ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 09WC 06025 MAYER, MARIA GRUPO ANTOLIN 10/20/08 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 11WC030087 -C 14WC020993 -C 15WC039086 -C 18WC018656 -C 2 09WC 36885 MATTHEWS, STEPHANIE T AMERICAN NATIONAL RED CRO 06/20/09 GREG TUITE & ASSOC RUSIN & MACIOROWSKI LTD 3 10WC 08435 MRSIC, GORAN JOB NETWORK 02/02/10 BLACK & JONES 4 10WC 43135 GONZALEZ, GUADALUPE GUNITE 10/09/10 BLACK & JONES RUSIN & MACIOROWSKI LTD 11WC009816 -C 11WC009817 -C 11WC009818 -C 5 11WC 09881 DIAZ, NANCY TK GROUP INC 01/17/11 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK 6 11WC 10061 MCINTOSH, SCOTT R CHRYSLER LLC 01/21/11 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 11WC010062 -C 12WC004854 -C 7 11WC 36227 WILLIAMS, BESSIE M CITY OF ROCKFORD 06/15/11 GESMER LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 11WC036228 -C 8 11WC 36490 RIGGS, DONNA CHRYSLER 05/09/11 KINNALLY FLAHERTY KRENTZ & WIEDNER & MCAULIFFE LTD 9 11WC 47418 RUSSELL, MICHAEL ILLINOIS CONSTRUCTORS COR 11/29/11 PORRO NIERMANN LAW GROUP SLAVIN & SLAVIN 13WC041166 -C 10 12WC 01477 DALGARD, JAMES 2M EQUIPMENT, INC. W 09/15/11 BLACK & JONES PUMILIA LAW LLC 11 12WC 24588 REX, CHARLES ARCHER DANIELS MIDLAND CO 06/11/12 PIGNATELLI & ASSOCIATES SCHOUEST BAMDAS SOSHEA 12 12WC 32023 BRYANT, ROBERTA GENERAL MILLS 03/30/12 BLACK & JONES COZZI & GOGGIN-WARD 023 14WC005609 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 13WC 04395 MOORE, MICHAEL CHRYSLER LLC 03/01/11 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 14 13WC 09075 BOTIC, FATA PBC LINEAR 03/27/07 BLACK & JONES COZZI & GOGGIN-WARD 13WC009076 -C 13WC009077 -C 15 13WC 09577 DEVLIEGER, RICHARD ROCKFORD POLICE DEPARTMEN 03/06/13 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 13WC009578 -C 16 13WC 15261 JONES, DEAN NICOR GAS 11/05/10 BLACK & JONES RUSIN & MACIOROWSKI LTD 17 13WC 15449 DEVEREUEAWAX, JAVELLE CHRYSLER LLC 12/18/12 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 13WC015450 -C 18 13WC 24498 BARTZ, JEFF ROCKFORD BICKFORD HOUSE L 09/17/12 GREG TUITE & ASSOC LAW OFFICES JOSEPH MARCINIAK 14WC036707 -C BICKFORD SENIOR LIVING 19 13WC 39618 WILSON, GENITA T CHRYSLER GROUP LLC 11/02/13 GREG TUITE & ASSOC WILLIAMS MCCARTHY LLP 20 14WC 03161 BANGASSER, SUSAN COBALT MEDPLANS 06/26/13 GESMER LAW OFFICES, PC GRANT & FANNING 21 14WC 05975 JUBY, SAMANTHA ASHA SALON & SPA 12/18/13 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 22 14WC 07200 RICHARDSON, MARIA BERGSTROM 12/21/12 BLACK & JONES WOLFE & JACOBSON, LTD 23 14WC 08766 ROCHA, MARIA BREMNER FOOD GROUP 03/03/14 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL BIERY & ASSOC 14WC008767 -C 14WC008768 -C 18WC022833 -C TREE HOUSE FOODS 24 14WC 10980 VILLAFUERTE, GUSTAVO PHILLIPS W 09/05/12 BLACK & JONES ASSISTANT ATTORNEY GENERAL 25 14WC 11716 STEPHENS, LORI ROCKFORD DENTAL CARE 02/07/14 BLACK & JONES RUSIN & MACIOROWSKI LTD 26 14WC 13159 RODRIQUEZ, EMILIO CHRYSLER LLC 02/04/14 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 27 14WC 14733 WESLEY, FELICIA DANFOSS DRIVES 07/15/12 BLACK & JONES COZZI & GOGGIN-WARD 28 14WC 22841 MANNING, GERALD CHRYSLER LLC 06/30/14 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 16WC007444 -C FCA US LLC 16WC007446 -C 16WC007447 -C FCA US LLC 16WC012534 -C 29 14WC 26193 CARON, GLYNN TRILLIUM INC 04/28/14 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 30 14WC 30414 LARIOS, JOSE TITAN GROUP 07/01/14 BLACK & JONES SMITH AMUNDSEN LLC 31 14WC 30439 WILLIAMS, JOHN ROCHELLE FOODS INC 05/20/14 BLACK & JONES PAUL A COGHLAN & ASSOC 14WC030440 -C 32 14WC 32337 SHERMAN, JOYCE ASTA CARE 07/13/14 GESMER LAW OFFICES, PC 33 14WC 35242 MARQUEZ, TONYA EMERY AIR INC 07/06/13 BLACK & JONES COZZI & GOGGIN-WARD 34 14WC 35775 GUERRERO, ADRIAN QUALITY CELLULAR INC 08/28/14 BARRICK SWITZER LONG ET AL RUSIN & MACIOROWSKI LTD 35 14WC 39369 GALLAGHER, DENNIS CHRYSLER LLC 04/12/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 36 14WC 40881 STIVERS, SHELLY ST OF IL DEPT OF TOLLWAY 01/17/14 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 37 15WC 00606 MABIE, KEVIN CHRYSLER LLC 08/28/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 19WC007051 -C FCA US LLC 38 15WC 01524 KIDD, JOHNNY SIEMENS WATER TECHNOLOGIE 01/16/12 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS & DOLIN, PC 15WC001525 -C 15WC001526 -C EVOQUA WATER TECHNOLOGIES 15WC001529 -C 39 15WC 04227 ARZATE, EMILY ROCKFORD MEMORIAL HOSPITA 11/06/14 BLACK & JONES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 40 15WC 06487 SHUMAN, JODY WOOD EQUIPMENT 01/01/13 BLACK & JONES COZZI & GOGGIN-WARD 41 15WC 07507 MARTIN, LAWRENCE C IDOT 02/01/14 FRANKS, GERKIN & MCKENNA P ASSISTANT ATTORNEY GENERAL 16WC003693 -C ILLINOIS DEPT OF TRANSPORT 16WC003695 -C 42 15WC 07709 BUSSAN, PHIL TITAN TIRE CO 03/09/12 WOLFE LAW PC MICHAEL JASPER 15WC007710 -C 43 15WC 12333 SICKELS, VICKY FIRST GROUP AMERICA 01/26/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 15WC033865 -C 16WC003716 -C 44 15WC 14200 MARQUEZ, TONYA EMERY AIR INC 12/12/13 BLACK & JONES COZZI & GOGGIN-WARD 45 15WC 18307 YOUNG, STACY ROCKFORD P S DIST 205 09/29/12 BLACK & JONES WIEDNER & MCAULIFFE LTD 46 15WC 18310 FLETCHER, JAMES WINNEBAGO COUNTY HWY DEPT 10/07/13 BLACK & JONES WILLIAMS MCCARTHY LLP 47 15WC 18806 HOFFMAN, KIMBERLY S ROCKFORD MEMEORIAL HOSPIT 04/02/15 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 48 15WC 19274 BRUCE, JEROME GUNITE CORPORATION 02/18/15 GREG TUITE & ASSOC RUSIN & MACIOROWSKI LTD 49 15WC 23660 HUTSELL, ED CHRYSLER LLC 06/11/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 15WC029499 -C 15WC029500 -C 50 15WC 25222 BILLINGSLEY, BARBRA CHRYSLER LLC 10/15/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 51 15WC 31528 FIERRO, ANTONIO COMTRAK LOGISTIC, INC 09/25/13 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 52 15WC 36548 WILCOX, MILTON WOODS EQUIPMENT CO 05/20/14 WOODRUFF & JOHNSON COZZI & GOGGIN-WARD 53 15WC 38654 SANCHEZ, JEFF ABEL'S LANDSCAPING W 11/06/15 GESMER LAW OFFICES, PC 54 15WC 38888 ROBINSON, WILLIE TITAN TIRE CORP 08/26/15 JAMES J BURKE LAW OFFICE 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 GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 55 15WC 39917 KLOEPPING, MARK WOODS EQUIPMENT CO 09/01/15 PIGNATELLI & ASSOCIATES 56 16WC 03171 LINDSEY, WILLIAM CHRYSLER CORP 07/20/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 16WC003172 -C 57 16WC 03497 HOLMQUIST, AMY STAFF ON SITE 12/30/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 58 16WC 03587 RUBIO, ROSA HERITAGE MOLD INC 01/07/16 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK 17WC021968 -C 59 16WC 04072 LINDQUIST, DENNIS JR CASSENS TRASPORT CO 04/22/15 FRANKS, GERKIN & MCKENNA P KNAPP, OHL & GREEN 16WC028798 -C 60 16WC 08591 HENDERSON, WILLIE GKN ROCKFORD, INC 11/17/15 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 61 16WC 11688 STORAGE, CHRIS FCA US 11/07/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 62 16WC 13174 MILVERT, DUSTIN PREMIER CONCRETE 07/08/15 BRYCE DOWNEY & LENKOV LLC 63 16WC 14865 BURCHFIELD, MICHAEL H. FARM & FLEET OF ROCKFORD 02/08/16 CACCIATORE, WILLIAM T NYHAN BAMBRICK KINZIE & LOWR 64 16WC 16345 SMITH, VANTANISHA J FCA US LLC 04/25/16 TUITE LAW WIEDNER & MCAULIFFE LTD 65 16WC 16939 HENDRIKSEN, DOUGLAS BYRON POLICE DEPARTMENT 05/12/16 RIDGE & DOWNES INMAN & FITZGIBBONS 66 16WC 18871 HARRIS, JOSEPH IDOT @ 03/02/16 LEE, MARK N LAW OFFICE ASSISTANT ATTY GENERAL 67 16WC 20016 SMITH, ERICH JOBSMART EMPLOYMENT SERVI 05/17/16 BLACK & JONES HOLECEK & ASSOCIATES 68 16WC 20560 FRESCAS, ALEJANDRO ANDROID INDUSTRIES 03/21/16 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 69 16WC 21964 GREEN, JENNIFER ROCKFORD HEALTH SYSTEM 08/04/14 CLARK FROST WIEDNER & MCAULIFFE LTD 70 16WC 22428 STARKS, PHOSHAWNDA M FCA US LLC 08/12/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 71 16WC 23338 MANDUJANO, HUGO WOODS EQUIPMENT COMPANY 06/25/15 TUITE LAW COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 72 16WC 23615 WALLS, DARLENE TOP DIE CASTING COMPANY 10/01/15 MEYERS & FLOWERS HOLECEK & ASSOCIATES 73 16WC 24014 DONALDSON, MARK ROCKTON SCHOOL DIST #140 02/11/14 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK 74 16WC 24809 NAVARRETE-ROJAS, FERNANDO MIDWEST WIRE WORKS 03/17/16 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 75 16WC 24956 CARROLL, STEVEN LIEBOVICH STEEL & ALUMINU 11/19/15 GESMER LAW OFFICES, PC POULOS & DIBENEDETTO LAW 76 16WC 25262 JOHNSON, KRISTY SWEDISH AMERICAN HOSPITAL 06/01/15 BLACK & JONES WILLIAMS MCCARTHY LLP 77 16WC 26640 MC LESTER, LARRY CHRYSLER CORPORATION 05/07/16 THOMAS J STIBERTH LAW OFFI 78 16WC 26735 NEAL, JOANNE ROCKFORD MEMORIAL HOSPITA 08/08/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 16WC026736 -C 79 16WC 26776 LOWE, ROBERT ROCKFORD HOUSING AUTHORIT 08/11/16 RIDGE & DOWNES GILDEA & COGHLAN 80 16WC 27457 ORNELAS FLORES, GABRIEL JAMCO PRODUCTS 06/15/16 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 16WC027458 -C 81 16WC 28036 HILTON, DENNIS L. GENERAL MILLS, INC. DBA G 07/18/16 TUITE LAW PAUL A COGHLAN & ASSOC 82 16WC 30527 HANSEN, GLENN D STATE OF IL-CMS 12/30/14 FRANKS, GERKIN & MCKENNA P HELEN LOZANO 83 16WC 31319 SOMERS, JEFFREY LOUIE'S TRENCHING SERVICE 09/23/16 GOLDBERG WEISMAN & CAIRO L PERRY GENTILE 84 16WC 32568 BOURNE, DONNA NEIGHBORS NURSING HOME 05/01/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 16WC032569 -C 85 16WC 34807 MCNAB, SEAN T NOODLES & COMPANY 10/25/16 SHELDON I MINKOW & ASSOCIA 86 16WC 35147 MORGAN, ROBERT ACCURITE 04/04/16 PATRICK JENNETTEN RUSIN & MACIOROWSKI LTD 17WC027069 -C 87 16WC 36462 DONEGAN, DELOREAN WALMART 06/06/16 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 88 16WC 36492 MANRIQUEZ, MIGUEL ANDROID II 05/17/16 BLACK & JONES SMITH AMUNDSEN LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 89 16WC 37074 BURFIELD, STACY PCI 07/25/15 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 90 16WC 37736 MILLS, SCOTT IL DEPT OF TRANSPORTATION @ 10/12/16 WOLFE LAW PC HELEN LOZANO 91 16WC 38889 JONES, JACOB R&D THIEL, INC 07/21/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 92 17WC 00982 BLAIR, ELGIA GORMAN & COMPANY 07/01/16 BLACK & JONES COZZI & GOGGIN-WARD 93 17WC 01814 HUGHES, SHAKELA GUNITE CORP 07/14/16 BLACK & JONES RUSIN & MACIOROWSKI LTD 94 17WC 01992 WILSON, CURT LOVES PARK POLICE DEPT @ 08/06/14 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 