARRIS, PATRICIA FAMOUS DAVE'S 10/15/16 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 235 16WC 35556 LIRA, JOSEPH CHARTWELL STAFFING 09/03/16 PIGNATELLI & ASSOCIATES HENNESSY & ROACH PC 236 16WC 36407 MEJIA, ADALBERTO JOHN DEERE PARTS DIST CEN 11/17/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 237 16WC 37248 EHRECKE, MARCIA A METRO AIRPORT AUTH OF ROC 08/01/16 THOMAS E CADY INMAN & FITZGIBBONS 238 16WC 37801 SMITH, ELIZABETH KNOX COUNTY STATE'S ATTOR 05/02/16 LAW OFFICE DAVID HUNT BUSH MOTTO CREEN KOURY 239 16WC 38384 FURROW, ALLEN D PFG-THOMAS PROESTLER COMP 07/26/16 RIDGE & DOWNES 240 16WC 38896 KABEYA, ELYSEE KANYEBA SMITHFIELD FARMLAND CORP 07/26/16 REHN & SKINNER LLC 241 17WC 00742 TARRANT, JESUSITA THE HUNGRY HOBO 08/09/16 RIDGE & DOWNES CAPUANI, FRANK S 242 17WC 00884 BIRD, JEREMIAH JOHNSON CONTRACTING CO IN 02/26/14 THE NEPPL LAW CENTRE CACCHILLO LAW GROUP LLC 243 17WC 01053 BROWN, DALE US TRANSPORT, INC & FED E 10/26/16 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 244 17WC 01111 BIRDSALL, MARK MILLER CONTAINER 11/01/16 DWORKIN AND MACIARIELLO 245 17WC 01440 MORASKI, CHRIS ILLINOIS YOUTH CENTER @ 12/02/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 246 17WC 01532 MURRY, DAIRON SCHNEIDER NATIONAL CARRIE 12/15/16 JOHN LESAGANICH HENNESSY & ROACH PC 247 17WC 01587 FRANKS, KATHY L FIRST STUDENT 08/22/16 REESE & REESE 248 17WC 01855 MAYNARD, CHRISTOPER JOHN DEERE CYLINDER 11/21/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 249 17WC 01935 BURGESS, TENA HIRSCHBACH MOTOR LINES IN 03/08/16 REHN LAW LLC BETTY NEUMAN & MCMAHON 250 17WC 01989 CONCHAS, ALEXANDER THOMPSON FARMS TRUCKING 12/01/16 RIDGE & DOWNES

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 251 17WC 02277 CAMPOS, FIDENCIO LEGGETT & PLATT D/B/A 10/14/16 STROW LAW LLC 252 17WC 02820 VALDIVIA, TERESA SERVICE MASTER 09/01/16 PIGNATELLI & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 253 17WC 02970 STURGEON, JESSICA MIDSTATE MANUFACTURING 02/23/15 HASSELBERG & ROCK KNELL LAW LLC 254 17WC 03008 JOHNSON, JOHN JOHN DEERE HARVESTER 07/14/14 CAPRON & AVGERINOS PC CALIFF & HARPER PC 255 17WC 03126 NAVARRO, WENDY L STAE OF IL @ 05/18/16 VITELL & SPITZ LTD 256 17WC 03312 MARTIN, SCOTT ELKAY MFG 08/01/16 WOLFE LAW PC GAROFALO SCHREIBER STORM 257 17WC 03401 PORTER, RENAE M SERTOMA CENTRE, INC 12/04/16 THOMAS E CADY 258 17WC 03628 TERRY, JAMES III JOHN DEERE PARTS DISTRIBU 09/28/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 259 17WC 03987 DYE, KEGIN CHARTWELL STAFFING SERVIC 08/08/16 PETER F FERRACUTI & ASSOCI 260 17WC 04705 CHILD, JAMIE PFG - THOMAS PROESTLER CO 10/26/16 RIDGE & DOWNES 261 17WC 04995 GONZALEZ, ALBERTO I-80 EQUIPMENT LLC 01/09/17 DWORKIN AND MACIARIELLO 262 17WC 05034 FRANK, JUDY E FRIENDSHIP MANOR, INC. 01/13/17 THOMAS E CADY RIPES NELSON BAGGOT KALOBRAT 263 17WC 05905 SKILES, SHERI L DEERE & CO/HARVESTER WORK 03/11/14 THOMAS E CADY BOZEMAN NEIGHBOUR