ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 50823 JOHNSON, JEFF A U.S. SILICA 04/20/02 ANTHONY C RACCUGLIA & ASSO BRYCE DOWNEY & LENKOV LLC 2 05WC 02536 AMERAN, SHALA EXPORT PACKAGING, CO 10/19/04 WIEDNER & MCAULIFFE LTD RUSIN & MACIOROWSKI LTD 3 06WC 40380 19B HELGESON, JOHN MENARDS INC D/B/A MENARDS 05/23/06 PETER F FERRACUTI & ASSOCI CHILTON YAMBERT PORTER LLP 4 07WC 03115 RUBIO, JULIO SPRING CREEK BUILDERS 11/04/05 LOUIS E OLIVERO & ASSOC BRADY CONNOLLY & MASUDA PC 5 07WC 08772 ROMBERG, LINDA MORRIS HOSPITAL 01/02/06 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 6 08WC 14926 CHABROS, ANNETTE WM WRIGLEY JR COMPANY 12/17/07 MINKOW DOMIN GAROFALO SCHREIBER STORM 7 08WC 15936 SIPULA, ANGELA HOLIDY INN EXP/JANKO HOSP 01/27/08 DREW J FERRACUTI WIEDNER & MCAULIFFE LTD 08WC021949 -C 08WC021950 -C 8 08WC 24179 RAMOS, DANIEL AMEX PALLET 05/02/08 RUEDA, IVAN A THOMAS & ASSOCIATES 9 10WC 02418 19B MARQUEZ, JOHN STEINBERG FURNITURE INC 03/28/09 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 10 10WC 08482 SMITH, ELIZABETH MORRIS HOSPITAL 11/22/08 EDWARD M PFISTER LLC GAROFALO SCHREIBER STORM 11 10WC 18236 GARCIA, HILARIA CENTENNIAL SCHOOL DISTRIC 12/11/09 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 12 10WC 20708 USRY, PATRICIA DREYER MEDICAL CLINIC 03/19/09 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 10WC021213 -C 13 10WC 39359 19B REYNOLDS, GARY CARRIAGE HOUSE 10/19/09 PETER F FERRACUTI & ASSOCI HOLECEK & ASSOCIATES 14 11WC 21563 DARM, DAVID US FOOD SERVICE 12/13/10 ANTHONY C RACCUGLIA & ASSO BRADY CONNOLLY & MASUDA PC 15 11WC 24170 CABADA, NICOLAS IMPERIAL MARBLE 04/07/11 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 16 11WC 32025 ESTES, LINDA OWENS ILLINOIS INC 04/07/11 SCHWEICKERT & GANASSIN POWER & CRONIN LTD 12WC028133 -C 13WC005771 -C 17 11WC 32945 FRIIS, CRAIG M LEWIS BROTHERS BAKERIES I 06/28/11 RICHARD O. GREENFIELD POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 11WC 33818 BOSCO, COLLEEN MORRIS HOSPITAL 05/07/11 BERG & BERG GAROFALO SCHREIBER STORM 19 11WC 35437 MURO, JO ANN KAYCEE CLUB OF MENDOTA, I 06/10/11 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 20 11WC 37024 WULF, JOHN P DONALDSON COMPANY INC 06/22/11 GREG TUITE & ASSOC LEAHY EISENBERG & FRAENKEL 21 11WC 41921 JOHNSON, BILLY INFRASOURCE UNDERGROUND 10/19/11 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 22 11WC 43760 PUYEAR, MONICA MONTEREY MUSHROOMS INC 04/19/11 ANTHONY C RACCUGLIA & ASSO BRADY CONNOLLY & MASUDA PC 23 11WC 45764 19B HYSER, JEFF CASSENS TRANSPORT COMPANY 02/15/10 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 24 11WC 48396 NEWCOMER, RAELENE PERU VOLUNTEER AMBULANCE 06/13/11 ANTHONY C RACCUGLIA & ASSO RUSIN & MACIOROWSKI LTD 25 12WC 01062 JOHNSON, ROBERT M MENARDS 03/08/11 RICHARD E ALEKSY RODDY LAW LTD 26 12WC 02690 SARVER, TREVA VERIA KRUG 06/15/11 WILLIAMS MCCARTHY LLP RODDY LAW LTD 12WC002691 -C 27 12WC 08011 KNOBELOCH, GERALD PUBLIC SAFETY SERVICES IN 12/22/11 MEYERS & FLOWERS JAMES M KELLY 28 12WC 08142 SCHEWE, WAYNE FORBO ADHESIVES 02/02/12 TAXMAN POLLOCK SPIEGEL & CAHILL, PC 29 12WC 09126 DAVIS, BUDDY A SURE THING TRUCKING INC 05/12/05 RICHARD E ALEKSY POWER & CRONIN LTD 30 12WC 10848 RUTKOWSKI, TADEUSZ NORTHFIELD BLOCK COMPANY 12/29/11 DONALD M. PHELAN COZZI & GOGGIN-WARD 15WC005350 -C 31 12WC 11198 AGUILAR, TOMAS MENARDS 09/26/11 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 12WC011199 -C 32 12WC 16032 WREN, JAMES MAZON TOWNSHIP 11/11/11 O'CONNOR & NAKOS JAMES M KELLY 12WC016898 -C 12WC018402 -C 33 12WC 18494 IRRA, ENRIQUE NEWLY WEDS FOODS 12/08/11 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 34 12WC 20177 PHILLIPS, AMY M EXELON NUCLEAR 01/23/12 FABRIZIO, HANSON & PEYLA CHILTON YAMBERT & PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 12WC 22195 KNUDSEN, KENT PRINCETON HIGH SCHOOL 11/16/11 ANTHONY C RACCUGLIA & ASSO COZZI & GOGGIN-WARD 36 12WC 23439 RICCOLO, TERRY CAPTAIN'S CONCRETE 05/08/12 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 37 12WC 27110 SANCHEZ, HILARIO SAFE-RITE STAFFING 02/02/12 ANTHONY C RACCUGLIA & ASSO ROSARIO CIBELLA 38 12WC 30894 LONG, LESLIE J EYESITE ILLINOIS VALLEY L 08/08/12 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM 39 12WC 31339 PAGE, BRITTANY A GOODWILL INDUSTRIES 04/21/12 ARMSTRONG & SURIN 40 12WC 32448 RIVERA, EPIFANIA TYSON FOOD INC 02/02/12 ANTHONY C RACCUGLIA & ASSO GANAN & SHAPIRO 41 12WC 32602 SCHOTT, KRAIG SUNRISE HOSPITALITY INC 01/10/12 SCHWEICKERT & GANASSIN 42 12WC 38396 NUNEZ, DANIEL IMPERIAL MARBLE CORP 09/11/12 EPSTEIN, JACK R LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 15WC006326 -C 43 13WC 02538 PALMERIN, JUAN CASTLBERRY CONSTRUCTION 12/13/12 WHITESIDE & GOLDBERG LTD RATHBUN CESERVENYAK KOZOL 44 13WC 08189 WEST, PAUL A IMPERIAL MARBLE 01/10/13 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 45 13WC 11053 MARKOWSKI, PAUL CON-WAY FREIGHTS 03/03/12 GOLDBERG WEISMAN & CAIRO L 46 13WC 14296 WEST, PAUL A IMPERIAL MARBLE 03/13/13 SCHWEICKERT & GANASSIN KNELL & O'CONNOR 47 13WC 15651 DELGADO, SYLVIA WRIGLEY'S 07/25/12 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 14WC040431 -C 48 13WC 15996 VASQUEZ, ROSALINDA TYSON FOODS 10/31/10 MISKELL LAW CENTER GANAN & SHAPIRO 49 13WC 16226 VASQUEZ, ROSALINDA TYSON