95 17WC 02824 WOODS, ROBERT J LOWE'S HOME CENTERS, LLC 12/01/16 TUITE LAW KEEFE CAMPBELL BIERY & ASSOC 96 17WC 03641 TOTTEN, JUDY A MILESTONE, INC. 08/09/16 TUITE LAW 97 17WC 04171 BURG, BRAD AEROEK 01/06/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 98 17WC 04274 ALVARADO, ABRAHAM METALS USA 02/07/17 DWORKIN AND MACIARIELLO POULOS & DIBENEDETTO LAW 99 17WC 04643 CASTANEDA, ALICIA AUSTIN WESTRAN 12/05/16 BLACK & JONES WOLFE & JACOBSON, LTD 100 17WC 05063 MORELL, ANDROCLES SAFEFALL 01/07/17 BLACK & JONES LITCHFIELD CAVO 101 17WC 05618 HOSE, STEVEN E QUALITY METAL FINISHING C 01/16/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 102 17WC 06684 DAILEY, ANGEL LOWE'S DISTRIBUTION CENTE 04/07/16 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 103 17WC 06885 RENTERIA, DION FCA US LLC 02/01/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 17WC012700 -C 104 17WC 07666 YOCUM, DOUGLAS JP CULLEN & SONS 01/14/17 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 105 17WC 08169 MURPHY, STEVE PAYNECREST ELECTRIC, INC 02/27/17 GESMER LAW OFFICES, PC CLAYBORNE SABO & WAGNER 106 17WC 08708 THOMPSON, ROSIE SNAK KING 03/06/16 BLACK & JONES LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 107 17WC 08770 FISH, KATHERINE ILLINOIS NATIONAL GUARD @ 08/14/16 ERIC H CHECK, LAW OFFICES 108 17WC 09694 MANRIQUEZ, REBECCA LANDSTAR INWAY INC 07/29/16 BLACK & JONES COZZI & GOGGIN-WARD 109 17WC 10163 ALVAREZ, FRANCISCO R&D THEIL 01/20/17 DWORKIN AND MACIARIELLO 110 17WC 10392 RAIH, PATRICIA ADDUS HEALTH CARE 12/13/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 17WC016492 -C 111 17WC 10811 ASHFORD, PATRICIA M SUPER NURSE, LLC 01/31/17 REESE & REESE RIPES NELSON BAGGOT KALOBRAT 112 17WC 11621 JAMES, LESLIE MAXIM HEALTHCARE 01/06/16 GESMER & REYNOLDS PC RUSIN & MACIOROWSKI LTD 113 17WC 12066 SCHNEIDER, JAMES TREE HOUSE FOODS INC 11/15/16 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 114 17WC 12132 VYBORNY, VERNON J HAMILTON SUNDSTRAND CORP 02/13/17 TUITE LAW RUSIN & MACIOROWSKI LTD 115 17WC 12925 DAVIS, EDWARD CITY OF ROCKFORD 04/17/17 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 116 17WC 13199 RUIZ, JOHN WELCH BROS, INC 10/01/14 HEYL ROYSTER VOELKER & ALLEN 117 17WC 13248 SIMS, DIANE INGERSOLL CUTTING TOOL 10/28/16 LUSAK AND COBB HOLECEK & ASSOCIATES 118 17WC 13481 JOHNSON, PAUL R.L. LEEK INDUSTRIES 04/30/11 BLACK & JONES CHILTON YAMBERT PORTER LLP 119 17WC 13753 EAGLESON, SHALENE CITY OF ROCKFORD POLICE D 03/27/17 GESMER LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 120 17WC 14103 GREEN, YOLANDA FCA US LLC 05/23/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 121 17WC 14971 SEXTON, JOHNETTE E COUNTY OF WINNEBAGO 01/13/17 BLACK & JONES WILLIAMS MCCARTHY LLP 122 17WC 16493 DALSANTO, NORA SWEDISH AMERICAN HOSPITAL 04/26/17 BLACK & JONES WILLIAMS MCCARTHY LLP 123 17WC 17130 SEGOVIANO, REFUGIO E KINSALE CONTRACTING GROUP 06/06/17 ANESI OZMON RODIN NOVAK KO KLAUKE LAW GROUP LLC 124 17WC 18638 CULRA, TARA JOHN E GREEN CO 01/04/17 BLACK & JONES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 125 17WC 18830 MOSER, LYNNE M KREIDER SERVICES 04/27/17 HAUSER LAW LLC GALLIANI DOELL & COZZI LTD 126 17WC 19024 WILCOX, CRAIG BELVIDERE FIRE DEPT 05/16/16 FRANKS, GERKIN & MCKENNA P EVANS & DIXON 127 17WC 19149 CELLITTI, TRACY L WINNEBAGO COUNTY SHERIFFS 05/03/17 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 128 17WC 19204 ROGERS, BRIAN CHRYSLER CORPORATION 05/26/17 TAXMAN POLLOCK 129 17WC 19648 VELEZ, LUIS SHOREWATER PROPERTIES 04/23/17 GESMER & REYNOLDS PC HOLMSTROMKENNEDY PC 130 17WC 20164 CHRISTOPHER, ANISSA H&R BLOCK 05/22/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 131 17WC 20993 PRATHER, LYNNE FCA US LLC 06/11/17 CLARK FROST WIEDNER & MCAULIFFE LTD 132 17WC 21470 CORTES-AYON, FREDEDINDA TH FOODS, INC 07/14/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 133 17WC 21532 SUMPTER, PATRICIA FCA US LLC 07/11/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 134 17WC 21854 PINSON, ATHENA FCA US LLC 08/16/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 135 17WC 21904 CARR, MICHAEL SYNCREON 06/13/17 BLACK & JONES GAROFALO SCHREIBER STORM GRA 19WC005693 -C 136 17WC 22821 COLBORN, REBECCA WALMART STORES INC 07/11/17 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 137 17WC 23064 RIVAS, YANIRA ACUMENT GLOBAL TECHNOLOGI 05/17/17 BLACK & JONES HINSHAW & CULBERTSON 138 17WC 23185 FOGLE, CALVIN LOWE'S DISTRIBUTION CENTE 03/21/17 GESMER & REYNOLDS PC KEEFE CAMPBELL & ASSOC LLC 139 17WC 23996 GARCIA, VICTORIA SWEDISH AMERICAN HOSPITAL 11/23/16 RUBENS AND KRESS WILLIAMS MCCARTHY LLP 140 17WC 25018 KAULL, MARY (WIDOW OF BRI YMCA # 02/22/17 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 141 17WC 25187 DUBREE, MICHAEL SPEEDEE DELIVERY SERVICE, 08/04/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 142 17WC 25249 BRINT, MARCUS EHS ENVIRONMENTAL CONTRAC 08/22/17

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 143 17WC 25521 O'CONNOR, MARY VISITING NURSES ASSN OF 01/16/17 CLARK FROST WIEDNER & MCAULIFFE LTD 144 17WC 25694 DAY, RODGER NUCO2 08/13/17 GESMER & REYNOLDS PC 145 17WC 26196 BENDORF, MICHAEL SUNRISE TELECOM 06/29/17 THOMAS R LICHTEN COZZI & GOGGIN-WARD 146 17WC 26266 PYRA, JEFFREY G & K SERVICES 10/06/14 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 147 17WC 26465 JAMES, KEITH ROCKFORD SCHOOL DIST 205 07/11/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 148 17WC 26912 GRIMES, GALE A MENARD INC 06/29/16 GESMER & REYNOLDS PC CHILTON YAMBERT PORTER LLP 149 17WC 27825 GUTHRIE, KENNETH SYNCREON 09/11/17 BLACK & JONES GAROFALO SCHREIBER STORM GRA 150 17WC 27854 DEUTH, LINDA R MERCY HEALTH 10/24/16 HAUSER LAW LLC WIEDNER & MCAULIFFE LTD 151 17WC 28229 KEHOE, ELAISOIN SUNNY ISLAND RV 09/08/17 MARSZALEK AND MARSZALEK ANCEL GLINK DIAMOND BUSH & E 152 17WC 28820 MEADOWS, TREMAYNE AEROTEK STAFFING AGENCY 12/17/16 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 153 17WC 29717 MAY, OTTO JR FCA US, LLC 01/24/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 154 17WC 29746 FUGLE, WES MICHAELSON OFFICE FURNITU 02/27/17 BLACK & JONES GANAN & SHAPIRO 155 17WC 29772 WILSON, CURT LOVES PARK POLICE DEPARTM 07/25/17 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 156 17WC 30345 ALLARD, JOANN E DOLLAR TREE STORES 06/09/17 BLACK & JONES 157 17WC 30503 MOTA, ANTONIO ESTWING MANUFACTURING 02/26/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 158 17WC 30655 WRIGHT, STEPHEN D E WINNEBAGO COUNTY 09/23/17 O'CONNOR & NAKOS WILLIAMS MCCARTHY LLP 159 17WC 32104 VON HUBEN, JACOB ALORICA 09/18/17 BLACK & JONES GRANT & FANNING 160 17WC 32286 LAKE, STANLEY ALLIED POWERED SERVICES 09/25/17 BLACK & JONES COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 161 17WC 32287 GULKE, MEAGHAN UPS 10/18/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 162 17WC 32444 GEERTS, DANIELLE L RESIDENTIAL ALTERNATIVES 09/28/17 TUITE LAW 163 17WC 32660 LAKE, MARY MORSE ELECTRIC 02/10/17 BRASSFIELD KRUEGER & RAMLO CACCHILLO LAW GROUP LLC 164 17WC 33497 DIETMEIER, MICHAEL L FURST-MCNESS COMPANY 08/23/16 TUITE LAW CAPUANI, FRANK S 165 17WC 33750 GROVER, JOSHUA CITY OF ROCKFORD POLICE D 10/16/17 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 166 17WC 33814 GRUNER, JEREMY JOBSMART EMPLOYMENT SVS, 10/20/17 BLACK & JONES COZZI & GOGGIN-WARD 167 17WC 33850 VASQUEZ, ANNE PCI PHARMA SVCS 04/01/17 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 168 17WC 34634 SAINT GERMAIN, CAROL CHRYSLER 10/03/16 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 169 17WC 34720 MASSEY, MICHAEL GYPSUM EXPRESS LTD 12/09/16 HANNIGAN & BOTHA, LTD INMAN & FITZGIBBONS 170 17WC 34772 QUASHIE, RYAN CHRYSLER CORPORATION 09/17/17 TAXMAN POLLOCK WIEDNER & MCAULIFFE LTD 171 17WC 35644 MORUA, MARIA TREEHOUSE FOODS 02/05/17 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 172 17WC 36262 FLORES-GONZALEZ, ABEL ROCK VALLEY INDUSTRIES 10/31/17 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 173 17WC 36383 SUMPTER, AUSTIN J MECHANICAL INCORPORATED 10/13/17 NELSON & NELSON KOPKA, PINKUS DOLIN, PC 174 17WC 36424 RAYMOND, JEREMY UPS FREIGHT 10/26/17 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 175 17WC 36494 MURRAY, SARA SIMOS INSOURCING SOLUTION 11/09/01 TUITE LAW BRADY CONNOLLY & MASUDA PC 176 17WC 37081 LEONHARDT, KEITH CASSENS TRANSPORT 11/25/17 BLACK & JONES KNAPP, OHL & GREEN 18WC012954 -C 19WC006625 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 177 17WC 37620 SHOOP, DAVID TRISTAR METALS 10/31/17 BLACK & JONES HOLECEK & ASSOCIATES 178 17WC 37796 BUSTOS, JOANNE SYNCREON 11/15/17 STROM, NEAL B GAROFALO SCHREIBER STORM GRA 17WC037797 -C 19WC012714 -C 179 17WC 38033 ALI, NASSER FCS US LLC 07/06/17 CLARK FROST WILLIAMS MCCARTHY LLP 180 18WC 00408 JOHNSON, JACKIE CRAWFORD CONTRACTOR CONNE 12/21/16 BLACK & JONES HOLECEK & ASSOCIATES 181 18WC 00452 RUSTAD, GRANT UNITED PARCEL SERVICE 11/30/17 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 182 18WC 00577 BIANCHI, MARK PENNSYLVANIA LUMBERMANS M 12/07/17 BLACK & JONES HOLECEK & ASSOCIATES 183 18WC 00921 OCHOA, SALVADOR CHEMICAL PROCESSING, INC 11/08/17 ALEXANDER, PETER LTD. ACCIDENT FUND HOLDINGS 184 18WC 00962 WICKLUND, BRIAN FCA US LLC 01/02/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 185 18WC 01073 SHERER, DAVID ANDRITZ PAPER MACHINE 11/21/17 BLACK & JONES LAWRENCE COZZI - LAW OFFICES 186 18WC 01078 DELAROSA, TAMMY T FCA US, LLC 08/14/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 187 18WC 01245 KISSICK, BRIAN FCA US LLC 09/21/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 188 18WC 01511 GUAMAN, MAURO D CHICO R TRANSPORTATION IN 11/18/16 GALLAGHER, DONALD V 189 18WC 01862 BOWERS, MATTHEW QUICK DELIVERY SERVICE, I 07/01/17 BLACK & JONES JAMES M KELLY 190 18WC 03129 THOMPSON, RALPH E ILLINOIS STATE @ 10/23/17 REESE & REESE NYHAN BAMBRICK KINZIE & LOWR 191 18WC 03168 LAMM, RONI R FREEPORT SCHOOL DIST #145 05/10/17 TUITE LAW LAWRENCE COZZI - LAW OFFICES 192 18WC 03365 GROOMS, DANA L SWEDISH AMERICAN HOSPITAL 09/27/15 KELLY & KING WILLIAMS MCCARTHY LLP 193 18WC 03382 ZUMMO, BRUCE RYDER LOGISTICS 10/19/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 194 18WC 03395 SCRUGGS, ALVIN GUNITE CROP 01/19/18 BLACK & JONES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 195 18WC 03595 AMADOR, JAIME THE ROCKWELL GROUP 02/19/15 BLACK & JONES CACCHILLO LAW GROUP LLC 196 18WC 03625 MANDUJANO, NICOLASA