PATTON & N 264 17WC 05950 REAM, DALTON WICHITA THUNDER 01/07/15 FLOYD LAW FIRM INMAN & FITZGIBBONS 265 17WC 06281 JARVIS, PETER JOHN DEERE HARVESTER 02/25/16 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 266 17WC 06433 CORDER, BRYAN LOWE'S COMPANIES, INC 10/02/15 BROOKS LAW FIRM KEEFE CAMPBELL & ASSOC LLC 267 17WC 06494 PERALES, SHAWN TYSON FOODS 06/22/16 PIGNATELLI & ASSOCIATES BRYCE DOWNEY & LENKOV LLC 268 17WC 06527 MCDANEL, MICHAEL JOHN DEERE HARVESTER 02/06/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 269 17WC 06698 SUNDEEN, MEGAN STATE OF ILLINOIS @ 01/09/17 LAW OFFICE DAVID HUNT 270 17WC 07182 GALINDO-VAZQUEZ, BEATRIZ FARMLAND FOODS 09/16/14 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 271 17WC 07389 LISENBEE, ASHLEY STEAK'N SHAKE 06/08/16 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 272 17WC 07396 LISENBEE, ASHLEY STEAK 'N SHAKE 06/08/16 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 273 17WC 07434 SUSTER, ASHLEY ELLIOTT AVIATION 02/01/17 WINSTEIN KAVENSKY & WALLAC INMAN & FITZGIBBONS 274 17WC 07493 SLAUGHTER, DIANNE JOHN DEERE HARVESTER WORK 02/05/16 HOPKINS & HUEBNER PC CALIFF & HARPER PC 275 17WC 07798 SAUCEDO, AMY GENESIS MEDICAL CENTER 10/22/16 WINSTEIN KAVENSKY & WALLAC HOPKINS & HUEBNER PC 276 17WC 07853 HEBERER, LYNN M KEWANEE COMMUNITY UNIT SC 08/16/16 KEYS LAW OFFICES 277 17WC 08130 SERNA, VERONICA FARMLAND FOODS, INC 10/21/14 REHN LAW LLC 278 17WC 08201 LAWSON, ERIC JOHN DEERE HARVESTER WORK 07/01/14 CAPRON & AVGERINOS PC CALIFF & HARPER PC 279 17WC 08702 CELESTINO, RICHARD VON HOLTEN & CARLSON 08/10/16 GESMER LAW OFFICES, PC RODDY LAW LTD 280 17WC 08974 NAYLOR, SEAN CHENHALL'S STAFFING & HR 10/13/16 WINSTEIN KAVENSKY & WALLAC HENNESSY & ROACH PC 281 17WC 09046 BIENS, SHAWN DICK BLICK 09/19/16 REHN LAW LLC 282 17WC 09200 THOMPSON, TARA GATES CORP 03/06/17 REHN & SKINNER LLC QUINTAIROS PRIETO WOOD & BOY 283 17WC 09407 FREDRICKSON, LARRY E WEST CENTRAL FS, INC 10/30/15 THOMAS E CADY BRYCE DOWNEY & LENKOV LLC 284 17WC 10070 REDNOUR, CECIL GALESBURG CUSD #205 03/16/17 LEE, MARK N LAW OFFICE KNELL LAW LLC 285 17WC 10206 BURGESS, RONDA WESTROCK 01/19/17 CROWLEY & PRILL GAROFALO SCHREIBER STORM 286 17WC 10216 GIBSON, ANGELA HY-VEE 05/03/16 WARREN E DANZ, PC HOPKINS & HUEBNER PC

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 287 17WC 10335 ROBISON, THOMAS G&D INTEGRATED 01/04/16 GOLDFINE & BOWLES HEYL ROYSTER VOELKER & ALLEN 288 17WC 10365 CARLOS, VICTOR THE DAVEY TREE EXPERT COM 10/18/16 WINSTEIN KAVENSKY & WALLAC 289 17WC 10450 SMITH, DEE SAUK VALLEY SENIOR LIVING 12/28/15 BLACK & JONES KNELL LAW LLC 290 17WC 10602 WEFLEN, ROBERT JOHNSON OIL CO 03/08/17 PIGNATELLI & ASSOCIATES 291 17WC 10747 FREEMAN, RODZELL S IFH GROUP, INC 07/26/16 292 17WC 11062 DOYLE, JACK WRIGHT TREE SERVICE INC 03/27/17 JOHN LESAGANICH HENNESSY & ROACH 293 17WC 11340 THOMPSON, TARA KNOX COLLEGE 04/01/17 LEE, MARK N LAW OFFICE 294 17WC 11540 