FOODS 01/21/11 MISKELL LAW CENTER GANAN & SHAPIRO 50 13WC 19054 SOLIS, MIGUEL A OAK STATE PRODUCTS, INC 03/02/13 DREW J FERRACUTI KNELL LAW LLC 13WC019055 -C 51 13WC 24822 RODRIGUEZ, NINFA TMF PLASTIC SOLUTIONS 02/28/13 ALEKSY BELCHER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 52 13WC 28984 VILLALOBOS, ERNESTO A BUREAU COOUNTY HEALTH DEP 08/02/13 HERBOLSHEIMER LANNON ET AL BUSH MOTTO CREEN KOURY 53 13WC 31318 VELA, RICARDO THE AGENCY STAFFING (OTTA 07/23/13 PETER F FERRACUTI & ASSOCI 13WC031305 -C METOKOTE 54 13WC 32134 RIOS, MARIA OAK STATE PRODUCTS, INC 10/29/11 SCHWEICKERT & GANASSIN KNELL LAW LLC 13WC032143 -C 15WC015188 -C 55 13WC 33969 WEAKMAN, MATTHEW ALGONQUIN POWER 09/20/13 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 56 13WC 34348 PENA, ARACELI MONTEREY MUSHROOM INC 11/09/12 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 57 13WC 35699 WILSON, JAMES STARVED ROCK LODGE & 09/18/13 SCHWEICKERT & GANASSIN RIPES NELSON BAGGOT KALOBRAT 58 13WC 36986 BELTZ, MARYBETH IL CENTRAL SCHOOL BUS LLC 04/29/13 DAVID W OLIVERO MACIOROWSKI SACKMANN & ULRIC 59 13WC 39731 OROZCO, MICHELLE ALDI'S 05/22/12 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 60 13WC 39836 HIGGS, WILLIAM R A&R MECHANICAL 01/23/13 HARRIETT LAKERNICK HOLECEK & ASSOCIATES 61 13WC 40673 MYERS, CARLA NATIONAL BANK & TRUST CO 11/12/13 KINNALLY FLAHERTY KRENTZ & HOLECEK & ASSOCIATES 62 13WC 41018 MEYERS, JAMES P CONWAY FREIGHT 11/22/13 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 63 14WC 01380 LANNING, TABITHA WALMART (OTTAWA) 12/19/13 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 64 14WC 01463 CAPARRO, ISMAEL RAVENSWOOD DISPOSAL SERVI 12/11/13 JAUREGUI & ASSOCIATES 65 14WC 02890 TERRAZAS, SIMON ADVANCED DRAINAGE SYSTEMS 01/09/14 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 66 14WC 09057 VAUGHN, DEBBIE MENARDS 01/31/14 MEYERS & FLOWERS RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 14WC 09571 WINDY, SCOTT FAIRMOUNT MINERALS 04/10/13 ANTHONY C RACCUGLIA & ASSO BRADY CONNOLLY & MASUDA PC 68 14WC 09676 JENSEN, VIRGINIA WILLOWCREST NURSING HOME 12/17/12 PERONA, PETERLIN, ANDREONI 14WC009677 -C 69 14WC 15043 SLATER, SCOTT COSTCO WHOLESALE 03/27/14 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 70 14WC 15255 CARBAJAL, ARTEMIO JR MONTEREY MUSHROOM INC 03/05/14 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 71 14WC 15791 MORGANEGG, KRISTEEN VALLEY WEST HOSPITAL 01/13/14 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 72 14WC 17279 WHITE, DEBRA BETTMAN GROUP 03/30/12 DWORKIN AND MACIARIELLO JOHN LEE 73 14WC 18147 RUSSELL, ROBERT EAKAS CORP 06/18/13 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 74 14WC 18425 MARTINEZ, MARIA SEATTLE SUTTON'S 01/09/14 ILLINOIS INJURY LAWYERS RUSIN & MACIOROWSKI LTD 75 14WC 21042 FRAZIER, PAUL G VISSERING CONSTRUCTION CO 11/04/10 WILLIAMS & SWEE CASSANO & ASSOCIATES 76 14WC 21962 SANCHEZ, HILARIO AMERICAN BARE 02/02/12 ANTHONY C RACCUGLIA & ASSO RIPES NELSON BAGGOT KALOBRAT 77 14WC 22100 SCHMOTZER, DELORES HAMPTON INN & SUITES 06/23/14 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 78 14WC 22121 WATSON, WILLIAM UNITED SUPPLIERS, INC 06/09/14 PERONA, PETERLIN, ANDREONI EDWARD JANUSZKIEWICZ 79 14WC 22874 HOLLAND, TARA CIRCLE K 05/26/14 DAVID W OLIVERO KEEFE CAMPBELL & ASSOC LLC 80 14WC 24583 ONSEN, MELISSA GRUNDY COUNTY SHERIFFS DE 06/18/14 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 81 14WC 24640 STOCKWELL, DAWN M YORKVILLE COMMUNITY 02/18/14 DREW J FERRACUTI 82 14WC 25111 WAGNER, VICTORIA HCC INC. 02/03/14 SCHWEICKERT & GANASSIN MACIOROWSKI SACKMANN & ULRIC 83 14WC 25168 BALLAS, JOHN MENARD INC 11/26/12 DAVID W OLIVERO RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 84 14WC 25277 CHAMBERLAIN, MARIAN CLIFFORD W ESTES CO 02/20/14 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 85 14WC 26737 SAECHAO, MUANG ORN MONTEREY MUSHROOMS, INC. 07/11/14 PERONA, PETERLIN, ANDREONI 14WC026738 -C 14WC026739 -C 14WC026740 -C 86 14WC 28021 CRAVENS, CHRISTOPHER SPACEMARK INC 01/01/12 WOODRUFF & JOHNSON 87 14WC 28076 BLATTI, ROBERT GRAINCO FS INCORPORATED 07/16/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 88 14WC 28481 REGAL, TINA ASHTON FRANKLIN CENTER SC 12/08/12 GESMER LAW OFFICES, PC 89 14WC 29119 BRADLEY, THOMAS E NORTHFIELD, AN OLD CASTLE 07/26/14 ANESI OZMON RODIN NOVAK KO COZZI & GOGGIN-WARD 90 14WC 29473 VANPELT, RAY WJ STONE ACE HARDWARE INC 06/27/12 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 91 14WC 33309 IVERSON, KATHLEEN OSF ST ELIZABETH MEDICAL 04/01/12 ANTHONY C RACCUGLIA & ASSO HERBOLSHEIMER LANNON ET AL 14WC033310 -C 92 14WC 33488 EWING, BRIAN MARTIN EQUIPMENT OF IL IN 07/22/14 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 14WC033522 -C 93 14WC 33943 FLODSTROM, JENNIFER JEWEL FOOD STORES/ NEW 08/23/14 RUBIN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 94 14WC 34082 WEIKLE, RICHARD COSTCO WHOLESALE 08/06/14 RIDGE & DOWNES GANAN & SHAPIRO 95 14WC 34546 MOUNCE, JASON STERTIL ALM CORP 09/17/14 SCHWEICKERT & GANASSIN ACCIDENT FUND HOLDINGS 96 14WC 35189 CAMACHO, EMILIO FRANK BRAY 08/14/14 BERTRAND LAW OFFICE 97 14WC 35371 BURCIAGA, GUADALUPE MENARDS 04/25/13 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 98 14WC 36992 19B POWER, ROBIN