ILLINOIS REVENUE DEPARTME @ 08/17/17 TARADASH LAW OFFICE ASSISTANT ATTORNEY GENERAL 197 18WC 03735 HEDRICK, PHILIP SPX COOLING TECHNOLOGIES, 10/11/17 STEPHEN P. KELLY WIEDNER & MCAULIFFE LTD 19WC013662 -C 19WC013663 -C 19WC013664 -C 198 18WC 04044 ESCOBEDO, CARLOS DE LIRA ML FARM SYSTEMS, INC 09/26/17 CULLEN HASKINS NICHOLSON 199 18WC 04488 MAZZERI, GIOVANA FEDEX 05/31/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 200 18WC 04608 MARTINEZ, ALFREDO JOHN'S NATURALS 01/12/18 JOHN S. ELIASIK ACCIDENT FUND HOLDINGS 201 18WC 04766 GALBO, JASON GILLS FREEPORT DISPOSAL 06/21/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 202 18WC 05052 FREEMAN, DARRELL D ROCKFORD PUBLIC SCHOOLS 08/24/17 MARKS INJURY LAW WIEDNER & MCAULIFFE LTD 203 18WC 05244 SMITH, MARK MORNING DISPOSAL, INC 09/29/17 GESMER LAW OFFICES, PC RIPES NELSON BAGGOT KALOBRAT 204 18WC 05290 MCCLURE, JAMES SECURITAS USA 10/17/17 LUSAK AND COBB STONE & JOHNSON CHARTERED 205 18WC 06307 MARTUCCI, LAWRENCE CONTEMPORARY HAMMER WORKS 12/21/17 CLARK FROST 206 18WC 06480 PLOCK, REHANNON PINECREST COMMUNITY CENTE 10/15/17 BLACK & JONES GRANT & FANNING 18WC006481 -C 207 18WC 06673 TABER, SHAUN M SPX FLOW US, LLC 06/06/17 TUITE LAW WIEDNER & MCAULIFFE LTD 208 18WC 06781 HARTEL, JACK CENTRAL STATES TRUCKING 10/31/17 GESMER & REYNOLDS PC HINSHAW & CULBERTSON 209 18WC 06902 FRISCH, JENNIFER ROCKFORD TOOLCRAFT 12/16/16 BLACK & JONES LITCHFIELD CAVO 210 18WC 06941 SCOTT, GLORIA MONDELEZ INTL 01/24/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 211 18WC 06944 CASEY, THERESA FCA US LLC 09/01/17 BLACK & JONES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 18WC 07084 WILCOX, MILTON WOODS EQUIPMENT CO 03/02/18 WOODRUFF & JOHNSON 213 18WC 07200 HERRERA, RAUL SUNSET LOGISTICS LLC 12/08/17 GOLDBERG WEISMAN & CAIRO L 214 18WC 07467 MADRIGAL, DARIO THE CALDWELL GROUP, INC 12/07/17 BLACK & JONES EDWARD J. KOZEL 215 18WC 07654 VINES, ERICA ROCKFORD MASS TRANSIT 12/24/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 216 18WC 07864 HORTON, JOHHNY E CONCENTRIC ROCKFORD INC 10/19/17 TUITE LAW BRADY CONNOLLY & MASUDA PC 18WC030392 -C 217 18WC 08074 JEFFERSON, FRANK TH FOODS INC 01/26/18 BLACK & JONES EVANS & DIXON 218 18WC 08581 JANISCH, DENNIS CASSENS TRANSPORT COMPANY 12/21/17 GESMER & REYNOLDS PC KNAPP, OHL & GREEN 219 18WC 08890 KELLEY, PATRICK GATEHOUSE MEDIA 12/31/17 BLACK & JONES KNELL LAW LLC 220 18WC 09074 WAHLIN, ANITA LEGACY ACADEMY OF EXCELLE 01/22/18 GESMER & REYNOLDS PC 221 18WC 09093 CASH, ASHLEY MONDELEZ INTERNATIONAL 02/25/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 222 18WC 09486 DAYTON, BOBBIE FCA US LLC 02/19/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 223 18WC 09792 HENDRICKS, MARVETTA SUNRISE BUS COMPANY 03/21/18 DWORKIN AND MACIARIELLO 224 18WC 09949 RUSSELL, BRIAN G. W. BERKHEIMER 01/05/18 GESMER & REYNOLDS PC RUSIN & MACIOROWSKI LTD 225 18WC 10343 WILLIAMS, JOVAN MAGNA 02/13/18 226 18WC 10400 HUBBELL, MICHAEL W ILLINOIS DEPT OF TRANSPOR @ 08/10/17 MERTES & MERTES PC ASSISTANT ATTORNEY GENERAL 18WC010401 -C 227 18WC 10424 EADS, JACOB CORPORATE SERVICES INC 09/25/17 DWORKIN AND MACIARIELLO POULOS & DIBENEDETTO LAW 228 18WC 10529 GUTIERREZ, ERIK LDR CONSTRUCTION 04/27/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 229 18WC 10858 ZARATE, MIGUEL JUAN HERRERA 03/30/18 BLACK & JONES LAWRENCE COZZI - LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 18WC 10870 THOMPSON, NICHOLAS LOWE'S DISTRIBUTION CENTE 03/01/17 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 231 18WC 10872 DODSON, MELVA FREEPORT SCHOOL DISTRICT 09/08/17 BLACK & JONES LAWRENCE COZZI - LAW OFFICE 232 18WC 10907 DAVIS, LASHELLE FCA US LLC 02/07/18 DWORKIN AND MACIARIELLO WILLIAMS MCCARTHY LLP 233 18WC 11136 SAMPSON, STEVE SPARE PARTS SOLUTION 03/12/18 CLARK FROST ROSARIO CIBELLA 234 18WC 11375 VIEL, KELLY MCDONALD'S 12/21/17 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 235 18WC 11541 STADEL, CHRISTOPHER SPX FLOW, INC 02/12/18 CLARK FROST WIEDNER & MCAULIFFE LTD 236 18WC 12149 MANQENE, MATTHEW TEXAS STARS 10/17/15 FLOYD LAW FIRM 237 18WC 12175 NELSON, KEITH ANDERSON DODGE 01/30/18 GESMER & REYNOLDS PC BRYCE DOWNEY & LENKOV LLC 238 18WC 12501 WRIGHT, KAREN HARLEM SCHOOL DISTRICT 12 04/06/18 HANNIGAN & BOTHA, LTD 239 18WC 12650 PAISLEY, MICHAEL R SPAHN & ROSE LUMBER CO 01/31/18 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 240 18WC 12948 POWELL, JOHN SR. FCA US LLC 01/18/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 241 18WC 12952 HENSON, AMANDA LUNDQUIST MANUFACTURING 09/01/17 BLACK & JONES ANCEL GLINK DIAMOND BUSH & E 242 18WC 13108 VEITCH, MICHAEL J KINNIKINNICK CCSD #131 06/08/16 TUITE LAW GAIDO & FINTZEN 243 18WC 13121 YATTONE, TAMMY STEPPING STONES 03/09/17 GESMER & REYNOLDS PC BRYCE DOWNEY & LENKOV LLC 244 18WC 13217 CHAVEZ, ROSALBA PCI PHARMA SERVICES 10/01/17 GARDI & HAUGHT HOLECEK & ASSOCIATES 245 18WC 13290 ROSS, BRIAN A POPLAR GROVE PACEMAKER LL 03/01/18 TUITE LAW EVANS & DIXON 246 18WC 13560 GONZALEZ, CANDELARIA LIBERTY STAFFING 02/13/18 TUITE LAW 247 18WC 13628 SANDOVAL, GUADALUPE BREMNER FOOD GROUP 02/15/18 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 18WC 14061 JACKSON, SHANNA M FCA US LLC 02/03/18 TUITE LAW WILLIAMS MCCARTHY LLP 249 18WC 14090 SMOLINSKI, TIMOTHY ILLINOIS WATER TECHNOLOGI 04/11/18 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 250 18WC 14104 GRESTY, MICHAEL R ARCHITECTURAL METALS, LLC 03/04/16 GANAN & SHAPIRO 251 18WC 14284 PEREZ, FRANK E III IL STATE TOLL HIGHWAY AUT @ 03/31/18 NYHAN BAMBRICK KINZIE & LOWR 252 18WC 14351 KRYCZKA, JOSEPH SYNCREON 05/23/17 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM GRA 253 18WC 14411 BRETAG, DANNY US FOODS, INC 09/14/15 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 254 18WC 14926 VON HADEN, ERICA ROAD RANGER 03/03/18 BLACK & JONES JOSEPH MARCINIAK 255 18WC 15010 ALLEN, MATTHEW QPS STAFFING SVS, INC 04/19/18 BLACK & JONES WOLFE & JACOBSON, LTD 256 18WC 15086 GEORGE, JANICE M GOLDIE B. FLOBERG CENTER 05/01/18 TUITE LAW KEEFE CAMPBELL BIERY & ASSOC 257 18WC 15322 GIVENS, ERICK GUNITE CORP 02/20/17 RUSIN & MACIOROWSKI LTD 258 18WC 15451 EIBERGERN, RICKYLEE KINNIKINNICK COMMUNITY 01/08/18 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 259 18WC 15618 RICHARDS, WILLIAM R IL TOOL WORKS INC 04/17/18 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 260 18WC 15760 SCHUENKE, KEITH AUTOZONE DEVELOPMENT, LLC 05/15/18 CLARK FROST GILDEA, COGHLAN & REGAN LTD. 261 18WC 15826 NEMENSKI, PHILLIP R MIDSTATES CONCRETE INDUST 02/05/18 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM GRA 262 18WC 15827 NEMENSKI, PHILLIP R MIDSTATES CONCRETE INDUST 11/29/17 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM GRA 263 18WC 15907 SELL, COURTNEY FCA US LLC 04/18/16 KATZ FRIEDMAN EAGLE ET AL 264 18WC 16303 SEAS, DAVID W TITAN TIRE 06/15/15 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 265 18WC 16442 VON-GILLERN, JEAN H MACY'S RETAIL HOLDINGS, I 08/23/16 TUITE LAW BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 266 18WC 16577 ZENTER, JULIE GENERAL MILLSINC 09/01/15 BLACK & JONES 267 18WC 16586 MERRICK, JOSHUA ABF FREIGHTLINES 10/24/17 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 268 18WC 16708 BROWN, ORLANDO J.L. CLARK 03/16/17 RICHARD BINGHAM SPIEGEL & CAHILL, PC 269 18WC 17006 BOLAR, TERRY BBU INC 04/05/18 FRANCINE B WHITE KRALOVEC & MARQUARD 270 18WC 17320 BURROW, JENNIFER OSF ST ANTHONY MEDICAL CE 04/01/18 BLACK & JONES HINSHAW & CULBERTSON 271 18WC 17540 MERSHON, TIMOTHY UTC AEROSPACE SYSTEMS 03/05/18 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 272 18WC 17603 JACKSON, SHANELLE FRANCES HOUSE 03/19/18 MC HARGUE & JONES GALLIANI DOELL & COZZI LTD 273 18WC 17863 CRUZ, ANGEL VALLI PRODUCE 07/04/17 KATZ FRIEDMAN EAGLE ET AL 274 18WC 18377 ROGERS, CHAD GREASE MONKEY 04/12/18 CLARK FROST KRAKER FANNING & OLSEN 275 18WC 18551 MOYER, JOE FCA US LLC 03/13/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 276 18WC 19461 WARREN, REBECCA SCHNUCKS 12/24/17 BLACK & JONES LEMP & MURPHY 277 18WC 19464 MEDINA, ELVA GENERAL MILLS, INC 11/09/17 EPSTEIN, JACK R LAW OFFICE BRYCE DOWNEY & LENKOV LLC 278 18WC 19577 COCHRAN, SHEILA SAS RETAIL SERVICES 06/25/18 POLANSKY & CICHON CHTD 279 18WC 19769 MEDRANO, JUANA PIERCE DISTRIBUTION 04/02/18 BLACK & JONES WOLF LAW LTD 280 18WC 19999 KATALINIC, DANIEL ASSURED STAFFING 06/20/18 GESMER & REYNOLDS PC LEAHY EISENBERG & FRAENKEL 281 18WC 20126 LOOMIS, JODI E WOODS EQUIPMENT CO 05/16/18 PIGNATELLI & ASSOCIATES 282 18WC 20247 WILLIAMS, MICHELLE GENERAL MILLS 11/23/15 GESMER & REYNOLDS PC BRYCE DOWNEY & LENKOV LLC 283 18WC 20283 MARRAR, MOHAMAD M STATE OF IL DEPT OF JUVEN 06/07/18 TUITE LAW ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 18WC 20368 SAGO JR, ANTONIO GUNITE CORP 06/13/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 285 18WC 20386 GRECULA, MARK TROY LEE EXCAVATING INC 12/08/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 286 18WC 20499 REIMAN, MELINDA NCS YOUTH HOME 03/07/17 WOODRUFF JOHNSON RIPES NELSON BAGGOT KALOBRAT 287 18WC 20616 PAVIA, ROMAN IPSEN CERAMICS 06/25/18 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM GRA 18WC020618 -C 288 18WC 20628 WILLIAMS, MICHELLE GENERAL MILLS 09/10/15 GESMER & REYNOLDS PC BRYCE DOWNEY & LENKOV LLC 289 18WC 21086 MILLER, JODY WINNEBAGO CO STATES ATTY 09/20/17 BLACK & JONES WILLIAMS MCCARTHY LLP 290 18WC 21244 GRAMHAM, NIAKIA METRO STAFF 11/21/16 GESMER & REYNOLDS PC 291 18WC 21497 DALLAS, LEE SWEDISH AMERICAN HOSPITAL 06/19/17 VASILATOS & COTTER LLC WILLIAMS MCCARTHY LLP 292 18WC 21660 FLEMMING, DEMARIO GUNITE CORPORATION 05/31/18 GESMER & REYNOLDS PC RUSIN & MACIOROWSKI LTD 293 18WC 21709 ESKEW, JAMIE PARK PLACE OF BELVIDERE 08/13/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 294 18WC 21897 SANCHEZ, JUAN C SURESTAFF SVCS, INC 06/20/18 ALEXANDER, PETER LTD. LOUIS MUNDY 295 18WC 22037 REDD, ALISA D COUNTY OF WINNEBAGO, RIVE 05/29/18 TUITE LAW WILLIAMS MCCARTHY LLP 296 18WC 22089 BOWLING, WARREN GREAT LAKES PALLET CO 06/19/18 GESMER & REYNOLDS PC QUINTAIROS PRIETO WOOD & BOY 297 18WC 22197 LLOYD, MAGGIE CONCENTRIC 02/15/18 KATZ FRIEDMAN EAGLE ET AL 298 18WC 22381 ASBURY, MARY GRUPO ANTOLIN 07/01/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 299 18WC 22444 KETCHUM, ALLEN CLEAN HARBORS 03/07/18 NASH LAW OFFICE PC EVANS & DIXON 300 18WC 22675 HARMON, SARAH A MEIJER STORES LTD 11/28/17 TUITE LAW KOPKA, PINKUS