BARNETT, LENITA MARIGOLD REHABILITATION 07/27/16 KNELL LAW LLC 295 17WC 12080 SMALL, GWENDOLYN HOPE CREEK 02/24/16 GOLDSTEIN BENDER & ROMANOF 296 17WC 12237 TANZILLO, PETE CULLIGAN 03/10/17 GOLDFINE & BOWLES 297 17WC 12407 ATWOOD, JEANINE REGENCY CARE OF STERLING 02/21/17 LAW OFFICES MICHAEL HELLMA 298 17WC 14837 HARTSHORN, LINDA KNOX COUNTY NURSING HOME 03/19/17 REHN & SKINNER LLC 299 17WC 14913 BARRIGAH, ETHEH L ARCONIC INC 04/24/17 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 300 17WC 14956 PACE, NATHANEAL JOHN DEERE CYLINDER 05/01/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 301 17WC 15450 ANDERSON, TREVOR UNITED STATES FOOD KING 07/03/15 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 302 17WC 15468 WHITE, TOMMIE HILL & VALLEY INC 09/22/16 WINSTEIN KAVENSKY & WALLAC 17WC015469 -C 303 17WC 15726 VERBOUT, JESSICA GREAT DANE 03/08/16 CAPRON & AVGERINOS PC 304 17WC 16241 DAVIS, BARBARA JOHN DEERE PARTS 06/09/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 305 17WC 16479 ABOYTES, ERIKA RAYA SMITHFIELD FARMLAND CORP 05/29/15 THOMAS E CADY STEPHEN P. KELLY 306 17WC 16699 SCUDDER, ROGER E ROCK RIVER CARTAGE, INC 12/19/16 REESE & REESE KNELL & O'CONNOR 307 17WC 16808 SHELEY, BRYNN JOHN DEERE PARTS DISTRIBU 06/07/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 308 17WC 16989 VOCK, TIMOTHY MENARDS 03/31/17 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 309 17WC 17055 HENDRICKS, MARSHALL HENRY C HILL CORRECTIONAL 05/08/17 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 310 17WC 17180 VROMAN, KEVIN L CITY OF ROCK ISLAND 04/02/17 THOMAS W DUDA BETTY NEUMAN & MCMAHON 311 17WC 17411 CABRERA, CARLOS VALLEY MEATS, LLC 02/08/17 HOPKINS & HUEBNER PC HOLECEK & ASSOCIATES 312 17WC 17571 HINES, HOPE ILENE UNITYPOINT HEALTH 05/06/15 KEYS LAW OFFICES CALIFF & HARPER PC 313 17WC 17737 STOKES, TERRY MERCER COUNTY HIGHWAY DEP 05/22/15 BLACK & JONES INMAN & FITZGIBBONS 314 17WC 17744 SIERRA, RAMONA TYSON FOODS INC 07/21/14 HOPKINS & HUEBNER PC BRYCE DOWNEY & LENKOV LLC 315 17WC 18150 FAUR, KELVIN GENESIS MEDICAL CENTER 06/14/15 WARNER & ZIMMERLE HOPKINS & HUEBNER PC 316 17WC 18163 ALTINE, ALI TYSON FOODS, INC 05/19/16 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 317 17WC 18702 POLL, RONALD G NIPPS MACHINE SHOP INC 01/14/14 CORNFIELD & FELDMAN LAW OFFICE PATRICK JENNETTEN 318 17WC 19263 DEBAILLIE, LORI JOHN DEERE HARVESTER 03/20/15 LOGAN LAW CALIFF & HARPER PC 319 17WC 19339 RODRIGUEZ, LUIS MANPOWER/FCA 04/11/17 VANDERGINST LAW PC WIEDNER & MCAULIFFE LTD 320 17WC 19585 BARTON, JODI ROCK ISLAND COUNTY 02/10/17 RIDGE & DOWNES BROOKS LAW FIRM 321 17WC 19641 MCCONE, JOHN RP LUMBER 06/15/17 BACH, ROBERT W COZZI & GOGGIN-WARD 322 17WC 20451 EMMONS, MICHAEL ADDUS HOME CARE 07/06/16 VANDERGINST LAW 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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 323 17WC 20546 HICKS, SHAWNA HERITAGE WOODS 