MENNIE MACHINE 07/14/14 DAVID W OLIVERO HEYL ROYSTER VOELKER & ALLEN 99 14WC 37119 BATTISTELLI, GARY FAIRMOUNT MINERALS- 09/29/12 SEIGLER, DARRELL K LTD BRADY CONNOLLY & MASUDA PC 100 14WC 38283 ORTIZ, PONCIANO WRIGLEY 02/27/13 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 14WC 39241 COFOID, MANDI J JAMES HARDIE BUILDING 08/26/14 DAVID W OLIVERO LITCHFIELD CAVO 102 14WC 39982 SCHAEFFER, MARK CUSTOM MACHINE, INC. 02/10/14 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 103 14WC 40049 SAEPHAN, CHAN WERN MONTEREY MUSHROOMS INC 09/19/14 PERONA, PETERLIN, ANDREONI BRADY CONNOLLY & MASUDA PC 104 14WC 40609 SETSER, DIANNA OFFICE MAX INC 06/05/14 SCHWEICKERT & GANASSIN KNELL & O'CONNOR 105 14WC 41381 MARSHALL, ALBERT W HB FULLER CO 08/20/14 DREW J FERRACUTI RUSIN & MACIOROWSKI LTD 106 14WC 41401 GONZALEZ, JUAN MENARDS PLANO 10/22/14 MEYERS & FLOWERS 107 14WC 41973 PENOYER, MELISSA DSI CORPORATION 11/23/14 PETER F FERRACUTI & ASSOCI HEYL ROYSTER VOELKER & ALLEN 108 14WC 43014 ANDERSON, DAVID R ST US SILICA 08/05/14 ELFENBAUM EVERS & AMARILIO KNELL LAW LLC 109 14WC 43160 TOOLEY, TONY E OWENS-BROCKWY GLASS CONTA 12/03/14 DREW J FERRACUTI POWER & CRONIN LTD 110 14WC 43698 LUDWICK, JOHNNY UPM RAFLATAC INC 05/21/14 JAMES G AHLBERG GAROFALO SCHREIBER STORM 111 15WC 01366 VIGNALI, MICHAEL E CARDINAL LOGISTICS 07/21/14 MARTIN V KUGIA SPIEGEL & CAHILL, PC 15WC001367 -C 15WC001368 -C 112 15WC 01891 DAVIS, LILLIAN BLAIN'S FARM & FLEET INC 10/15/14 SCHWEICKERT & GANASSIN RIPES NELSON BAGGOT KALOBRAT 15WC002145 -C 113 15WC 02185 CAZARES, DORA ELSA WRIGLEY MANUFACTORING 04/03/13 OSVALDO RODRIGUEZ PC GAROFALO SCHREIBER STORM 114 15WC 02704 BROCKMAN, KATHY BERLIN PACKAGING CORP 01/20/14 SCHWEICKERT & GANASSIN 115 15WC 04913 MUSICH, BRENDA LELAND CUSD #1 11/24/14 GOLDBERG WEISMAN & CAIRO L 116 15WC 06671 ENGEL, STEPHANIE DOLLAR GENERAL 02/02/15 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 15WC006674 -C 117 15WC 07329 GOTT, MONICA DIVERSI FOAM PRODUCTS INC 02/10/15 SCHWEICKERT & GANASSIN LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 15WC 07373 KENDALL, DAVID FLINK COMPANY 02/03/15 STROW LAW LLC RIPES NELSON BAGGOT KALOBRAT 119 15WC 07597 BEARD, TRISHA ANDERSON MERCHANDISERS LL 06/03/14 REESE & REESE HENNESSY & ROACH PC 16WC017199 -C ACOSTA SALES & MARKETING 120 15WC 08506 KOCH, KATHY AMERICAN RED CROSS 02/03/15 LAW OFFICE OF CHRIS DOSCOT POWER & CRONIN LTD 121 15WC 12378 HAMPTON, SHELLEY HCC INC 06/26/14 MARTIN V KUGIA MACIOROWSKI SACKMANN & ULRIC 122 15WC 12468 CERVANTEZ, LETICIA R SINNISSIPPI CENTERS 08/08/14 REESE & REESE HOLECEK & ASSOCIATES 123 15WC 14385 IQBAL, TAHIR SCRIPTFLEET, INC 03/21/15 DREW J FERRACUTI SCOPELITIS GARVIN LIGHT 124 15WC 14403 FARNETI, ALAN AMERICAN NICKELOID CO 03/31/15 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 15WC033791 -C 125 15WC 14414 DILLER, DUANE SPRING-GREEN 04/17/15 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 126 15WC 15697 REYES, SERGIO NEWLY WEDS FOODS, INC 01/13/15 DAVID W OLIVERO GAROFALO SCHREIBER STORM 127 15WC 16041 DECKER, GERALD BOB'S BARGAIN BARN 02/11/15 PETER F FERRACUTI & ASSOCI 128 15WC 16293 MILLER, TRACY H G PRESLEY INSURANCE AGENC 02/26/15 PIGNATELLI & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 129 15WC 19842 RODRIGUEZ, CARMEN ILLINOIS VALLEYFOOD & DEL 03/30/15 PERONA, PETERLIN, ANDREONI KOPKA, PINKUS & DOLIN, PC 130 15WC 20787 PETERSON, KELLY EXELON NUCLEAR SECURITY 05/03/15 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 131 15WC 23565 MALY, DENISE HCC INC 03/24/14 SCHWEICKERT & GANASSIN MACIOROWSKI SACKMANN & ULRIC 132 15WC 24728 OLSZEWSKI, MARK VILLAGE OF DEPUE 07/05/15 STRONG LAW OFFICE RODDY LAW LTD 15WC024729 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 133 15WC 25398 MIX, TRACY IL DEPT OF TRANSPORTATION @ 02/12/15 BOWMAN & CORDAY ASSISTANT ATTORNEY GENERAL 134 15WC 25787 GOMEZ, STACIE DSI CORP 07/02/15 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 15WC025789 -C 135 15WC 26394 FELLERS, ROGER WAL-MART SUPERCENTER 05/05/14 SCHWEICKERT & GANASSIN 136 15WC 27229 RODRIGUEZ, TONYA SUBWAY INC 07/27/15 SCHWEICKERT & GANASSIN LAW OFFICES JOSEPH MARCINIAK 137 15WC 27280 JANKO, CHANPIDOR LASALLE VETERAN'S HOME-LA @ 06/12/15 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 138 15WC 27422 SMITH, JOANN COMMUNITY CARE SYSTEMS 09/10/14 PORRO NIERMANN LAW GROUP LIVINGSTONE MUELLER ET AL 139 15WC 27702 MORALES, ELIDA HCC, INC. 05/21/15 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 140 15WC 27732 STRACK, DEAN HCC INC 08/18/15 SCHWEICKERT & GANASSIN MACIOROWSKI SACKMANN & ULRIC 141 15WC 27816 STOCKDALE, TAMARA L. STATE OF ILLINOIS, JACK M 11/02/14 REESE & REESE MATTHEW J KELLER 142 15WC 27926 DUMA, WILLIAM JACK MABLY DEVELOPMENTAL 02/06/15 THOMPSON, ROBERT J ASSISTANT ATTORNEY GENERAL 143 15WC 28237 BOLECH, KAREN OAK STATE PRODUCTS, INC. 06/28/14 ANTHONY C RACCUGLIA & ASSO KNELL LAW LLC 144 15WC 28760 HARRIS, ANNETTE JEWEL FOOD STORES 03/07/15 O'CONNOR & NAKOS 145 15WC 29447 LYLE, THOMAS A FAIRMOUNT MINERALS 02/02/14 BRASSFIELD KRUEGER & RAMLO BRADY CONNOLLY & MASUDA PC 146 15WC 29892 PANTOJA, RICARDO THE CEDAR MILL INC 07/24/15 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 147 15WC 30127 CORBIN, KRISTIE CENTENNIEL ELEMENTARY SCH 01/26/15 