DOLIN, PC 301 18WC 22720 THOMPSON, TROY GREASE MONKEY 07/23/18 GESMER & REYNOLDS PC KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 18WC 23253 EISMAN, DAN SWEDISH AMERICAN HOSPITAL 05/18/18 BLACK & JONES WILLIAMS MCCARTHY LLP 303 18WC 23260 FOREMAN, WHITNEY FCA US LLC 04/24/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 304 18WC 23390 DANIELS, RANDY FCA US, LLC 06/18/18 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 305 18WC 23619 CRONAN, TRACY FCA US, LLC 11/26/17 DWORKIN AND MACIARIELLO WILLIAMS MCCARTHY LLP 306 18WC 23868 ESQUIVEL-ALEMAN, LORENA MCDONALD'S 06/12/18 GESMER & REYNOLDS PC ROSARIO CIBELLA 307 18WC 24010 LIDSTER, KEVIN ALCO MANUFACTURING 03/14/18 BLACK & JONES JOSEPH MARCINIAK 308 18WC 24175 LEADER, JASON FCA ASSEMBLY PLANT, LLC 08/09/18 SHANNON LAW GROUP WILLIAMS MCCARTHY LLP 309 18WC 24376 LINDSTORM, MATTHEW FCA US LLC 09/04/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 310 18WC 24379 THOLIN, JARRED SAM'S CLUB 07/30/18 BLACK & JONES GANAN & SHAPIRO 311 18WC 24537 LANNON, DEVIN TAYLOR COMPANY 06/21/18 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 312 18WC 24840 RODRIGUEZ, PEDRO ARVEL ELDRIGE ROOFING & 07/16/18 ANGELINI & ORI LLC 313 18WC 25963 KEIL, ADAM MIDWEST PACKAGING 08/03/18 MICHELLE L. LANDON LLC LAWRENCE COZZI - LAW OFFICE 314 18WC 26004 PRATT, DINA, ON BEHALF OF COACHMAN CCR BODY SHOP # 07/16/18 BLACK & JONES JAMES M KELLY 315 18WC 26237 BOEHNING, ALICIA QPS STAFFING SERVICES INC 06/19/18 BLACK & JONES 316 18WC 26414 WILLIAMS, EARTHA M OSF SAINT ANTHONY MEDICAL 02/28/18 TUITE LAW HINSHAW & CULBERTSON 317 18WC 26497 ROWE, ANGELA JOHNSON OIL CO 02/10/17 BLACK & JONES GANAN & SHAPIRO 318 18WC 26822 LAROCHE, JOSPEH L IL STATE TOLL HWY AUTHORI @ 08/28/18 REESE & REESE GANAN & SHAPIRO 19WC016010 -C ILLINOIS STATE TOLL HIGHWA 319 18WC 26913 TOBLER, CHRISTINA DOLLAR TREE 08/17/18 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 18WC 26915 PETERS, MARY KOLB-LENA CHEESE COMPANY 06/26/18 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 321 18WC 26916 HOLBERT, JOSEPH J.L. CLARK 04/15/18 BLACK & JONES 322 18WC 26924 STONECIPHER, DAWN ARAMARK UNIFORM SERVICES 08/02/16 BLACK & JONES INMAN & FITZGIBBONS 323 18WC 27047 WILSON, KENNETH VIKING CHEMICAL COMPANY 04/23/18 GESMER & REYNOLDS PC 324 18WC 27117 BRYANT, JAMES FCA US LLC 07/16/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 325 18WC 27215 GOVACK, SUSAN FCA US LLC 08/23/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 326 18WC 27583 COOK JR, LEROY GKN FREIGHT SERVICES INC 10/21/16 DEPAOLO & ZADEIKIS RIPES NELSON BAGGOT KALOBRAT 327 18WC 27814 ALLEN, LAURELL K CHRYSLER 08/03/18 BLACK & JONES WILLIAMS MCCARTHY LLP 328 18WC 27831 DUGINSKI, JOHN A SECURE STAFFING, LLC 08/29/18 TUITE LAW SLAVIN & SLAVIN 329 18WC 27851 BEAUDRY, MATTHEW T INTERSTATE POWER SYSTEMS, 02/09/18 TUITE LAW GAROFALO SCHREIBER STORM GRA 19WC009296 -C 330 18WC 28182 POLNOW, MADALENE PISTON AUTOMOTIVE BELVIDE 08/20/18 KATZ FRIEDMAN EAGLE ET AL 331 18WC 28200 VARGAS, DAVID MIDWEST PACKAGING & CONTA 06/14/18 ERIC H CHECK, LAW OFFICES LAWRENCE COZZI - LAW OFFICE 18WC028201 -C 332 18WC 28409 DEVOE, JEROME AUTOZONE 08/16/18 BLACK & JONES GILDEA, COGHLAN & REGAN LTD. 333 18WC 28412 COOK, ROME P A PETERSON AT THE CITAD 06/15/18 BLACK & JONES 334 18WC 28516 OLALDE, GUILLERMINA MCDONALD'S 03/01/18 CULLEN HASKINS NICHOLSON ASA LAW GROUP 335 18WC 28555 PETERSEN, DONALD ECOLAB INC. 05/18/17 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 336 18WC 28656 CASTANON, PAULINA ANDROID INDUSTRIES 03/25/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 337 18WC 28763 BOLTON, LISA CITY OF ROCKFORD 03/15/18 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 18WC 29187 NABUTOVSKY, RACHEL MAGNA EXTERIORS 09/06/18 EAMES LAW GROUP LTD POWER & CRONIN LTD 339 18WC 29440 BARNHART, MICHAEL L CITY OF ROCKFORD FIRE DEP 03/03/18 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 340 18WC 29673 VEGA, LUIS WALMART 11/01/17 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 341 18WC 29804 STATEN, ANTHONY SYNCREON NORTH AMERICA IN 08/28/18 HETHERINGTON KARPEL BOBBER GAROFALO SCHREIBER STORM GRA 342 18WC 29944 BREIT, JACOB FCA US LLC 08/10/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 343 18WC 30007 NEWSON, NIKOLAS B CITY OF ROCKFORD 08/13/18 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 18WC032358 -C 344 18WC 30014 HARKER, ANNA M JASMINE MART INC. 08/28/18 TUITE LAW DERANGO & CAIN 345 18WC 30034 DICKERSON, SHARENE C SWEDISH AMERICAN HOSPITAL 08/06/18 TUITE LAW 346 18WC 30115 SLAUGHTER, TANIKA CHRYSLER 09/29/18 DONALD FOHRMAN & ASSOC WILLIAMS MCCARTHY LLP 347 18WC 30255 SUMPTER, PATRICIA FCA US LLC 09/25/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 348 18WC 30362 ADAIR-JOHNSON, LISA RESOURCE MFG 06/22/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 349 18WC 30946 PANSANO, JOSEPH SYSTEM ONE 09/06/18 BRASSFIELD KRUEGER & RAMLO MC ANDREWS & NORGLE LLC 350 18WC 31147 FORD, DANA M WAL-MART STORES, INC 05/20/18 TUITE LAW GANAN & SHAPIRO 351 18WC 31216 MOORE, DEMESHIA FCA US LLC 08/16/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 19WC029402 -C 352 18WC 31251 PEREZ, MOSES TREEHOUSE FOODS 03/16/17 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 353 18WC 31254 AYALA, MARIA STAFF ON SITE 04/21/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 354 18WC 31277 VEITCH, MICHAEL J KINNIKINNICK CCSD #131 06/28/16 TUITE LAW GAIDO & FINTZEN 355 18WC 31427 RHYNES, KIRK IPSEN INC 04/01/18 BLACK & JONES GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 356 18WC 31613 ODOM, PEGGY WALMART SUPERCENTER 05/19/17 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 357 18WC 31615 MILES, ELI JR MACLELLAN INTEGRATED SERV 04/29/18 BLACK & JONES KNELL LAW LLC 358 18WC 31785 FOREMAN, MAURICE ROCKFORD MASS TRANSIT DIS 10/19/18 DWORKIN AND MACIARIELLO 359 18WC 32106 GITTLESON, DAWN SUPERVALU 10/17/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 360 18WC 32208 RAMOS, ABIGAILON BEHALF O COACHMAN CCR BODY SHOP # 07/16/18 BLACK & JONES JAMES M KELLY 361 18WC 32283 GUTIERREZ, AURELIO CULLIGAN 08/30/18 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 362 18WC 32372 CHRISTOPHER, ANISSA LANDSTAR INWAY INC 08/17/18 BLACK & JONES 363 18WC 32375 THOMAS, JIMMY A&J ROOFING CORP 09/26/18 BLACK & JONES LAWRENCE COZZI - LAW OFFICE 364 18WC 32632 PAGAN, KEVIN TITAN TIRE COMPANY 08/03/18 WOLFE LAW PC KEEFE CAMPBELL BIERY & ASSOC 365 18WC 32669 GONZALEZ, GUADALUPE GUNITE CORP 08/25/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 366 18WC 32980 CONOUR, DAVID NORTHERN IL TERRAZO & TIL 10/05/18 ROBERT EDENS EVANS & DIXON 367 18WC 33010 MCCAULEY, WILLIAM J CASE ATLANTIC COMPANY 01/30/18 TUITE LAW HOLECEK & ASSOCIATES 368 18WC 33238 FLED, SCOTT D TITAN TIRE 05/02/16 HAUSER LAW LLC KEEFE CAMPBELL BIERY & ASSOC 369 18WC 33245 HAILE, RICHARD GENERAL MILLS, INC 09/11/18 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 370 18WC 33418 HENSON, UTARUS JB HUNT 11/03/18 DWORKIN AND MACIARIELLO MICHAEL JASPER 371 18WC 33462 ROSS, KIMBERLY FCA US LLC 07/25/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 372 18WC 33558 ECHOLS, JEFFREY QPS TEMPORARY AGENCY 09/17/18 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 373 18WC 33752 DONEGAN, DELOREAN WALMART 12/22/17 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 374 18WC 33755 HOLZE, HENRY BLOUNT INTERNATIONAL 05/23/18 BLACK & JONES WOLFE & JACOBSON, LTD 375 18WC 34183 PEREZ, MICHAEL FCA US LLC 02/21/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 19WC000760 -C 376 18WC 34376 MC LIN, ROSETTA FCA US, LLC 09/30/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 377 18WC 34774 STRONG, AMBER BYRON DRAGWAY, INC. 06/24/18 LAWRENCE COZZI - LAW OFFICE 378 18WC 35228 DUBREE, MICHAEL SPEEDEE DELIVERY 11/07/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 379 18WC 35654 LEEPER, LOLA A HONEYWELL INTERNATIONAL, 05/22/18 TUITE LAW EVANS & DIXON 380 18WC 36019 RAYPHOLE, WILLIAM LOWES DISTRIBUTION CTR 08/27/18 GESMER & REYNOLDS PC KEEFE CAMPBELL BIERY & ASSOC 381 18WC 36289 LEEPER, LOLA A HONEYWELL INTERNATIONAL, 05/03/18 TUITE LAW EVANS & DIXON 382 18WC 36404 ALLEN, JOHN PORTILLO'S HOT DOGS LLC 06/27/18 BLACK & JONES HOLECEK & ASSOCIATES 18WC036405 -C 18WC036454 -C 19WC014574 -C 19WC026170 -C 19WC026171 -C 19WC026172 -C 19WC026173 -C 383 18WC 36493 FULLER, TERRY BERGSTROM CLIMATE CONTROL 08/02/18 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 384 18WC 36789 BUTITTA, JEROLD JERRY BUTITTA AUTOMOTIVE 05/17/18 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 385 18WC 36890 VIGDAL, JAY JACK'S TIRE SALES & SERVI 07/20/18 GESMER & REYNOLDS PC EVANS & DIXON 18WC037515 -C 386 18WC 36969 COOK, RITA J LANDSTAR INWAY INC 05/17/18 BLACK & JONES LAWRENCE COZZI - LAW OFFICE 387 18WC 36980 TRAMMELL, PHILLIP FISHER NUTS 05/03/18 GESMER & REYNOLDS PC SLAVIN & SLAVIN 388 18WC 37142 ROBINS, DAVID EMERSON ELECTRIC 09/26/18 BLACK & JONES 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 GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 18WC 37146 SCHMIDT, NICOLE MAGNA SERVICES OF AMERICA 06/19/18 BLACK & JONES POWER & CRONIN LTD 390 18WC 37149 WOODS, CHESTER METRO STAFF, INC 11/08/18 TUITE LAW 391 18WC 37160 MOSQUERA MOSQUERA, YACKEL ARAMARK UNIFORM SERVICES 07/05/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 392 18WC 37257 VALDEZ PEREZ, BEATRIZ D M & M PALTECH INC 11/15/18 TUITE LAW WIEDNER & MCAULIFFE LTD 393 18WC 37583 JUAREZ HERNANDEZ, BAYRON MR FRANCISCO ORTEGA HERNA 10/18/18 BLACK & JONES 394 18WC 38011 VYBORNY, VERNON J HAMILTON SUNDSTRAND CORPO 03/09/17 TUITE LAW MACIOROWSKI SACKMANN & ULRIC 395 18WC 38087 YEVERINO, VICTOR CPC LOGISTICS MO 11/06/18 BLACK & JONES GAROFALO SCHREIBER STORM GRA 18WC038088 -C 396 18WC 38104 WINDER, ROBERT W LOWE'S HOME CENTERS, LLC 09/19/18 TUITE LAW KEEFE CAMPBELL BIERY & ASSOC 397 18WC 38162 KING, KEITH MULLIGAN RESTORATION INC 08/09/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 398 18WC 38179 AHMED, NAWRES PORTILLO'S HOT DOGS, LLC 12/17/18 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 399 18WC 38180 AHMED, NAWRES PORTILLO'S HOT DOGS, LLC 04/12/17 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 400 18WC 38349 JENSEN, BRIAN AMERICAN ALUMINUM EXTRUSI 10/14/18 MARKS INJURY LAW KRAKER FANNING & OLSEN 401 18WC 38441 KAISER, KURT TITAN TIRE COMPANY 04/03/18 WOLFE LAW PC KEEFE CAMPBELL BIERY & ASSOC 402 19WC 00140 DEURMIER, SANDRA ROCKFORD PUBLIC