07/06/17 PIGNATELLI & ASSOCIATES POWER & CRONIN LTD 324 17WC 20906 DEPAEPE, TANNER J P FEDEX GROUND PACKAGE 08/12/15 THOMAS E CADY KOPKA, PINKUS DOLIN, PC 325 17WC 21583 DURBIN, JOSEPH MOTEL 6 06/29/17 BLACK & JONES 326 17WC 21660 SCHMELZER, DAVID S JOHN DEERE PARTS DIST CTR 03/09/16 SOPHER LAW FIRM CALIFF & HARPER PC 327 17WC 21775 JEFFREY SCOTT KERR MCLAUGHLIN BODY COMPANY 12/18/14 KEYS LAW OFFICES 328 17WC 21808 KRATZ-SPIKER, RONDA COMPASSUS, LLC A/K/A 03/22/16 HOPKINS & HUEBNER PC COZZI & GOGGIN-WARD 329 17WC 21937 KARN, PHYLLIS HOSPICE COMPASSUS 04/26/17 CAPRON & AVGERINOS PC COZZI & GOGGIN-WARD 330 17WC 22589 CHANDLER, MICHAEL EAST MOLINE SCHOOL 03/02/17 HOPKINS & HUEBNER PC HEYL ROYSTER VOELKER & ALLEN 331 17WC 22823 SPERLIN, JENNIFER ILPEA INDUSTRIES INC 09/15/16 STRONG LAW OFFICE GRANT & FANNING 332 17WC 22973 LEMONS, CHRISTY AMBOY HIGH SCHOOL 05/24/17 STRONG LAW OFFICE 333 17WC 23456 HAAGA, JOHN JEWEL FOOD STORES 04/28/16 GOLDBERG WEISMAN & CAIRO L 334 17WC 23651 WATERMAN, JAMES LANGMAN CONSTRUCTION INC 07/28/17 ELFENBAUM EVERS & AMARILIO 335 17WC 24052 PUYEAR, THOMAS H INPRO SEAL, LLC 02/22/17 THOMAS E CADY LAWRENCE COZZI - LAW OFFICES 336 17WC 24068 ALFARO, ALICIA SMITHFIELD FARMLAND FOODS 02/19/17 LAW OFFICE OF CHRIS DOSCOT 337 17WC 24180 JENSEN, STACI DICKEY'S BARBECUE PTI 06/09/17 WINSTEIN KAVENSKY & WALLAC ADELSON TESTAN & BRUNDO 338 17WC 24232 CORDES, JEFFREY JOHN DEERE HARVESTER WORK 07/31/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 339 17WC 24300 HANNA, RICKY J ILLINOIS DEPARTMENT OF @ 06/27/17 340 17WC 24656 ZEPEDA, JOSE INTEGRITY COMMUNICATIONS 07/24/17 DWORKIN AND MACIARIELLO

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 341 17WC 25041 COX, SHELLY JOHN DEERE HARVESTER WORK 12/11/15 CAPRON & AVGERINOS PC CALIFF & HARPER PC 342 17WC 25181 CAMPBELL, PATRICK M METAL SPINNERS, INC 06/22/17 REESE & REESE LAW OFFICES JOSEPH MARCINIAK 17WC025182 -C 343 17WC 25357 MANGO, BARBARA KEWANEE LIFE SKILLS @ 10/13/16 LAW OFFICE OF CHRIS DOSCOT 344 17WC 25451 WOOD, MICHAEL CGB TWORNEY GROUP 08/05/15 ANKIN LAW OFFICE CAPUANI, FRANK S 345 17WC 25557 MACKIE, BRIAN LOCKES ROOFING & SIDING 08/07/17 LEE, MARK N LAW OFFICE SPONSLER BISHOP 346 17WC 26340 GERBER, KYLE ERIKSEN CHEVROLET 05/03/17 RIDGE & DOWNES 347 17WC 26481 BRASSART, BRADY QUAD CITY MALLARDS 04/22/17 FLOYD LAW FIRM 348 17WC 26691 WATKINS, NICHOLAS INDUSTRIAL LUBRICANT CO 05/12/17 WARNER & ZIMMERLE 349 17WC 26768 JOHNSON, JENNIFER ALDI 08/22/17 BLACK & JONES BRADY, CONNOLLY & MASUDA, PC 350 17WC 27060 STIVERS, KAREN SUE BENT RIVER BREWERY 11/23/16 WINSTEIN KAVENSKY & WALLAC 351 17WC 27435 ELLIOT, CLIFFORD APERION CARE 08/03/17 SAUNDERS CONDON & KENNY 352 17WC 27858 JAMES, RONALD WESTROCK 06/10/15 GOLDFINE & BOWLES GAROFALO SCHREIBER STORM 353 17WC 28314 SHERWOOD, PATRICIA GET-N-GO 07/03/17 LEFANTE LAW OFFICES HOLECEK & ASSOCIATES 354 17WC 28653 KELLY, STEPHEN L REPUBLIC SERVICES 06/27/16 RIDGE & DOWNES 355 17WC 28776 FRANK, JUDY E FRIENDSHIP MANOR, INC 07/17/17 THOMAS E CADY RIPES NELSON BAGGOT KALOBRAT 356 17WC 29073 WARD, JAWAN SCHNEIDER NATIONAL CARRIE 09/11/17 PARENTE & NOREM PC POWER & CRONIN LTD 357 17WC 29217 SULLIVAN, CHERYL FRANCES HOUSE, INC 02/18/17 WINSTEIN KAVENSKY & WALLAC 358 17WC 29401 GERBER, KYLE LYNCO PRODUCTS 10/02/17 RIDGE & DOWNES RODDY LAW LTD