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 148 15WC 30624 LEIGH, LIBBY LIGHTED WAY ASSOCIATION, 10/30/14 DAVID W OLIVERO GANAN & SHAPIRO 149 15WC 32038 JOHNSON, TIFFANY C KISH HEALTH SYSTEMS 05/24/15 WILLIAMS, ROBERT B LAW OFF 15WC032039 -C 150 15WC 32096 PISANO, BEVERLY THE HOME DEPOT 04/09/15 MEYERS & FLOWERS ADELSON TESTAN & BRUNDO 151 15WC 33573 SHOFNER, SANDRA ACE HARDWARE DISTRIBUTION 06/01/15 HARVEY & STUCKEL KLAUKE LAW GROUP LLC 152 15WC 33651 JASON, CHRISTOPHER US FOOD INC. 09/16/15 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 153 15WC 34340 WITZLEB, PEGGY S VITAS HEALTHCARE CORP 07/27/15 GREG TUITE & ASSOC KELLEY KRONENBERG 154 15WC 34843 ROGERS, DENISE ILLINOIS CENTRAL SCHOOL B 10/19/15 MISKELL LAW CENTER MACIOROWSKI SACKMANN & ULRIC 155 15WC 34913 ROBERTSON, CATHLEEN CON AGRA FOODS INC. 03/13/15 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 15WC034919 -C 15WC034930 -C 156 15WC 34946 BRADSHAW, PARKER BOY SCOUTS OF AMERICA 06/21/15 THE HOPSON FIRM PC NYHAN BAMBRICK KINZIE & LOWR 157 15WC 35195 RODRIQUEZ, ZANETA MENARD INC. 10/16/15 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 158 15WC 35866 SMRZ, PAMELA EXELON NUCLEAR 05/08/12 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 15WC035886 -C 15WC036123 -C 159 15WC 36352 STRAGAND, MICHELLE LASALLE VETERAN'S HOME @ 09/21/15 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 160 15WC 36459 WILKE, MICHAEL FLINT HILLS RESOURCES 08/05/15 PERONA, PETERLIN, ANDREONI MC ANDREWS & NORGLE LLC 15WC036460 -C 161 15WC 36589 AUSTIN, PATRICIA HELP AT HOME, INC. 09/01/15 PIGNATELLI & ASSOCIATES LITCHFIELD CAVO 162 15WC 37642 ROADHOUSE, SANDY HERITAGE WOODS 09/01/15 WOODRUFF & JOHNSON POWER & CRONIN LTD 163 15WC 38482 BROWN, ANNA TACO BELL CORP 10/23/15 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 164 15WC 38676 YORK, JERRY U.S. TRUCK BODY 04/02/15 DAVID W OLIVERO NYHAN BAMBRICK KINZIE & LOWR 165 15WC 39492 ELLSOOS, TROY MENARDS 10/22/14 MEYERS & FLOWERS RODDY LAW LTD 166 15WC 39525 BISGROVE, JIMMY TRADESMEN INTERNATIONAL 10/14/15 RODDY LAW LTD 167 15WC 39656 EGAN, PHIL XOP LOGISTICS INC. 11/20/15 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 168 15WC 39883 WEBSTER, EDWARD FLINK COMPANY 02/03/15 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 169 15WC 39992 MAGUIRE, DAWN WALLACE SCHOOL DISTRICT 1 04/07/15 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 170 15WC 41802 HALFACRE, WILLIAM DIXON CORRECTIONAL CENTER @ 06/18/14 MERTES & MERTES PC ASSISTANT ATTORNEY GENERAL 171 15WC 42609 19B LAUSTER, THOMAS WALMART SUPERCENTER 09/07/14 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 172 16WC 00443 BILL, CLIFFORD JOHANNES BUS SERVICE 11/14/15 PETER F FERRACUTI & ASSOCI JAMES M KELLY 173 16WC 00468 CASPER, TROY FAGEN INC. 12/16/15 BELCHER LAW OFFICE GRANT & FANNING 174 16WC 00588 MAVIS, VIRGINIA M IL DEPT OF CORRECTIONS @ 08/03/15 GREG TUITE & ASSOC ASSISTANT ATTORNEY GENERAL 16WC013233 -C STATE OF ILLINOIS, 175 16WC 00740 MCGINNIS, ROSEMARY OSF ST. ELIZABETH MEDICAL 08/22/13 RATHBUN CSEVENYAK & KOZOL 176 16WC 00945 SAGE, MERL STATE OF IL. IDOC 12/26/15 FOOTE MIELKE CHAVEZ & O'NE ASSISTANT ATTORNEY GENERAL 177 16WC 01524 KENT, RICH HCC, INC. 12/15/15 SCHWEICKERT & GANASSIN MACIOROWSKI SACKMANN & ULRIC 16WC003870 -C HCC INC 178 16WC 01725 LOUGH, KENNETH R MARQUIS ENERGY 07/21/13 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 179 16WC 01781 EDWARDS, ROBERT K AT&T INC 11/14/14 GOLDBERG WEISMAN & CAIRO L 180 16WC 01956 WILTS, MARVIN GRASSER'S PLUMBING & HEAT 10/11/13 GANAN & SHAPIRO 181 16WC 02132 HULLINGER, WILLIAM CONSOLIDATED GRAIN & BARG 01/06/16 SCHWEICKERT & GANASSIN CAPUANI & SCHNEIDER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 182 16WC 02956 HIDROGO, VERONICA MONTEREY MUSHROOMS 07/27/15 KALEEL, DAVID M BRADY CONNOLLY & MASUDA PC 183 16WC 03279 KUNKEL, JUSTIN WALMART SPRING VALLEY 08/05/14 MEYERS & FLOWERS QUINTAIROS PRIETO WOOD & BOY 17WC001223 -C 17WC001224 -C 184 16WC 03548 BEGGS, BRIAN JIMMY JOHNS 01/26/16 LAW OFFICE OF SCOTT B SHAP QUINN JOHNSTON HENDERSON ETA 185 16WC 04285 ELLI, VALERIE PLEASANT VIEW LUTHERAN HO 12/30/15 ANTHONY C RACCUGLIA & ASSO 186 16WC 04405 PHILLIPS, CHARLES A MGR FREIGHT SYSTEMS INC 09/18/15 GREGORY T MITCHELL 187 16WC 04587 JOHNSON, DOREEN ILLINOIS VETERANS HOME OF 09/14/15 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 188 16WC 04792 BEGGS, BRIAN JIMMY JOHNS 11/14/15 LAW OFFICE OF SCOTT B SHAP QUINN JOHNSTON HENDERSON ETA 189 16WC 04820 MURPHY, CAROL CREST FOOD INC 02/06/15 SCHWEICKERT & GANASSIN ACCIDENT FUND HOLDINGS 190 16WC 04945 LANDRUM, JOHN III INVENERGY 09/04/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 191 16WC 05098 FRIES, MICHAEL MONDELEZ GLOBAL LLC 01/26/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 192 16WC 05266 BARICHELLO, DEBBIE SUZIS VI LLC 10/23/15 SCHWEICKERT & GANASSIN BUSH MOTTO CREEN KOURY 193 16WC 05554 ROSE, SANDRA PRINCETON SCHOOL DIST #11 01/19/16 SCHWEICKERT & GANASSIN 194 16WC 05686 CHAMPION, DEBBIE WALMART SUPERCENTER 12/08/15 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 195 16WC 06594 STUEDEMANN, DOUGLAS LYONDELL BASELL 01/18/16 PETER F FERRACUTI & ASSOCI BRADY CONNOLLY & MASUDA PC 196 16WC 08254 BARON, DALE E CASSENS TRANSPORT 01/12/16 ALAN A BLUM, PC KNAPP, OHL & GREEN 197 16WC 08393 WILLIAMS, ROY A SRU ELECTRIC INC 08/13/15 BERTRAND LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 198 16WC 08507 WEEKS, CHRIS A DIXON HOTEL GROUP 11/21/15 TUITE LAW INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 199 16WC 08602 MATHIS, BRADLEY W PLANO SYNERGY 02/24/16 GOLDBERG WEISMAN & CAIRO L 200 16WC 08688 MORINA, FIDAN MENARDS 04/01/13 PORRO NIERMANN LAW GROUP RODDY LAW LTD 16WC008689 -C 201 16WC 08765 STEWART, KURT MIDWEST M & D SERVICES IN 09/17/15 PIGNATELLI & ASSOCIATES RUSIN & MACIOROWSKI LTD 202 16WC 09413 CHALKEY, NOEMI STREATOR ELEMENTARY SCHOO 03/08/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 203 16WC 10914 BOULT, STEVE KALUZNY BROTHERS INC. 09/15/14 HORWITZ HORWITZ & ASSOC 204 16WC 10953 LOWE, DIANE CASEY'S GENERAL STORES, I 10/30/15 PETER D CORTI LAW GROUP RODDY LAW LTD 205 16WC 11383 WING, ADAM BLAIN'S FARM & FLEET 03/11/16 PETER F FERRACUTI & ASSOCI WOLFE & JACOBSON, LTD 206 16WC 11771 WILKENS, MICHAEL OAK STATE PRODUCTS INC 12/08/15 SCHWEICKERT & GANASSIN KNELL LAW LLC 207 16WC 11816 HEATON, DANINE CASEYS GENERAL STORE #131 02/29/16 BERTRAND LAW OFFICE 208 16WC 12106 CRADDOCK, DENNIS J USIC LOCATING SERVICES 03/24/16 TURNER & SACKETT LLC MCANANY VANCLEVE & PHILLIPS 209 16WC 13210 WEIKUM, WILLIAM D KEN'S BEVERAGE INC. 03/31/14 MISKELL LAW CENTER GRANT & FANNING 210 16WC 13413 GARCIA, EVA WALMSRT 04/11/16 PAUL LUKA PC QUINTAIROS PRIETO WOOD & BOY 211 16WC 13715 PAISLEY, HARMON IMPERIAL MARBLE CORPORATI 11/11/15 DREW J FERRACUTI WIEDNER & MCAULIFFE LTD 212 16WC 13784 BONE, MICHAEL GAMESA WIND GSQ WIND FARM 04/11/16 DWORKIN AND MACIARIELLO THOMAS & PORTELA 213 16WC 14085 LOWE, KURT PRICE GREGORY INT. INC. 08/07/15 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 214 16WC 14602 IBARRA, ANTONIA NEWLY WEDS FOODS INC 05/29/15 HERRERA LAW CENTER WOLFE & JACOBSON, LTD 215 16WC 14840 STASKO, THOMAS C. SCOOT'S AUTO 10/09/14 DREW J FERRACUTI GANAN & SHAPIRO 216 16WC 15479 SMITH, MICHAEL G P R WALKER INC 02/23/16 MARK G BERGAL LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 217 16WC 16466 GERDING, JEANNE STARVED ROCK LODGE & CONF 04/19/15 BERTRAND LAW OFFICE 218 16WC 17018 FULLER, CARL W SR ST OF IL/DIXON CORRECTION @ 04/19/16 PETER F FERRACUTI & ASSOCI MATTHEW J KELLER 219 16WC 17339 RIOS, MARIA OAK STATE PRODUCTS INC 11/05/15 SCHWEICKERT & GANASSIN KNELL LAW LLC 16WC017405 -C 16WC017409 -C 220 16WC 17379 EGGERS-BRADY, PATRICIA A BUREAU PUTNAM AREA RURAL 10/26/15 PETER F FERRACUTI & ASSOCI GALLIANI DOELL & COZZI LTD 221 16WC 18299 BROWER, RICHARD VEOLIA 11/05/15 ACEVES & PEREZ PC INMAN & FITZGIBBONS 222 16WC 20314 HELTON, BRANDON TRI-CON MATERIALS INC 06/07/16 PERONA, PETERLIN, ANDREONI HEYL ROYSTER VOELKER & ALLEN 223 16WC 20458 CERVANTES, JUAN MENARDS 04/28/16 STEVEN A CRIFASE, LTD 224 16WC 20798 HERNANDES, JAVIER CAPSTONE LOGISTIC INDIVID 06/13/16 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 16WC032681 -C 225 16WC 21435 JOHNSON, CHRISTOPHER US FOODS, INC. 04/27/16 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 226 16WC 21516 HALL, VICKI ACCURATE HOME CARE HOLDIN 01/15/16 SCHWEICKERT & GANASSIN RODDY LAW LTD 227 16WC 21611 SEVILLA, ISABELLA M. COMPUCOM SYSTEMS, INC. 03/02/16 FRIEND LEVINSON & BERGAL HOLECEK & ASSOCIATES 228 16WC 21647 BUCH, RHONDA HELP AT HOME INC 06/06/16 PIGNATELLI & ASSOCIATES 229 16WC 22009 DEETS, JAMES RAYNOR GARAGE DOORS 06/06/16 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES JOSEPH MARCINIAK 230 16WC 22124 DEZARN, JAMES LONE STAR-CARDINAL MOTORC 05/08/16 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 231 16WC 22447 PERALTA, GINA R AURORA SPECIALTY TEXTILES 06/16/16 TUITE LAW GAROFALO SCHREIBER STORM 16WC022562 -C 232 16WC 22934 REYES, NORA FOX VALLEY MOLDING 04/19/16 WOODRUFF & JOHNSON 233 16WC 22963 BUCKLEY, KEVIN NORTHERN ILLINOIS FOOD BA 06/27/16 KINNALLY FLAHERTY KRENTZ & NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 234 16WC 23434 BUGIVNE, FERN IMERIS BIG APPLE INC 10/23/15 SCHWEICKERT & GANASSIN ROSARIO CIBELLA 235 16WC 24215 BREYNE, SARAH WAL-MART DISTRIBUTION CTR 05/09/16 PETER F FERRACUTI & ASSOCI QUINTAIROS PRIETO WOOD & BOY 236 16WC 24550 AIMONE, DEBORAH HALLMARK MARKETING CO, LL 03/17/16 SCHWEICKERT & GANASSIN INMAN & FITZGIBBONS 237 16WC 24580 ALMANZA, OLIVERIO OAK STATE PRODUCTS 10/12/15 DREW J FERRACUTI KNELL LAW LLC 238 16WC 25399 CARLSON, GARY PLANO SCHOOL DISTRICT 88 08/01/16 KATZ FRIEDMAN EAGLE ET AL 239 16WC 26055 PARRA SALINAS, MARINA ADM ANTIOCH TIRE D/B/A # 08/01/16 MEYERS & FLOWERS 240 16WC 26092 FINK, JAMES FLINK COMPANY 02/03/15 PETER F FERRACUTI & ASSOCI 241 16WC 26135 RYAN, MOLLY SOI-DIXON CORRECTIONAL CT @ 07/05/16 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 242 16WC 26550 BIBBY, MICHAEL KOHL'S DISTRIBUTION 04/15/15 MISKELL LAW CENTER CHILTON YAMBERT PORTER LLP 243 16WC 26686 WOJCIECHOWSKI, CHERYL MENARDS DISTRIBUTION CENT 06/06/16 TURNER & SACKETT LLC RODDY LAW LTD 244 16WC 27652 TLACH, PETR MENARDS DISTRIBUTION CENT 02/06/15 PORRO NIERMANN LAW GROUP 245 16WC 27861 GERKITZ, DAVID FLINK COMPANY 02/01/16 HORWITZ HORWITZ & ASSOC 246 16WC 27892 PRUITTE, KENDRICK THE RESULTS CO 08/18/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 247 16WC 28272 PALKO, CHERYL A OWENS-BROCKWAY GLASS CONT 08/08/13 DREW J