SCHOOLS 10/30/18 CLARK FROST WIEDNER & MCAULIFFE LTD 403 19WC 00264 BIFULK, LANCE SUNDBERG FURNERAL HOME 12/10/18 GESMER & REYNOLDS PC RUSIN & MACIOROWSKI LTD 404 19WC 00671 GUSTAFSON, JULIE CHRYSLER/FCA ASSEMBLY PLA 05/01/17 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 405 19WC 00788 MAAKESTAD, DERICK A USF HOLLAND, INC. 11/09/18 ANESI OZMON RODIN NOVAK KO 406 19WC 00799 BUTHE, MITCHELL FIAT CHRYSLER AUTOMOBILES 07/01/18 ADRIAN MURATI WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 19WC 01639 GRANDBERRY, ERIC J WASTE MANAGEMENT, INC 09/28/18 TUITE LAW GAROFALO SCHREIBER STORM GRA 408 19WC 01643 DYRESON, ERIC L ANDERSON AUTOMOTIVE, INC 12/06/18 TUITE LAW BRYCE DOWNEY & LENKOV LLC 409 19WC 01763 AYALA, CRUZ MECHANICAL TOOL AND 10/16/18 TUITE LAW HOLECEK & ASSOCIATES 410 19WC 02002 JAEGER, BRETT ABC SUPPLY CO 03/09/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 411 19WC 02011 AGUILERA, ELIZABETH DUNKIN DONUTS 11/30/18 GESMER & REYNOLDS PC LAWRENCE COZZI - LAW OFFICE 412 19WC 02013 MARTIN, LORCHID HARLEM SCHOOL DIST 09/14/18 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 413 19WC 02086 KRUMSEE, RON ATS MEDICAL SERVICES 09/16/18 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 414 19WC 02114 ANDERSON, LAGUASTA MILESTONE INC 01/15/19 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 415 19WC 02208 MENDOZA, RENE R&D THIEL INC 08/23/18 CLARK FROST WIEDNER & MCAULIFFE LTD 416 19WC 02461 ARWOOD, JASON MIDWEST FACILITIES & 07/17/18 MC HARGUE & JONES 417 19WC 02624 COOK, JAMES "JIM" R REGAL CUTTING TOOLS INC 07/17/18 TUITE LAW HOLECEK & ASSOCIATES 418 19WC 02633 THORNTON, PARTENIA MCDONALDS 11/01/18 BLACK & JONES ASA LAW GROUP 419 19WC 02641 ALLABAUGH, JAY B SAVERY TRANSPORT INC 10/01/18 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM GRA 420 19WC 02929 MAHLUM, LESLIE GOT SLOTS 12/30/18 MC HARGUE & JONES 421 19WC 02972 ROSTAMO, KIMBERLY SKYWEST AIRLINES INC. 10/06/18 BLACK & JONES GANAN & SHAPIRO 422 19WC 03136 MONTANA, MATTHEW VOLCANO FALLS 07/24/18 GESMER & REYNOLDS PC LAWRENCE COZZI - LAW OFFICE 423 19WC 03166 HARKER, MILLIE R FCA US LLC 09/08/17 TUITE LAW WILLIAMS MCCARTHY LLP 424 19WC 03196 KWIATKOWSKI, IRENE ROCKFORD BOARD OF ED, #20 11/09/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 19WC 03362 PARKS, JACKIE QPS EMPLOYMENT 11/05/18 GESMER & REYNOLDS PC WOLFE & JACOBSON, LTD 426 19WC 03407 DIDOMENICO, ANTHONY ED ETNYRE 12/06/16 BLACK & JONES CLARK FROST 427 19WC 03410 ADAMS, TERESA FCA US LLC 07/10/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 428 19WC 03474 MILLER, RHONDA FCA US LLC 01/08/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 19WC003475 -C 19WC022991 -C 19WC022992 -C 429 19WC 03608 KRANTZ, MATTHEW CITY OF ROCKFORD 12/30/18 FOOTE MIELKE CHAVEZ O'NEIL HEYL ROYSTER VOELKER & ALLEN 430 19WC 04082 WYSTARCZYK, MICHAEL J WOODWARD INC 04/05/18 JAMES G AHLBERG HINSHAW & CULBERTSON 431 19WC 04504 FLORES, FROYLAN ESTWING MANUFACTURING 07/30/18 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 432 19WC 04534 LUTHER, STEVEN OVERSTOCK FURNITURE & MAT 01/24/19 ROGER D RUDICH LTD 433 19WC 04629 CLODFELTER, ALISON KELLY'S MARKET MOBIL 12/05/18 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 434 19WC 04805 WILLIAMS, CARENN ROSEWOOD CARE CENTER 01/31/19 DWORKIN AND MACIARIELLO 435 19WC 04816 HALL, DONALD CALVARY CEMETARY 02/04/19 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 436 19WC 05121 BUETSCH, BRIAN E WINNEBAGO COUNTY SHERIFFS 12/14/18 REESE & REESE WILLIAMS MCCARTHY LLP 437 19WC 05241 TRIMBLE, CHARLES HEELS AND HARDHATS CONTRA 01/17/19 BLACK & JONES EVANS & DIXON 438 19WC 05244 CAUTHEN, REGINALD MAGNA EXTERIORS 01/16/19 BLACK & JONES POWER & CRONIN LTD 439 19WC 05248 SEALBY, JAN FELKER FOODS 01/02/19 BLACK & JONES ACCIDENT FUND HOLDINGS 440 19WC 05285 OWENS, RICK TAYLOR COMPANY 12/04/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 19WC005286 -C 441 19WC 05304 HARRIS, TITO ROCKFORD MASS TRANSIT DIS 05/30/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 442 19WC 05453 SLAMP, JEFF INTERNATIONAL PAPER 12/19/16 GESMER & REYNOLDS PC GOLDBERG SEGALLA LLC 443 19WC 05677 BOYDEN, RICHARD MECHANICAL INC 05/08/18 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 444 19WC 05683 BIRD, BREANNA GENERAL MILLS 08/31/18 MARTIN V KUGIA BRYCE DOWNEY & LENKOV LLC 445 19WC 05691 WUBBEN, RONALD STAR MANUFACTURING 10/19/17 BLACK & JONES CAPUANI, FRANK S 446 19WC 05876 JACKSON, TARRONE SNAK KING 02/21/19 DWORKIN AND MACIARIELLO KNELL O'CONNOR DANIELWICZ 447 19WC 05889 MILLER, JENNIFER FCA US LLC 02/05/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 448 19WC 05932 DABABNEH, IMAD NATIONAL VISION, INC 09/10/18 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 449 19WC 05995 JAEGER, MICHAELLE ROCKFORD PUBLIC SCHOOLS 12/27/18 BLACK & JONES 450 19WC 06100 HAMILTON, KATHIE FCA US LLC 12/08/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 451 19WC 06373 MC CARTY, DEVIN HEAT TREATING, INC 01/28/19 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 452 19WC 06584 FREDERICK, PETER FEDEX EXPRESS 09/10/18 LOREN S GOLDEN WIEDNER & MCAULIFFE LTD 453 19WC 06593 CULLOR, DWIGHT SAFETY CONSULTING ENGINER 07/24/17 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM GRA 454 19WC 06624 DESJARDIN, WAYNE EAGLE CREEK RENEWABLE ENE 06/19/17 BLACK & JONES LAWRENCE COZZI - LAW OFFICE 455 19WC 06804 BOZIC, NERMINA WESLEY WILLOWS 01/01/19 GESMER & REYNOLDS PC GALLIANI DOELL & COZZI LTD 456 19WC 06823 BIANCHI, COLIN STEINMAN AUTO SERVICE 08/10/18 GESMER & REYNOLDS PC GILDEA, COGHLAN & REGAN LTD. 457 19WC 07208 ROESSLER, JENNIFER WINNEBAGO CO SPEC ED COOP 12/04/18 LIPKIN & HIGGINS LAW OFFIC INMAN & FITZGIBBONS 458 19WC 07292 WILSON, RUSSELL ANDROID INDUSTRIES 02/20/19 BLACK & JONES 459 19WC 07487 BEDGOOD, ANTHONY BENSON STONE COMPANY INC 02/11/19 TARADASH LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 460 19WC 07507 WURM, BRADLEY TITAN TIRE 02/18/19 HAUSER LAW LLC KEEFE CAMPBELL BIERY & ASSOC 461 19WC 07675 THRUMAN, LANCE ASPLUNDH TREE EXPERT COMP 02/18/19 GESMER & REYNOLDS PC 462 19WC 07703 HERHOLD, TONI WESLEY WILLOWS 01/24/19 GESMER & REYNOLDS PC 463 19WC 07754 ROUSE, ROCKLAN A&B FREIGHT LINES, INC. 02/01/19 ANESI OZMON RODIN NOVAK KO EVANS & DIXON 464 19WC 07854 LOURASH, ALICIA CASEY'S GENERAL STORE 02/01/18 DWORKIN AND MACIARIELLO 465 19WC 07982 CASTILLO, CARLOS JUAN ROM AMERICAN ALUMINUM EXTRUSI 02/21/19 BLACK & JONES KRAKER FANNING & OLSEN 466 19WC 07985 FEIGL, DEBORAH ILLINOIS TOLLWAY AUTHORIT 03/01/18 BLACK & JONES GANAN & SHAPIRO 467 19WC 08090 TROPP, PETER STATE OF IL LONG TERM CAR 01/02/19 BLACK & JONES ASSISTANT ATTORNEY GENERAL 468 19WC 08263 TUTWILER, ISHMEL YES STAFFING 03/15/18 STANCZAK LAW OFFICES SLAVIN & SLAVIN 469 19WC 08457 HOPKINS, KATHRYN ROCKFORD PUBLIC SCHLS DIS 02/20/19 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 470 19WC 08543 COURTRIGHT, ROBERT FCA US LLC 03/07/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 471 19WC 08736 BRINK, MICHELLE ELITEXPO CARGO SYSTEMS 11/29/18 EAMES LAW GROUP LTD ACCIDENT FUND HOLDINGS 472 19WC 08798 JOHNSON, DALE L EBY-BROWN TRANSPORATION, 02/13/19 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 473 19WC 08838 SHEFFIELD, PHYLLIS HARLEM SCHOOL DISTRICT 12 01/10/19 NASH LAW OFFICE PC 474 19WC 08934 MARTINEZ, HERMINIA ROCKNEL FASTENER, INC 12/14/18 BLACK & JONES INMAN & FITZGIBBONS 475 19WC 08966 RUTHVEN, TANYA WALMART 01/17/19 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 476 19WC 08970 FLANINGGAM, GAYNELL COLLIER RV 04/30/18 BLACK & JONES CASSANO & ASSOCIATES 477 19WC 09176 BROOKER, DEXTER ADVANCED DISPOSAL SERVICE 03/01/19 SCHWEICKERT & GANASSIN INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 478 19WC 09365 CASTRONOVO, MARK CITY OF ROCKFORD 09/18/17 FOOTE MIELKE CHAVEZ O'NEIL HEYL ROYSTER VOELKER & ALLEN 479 19WC 09793 VER HAGEN, CRYSTAL DAVEKIZ INC, D/B/A BURGER 01/30/19 BLACK & JONES JOSEPH MARCINIAK 480 19WC 09866 PETERS, MARY KOLB-LENA CHEESE COMPANY 02/02/19 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 481 19WC 09868 MEEHAN, PATRICK LAWN CARE BY WALTER 03/06/19 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 482 19WC 09905 BARRERA, PASCUAL ANCO STEEL COMPANY, INC 05/09/16 KINNALLY FLAHERTY KRENTZ 483 19WC 09908 OTWELL, STEVEN MID-CITY OFFICE PRODUCTS 03/28/18 CLARK FROST GANAN & SHAPIRO 484 19WC 09932 THOMAS, CHARLES E BARNES INTERNATIONAL, INC 03/07/19 TUITE LAW HOLECEK & ASSOCIATES 485 19WC 09941 LOVERIDGE, GORDON H PDQ MACHINE, INC 11/16/18 TUITE LAW GAROFALO SCHREIBER STORM GRA 486 19WC 10120 KREEGER, WILLIE SNAK KING 01/23/18 WOLFE LAW PC GOLDBERG SEGALLA LLC 19WC010121 -C 487 19WC 10168 KISTING, DIANE L LYDIA S MEYER, TRUSTEE 07/18/18 ANESI OZMON RODIN NOVAK KO 488 19WC 10374 ALLEN, LAURELL FCA US LLC 02/12/15 BLACK & JONES 489 19WC 10481 EVANS, ROBERT MONDELEZ INTERNATIONAL 03/01/19 DWORKIN AND MACIARIELLO 490 19WC 10689 SMITH, MICHAEL CHESTNUT MOUNTAIN RESORT 04/26/18 GESMER & REYNOLDS PC 491 19WC 10734 OWENS, MARVIN LACRESIA SOULFOOD KITCHEN W 03/23/19 BLACK & JONES 492 19WC 11173 MOYER, WAYNE A CITY OF GALENA POLICE DEP 07/16/17 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 493 19WC 11225 WILSON, MISTY VISITING ANGELS 01/01/19 DWORKIN AND MACIARIELLO 494 19WC 11371 BAKER, PARIS BERNER FOOD & BEVERAGE, I 04/08/19 CORBOY & DEMETRIO PC 495 19WC 11626 SODKO, JAKE FCA US LLC 04/10/19 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 19WC 11680 DEY, JULIE KELLY SERVICES USA LLC 08/31/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 497 19WC 11805 HUGHES, ALEX WINNEBAGO CNTY SHERIFF'S 04/07/19 NASH LAW OFFICE PC WILLIAMS MCCARTHY LLP 498 19WC 11940 SUNDELL, DOMINIC NEBLOCK, INC. 02/28/19 BLACK & JONES FRIEDRICH LAW LLC 499 19WC 11941 PARKER, DEBRA POOLSIDE PROS 01/09/19 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 500 19WC 12104 AMES, CRAIG A WALMART 12/06/18 HAUSER LAW LLC QUINTAIROS PRIETO WOOD & BOY 501 19WC 12170 BEECH, HEATHER D OPTION CARE ENTERPRISES, 03/21/19 TUITE LAW GILDEA, COGHLAN & REGAN LTD. 502 19WC 12346 KEEP, KELLY SAVERY TRANSPORT INC 03/06/19 CLARK FROST 503 19WC 12356 KOZUCH, KATHY MERCY HEALTH HOSP-RIVERSI 02/11/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 504 19WC 12367 WAIBEL, SABRINA FCA US LLC 12/27/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 505 19WC 12371 PENTICOFF, MARK SLOAN IMPLEMENT 01/25/19 BLACK & JONES GAROFALO SCHREIBER STORM GRA 506 19WC 12416 GUTHRIE, DENNIS BOONE COUNTY