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 359 17WC 29794 MALEK, CORY A STATE OF ILLINOIS @ 08/06/17 JOHN LESAGANICH 360 17WC 30049 SEIDEL, CRAIG A STERLING STEEL CO 05/08/15 REESE & REESE RUSIN & MACIOROWSKI LTD 361 17WC 30103 KINKADE, KRISTEN MATCH MG US, LLC. 04/05/17 TARADASH LAW OFFICE 362 17WC 30126 DAILY, MONIQUE AMERICAN AIRLINES 08/23/17 CHRISTINE A KEYS PC 363 17WC 30311 WEST, ROBERT GATES CORP 06/26/17 REHN LAW LLC QUINTAIROS PRIETO WOOD & BOY 364 17WC 30476 THOMPSON, MORGAN O'REILLY AUTO PARTS 06/24/16 LEFANTE LAW OFFICES 365 17WC 30729 CLEWELL, KEVIN UNITED FACILITIES, INC 02/06/16 BENASSI & BENASSI COZZI & GOGGIN-WARD 366 17WC 30920 GRUBB, FERNANDA GALESBURG COTTAGE HOSPITA 09/13/17 GOLDFINE & BOWLES 367 17WC 30947 GONZALEZ DE BAHENA, CATAL FARMLAND FOODS 09/27/17 WOODRUFF & JOHNSON STEPHEN P. KELLY 368 17WC 31246 SIGEL, DAVID B FRYMIRE FARMS, INC 09/28/17 REESE & REESE BRADY, CONNOLLY & MASUDA, PC 369 17WC 31387 HIGLEY, STEVEN STERLING STEEL 01/16/17 WOLFE LAW PC 370 17WC 31587 PEEL, LINDA JOHN DEERE SEEDING GROUP 07/10/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 371 17WC 31762 KNIGHT, PAMELA STATE OF ILLINOIS DEPT OF @ 09/29/17 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 372 17WC 32290 NEWBURY, JOSPEH CLOVERLEAF COLD STORAGE, 07/10/17 LEFANTE LAW OFFICES KNELL LAW LLC 17WC032291 -C 373 17WC 32300 MINTUN, JOEL SENSIENT 08/23/16 PIGNATELLI & ASSOCIATES GAROFALO SCHREIBER STORM 374 17WC 32438 JONES, KENNETH CITY OF ABINGDON 09/25/17 STRONG LAW OFFICE POWER & CRONIN LTD 375 17WC 32458 MASENGARB, STEVEN NEW IMAGE CONSTRUTION 09/27/17 WINSTEIN KAVENSKY & WALLAC COZZI & GOGGIN-WARD 376 17WC 32481 BRIDEN, JUSTINA T PNC 01/16/17 PIGNATELLI & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 377 17WC 32502 BAUGHMAN, BRANDON MEYER LANDSCAPE & DESIGN, 07/06/17 MARKS INJURY LAW 378 17WC 32695 SNYDER, TERESA PREFERRED HOME HEALTH CAR 08/16/17 LAW OFFICE OF CHRIS DOSCOT 379 17WC 32705 BROCKHOUSE, BARRY ROCK ISLAND INTEGRATED SE 10/10/16 VANDERGINST LAW PC 380 17WC 33050 GOULET, MARGUERITE MOLINE SD #40 09/29/17 CAPRON & AVGERINOS PC RIPES NELSON BAGGOT KALOBRAT 381 17WC 33163 MEDINA, RAYMOND JOHN DEERE PARTS 06/14/17 HOPKINS & HUEBNER PC CALIFF & HARPER PC 382 17WC 33314 GENISIO, JONATHAN MOLINE POLICE DEPARTMENT 10/08/15 RIDGE & DOWNES CALIFF & HARPER PC 383 17WC 33428 VIETMEYER, MICHELLE WAHL CLIPPER CORPORATION 09/11/17 DAVID W MARTAY HEYL ROYSTER VOELKER & ALLEN 384 17WC 33797 DE MUYNCK, CHRISTINE UNITYPOINT HEALTH TRINITY 03/10/17 WINSTEIN KAVENSKY & WALLAC 385 