FERRACUTI POWER & CRONIN LTD 248 16WC 28276 MITCHELL, CHRISTOPHER M COMMUNICATION DATA LINK 03/11/16 DREW J FERRACUTI NYHAN BAMBRICK KINZIE & LOWR 249 16WC 28856 MARTINEZ, RUBEN ACQUA CORPORATION 07/28/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 250 16WC 29003 BREYNE, SARAH WAL MART DISTRIBUTION CEN 09/17/16 PETER F FERRACUTI & ASSOCI QUINTAIROS PRIETO WOOD & BOY 251 16WC 29078 BIERWIRTH, KATHY S HORIZON HOUSE OF ILL VALL 08/14/16 GEARHART, GARY L & ASSOCS HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 252 16WC 29222 CARLOS, MAYRA EAKAS CORPORATION 08/15/16 PERONA, PETERLIN, ANDREONI 253 16WC 29589 FRANTZEN, BRUCE PEPSICO 08/12/16 WOODRUFF & JOHNSON BRYCE DOWNEY & LENKOV LLC 254 16WC 30612 GARNER, JAMES MENARDS 05/26/16 DWORKIN AND MACIARIELLO RODDY LAW LTD 255 16WC 31066 HEDRICK, JAMES CITY OF WENONA 09/08/14 SCHWEICKERT & GANASSIN RODDY LAW LTD 256 16WC 31526 MANSOUR, GEORGE V SIGAN AMERICA, LLC 08/18/16 DREW J FERRACUTI KEEFE CAMPBELL & ASSOC LLC 257 16WC 31564 WAGNER, VICTORIA EAKAS CORP 08/19/16 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 258 16WC 31591 SANDOVAL, JOSE PETSMART, INC 03/13/16 SCHWEICKERT & GANASSIN 259 16WC 31745 LEHMAN, JEREMY U.S. SILICA 05/11/16 TIMOTHY CANTLIN KNELL LAW LLC 260 16WC 31851 KAY, TRACY SHAFER STAFFING, INC 09/09/16 ROMANEK & ROMANEK ROBERT L. SMITH 261 16WC 31935 THOMPSON, JOSEPH W H MAZE CO DBA 03/30/16 BERTRAND LAW OFFICE ACCIDENT FUND HOLDINGS 262 16WC 32575 CHIMNER, JULIE JEWEL 04/07/16 BRIAN T MORROW, LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 263 16WC 32698 ENRIQUEZ, CYNTHIA JEWEL OSCO 08/22/16 LAW OFFICE JOSHUA KARMEL 264 16WC 32889 BIVENS, JUSTIN KOHL'S DISTRIBUTION CENTE 08/29/16 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 265 16WC 33300 HOCHSTATTER, NEIL D DEL MONTE FOODS, INC 06/11/15 TUITE LAW RODDY LAW LTD 266 16WC 33725 RICHARDSON, TIMOTHY UNYTITE, INC 09/01/16 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 267 16WC 33739 NOYOLA, JUAN C CALIFORNIA MULTIMODAL LLC 10/17/16 CHEPOV & SCOTT LLC RODDY LAW LTD 16WC034142 -C 268 16WC 33940 CEPEDA, ELENA WRIGLEY MANUFACTURING CO 07/29/16 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM 269 16WC 34197 POSTMA, CARLA WEXFORD HEALTH SOURCES, I 07/06/16 ELFENBAUM EVERS & AMARILIO RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 270 16WC 34385 SLAY, DANA DONALDSON CO 10/03/16 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 271 16WC 34558 KIM, CHRISTOPHER H CHICAGO BRIDGE & IRON COM 11/05/16 RUBIN LAW GROUP RIPES NELSON BAGGOT KALOBRAT 272 16WC 34839 PISANO, KYLE DUNHAM'S SPORTS 10/14/16 LAW OFFICES MICHAEL HELLMA RODDY LAW LTD 273 16WC 34964 SCHUMANN, PATRICK C THE RESERVES NETWORK 08/23/16 DREW J FERRACUTI WIEDNER & MCAULIFFE LTD 274 16WC 35709 VAN CLEVE, RANDY SHERWOOD LODGING, LLC D/B 09/28/16 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 275 16WC 35748 MALAND, MARY JO GRUNDY COUNTY 10/17/16 CORTINA & MUELLER ROBERT L. SMITH 276 16WC 35847 RIX, MICHAEL OLD CASTLE, INC., DBA/ 12/15/14 SCHWEICKERT & GANASSIN MCANANY VANCLEVE & PHILLIPS 16WC035868 -C 277 16WC 36005 FUENTES-GUTIERREZ, JOSE UCP-UTILITY CONCRETE PROD 09/20/16 PETER F FERRACUTI & ASSOCI NYHAN BAMBRICK KINZIE & LOWR 278 16WC 36496 PULIDO, ARTURO NEWLY WEDS FOODS 10/04/16 FOOTE MIELKE CHAVEZ & O'NE 279 16WC 36659 BAILEY, RACHEL B STATE OF IL, JACK MABLEY @ 10/22/16 REESE & REESE ASSISTANT ATTORNEY GENERAL 280 16WC 36966 MACKENZIE, BENJAMIN L INFRA METALS 11/08/16 MARTIN V KUGIA POULOS & DIBENEDETTO LAW 281 16WC 37369 SMORON, MICHAEL ILLINOIS CEMENT COMPANY 04/22/14 PERONA, PETERLIN, ANDREONI SPIEGEL & CAHILL, PC 282 16WC 37375 GILMORE, NANCY L SODEXO 11/09/16 BERTRAND LAW OFFICE INMAN & FITZGIBBONS 283 16WC 37688 SMENT, JAMES PRETIUM PACKAGING 11/27/16 PETER F FERRACUTI & ASSOCI BRADY, CONNOLLY & MASUDA, PC 284 16WC 38098 BAKER, ROBERT F, JR FAIRMOUNT SANTROL 10/09/15 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 285 16WC 39389 HAWTON, KENNETH MENARD'S 01/30/15 STRONG LAW OFFICE GANAN & SHAPIRO 286 16WC 39454 CHAMBERS, SHEILA FLIPO GROUP LTD 11/17/15 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 17WC000046 -C 287 17WC 00689 STRAGAND, MICHELLE ST OF IL DEPT OF LA SALLE 12/21/16 WOODRUFF & JOHNSON MATTHEW J KELLER 288 17WC 00733 WOOD, CHARLES J MAURO ATOR TRUCKNG INC 12/17/16 PETER F FERRACUTI & ASSOCI JAMES M KELLY 289 17WC 00960 BEALE, JOYCE SAPP BROS BURGER KING 09/30/16 PETER F FERRACUTI & ASSOCI 290 17WC 01184 SNOW, JERRY R NORTHERN IL STEEL ERECTOR 10/03/16 ANESI OZMON RODIN NOVAK KO 291 17WC 01530 ARANDA, OSCAR CABELLO REHRIG PACIFIC CO 11/22/16 SCHWEICKERT & GANASSIN BRYCE DOWNEY & LENKOV LLC 292 17WC 01780 MOLLN, RYAN J CITY OF PRINCETON 12/02/16 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 293 17WC 01944 DUFFY, BRANDI OSF HEALTHCARE SYSTEM DBA 01/10/16 SCHWEICKERT & GANASSIN HERBOLSHEIMER LANNON ET AL 294 17WC 02103 CALDWELL, CHRIS JEWEL FOOD STORES 12/23/16 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 295 17WC 02129 TORRES, EVANGELINA WRIGLEY 04/12/15 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 296 17WC 02351 REUTER, AMY BUREAU COUNTY SHERIFF DEP 12/05/16 LAW OFFICE OF CHRIS DOSCOT LAW OFFICE PATRICK JENNETTEN 297 17WC 02543 MILLER, JENNIFER BUREAU COUNTY SHERIFF DEP 11/18/15 STRONG LAW OFFICE