HIGHWY DEPAR 03/27/19 RIDGE & DOWNES ELMAN & EHARDT LTD 507 19WC 12638 TUCHBREITER, CHERYL ARAMARK 02/19/19 DONALD FOHRMAN & ASSOC 508 19WC 12761 MARTIN, LORCHID HARLEM SCHOOL DIST 10/30/18 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 509 19WC 12764 BAUSIC, MELISSA DICELLO'S PIZZA 02/21/19 BLACK & JONES JOSEPH MARCINIAK 510 19WC 12799 LOPEZ, MANUEL FISCHER EXCAVATING INC 09/30/16 DWORKIN AND MACIARIELLO GILDEA, COGHLAN & REGAN LTD. 511 19WC 13029 KING, JONNIE E FCA US LLC 08/29/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 512 19WC 13115 MILLER, LURK S COVIA CORPORATION 11/30/18 REESE & REESE INMAN & FITZGIBBONS 513 19WC 13141 SWINDA, ROBERT DEAN FOODS 08/10/18 BLACK & JONES ORENSTEIN & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 19WC 13144 ACKERMAN, LOREN FCA US LLC 03/01/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 515 19WC 13398 FRANKLIN, SHERRY K APPLEBEE'S GRILL & BAR 01/02/19 FRANKS, GERKIN & MCKENNA P 516 19WC 13437 TAYLOR, JAMES D BERNER FOODS 04/18/19 BLACK & JONES HOLECEK & ASSOCIATES 517 19WC 13450 FREEMAN, TERRENCE RYDER TRUCKING 02/04/19 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 518 19WC 13511 WASMUND, KATHY FCA US LLC 04/27/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 519 19WC 13947 MELIN, KELSEY A UNITED PARCEL SERVICE 04/03/19 ALEXANDER, PETER LTD. NYHAN BAMBRICK KINZIE & LOWR 520 19WC 14132 TORRES-PONCE, MARGARITO FCA US LLC 11/19/18 KATZ FRIEDMAN EAGLE ET AL 521 19WC 14221 GARCIA, MOISES ROCKFORD BOLT & STEEL COM 08/01/18 GESMER & REYNOLDS PC EVANS & DIXON 522 19WC 14359 ALONZO, ANTHONY CINTAS CORP 08/31/18 BLACK & JONES POWER & CRONIN LTD 523 19WC 14362 BEAUCHAMP, NATANIEL ESTWING MANUFACTURING COM 03/25/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 524 19WC 14435 SHARP, MICHAEL J CHUCJ VACHA D/B/A TC CLEA 02/11/19 TUITE LAW 525 19WC 14587 FERRARESI, CHRISTOPHER ARAMARK 04/16/19 GESMER & REYNOLDS PC INMAN & FITZGIBBONS 526 19WC 14702 HAYES, ZOEBIA YRC FREIGHT 04/17/19 LEONARD LAW GROUP LLC 527 19WC 14972 GULKE, MEAGHAN NORTHWEST PALLET SUPPLY C 11/01/18 BLACK & JONES 528 19WC 14997 OWEN, MONICA HARLEM SCHOOL DIST 122 03/29/19 DWORKIN AND MACIARIELLO 529 19WC 15153 GRAY, NICHOLAS AEROTEK 04/25/19 DWORKIN AND MACIARIELLO 530 19WC 15255 BRACEY, MONTRELL FURST STAFFING SERVICES I 04/04/19 TUITE LAW 531 19WC 15265 BUNTING, SHEILA L DOLLAR TREE STORES INC 03/15/19 TUITE LAW LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 19WC 15578 SCADUTO, MARTIN UTC AEROSPACE SYSTEMS 03/19/19 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 533 19WC 15668 KUZMICKI, EDWARD PYRAMID PLASTICS 11/15/18 BLACK & JONES GANAN & SHAPIRO 534 19WC 15672 BRADY, KELLEY FIRE DEPT-E DUBUQUE 01/17/19 BLACK & JONES POWER & CRONIN LTD 535 19WC 15677 SMITH, TYRONE M ACCURIDE/GUNITE CORP 07/15/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 536 19WC 15698 EVERETT, LEVONTI' ROCKFORD TOOLCRAFT, INC 04/10/19 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 537 19WC 15859 NICOSIA, DAVID A CITY OF ROCKFORD 04/09/19 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 538 19WC 15970 MESCH, WILLIAM ROCKFORD MASS TRANSIT DIS 12/05/18 GESMER & REYNOLDS PC POWER & CRONIN LTD 539 19WC 16009 BROWN, TROY D FX3 PLASTICS CORP 03/23/19 TUITE LAW 540 19WC 16034 BROWN, TROY D FX3 PLASTICS CORP W 03/23/19 TUITE LAW 541 19WC 16187 BALL, DONNA S FCA US LLC 05/29/19 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 542 19WC 16189 DIMAGGIO, CHRISTOPHER FCA US LLC 07/25/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 543 19WC 16304 JOHNSON, TAMMY SWEDISH AMERICAN HOSPITAL 09/20/18 BLACK & JONES WILLIAMS MCCARTHY LLP 544 19WC 16307 PRATT, ERIC MR. ERIC PRATT 05/09/19 BLACK & JONES EDWARD J. KOZEL 545 19WC 16310 MACIAS, OFELIA MTE HYDRAULICS 05/16/19 BLACK & JONES HOLECEK & ASSOCIATES 546 19WC 16471 JONES, ELIZABETH DHS-DIVISION OF REHAB SRV 04/06/18 DWORKIN AND MACIARIELLO 547 19WC 16534 PIERRE-LOUIS, CLAUDE LOWES DISTRIBUTION CENTER 03/12/19 GESMER & REYNOLDS PC KEEFE CAMPBELL BIERY & ASSOC 548 19WC 16536 TALLARD, TAYLOR N GENERAL MILLS, INC 05/11/19 FRANKS, GERKIN & MCKENNA P 549 19WC 16782 GACZEWSKI, RON CASSENS TRANSPORT 12/26/18 GESMER & REYNOLDS PC KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 19WC 16924 BARE, JON MODERN ADVANCED MANUFACTU 11/09/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 551 19WC 17022 PUGH, TIMOTHY ROCKFORD TOOLCRAFT INC 05/29/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 552 19WC 17074 PETSCH, JOSEPH LANE'S AUTO SERVICE, INC 07/24/18 GESMER & REYNOLDS PC 553 19WC 17141 ARELLANO, JOANNA BARBARA OLSEN CENTER FOR 05/22/19 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 554 19WC 17149 ARGRAVES, LOYD QPS STAFFING 05/03/19 BLACK & JONES WOLFE & JACOBSON, LTD 555 19WC 17295 EVERSOLL, ALLEN ESTWING MANUFACTURING CO 12/12/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 556 19WC 17408 REYES, RHONDA PCI PHARMA SERVICE 03/30/19 GESMER & REYNOLDS PC 557 19WC 17686 ISHAM, JOSH L TARGET CORPORATION 06/06/18 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 558 19WC 17808 MARTENS, PENNY ALORICA 05/01/19 MC HARGUE & JONES 559 19WC 17954 MARTIN, FELICIA SPX FLOW, INC 02/01/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 560 19WC 17956 LOPEZ, ABEL AZZ GALVANIZING 10/24/18 BLACK & JONES 561 19WC 17961 WAIBEL, SABRINA FCA US, LLC 08/30/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 562 19WC 17964 ZAMORA, MARIA WORLD CLASS TOOL & MACHIN 01/08/19 BLACK & JONES GRIFFIN, LORETTA M LAW OFFIC 563 19WC 17968 GROBE, MARK SJOSTROM & SONS, INC 03/24/19 BLACK & JONES HOLECEK & ASSOCIATES 564 19WC 17975 WELLS, CHARLES SERVICE COMPONENTS 03/11/17 BLACK & JONES JOSEPH MARCINIAK 565 19WC 17978 THOMPSON, SHAWN INGERSOLL MACHINE TOOLS 04/01/19 BLACK & JONES 566 19WC 17982 LAWRENCE, DAVID K SR. AEROTEK 05/20/19 BLACK & JONES 567 19WC 18070 PURL, BRIAN STAFF MANAGEMENT 05/08/19 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 568 19WC 18096 PRUITT, CECILE FCA US, LLC 05/28/19 MARKS INJURY LAW WIEDNER & MCAULIFFE LTD 569 19WC 18284 TENNIAL, LAWRENCE ROCKFORD MASS TRANSIT DIS 11/20/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 570 19WC 18547 KEATING, KEITH A RENAISSANCE ROOFING INC 07/10/18 TUITE LAW BRADY, CONNOLLY & MASUDA, PC 571 19WC 18647 CARMEN, JASON ESTWING MANUFACTURING 05/17/19 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 572 19WC 18909 JACKSON, LINDA WOODWARD INC 09/15/15 HETHERINGTON KARPEL & BOBB HINSHAW & CULBERTSON 573 19WC 18948 MILLAM, SCOTT EVER READY PIN & MFG 10/26/18 BLACK & JONES GRIFFIN, LORETTA M LAW OFFIC 574 19WC 18952 HERNANDEZ, ANGELES SAUCED SNAK KING CORP 06/11/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 575 19WC 18955 BERGERON, MAHA PENN NATIONAL GAMING 05/07/19 BLACK & JONES ORENSTEIN & ASSOCIATES 576 19WC 19000 MULL, SHAWN OSF ST ANTHONY MEDICAL CE 09/27/18 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 577 19WC 19145 NALLICK, SEAN XPO LOGISTICS 11/19/18 ROSS TYRRELL 578 19WC 19365 YASAK, JOANN GOODWILL INDUSTRIES OF 02/12/19 STEWART C ORZOFF RIPES NELSON BAGGOT KALOBRAT 579 19WC 19390 YOUNG, SHANEKA GUNITE CORPORATION 06/27/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 580 19WC 19443 SOCKWELL, CURTIS THE CITY OF ROCKFORD 08/23/18 HEYL ROYSTER VOELKER & ALLEN 581 19WC 19506 CRUM, AUSTIN CORPORATE SERVICES INC 06/27/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 582 19WC 19538 TOWNE, VICKY ANDROID INDUSTRIES 12/12/17 WIEDNER & MCAULIFFE LTD 583 19WC 19634 SCHLUETER, BRENDA K EASTER SEALS 06/07/19 BLACK & JONES 584 19WC 19637 COMBEE, SHAUN AUTO WAREHOUSING COMPANY 05/31/19 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 585 19WC 19778 WOMACK, MICHAEL VIVINT SOLAR 06/19/19 MARKHAM M JEEP & ASSOCIATE KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 586 19WC 19795 HART, MARGARET FCA US LLC 06/24/19 GESMER & REYNOLDS PC 587 19WC 19850 PETERSON, SHANNON M SPEEDWAY LLC 01/30/19 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 588 19WC 19944 CURTIS, MELINDA SYNCREON LOGISTICS 05/15/19 SEIDMAN MARGULIS & FAIRMAN 589 19WC 20050 HEIDENREICH, GLENN WINNEBAGO COUNTY 04/24/19 FOOTE MIELKE CHAVEZ O'NEIL 590 19WC 20187 MICHAEL, PAUL A BERNER FOOD & BEVERAGE, I 05/07/19 TUITE LAW 591 19WC 20417 FENN, ANDY UPS 04/04/19 GESMER & REYNOLDS PC 592 19WC 20441 BROOKS, SCOTT ROCKTON POLICE DEPARTMENT 07/09/19 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 593 19WC 20617 REGEZ, SCOTT MORSE ELECTRIC INC. 03/01/16 GWC INJURY LAWYERS LLC 594 19WC 21142 DELA ROSA, TAMMY FCA US, LLC 04/13/19 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 595 19WC 21278 ALVAREZ, JUAN FRANKLIN DISPLAY GROUP 04/15/19 BLACK & JONES JOSEPH MARCINIAK 596 19WC 21281 PAYNE, JUDY HARLEM CONSOLIDATED SCHOO 02/22/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 597 19WC 21284 MARTIN, STEPHANIE FCA US LLC 10/16/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 598 19WC 21309 SULSER, PHILIP H GENERAL MILLS 01/24/19 SANDMAN LEVY & PETRICH BRYCE DOWNEY & LENKOV LLC 599 19WC 21547 HOWELL, JONATHAN E GLENDENNING BROTHERS, INC 07/02/18 WARD MURRAY PACE & JOHNSON JAMES M KELLY 600 19WC 21754 OLIVAREZ, JUSTIN GKN ROCKFORD, INC. 06/21/19 KATZ FRIEDMAN EAGLE ET AL 601 19WC 21832 CAMACHO, JAVIER A&O FRAMING, INC 11/19/18 BLACK & JONES LAWRENCE COZZI - LAW OFFICE 602 19WC 21833 CURIEL, MARIA MTC MORENOS, INC 09/14/17 BLACK & JONES GILDEA, COGHLAN & REGAN LTD. 603 19WC 21837 DESJARDIN, WAYNE EAGLE CREEK RENEWABLE ENE 06/10/18 BLACK & JONES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 604 19WC 21875 GONZALEZ, MARGARITA TH FOODS 06/28/19 GESMER & REYNOLDS PC 605 19WC 21952 JOHNSON, DEAN A BOZEMAN ENTERPRISES, LLC 11/22/18 TUITE LAW INMAN & FITZGIBBONS 606 19WC 22020 WIGTION, BRUCE VLGE OF MT MORRIS POLICE 08/24/18 PATRICOSKI, MARK G RUSIN & MACIOROWSKI LTD 607 19WC 22106 MONROE, PAUL SLIDEMATIC PRECISION 07/10/19 ANKIN LAW OFFICE JOSEPH MARCINIAK 608 19WC 22132 COBOS, SUSAN M YANFENG AUTOMOTIVE INTERI 04/13/19 PIGNATELLI & ASSOCIATES 609 19WC 22188 ISLEY, CHAD PACCAR PARTS DIVISION 04/17/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 610 19WC 22190 FISHER, ALEXANDER UPS 06/30/19 BLACK & JONES LAWRENCE COZZI - LAW OFFICE 611 19WC 22191 BRIDGES, DAVID MIDWEST PACKAGING & CONTA 02/11/19 BLACK & JONES GANAN & SHAPIRO 612 19WC 22348 BONJOUR, CHARLES TITAN TIRE COMPANY 05/01/18 WOLFE LAW PC KEEFE CAMPBELL BIERY & ASSOC 613 19WC 22455 JOHNSON, TIMOTHY R&M TRUCKING 03/19/19 