17WC 33881 CURRY, TERRY DOHRN TRANSFER COMPANY 07/06/17 WARNER & ZIMMERLE 386 17WC 33949 ROSE, NAKETA M FEDEX GROUND PACKAGE SYST 07/08/17 THOMAS E CADY MCANANY VANCLEVE & PHILLIPS 387 17WC 34122 SCHMELL, ALLAN JOHNSON CONTRACTING CO IN 06/08/17 THOMAS E CADY 388 17WC 34187 DAVIS, RUTHY JOHN DEERE HARVESTER 12/24/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 389 17WC 34675 KELLER, MICHAEL JOHN DEERE HARVESTER 08/31/17 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 390 17WC 34831 CREBO, DAN MARK TERRY TRUCKING INC 09/05/17 WOLFE LAW PC RUSIN & MACIOROWSKI LTD 391 17WC 34943 BELL, KIMBERLY A SC2 (SUPPLY CHAIN SERVICE 08/31/17 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 392 17WC 35118 SANFO, SOULEYMANE TYSON FRESH MEATS 10/26/17 CROWLEY BUNGER PRILL 393 17WC 35141 GILBERT, PENNY HOPE CREEK CARE CENTER 02/07/17 CORNFIELD & FELDMAN 394 17WC 35346 JACKSON, MARK L M.L JACKSON QUALITY PLUMB 01/04/16 BOZEMAN NEIGHBOUR PATTON & BRADY, CONNOLLY & MASUDA, PC

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 395 17WC 35868 OTEFI, SABAH NORDSTROM 03/25/17 DWORKIN AND MACIARIELLO ROBERT L. SMITH 396 17WC 35898 HART, ANGELA FRIENDSHIP MANOR 09/03/17 VANDERGINST LAW PC RIPES NELSON BAGGOT KALOBRAT 397 17WC 35988 EDWARDS, JEFFREY UNITED FACILITIES 07/10/16 RIDGE & DOWNES 398 17WC 36259 SIMMONS, LORI COURTYARD ESTATES 04/01/17 WARD MURRAY PACE & JOHNSON KNELL LAW LLC 399 17WC 36411 SIMPSON, MARCELLA WELLS PET FOOD 11/10/17 REHN LAW LLC 400 17WC 36495 HOLLAND, RICK XPAC 10/11/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 401 17WC 36648 RODRIGUEZ, LESLIE XPAC 05/21/17 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 402 17WC 36920 PETERSON, JEFF USF HOLLAND 02/21/17 WINSTEIN KAVENSKY & WALLAC 403 17WC 36938 PECSI, RICK KNOXVILLE POLICE DEPT 01/16/17 REHN LAW LLC 404 17WC 37268 TUTOR, NICOLE ANDREA'S PIZZERIA & GRILL 10/08/17 SIMPSON PETERSON QUINTAIROS PRIETO WOOD & BOY 405 17WC 37491 MUJANAYI, JEROME FARMLAND FOODS 12/13/17 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 406 17WC 38060 THOMASON, TODD 3P CONSTRUCTION & REMODEL 05/21/17 TAPELLA & EBERSPACHER LLC 407 18WC 00062 HUGHES, ANTHONY HILL CORRECTIONAL CENTER @ 11/17/17 RIDGE & DOWNES 408 18WC 00335 SHELTON, JAMES INJURED WORKERS BENEFIT F W 07/01/17 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 409 18WC 00428 TITTLE, SHERRIE PPC-PLASTIC PRODUCTS CO * 12/14/17 WINSTEIN KAVENSKY & WALLAC 410 18WC 00571 KOSTMAN, JOSEPH AG VIEW FS 09/15/17 STRONG LAW OFFICE 411 18WC 00703 WEAVER, JOHN R JACK COOPER TRANSPORT 01/12/16 MARK & BURKHEAD MCANANY VANCLEVE & PHILLIPS 412 18WC 00748 PRIEBE, SEAN FLEET STAFF 10/06/17 REHN LAW LLC