LAW OFFICE PATRICK JENNETTEN 298 17WC 03322 OLSON, ERIC THOR STATE OF ILLINOIS IDOT @ 11/04/15 MEYERS & FLOWERS 299 17WC 03397 SPOONMORE, TINA MCDONALDS 12/28/16 PERONA, PETERLIN, ANDREONI 300 17WC 03523 QUACO, TIM PLEWS EDELMANN 11/29/16 PIGNATELLI & ASSOCIATES 301 17WC 03946 SMITH, COURTNEE WALGREENS #4042 12/01/15 KINNALLY FLAHERTY KRENTZ & GILDEA & COGHLAN 302 17WC 04030 JURICH, PETER J BLACK HORSE CARRIERS, INC 10/25/16 TAMVAKIS, GEORGE L HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 303 17WC 04164 RUFFNER, BRADLEY UNYTITE, INC 01/27/17 SCHWEICKERT & GANASSIN KEEFE CAMPBELL & ASSOC LLC 304 17WC 04167 HASSLER, JAMES UNITED PARCEL SERVICE 10/26/16 SCHWEICKERT & GANASSIN ASA LAW GROUP 305 17WC 04246 ESCATEL SANCHEZ, HERMELIN MONTEREY MUSHROOMS 02/07/16 ANTHONY C RACCUGLIA & ASSO BRADY CONNOLLY & MASUDA PC 17WC004247 -C 306 17WC 04277 KETCHUM, AMY KREIDER SERVICES 01/28/16 DWORKIN AND MACIARIELLO 307 17WC 04327 RODRIGUEZ, VICTOR HCC INC 05/26/16 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 308 17WC 04862 ZUCHORA, NATHAN GREG THOMPSON CONSTRUCTIO 02/02/17 PETER F FERRACUTI & ASSOCI GILDEA & COGHLAN 309 17WC 05083 MURRAY, BRAD WOODLAND COMMUNITY UNIT 04/10/16 DREW J FERRACUTI THOMAS & PORTELA 310 17WC 05517 SOK, LY MONTEREY MUSHROOMS 12/19/15 ROBIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 311 17WC 05919 COBB, HOPE CASEY'S GENERAL STORES IN 09/19/16 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 312 17WC 06519 AMELL, BISHOP GAVIN'S LAWNCARE & LANDSC 11/21/16 DAVID W OLIVERO COZZI & GOGGIN-WARD 313 17WC 06780 RAMER, PAMELA L AFM RSTAURANTS IL LLC 02/13/17 ANKIN LAW OFFICE 314 17WC 06873 DZIUBA, RICHARD CGS LLC 11/23/14 STROW LAW LLC 315 17WC 06931 WEGENER, MATTHEW HERITAGE HEALTH 05/26/16 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 316 17WC 07335 NEUBAUER, KEN KLEMM TANK LINES 01/09/17 TURNER & SACKETT LLC INMAN & FITZGIBBONS 317 17WC 07817 RIOJAS, DAVID MEADE ELECTRIC COMPANY 08/30/16 GOLDBERG WEISMAN & CAIRO L 318 17WC 08047 ZIEGLER, HAROLD UNYTITE, INC 02/15/17 SCHWEICKERT & GANASSIN KEEFE CAMPBELL & ASSOC LLC 319 17WC 08110 HENERT, RANDALL HEARTHSIDE FOOD SOLUTIONS 11/19/16 PETER F FERRACUTI & ASSOCI 320 17WC 08141 KEARNEY, DAN HAVEST VALLEY BAKERY, INC 01/18/17 SCHWEICKERT & GANASSIN MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 321 17WC 08425 SHOFNER, MICHELLE BADGE A MINIT, LTD 07/07/16 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 322 17WC 08467 DEMARIA, JENNIFER L SULLIVAN FOODS 03/02/17 REESE & REESE WIEDNER & MCAULIFFE LTD 323 17WC 08481 HOWLETT, CANDIE MANPOWER GROUP INC 01/18/17 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 324 17WC 08671 LEWANDOWSKI, RICKY SCHOOL DISTRICT 25 11/02/16 DWORKIN AND MACIARIELLO 325 17WC 09001 HOLLIDAY, GARY EXELON NUCLEAR SECURITY L 05/17/16 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 326 17WC 09002 NANCE, JUSTIN GRASSER'S PLUMBING & 03/13/17 DAVID W OLIVERO QUINN JOHNSTON HENDERSON ETA 327 17WC 09018 MOHLMAN, MARIA WAL-MART 03/13/17 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 328 17WC 09062 ROBERTS, EDWARD MARTIN & COMPANY EXCAVATI 01/24/17 HORWITZ HORWITZ & ASSOC 329 17WC 09129 HEIDE, TASHA J RAYNOR GARAGE DOORS INC 01/27/17 MERTES & MERTES PC 330 17WC 09422 SANCHEZ, HECTOR OLDCASTLE INC DBA OLDCAST 09/24/13 SCHWEICKERT & GANASSIN MCANANY VANCLEVE & PHILLIPS 331 17WC 09491 CALRS, CHRISTI CASEY'S GENERAL STORE 07/16/16 STRONG LAW OFFICE 332 17WC 09503 KABALA, MICHAEL XPO LOGISTICS 08/09/16 DREW J FERRACUTI 333 17WC 09584 SPELLIOUS, THAD US FOODS 11/02/16 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 334 17WC 09637 SANCHEZ, HECTOR OLDCASTLE INC D/B/A 08/05/14 SCHWEICKERT & GANASSIN MCANANY VANCLEVE & PHILLIPS 335 17WC 09648 SANCHEZ, HECTOR OLDCASTLE INC D/B/A 01/07/14 SCHWEICKERT & GANASSIN MCANANY VANCLEVE & PHILLIPS 336 17WC 09794 WESTERHOLD, CORI S LOTZ TRUCKING 11/07/16 DREW J FERRACUTI 337 17WC 10041 VARGAS, MARIA E MENARDS 03/20/15 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 338 17WC 10560 MILLER, JEROMY BONNELL 11/01/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 339 17WC 10824 PTAK-BAYLIE, LEIGHANN DOLLAR TREE 12/14/16 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 340 17WC 11172 RAMZEY, DOUG EXELON CORPORATION 07/07/16 PETER F FERRACUTI & ASSOCI CHILTON YAMBERT PORTER LLP 341 17WC 11303 WENZEL, KEITH ILLINOIS DEPART OF TRANS @ 05/11/16 TIMOTHY CANTLIN ASSISTANT ATTORNEY GENERAL 342 17WC 11593 MOTON, ERIC OWENS-BROACKWAY GLASS 04/06/17 DREW J FERRACUTI POWER & CRONIN LTD 343 17WC 11661 LOGUE, TERRA PLANO SYNERGY 04/09/17 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 344 17WC 11679 MARTINEZ, SANTANA KREIDER SVCS 03/29/17 GESMER LAW OFFICES, PC 345 17WC 11967 STORTZ, JASON TERRACON 03/08/17 KROL BONGIORNO & GIVEN LTD 346 17WC 12032 TORRES, MICHELLE SANDWICH REHABILITATION & 03/07/17 WOODRUFF & JOHNSON KNELL LAW LLC 347 17WC 12468 HIGHSMITH, CONNIE M B&B SMARTWORX 07/14/16 PERONA, PETERLIN, ANDREONI HENNESSY & ROACH PC 348 17WC 12900 OLMEDA, SHAYNA WENDY'S 03/02/17 DWORKIN AND MACIARIELLO RODDY LAW LTD 349 17WC 13172 MARCHIS, LOURDES MENARDS 07/20/16 KINNALLY FLAHERTY KRENTZ & CHILTON YAMBERT PORTER LLP 350 17WC 13352 COLEY, JOHN CITY OF STREATOR ILLINOIS 06/07/16 ANTHONY C RACCUGLIA & ASSO 351 17WC 