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 614 19WC 22535 KRUSE, DANA AUTISM HOME SUPPORT SERVI 05/22/19 GESMER & REYNOLDS PC EDWARD J. KOZEL 615 19WC 22702 SCHONBERG, MICHAEL ROCK RIVER WATER 05/17/19 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 616 19WC 22977 SHIFFLETTE, RAYMOND E GORMAN & COMPANY, LLC 02/11/19 TUITE LAW HOLECEK & ASSOCIATES 617 19WC 22995 MCWILLIAMS, SCOTT FCA US LLC 11/01/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 618 19WC 23007 BOYCE, JOSEPH SNAK KING CORP 05/02/19 BLACK & JONES GOLDBERG SEGALLA LLC 619 19WC 23010 FERRAL, MARICELA CONCENTRIC 03/22/19 BLACK & JONES JOSEPH MARCINIAK 620 19WC 23016 SPENCER, FRANKIE FCA US LLC 07/29/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 621 19WC 23026 ALBANK, AHMED PEOPLELINK 08/23/16 GESMER & REYNOLDS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 622 19WC 23045 RAMIREZ, NAZARIO KONICA MINOLTA 07/31/18 FRANKS & RECHENBERG EVANS & DIXON 623 19WC 23244 EGANHOUSE, DARRYL F EAST DUBUQUE NITROGEN 05/29/19 KATZ FRIEDMAN EAGLE ET AL 624 19WC 23442 KIESLING, KRISTEEN WOODWARD, INC. 05/08/17 GWC INJURY LAWYERS LLC HINSHAW & CULBERTSON 625 19WC 23819 CARTER, DARRYL THE RATHSKELLER & SAUSAGE 05/27/19 BLACK & JONES ACCIDENT FUND HOLDINGS 626 19WC 23822 EBERLY, DEBBIE STEPHENSON NURSING CTR/ 06/26/19 BLACK & JONES 627 19WC 23838 RUSSELL, BRIAN G W BERKHEIMER 08/01/19 GESMER & REYNOLDS PC MACIOROWSKI SACKMANN & ULRIC 628 19WC 24165 WEFLEN, ROBERT JOHNSON OIL CO. 06/20/19 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 629 19WC 24662 WALLIS, MICHAEL ROCKFORD BALL SCREW 05/23/19 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 630 19WC 24676 PRITCHARD, DEBRA NORTH BOONE COUNTY #200 10/15/18 BLACK & JONES GAROFALO SCHREIBER STORM GRA 631 19WC 24680 TURNER, OWEN MCDONALDS 05/13/19 BLACK & JONES ASA LAW GROUP 632 19WC 24817 DAVIS, RICO SECURE STAFFING LLC 07/25/19 LAWFIRST 633 19WC 24906 CHOSCO, AURELIA RESIDENCE INN 12/13/18 GESMER & REYNOLDS PC 634 19WC 24935 COLLINSWORTH, ILANA PREFERRED HOME HEALTH CAR 07/26/19 GESMER & REYNOLDS PC 635 19WC 25077 SANDELL, SCOTT STAFF ON SITE 06/12/19 DWORKIN AND MACIARIELLO 636 19WC 25347 PIERCE, KIMBERLY WIPFLI 01/14/19 KATZ FRIEDMAN EAGLE ET AL 637 19WC 25478 PRASHER, YASH UPS 04/19/19 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 638 19WC 25479 ROBINSON, RACHEL SUNRISE TRANSPORTATION 07/30/19 BLACK & JONES 639 19WC 25557 COLEMAN, SANDRA FCA US, LLC 12/15/18 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 640 19WC 25631 WALKER, CHARTE LIFE TOUCH 03/07/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 641 19WC 25691 BUNCH, QUENELLA CHRYSLER 03/15/19 DONALD FOHRMAN & ASSOC WILLIAMS MCCARTHY LLP 642 19WC 25897 MOCTEZUMA, JOSE JUAN HENNIG INC 07/22/19 BLACK & JONES 643 19WC 25941 GAGLIANO, MICHAEL WALTERSCHEID POWERTRAIN G 07/18/19 KATZ FRIEDMAN EAGLE ET AL 644 19WC 26049 KING, BRITTANY FCA US LLC 05/31/19 DERANGO & CAIN WIEDNER & MCAULIFFE LTD 645 19WC 26097 JOHNSON, SHANICE CHRYSLER 05/30/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 646 19WC 26100 MCBRIDE, CHASITY ECOLAB 07/10/19 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 647 19WC 26163 ZIMMERMAN, NICHOLE FEDEX 03/08/17 BLACK & JONES HANSON LAW OFFICE 648 19WC 26166 KOMARAC, MICHAEL STEELE CONSTRUCTION 07/15/19 BLACK & JONES 649 19WC 26167 DALTON, JEFFREY THILLENS 08/09/19 BLACK & JONES 650 19WC 26255 PHILLIPS, ROBERT HOFFMAM HOUSET 10/10/18 GESMER & REYNOLDS PC RUSIN & MACIOROWSKI LTD 651 19WC 26703 KORF, JOE PEARL CITY ELEVATOR 03/08/18 CAPUANI, FRANK S 652 19WC 26798 OLSON, JOY GENERAL MILLS, INC 06/01/19 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 653 19WC 26803 CUNNINGHAM, CARLYE HOME INSTEAD SENIOR CARE 02/08/19 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 654 19WC 26805 HOLLAWAY, SHERYL MENARDS 08/26/19 BLACK & JONES QUINN JOHNSTON HENDERSON ETA 655 19WC 26808 BORGEN, LISA OPTION CARE 05/31/19 BLACK & JONES 656 19WC 26854 KELSO, JIM ESTWING 12/23/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 657 19WC 26874 FITZPATRICK, ALEXANDRIA CRUSADERS CLINIC ASSOC 03/12/19 FREDERIC NESSLER & ASSOC WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 658 19WC 27037 GARCIA, ISRAEL MIDWEST DECORATIVE, INC 09/07/19 ANKIN LAW OFFICE 659 19WC 27127 RADER, MATTHEW MACKTOWN CONSTRUCTION 07/01/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 660 19WC 27131 FARRELL, ERIC IL DEPT OF TRANSPORTATION 08/06/19 BLACK & JONES 661 19WC 27153 PRESENDA-TORRES, JAVIER TROY'S LAWN CARE, INC 11/16/18 FRANKS, GERKIN & MCKENNA P WIEDNER & MCAULIFFE LTD 19WC027164 -C 662 19WC 27175 JOHNSON, CYNTHIA L KELLY WILLIAMSON MOBIL 06/06/19 GESMER & REYNOLDS PC 663 19WC 27371 DORTY, KEITH B MB MACHINE INC 02/14/17 HAUSER LAW LLC 664 19WC 27439 BRYANT, JAMES FCA US LLC 05/07/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 665 19WC 27525 PYFER, JOY ROCKFORD PUBLIC SCHOOL 05/30/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 666 19WC 27765 SISSON, MARK J & M PLATING, INC. 02/27/19 HOLECEK & ASSOCIATES 667 19WC 27780 MORTON, JAMES COLLINS AEROSPACE 11/18/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 668 19WC 27981 DEBLASIO, CARMEN COSTCO 09/18/19 ROMANUCCI & BLANDIN GANAN & SHAPIRO 669 19WC 28127 WASHINGTON, HENRIETTA ANDROID INDUSTRIES 03/08/19 DWORKIN AND MACIARIELLO 670 19WC 28166 DEARMITT, TOM CHEMTOOL, INC. 05/22/18 GESMER & REYNOLDS PC 671 19WC 28241 HONEYCUTT, SANDRA OSF ST ANTHONY HOSPITAL 09/21/18 GESMER & REYNOLDS PC HINSHAW & CULBERTSON 672 19WC 28359 RODRIGUEZ, EVELYN OSF ST ANTHONY MEDICAL CE 02/08/19 TUITE LAW 673 19WC 28494 DELGADO, DESTINY CHILDREN'S HOME & AID SOC @ 09/03/19 STEVEN J MALMAN & ASSOCIAT 674 19WC 28539 CASTANEDA ARANDA, MARTIN ML FARM SYSTEMS, INC 11/23/17 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 675 19WC 28579 ROSINSKI, TOM PBC LINEAR 04/24/19 TUITE LAW INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 676 19WC 28608 CARTER, ERICA TH FOODS 08/15/18 BLACK & JONES EVANS & DIXON 677 19WC 28613 YAKOWICZ, KRIS OPEN BIBLE LEARNING CENTE 09/18/18 BLACK & JONES BRADY CONNOLLY & MASUDA PC 678 19WC 28662 HARDEN, JIMMIE FCA US LLC 06/14/17 KATZ FRIEDMAN EAGLE ET AL 679 19WC 28707 VARBLE, NATHANIEL A EXECUTIVE PLASTERING 09/11/19 WILLIAMS MCCARTHY LLP 680 19WC 28782 TOPLISS, DAVID J TITAN TIRE CORPORATION 04/21/17 KEEFE CAMPBELL BIERY & ASSOC 681 19WC 28844 ROSTAMO, KIMBERLY SKYWEST AIRLINES, INC 08/21/19 BLACK & JONES 682 19WC 28850 MCATEE, CARRIE D PACKAGING COORDINATORS, I 12/21/18 TUITE LAW 683 19WC 28894 KRYCZKA, JOSEPH SYNCREON 09/06/19 GESMER & REYNOLDS PC 684 19WC 29000 WILLIAMS, JAMES GOODWILL 09/18/19 GESMER & REYNOLDS PC 685 19WC 29069 CADY, JOHN BEST BUY 05/07/19 DWORKIN AND MACIARIELLO 686 19WC 29248 CUMMINGS, CHRISTOPHER FCA US LLC 09/23/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 687 19WC 29279 MARTIN, FELICIA SPX FLOW, INC 07/22/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 688 19WC 29301 ROBERTS, RANDALL IDOT @ 07/11/19 NASH LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 689 19WC 29486 CLARK, WADE D DEAN FOODS 06/25/19 REESE & REESE ORENSTEIN & ASSOCIATES 690 19WC 29514 PETRIE, MIKE COLLINS AEROSPACE 08/27/19 BLACK & JONES 691 19WC 29517 DELAROSA, SERENA EASTER SEALS 09/17/19 BLACK & JONES 692 19WC 29626 WICKSON, NETISA LOWES DISTRIBUTION CENTER 02/06/18 GESMER & REYNOLDS PC 693 19WC 29664 FERNANDEZ, DIANE WAVERLY PLACE OF STOCKTON 10/01/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 694 19WC 29682 KENYON, AMY SWEDISH AMERICAN HOSPITAL 07/01/19 BLACK & JONES WILLIAMS MCCARTHY LLP 695 19WC 29685 COLLINS, RUTH PINECREST MANOR 10/25/18 BLACK & JONES KRAKER FANNING & OLSEN 696 19WC 29689 HARKINS, SCOTT BIMBO BAKERIES, USA 09/16/19 BLACK & JONES KRALOVEC & MARQUARD 697 19WC 29694 DEAN, LEONARD FCA US, LLC 05/11/19 BLACK & JONES WILLIAMS MCCARTHY LLP 698 19WC 29833 DERR, MELISSA FCA US LLC 06/07/19 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 699 19WC 29975 POPPE, SARAH GRUPO ANTOLIN 09/16/19 KATZ FRIEDMAN EAGLE ET AL 700 19WC 30010 KRAFT, SHANE FREEPORT SCHOOL DISTR #14 06/06/19 SEIDMAN MARGULIS & FAIRMAN 701 19WC 30174 HIGGINS-OLVERA, CARRIE FIRST STUDENT INC 09/23/19 GWC INJURY LAWYERS LLC 702 19WC 30207 SIMMONS, JERRY C PINNACLE LOGISTICS 08/03/19 ADRIAN MURATI 703 19WC 30286 GARIBAY, MARTHA FCA US LLC 03/05/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 704 19WC 30373 MARTIN, MARGARET GARDEN HOTEL & CONFERENCE 03/07/19 BLACK & JONES QUINN JOHNSTON HENDERSON ETA 705 19WC 30579 EVERETT, TERNITA CONCENTRIC 07/18/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 706 19WC 30675 TIPTON, MICHAEL N OLE SALTY'S OF ROCKFORD I 05/22/19 TUITE LAW 707 19WC 30716 RICHARDSON, MARK KINNIKINNICK SCHOOL 08/15/19 DWORKIN AND MACIARIELLO GAIDO & FINTZEN 708 19WC 30760 AHLGREN, BRADLEY FCA US LLC 08/12/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 709 19WC 30835 LOVERIDGE-UNDERWOOD, MERI FCA US LLC 06/19/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 710 19WC 31108 HARRIS, EARNESET GUERILLA GRAPHIX 05/16/19 BLACK & JONES 711 19WC 31271 KISTING, DIANE L LYDIA S MEYER, TRUSTEE 10/23/19 ANESI OZMON RODIN NOVAK KO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 712 19WC 31329 DEL RIO, DILLON FEDEX FREIGHT EAST 03/11/19 KROL BONGIORNO & GIVEN LTD QUINTAIROS PRIETO WOOD & BOY 713 19WC 31363 HARMS, DOUGLAS COVIA 01/26/19 BLACK & JONES INMAN & FITZGIBBONS 714 19WC 31390 KOHNKE, TERRY SIMOS SOLUTIONS 09/06/19 GESMER & REYNOLDS PC 715 19WC 31403 FARR, MONICA WALMART, INC 05/06/19 FRANKS, GERKIN & MCKENNA P QUINTAIROS PRIETO WOOD & BOY 716 19WC 31504 BRUCE, MARVIN GUNITE CORPORATION 08/18/18 TUITE LAW 717 19WC 31609 BLOCK, FREDERICK MONDELEZ INTERNATIONAL, I 09/25/18 WIEDNER & MCAULIFFE LTD 718 19WC 31730 HOLLIMAN, ANDREW ADVANCED AUTO PARTS 02/26/19 GESMER & REYNOLDS PC 719 19WC 31749 HOPPER, JODI A STATE OF IL, @ 08/27/19 TUITE LAW ASSISTANT ATTORNEY GENERAL 720 19WC 31799 NANCE, KATHY CASEY'S GENERAL STORE 10/02/19 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 721 19WC 31817 SHUEY, BARBARA HONEYWELL INTERNATIONAL 06/05/19 BLACK & JONES EVANS & DIXON 722 19WC 31820 ANTHONY, JAVIEN FCA US LLC 09/09/19 BLACK & JONES WILLIAMS MCCARTHY LLP 723 19WC 31825 FORD, MICHELLE R WALMART SUPERCENTER 04/08/19 REESE & REESE 724 19WC 31853 PRINNER, BROCK DW ENTERPRISE 09/26/19 GESMER & REYNOLDS PC 725 19WC 32027 LEE, THOMAS CONSOLIDATED MATERIAL COR 01/02/19 DERANGO & CAIN ACCIDENT FUND HOLDINGS 726 19WC 32109 GINN, BRIAN THE FIRE BARN 