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 413 18WC 01057 COX, BRANDON REBITZER'S BAR & GRILL 07/24/17 HOPKINS & HUEBNER PC HENNESSY & ROACH PC 414 18WC 01542 HILL, JOSH CHICAGO TUBE & IRON CO 12/19/17 VANDERGINST LAW PC 415 18WC 01897 STANLEY, BRENT GATES CORPORATION 12/07/17 GOLDFINE & BOWLES 416 18WC 02154 ATTWOOD, STEVE DEERE & CO DBA JOHN DEERE 01/10/18 MARKS INJURY LAW CALIFF & HARPER PC 417 18WC 02598 HORTON, ELYCIA HOPE CREEK CARE CENTER 05/07/16 CHRISTINE A KEYS PC 418 18WC 02658 BOND, TAUREAN APERION CARE 11/27/17 KANOSKI BRESNEY BRADY, CONNOLLY & MASUDA, PC 419 18WC 02817 SOULMANE, MOUSSA TYSON FOOD INC 02/09/17 STRONG LAW OFFICE 420 18WC 03093 JACKSON, LORRIE A GRAY TRANSPORTATION 11/01/17 HARVEY & STUCKEL BETTY NEUMAN & MCMAHON 421 18WC 03116 RUSSELL, PENNI GREAT DANE TRAILERS 12/15/15 STRONG LAW OFFICE SPIEGEL & CAHILL, PC 18WC006787 -C 422 18WC 03130 ZIGLER, DAVID W OCTOPUS CAR WASH 01/07/18 REESE & REESE GANAN & SHAPIRO 423 18WC 03166 GRIFFITH, PATRICIA JOHN DEERE PARTS DIST CEN 12/21/17 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 424 18WC 03247 MCLNTIRE, STEVEN BLACKHAWK FOUNDATION CO I 05/02/16 WINSTEIN KAVENSKY & WALLAC 425 18WC 03380 BROWN, BRIAN BLICK ART MATERIALS 09/14/17 BLACK & JONES JOSEPH MARCINIAK 426 18WC 03469 MBEMBA, JEAN PAUL EXPORT PACKAGING CO INC * 12/22/17 THOMAS E CADY RUSIN & MACIOROWSKI LTD 427 18WC 03637 MESECHER, LYNDA PREMIER EMPLOYEE SOLUTION * 01/08/18 BLACK & JONES GRANT & FANNING 428 18WC 03743 BITTNER, RICHARD FRITO LAY, DIV'N OF PEPSI * 11/09/16 WOLFE LAW PC 429 18WC 03855 CORRAL, JUAN FRANCISCO MACON GC LLC * 09/05/16 ANGELA NARDI-QUIGLEY HENNESSY & ROACH 430 18WC 04027 MORRISSEY, JEFF 3M CORP * 07/13/17 CAPRON & AVGERINOS PC

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 431 18WC 04063 AMATO, ANDREW PERFORMANCE FOOD GROUP * 11/07/17 ELFENBAUM EVERS & AMARILIO 432 18WC 04723 SEROKA, AMANDA STAFF QUICK * 01/26/18 DAVID HUNT HENNESSY & ROACH 433 18WC 04821 POLLOCK, LUPE PROJECT NOW HEAD START * 05/04/17 VANDERGINST LAW PC 434 18WC 05346 WILSON, SHEILA SMITHFIELD FARMLAND CORP. * 09/06/17 REHN LAW LLC 435 18WC 05425 LORD, BRANDON UNITED FACILITIES INC * 01/04/18 REHN LAW LLC LAWRENCE COZZI - LAW OFFICES 436 18WC 05583 LA PORTE, NOLAN QUAD CITY MALLARDS * 01/07/17 FLOYD LAW FIRM 437 18WC 05635 GRIGGS, DAVID MOLINE POLICE DEPARTMENT * 11/03/17 RIDGE & DOWNES CITY OF MOLINE 438 18WC 05785 DOOLEY, PATTI JO TWO SISTERS RESTAURANT * 01/28/18 THOMAS E CADY 439 18WC 05816 BRENTISE, ADAM MOORE TIRES - MONMOUTH * 12/21/16 RIDGE & DOWNES 440 18WC 05845 MARCELENO-AREEDONDO, ANA GROUP O * 12/29/17 WINSTEIN KAVENSKY & WALLAC KNELL LAW LLC 441 18WC 05975 HAJOSTEK, JERRILYN GATES CORPORATION * 01/13/18 BROOKS LAW FIRM QUINTAIROS PRIETO WOOD & BOY 442 18WC 06058 OETH, BETH PERKINS RESTAURANT & BAKE * 01/07/18 DAVID HUNT 443 18WC 06288 ROGERS, BILLIE AEROTEK * 12/29/17 WINSTEIN KAVENSKY & WALLAC 444 18WC 06624 BARNES, BRIAN MAPES ASPHALT SERVICES * 07/14/15 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 445 18WC 06970 DODGE, KARLA K (KALIN) ACCURATE HOME CARE HOLDIN * 10/24/14 JACK A. SCHWARTZ & ASSOC. 446 18WC 07044 MORTENSON, SHEILA CITY OF ROCK FALLS * 12/12/16 GOLDBERG WEISMAN & CAIRO L 447 18WC 07308 HARRIS, PATRICIA XPAC * 02/07/18 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 448 18WC 07596 NICHOL-RUSSELL, TONYA DOLLAR GENERAL * 10/12/17 WINSTEIN KAVENSKY & WALLAC LEAHY EISENBERG & FRAENKEL

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 18WC 07674 MALONE, WELETE ENVOY AIR, INC/ * 07/12/17 HOPKINS & HUEBNER PC GAROFALO SCHREIBER STORM 450 18WC 07995 HODGEMAN, CASEY STATE OF IL * 12/12/17 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 451 18WC 08364 CAMP, MICHAEL JOHN DEERE PDC * 09/20/16 WINSTEIN KAVENSKY & WALLAC 452 18WC 08405 LEE, RANDY B FEDEX FREIGT, INC * 07/24/17 THOMAS E CADY QUINTAIROS PRIETO WOOD & BOY 453 18WC 08584 KREMER, JOHANNA MANCON GC LLC * 10/18/17 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 454 18WC 08706 SLATER, MARVIN NESCO RESOURCE * 02/27/18 DWORKIN AND MACIARIELLO 455 18WC 08878 PITMAN, TEENA COTTOM'S TRUCKING, LLC # * 02/19/16 CASEY LAW OFFICE 456 18WC 08942 DIAZ, ALYSIA KOKOMOS * 06/09/17 WARD MURRAY PACE & JOHNSON 457 18WC 09423 CASE, ROBERT BIG RIVER RESOURCES * 03/06/18 CHRIS DOSCOTCH 458 18WC 09521 HILL, QUINTON FRIENDSHIP MANOR * 10/08/17 CAPRON & AVGERINOS PC RIPES NELSON BAGGOT KALOBRAT 459 18WC 09636 ROMERO, JOSE BUILDERS SALES * 02/19/18 GOLDBERG WEISMAN & CAIRO L 460 18WC 09946 RODRIGUEZ, SYLVIA A CITY OF GALESBURG * 02/22/18 BOSHARDY LAW OFFICE PC JAMES M KELLY 461 18WC 09962 PREISS, MARY DONUT DELITE * 10/13/16 GOMEZ MAY LLP 462 18WC 10079 ROTTMAN, MERROL CENTRAL TRANSPORT * 12/07/16 CHRIS DOSCOTCH HINSHAW & CULBERTSON 463 18WC 10128 PEEL, LINDA JOHN DEERE SEEDING GROUP * 11/30/16 WINSTEIN KAVENSKY & WALLAC 464 18WC 10250 TIMM, TIMOTHY ELITE STAFFING * 01/02/18 WINSTEIN KAVENSKY & WALLAC 465 18WC 10468 PERSON, BRIAN XENA, INC * 01/24/15 BLACK & JONES 466 18WC 10693 GRISHAM, THOMAS ROBERT HAMPTON TOWNSHIP * 12/07/16 KEYS LAW OFFICES JAMES M KELLY

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 ROCK ISLAND 44003 ON 06/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 467 18WC 10863 MORTENSON, SHEILA CITY OF ROCK FALLS * 12/12/16 BLACK & JONES 468 18WC 11093 GRAYSON, CHARLES HALLCON CORPORATION * 04/04/18 REHN LAW LLC 469 18WC 11338 BERTHOUD, TAMMY APERION CARE * 03/14/18 WINSTEIN KAVENSKY & WALLAC 470 18WC 11761 BAKER, OLIVIA CGH MEDICAL CENTER * 07/06/17 REESE & REESE 471 18WC 12053 MORA, ELIZABETH METRO MRI CENTER * 02/26/18 WARNER & ZIMMERLE QUINN JOHNSTON HENDERSON ETA 472 18WC 12145 RAMSEY, HAROLD SENSIENT FLAVORS * 02/28/18 REESE & REESE 473 18WC 12342 REYNAUD, HERMAN COOK COUNTY JTDC 04/18/18 RITTENBERG & BUFFEN 474 18WC 12478 KOSTMAN, PAULA MONDELEZ INTL * 03/08/18 STRONG LAW OFFICE 475 18WC 12791 WRIGHT, SANDRA AS WIDOW O DOHRN ENTERPRISES, INC. F # * 03/28/18 COSTIGAN & WOLLRAB PC 476 18WC 13288 MEYERS, EDWARD JOHN DEERE HARVESTER WORK * 03/13/18 VANDERGINST LAW PC 477 18WC 13343 LAMBRECHT, LISA JOHN DEERE PDC * 04/04/16 WINSTEIN KAVENSKY & WALLAC