09/06/19 DAVID W MARTAY 727 19WC 32129 VILLA AVALOS, MARIANO CARELI TRUCKING INC 08/01/19 LEONARD LAW GROUP LLC LAWRENCE COZZI - LAW OFFICE 728 19WC 32130 VILLA AVALOS, MARIANO GRILLO'S TRUCKING INC * 08/01/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 729 19WC 32256 MURILLO, HECTOR TAYLOR FREEZER 10/25/19 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 730 19WC 32379 GARCIA, NINA WENDY'S 10/15/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 731 19WC 32418 EDWARDS, GINO MAGNA EXTERIORS 01/07/19 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 732 19WC 32562 LAMBAREN, JUAN SEBERT LANDSCAPE * 10/17/19 COSTA IVONE LLC 733 19WC 32644 REED, PRISCILLA MILESTONE INC * 11/01/19 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 734 19WC 32667 BOSTELMAN, PENNI YMCA OF ROCK RIVER VALLEY * 06/22/18 NYHAN BAMBRICK KINZIE & LOWR 735 19WC 32842 INGELKENS, GAIL HONEYWELL * 08/27/19 DWORKIN AND MACIARIELLO EVANS & DIXON 736 19WC 32886 KIRCHHOFF, MATTHEW DIAMOND HEAT TREAT * 01/26/18 EAMES LAW GROUP LTD 737 19WC 32963 REED, JEFFREY SULLIVAN FOODS * 05/01/19 BLACK & JONES 738 19WC 32973 DE LA RIVA, JOSE NORTHWEST PALLET SERVICES * 10/24/19 AIOSSA LAW FIRM BRYCE DOWNEY & LENKOV LLC 739 19WC 32987 MORIARITY, PATRICK PETERSON CLEANING * 07/22/19 BLACK & JONES 740 19WC 32991 DOMINGUEZ, VIRGINIA CURTIS METAL FINISHING * 10/21/19 BLACK & JONES 741 19WC 33032 RODRIGUEZ, JULLIAN ANDROID INDUSTRIES * 10/28/19 KATZ FRIEDMAN EISENSTEIN 742 19WC 33150 LAWYER, CHAIRDIE ROCKFORD MASS TRANSIT DIS * 08/08/19 FRANKS, GERKIN & MCKENNA P 743 19WC 33159 NEWBLE, MARCUS PACCAR PARTS 07/23/19 DERANGO & CAIN BRADY CONNOLLY & MASUDA PC 744 19WC 33343 HESHELMAN, ERICA MERCYHEALTH PAIN CENTER * 11/13/17 KATZ FRIEDMAN EISENSTEIN 745 19WC 33387 KUIPER, ANNACELIA MARIE SEDONA STAFFING SERVICE * 11/13/19 DAVID W MARTAY 746 19WC 33452 SCOTT, JANICE SNAK KING * 09/24/18 DWORKIN AND MACIARIELLO GOLDBERG SEGALLA LLC 747 19WC 33553 GEMPLER, SHAWN HUGHES RESOURCES * 08/16/19 BLACK & JONES SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 748 19WC 33556 BLAKE, MICHAEL STAFF ON SITE * 10/25/19 BLACK & JONES 749 19WC 33560 SHALE, TARA MERCYHEALTH AT HOME * 06/26/19 BLACK & JONES 750 19WC 33589 SEVILLA, CATALINA GUERILLA GRAFFIX * 10/29/19 GESMER & REYNOLDS PC 751 19WC 33746 UNDERWOOD, DALE ANDERSON PLUMBING HEATING * 09/03/19 DWORKIN AND MACIARIELLO 752 19WC 33967 ARREQUIN, VERONICA PCI PHARMA SERVICES * 11/08/18 BLACK & JONES 753 19WC 33977 CARTER, ERICA TH FOODS * 06/18/19 BLACK & JONES 754 19WC 34029 ROBINSON, GABRIEL D ROCKFORD PARK DISTRICT * 10/08/19 TUITE LAW 755 19WC 34092 SMITH, PAUL C WOODWARD GOVERNOR * 02/06/19 REESE & REESE 756 19WC 34149 AMEZQUITA, MARIA YANFENG US AUTOMOTIVE INT * 11/01/19 SALGADO, DAVID L 757 19WC 34178 ADKINS, TAMMY PINNACLE LOGISTICS * 03/15/18 DOUGLAS RALLO PC 758 19WC 34296 MICHELS, PETER W SUB SOURCE INC * 09/04/17 TUITE LAW 759 19WC 34394 DAVIDSON, KEVIN FCA US LLC * 10/22/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 760 19WC 34509 KLUESNER, CHELSEA FCA US LLC * 08/19/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 761 19WC 34590 SLUCE, FRANK ROCKFORD PROCESS CONTROL * 11/11/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 762 19WC 34640 FOSTER, HAROLD URBAN EQUITY PROPERTIES * 04/23/19 COSTA IVONE LLC 763 19WC 34705 LEWIS, RAYMON C MID-STATES SCREW CORP * 10/16/19 TUITE LAW WIEDNER & MCAULIFFE LTD 764 19WC 34932 SANDERS, ADAM THE CALDWELL GROUP * 06/07/19 DWORKIN AND MACIARIELLO 765 19WC 34999 NICHOL, SHANNON FCA US LLC * 07/24/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 766 19WC 35142 TAYLOR, DAWN CHICAGOLAND MEDICAL BILLI * 11/11/19 GESMER & REYNOLDS PC 767 19WC 35239 SEWELL, BRENDA L TRUE BLUE A/K/A * 07/24/19 JOHN J CASTANEDA 768 19WC 35381 STAMPER, CHARLES AUTO TRUCK TRANSPORTATION * 07/02/19 DWORKIN AND MACIARIELLO 769 19WC 35385 WILLIAMS, TIFFANI MILESTONE * 10/07/19 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 770 19WC 35470 MAPLES, JOSEPH L FCA US LLC * 11/20/19 TUITE LAW WIEDNER & MCAULIFFE LTD 771 19WC 35478 MERSON, JOHN JTL CARRIERS LLC * 11/12/19 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 772 19WC 35529 HILLHOUSE, AUSTIN SHERWIN WILLIAMS * 11/18/19 GESMER & REYNOLDS PC 773 19WC 35593 ERICKSON, JASON CORPRO SCREENTECH 07/16/19 BLACK & JONES LAWRENCE COZZI - LAW OFFICE 774 19WC 35597 NEFF, JON MANITO TRANSIT * 10/22/19 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 775 19WC 35640 BARTLETT, BRANDI N FCA US LLC * 10/11/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 776 19WC 35654 JULIANO, TOVIA UNITED PIPE & STEEL CORP * 05/01/19 BLACK & JONES 777 19WC 35920 PERRY, ALAN E.D. ETNYRE 11/07/19 PIGNATELLI & ASSOCIATES CLARK FROST 778 19WC 35958 HILSON, HOPE EASTERSEALS ACADEMY * 01/17/19 BLACK & JONES 779 19WC 35961 EVERETT, LEVONTI ROCKFORD TOOL CRAFT * 04/10/19 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 780 19WC 35992 RICE, SCOTT PETRO TECH HAULING * 11/16/19 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 781 19WC 36067 THUROW, EMILY MCDONALD'S * 10/11/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 782 19WC 36111 GREGG, KEVIN J BOSEMAN ENTERPRISES * 11/08/17 CULLEN HASKINS NICHOLSON 783 19WC 36278 DEROSIN, BETTY STRATOSPHERE QUALITY * 11/15/19 GESMER & REYNOLDS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 784 19WC 36500 ANDERSON, REBECCA M BLAIN SUPPLY INC D/B/A FA * 08/24/19 TUITE LAW 785 19WC 36637 CAMBLE, ALIZE DOLLAR GENERAL * 10/27/19 NO ATTORNEY LEAHY EISENBERG & FRAENKEL 786 19WC 36913 VEGA, CYNTHIA EASTER SEALS * 09/01/19 BLACK & JONES 787 19WC 36969 RUVOLO, MICHAEL J JR STATE OF ILLINOIS * 10/20/16 TUITE LAW 788 19WC 37051 FREEMAN, DARRELL D ROCKFORD PUBLIC SCHOOL DT * 10/28/19 MARKS INJURY LAW WIEDNER & MCAULIFFE LTD 789 19WC 37092 CURATOLA, JAMIE GENERATIONS AT NEIGHBORS * 02/03/18 PIGNATELLI & ASSOCIATES WOLF & LAUDICINA LTD 790 19WC 37117 LINDON, ANNMARIE C ROCKFORD UNIVERSITY * 02/03/19 TUITE LAW NOBLE & ASSOC 791 19WC 37390 PHILBEE, ANGELA ROCKFORD BOARD OF EDUCATI * 12/10/19 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 792 19WC 37401 COLTER, HOWARD MID STATES CONCRETE * 10/30/19 BLACK & JONES ACCIDENT FUND HOLDINGS 793 19WC 37407 SCHOENROCK, MICHAEL METRO STAFFING 11/26/19 BLACK & JONES 794 19WC 37409 FISK, ASHLEY MERCY HEALTH * 12/09/19 BLACK & JONES 795 19WC 37410 GIBSON, PEGGY MENARDS 07/31/19 BLACK & JONES 796 20WC 00049 RACKOW, LARRY WADDAM TOWNSHIP * 02/10/17 BRADY CONNOLLY & MASUDA PC 797 20WC 00119 MISCHEN, MICHAEL MIDWEST CONVERTERS * 09/01/18 BLACK & JONES ACCIDENT FUND HOLDINGS 798 20WC 00121 DUSAVAGE, JEFFREY AUTOZONE AUTO PARTS 06/19/19 BLACK & JONES GILDEA, COGHLAN & REGAN LTD. 799 20WC 00170 MALONE, WENDY GUNITE CORP * 04/03/19 RUSIN & MACIOROWSKI LTD 800 20WC 00249 SCHNEIDER, MICHAEL CITY OF ROCKFORD * 03/01/19 HEYL ROYSTER VOELKER & ALLEN 801 20WC 00424 TELL, MICHAEL ROCKFORD PARK DISTRICT * 07/18/19 SKLARE LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 802 20WC 00514 JONES, ARCHIE D OFFICE SYSTMS INSTALLATIO * 09/19/19 GESMER & REYNOLDS PC 803 20WC 00548 RIVERA, DAVID-MATEO A NORTHWEST PALLET SERVICES * 12/02/19 TUITE LAW 804 20WC 00716 WEDIG, FEDERICK CITY OF FREEPORT * 11/01/18 RUSIN & MACIOROWSKI LTD 805 20WC 00754 DRYE, CATHERINE L WINNEBAGO COUNTY SHERIFFS * 12/10/19 REESE & REESE 806 20WC 00802 SAMPLE, ALEXIS R PHELPS PET PRODUCTS, LLC * 12/19/19 TUITE LAW GRIFFIN, LORETTA M LAW OFFIC 807 20WC 00818 YANEZ, MELESIO WINNEBAGO FOUNDRY * 12/05/19 GESMER & REYNOLDS PC 808 20WC 00839 NELSON, KAREN FLYING J TRAVEL CENTER * 08/21/19 BLACK & JONES 809 20WC 00849 VANDIVER, JESSICA L ADDUS HEALTHCARE, INC * 11/21/19 TUITE LAW 810 20WC 00874 BORHART, JOANN PEARL CITY ELEVATOR * 02/14/18 CAPUANI, FRANK S 811 20WC 00976 TREICHLER, JENNIFER E WESLEY WILLOWS CORPORATIO * 05/30/19 TUITE LAW 812 20WC 01140 PROA, MARLINE SIFFRON * 07/27/19 DWORKIN AND MACIARIELLO 813 20WC 01155 GORSLINE, JOANN MERCY HEALTH HSPTL RIVERS * 08/17/18 STONE & MAYA PC 814 20WC 01191 ROMEY, MATTHEW IL DEPT OF TRANSPORTATION * 05/30/19 BLACK & JONES ASSISTANT ATTORNEY GENERAL 815 20WC 01195 CENTENO, J GONZALO J & M PLATING, INC. * 03/16/19 HOLECEK & ASSOCIATES 816 20WC 01297 ROWE, MARK COMED * 11/12/19 GESMER & REYNOLDS PC NYHAN BAMBRICK KINZIE & LOWR 817 20WC 01524 SZYMANSKI, KATELYN ESTWING MANUFACTURING CO * 09/19/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 818 20WC 01638 TRUNINGER, RON GE AVIATION * 08/07/19 GESMER & REYNOLDS PC 819 20WC 01785 NOBLE, TANYA FCA US LLC * 08/14/18 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 820 20WC 01970 WESTENDORF, LARRY D DIAL MACHINE, INC. * 05/07/18 JOSEPH MARCINIAK 821 20WC 02082 NELSON, KYLE LOVES TRAVEL STOPS * 12/11/19 GESMER & REYNOLDS PC 822 20WC 02150 AUSLER, CHARLES SYNCREON * 09/26/19 KATZ FRIEDMAN EISENSTEIN 823 20WC 02235 ASH, BRAVERIE PIZZA HUT * 01/12/20 DWORKIN AND MACIARIELLO 824 20WC 02312 PRIMES, PATRICIA COMMUNITY CARE SYSTEMS, I * 07/31/19 MARK BRYNTESON 825 20WC 02549 KELLY, ROBB AREA ERECTORS, INC * 12/13/18 ACCIDENT FUND HOLDINGS 826 20WC 02642 HERNANDEZ, PETER FASMART * 01/14/20 DWORKIN AND MACIARIELLO 827 20WC 02685 LANKINEN, KEVIN CHICAGO BLACKHAWKS * 10/10/19 WOLFE LAW PC 828 20WC 02757 ANDREWS, BRADLEY INGERSOLL CUTTING TOOL CO * 02/05/19 HOLECEK & ASSOCIATES 829 20WC 02835 WALTERS, KENT HOLLAND * 08/11/18 ERIC H CHECK, LAW OFFICES 830 20WC 02972 NOBLE, TANYA FCA US LLC * 03/12/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 831 20WC 03052 PALUMBO, SUSAN PINNACLE LOGISTICS * 08/30/19 DWORKIN AND MACIARIELLO 832 20WC 03120 DELGADO, MIKE WINNEBAGO COUNTY SHERIFFS * 12/04/19 KATZ FRIEDMAN EISENSTEIN 833 20WC 03146 MCDERMOTT, JOSEPH CITY OF BELVIDERE * 08/11/18 GESMER & REYNOLDS PC POWER & CRONIN LTD 834 20WC 03168 BARRIX, RICK GLEASON CORPORATION * 12/05/18 LAWRENCE COZZI - LAW OFFICE 835 20WC 03200 KRULL, KARLA EASTER SEALS * 01/10/20 BLACK & JONES 836 20WC 03203 SANCHEZ, SUSAN NICL LABORATORIES * 01/11/20 BLACK & JONES 837 20WC 03206 WILLIAMS, BRITTANY UPS * 12/20/19 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 838 20WC 03218 RODRIGUEZ, ARMANDO TOM & JERRY'S RESTAURANT * 12/01/19 BLACK & JONES 839 20WC 03234 ZAMORA, GERARDO ANDROID INDUSTRIES * 10/02/19 BLACK & JONES 840 20WC 03237 MONIUSZKO, KIMBERLY FCA US LLC * 01/03/20 BLACK & JONES 841 20WC 03311 ALICEA, SANTOS NOEL VALEN SLIDEMATIC PRECISION * 01/30/20 LEONARD LAW GROUP LLC 842 20WC 03350 JOHNSON, SHANICE CHRYSLER * 11/18/19 DWORKIN AND MACIARIELLO