13520 CUCHIARA, JAMES A AIRGAS USA, INC. 02/02/16 SEIGLER, DARRELL K LTD MC ANDREWS & NORGLE LLC 352 17WC 13748 PEREZ, ROBERT M US FOODS 03/29/17 DAVID W OLIVERO 353 17WC 13854 NAMBO, FRANCISCO COOKIE KINGDOM, INC 03/20/17 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 354 17WC 13857 GONZALEZ, MIGUEL EUCLID BEVERAGE, LLC 07/26/16 SCHWEICKERT & GANASSIN ROBERT L. SMITH 355 17WC 14022 PHILLIPS, BOBBY G THE RESERVES NETWORK 03/12/17 LAW OFFICES JOSEPH MARCINIAK 356 17WC 14261 LOPEZ, VICTOR FOX VALLEY MOLDING 12/30/16 RATHBUN CSEVENYAK & KOZOL WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 357 17WC 14402 BATTISTELLI, GARY L FAIRMONT MINERALS - 09/24/14 MARTIN V KUGIA 358 17WC 14540 NEVITT, PHILIP HOUSING AUTHORITY FOR LAS 03/22/17 STROW LAW LLC 359 17WC 14599 GOMEZ, ALBERTO AEROTEK 05/02/17 MEYERS & FLOWERS HEYL ROYSTER VOELKER & ALLEN 360 17WC 14663 NILES, DEANNE THE OPEN DOOR REHAB CENTE 03/12/17 PETER F FERRACUTI & ASSOCI GANAN & SHAPIRO 361 17WC 14967 SPENCE, JOSHUA VACTOR MANUFACTURING, INC 02/19/16 DAVID W OLIVERO BRADY CONNOLLY & MASUDA PC 362 17WC 15109 WIBORG, SANDRA MENARDS DISTRIBUTION CENT 07/23/16 STROW LAW LLC 363 17WC 15525 PICCIOLI, CRYSTAL ILLINOIS DEPT OF VETERANS 04/19/17 HORWITZ HORWITZ & ASSOC 364 17WC 15825 WALLER, DIANE ACE HARDWARE CORPORATION 04/06/17 KROL BONGIORNO & GIVEN LTD 365 17WC 16217 LEWIS, BRANDON DOMINO'S PIZZA 04/01/16 RATHBUN CSEVENYAK & KOZOL CHILTON YAMBERT PORTER LLP 366 17WC 16475 HEERDT, KARLA A BAY VALLEY FOODS 11/22/16 REESE & REESE KEEFE CAMPBELL & ASSOC LLC 367 17WC 16616 SISSEL, JAMES BUREAU COUNTY ILLINOIS 01/11/16 ANTHONY C RACCUGLIA & ASSO LAW OFFICE PATRICK JENNETTEN 368 17WC 16693 MCKINLEY, MATTHEW JAMES HARDIE BUILDING 05/18/17 DAVID W OLIVERO LITCHFIELD CAVO 369 17WC 16723 ESPINOZA, SAMANTHA MANARDS DISTRIBUTION CTR 04/21/17 DWORKIN AND MACIARIELLO 370 17WC 16821 MC KINNIE, BRANDY RIVERSHORES HEALTHCARE 08/06/16 DAVID W OLIVERO NYHAN BAMBRICK KINZIE & LOWR 371 17WC 16909 GALE, TIMOTHY IL MENNONITE CAMP ASSOC I 12/26/15 ROSARIO CIBELLA 372 17WC 17033 GIBSON, DAVID PLOCHER CONSTRUCTION CO, 05/22/17 SCHWEICKERT & GANASSIN KNAPP, OHL & GREEN 373 17WC 17072 TAULBEE, PATRICIA RURAL KING IN PLANO STORE 05/19/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 374 17WC 17128 EDEN, HOWARD OPPERMAN CONSTRUCTION CO 04/17/17 ANESI OZMON RODIN NOVAK KO HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 375 17WC 17194 JASNOSZ, JOE KENDALL COUNTY SHERIFF'S 09/13/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 376 17WC 17299 PFALZGRAF, RYAN OWENS BROCKWAY GLASS 02/02/17 PETER F FERRACUTI & ASSOCI POWER & CRONIN LTD 377 17WC 17482 HARLAN, JAMES AEROTEK INC 05/26/17 GOLDFINE & BOWLES HEYL ROYSTER VOELKER & ALLEN 378 17WC 17657 MANCERA, JOHN A ILLINOIS DEPT OF CORRECTI @ 09/22/14 PIGNATELLI & ASSOCIATES ASSISTANT ATTORNEY GENERAL 379 17WC 17998 ROSENCRANS, DENISE OTTAWA ELEMENTARY SCHOOL 11/30/15 SCHWEICKERT & GANASSIN POWER & CRONIN LTD 380 17WC 18001 CARSON, KERRY REGENEX CORP 01/14/17 SCHWEICKERT & GANASSIN RODDY LAW LTD 381 17WC 18061 SIEGLER, TAYLOR LEGENDS SPORTS BAR & GRIL 04/25/17 DAVID W MARTAY QUINTAIROS PRIETO WOOD & BOY 382 17WC 18149 WADE, VANCE A & R LOGISTICS INC 01/13/17 WINSTEIN KAVENSKY & WALLAC 383 17WC 18320 JENKINS, CHAD M STATE OF ILLINOIS @ 05/11/17 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 384 17WC 18451 SPENCER, MICHAEL CARDINAL RECYCLING COMPAN 05/15/17 BRISKMAN BRISKMAN GREENBER GANAN & SHAPIRO 385 17WC 18871 WERNER, SANDRA J ALLIED-LOCKE INDUSTRIES I 05/30/17 REESE & REESE 386 17WC 19120 WULZEN, JEFF EXELON 07/01/15 LAW OFFICE ALISSA GEARHART CHILTON YAMBERT PORTER LLP 387 17WC 19315 ARTEAGA, SHEILA FED EX 06/24/15 BERTRAND LAW OFFICE WIEDNER & MCAULIFFE LTD 388 17WC 19338 KOESLER, ZACHARY T XPO LOGISTICS 05/06/17 PERONA, PETERLIN, ANDREONI 389 17WC 19614 PALMS, NINJA SWIFT TRANSPORTATION CO, 06/22/17 ANKIN LAW OFFICE RODDY LAW LTD 390 17WC 19679 LARSEN, JOHN GRASSER'S PLUMBING & HEAT 04/27/16 ANTHONY C RACCUGLIA & ASSO WIEDNER & MCAULIFFE LTD 391 17WC 19967 BIRD, LOREN HF DOUBLE D EXPRESS 01/25/17 MEYERS & FLOWERS JAMES M KELLY 392 17WC 20031 MC CLOSKEY, JEFF B JAMES HARDIE BUILDING PRO 02/19/17 DREW J FERRACUTI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 393 17WC 20275 DANIELSON, ELIZABETH MORRIS SCHOOL DISTRICT 01/30/17 JOHN C SERKLAND ROBERT L. SMITH 394 17WC 20306 JACKSON, HOWARD TEAM COMPANY, INC DBA 05/22/17 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 395 17WC 20402 DIETZ, ANDREW THE HOME DEPOT USA, INC 04/18/17 COYNE REINKE LAW MC ANDREWS & NORGLE LLC 396 17WC 20418 LORENTZEN, AMANDA HERITAGE ENTERPRISES, INC 11/15/15 SCHWEICKERT & GANASSIN 397 17WC 20569 HENTON, CAROL SWIFT TRANSPORTATION 03/30/17 VRDOLYAK LAW GROUP LLC 398 17WC 20900 TIMM, JACQUELINE MENARDSDISTRIBUTION CENTE 01/22/16 DREW J FERRACUTI RODDY LAW LTD 399 17WC 21027 MALDONADO, MARTHA MOTEREY MUSHROOMS, INC. 04/04/17 HERBOLSHEIMER LANNON ET AL BRADY CONNOLLY & MASUDA PC 400 17WC 21405 BUFFO, DALE RIDER'S CHOICE RACING LLC 07/13/16 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 401 17WC 21496 DERBORT, DAVE US SILICA CO 06/13/16 SCHWEICKERT & GANASSIN 402 17WC 21571 HERNANDEZ, FERNANDO BARBARA, KUBELKA 06/10/16 CUSHING LAW OFFICES 403 17WC 22228 EINHAUS, MICHAEL K SABIC INNOVATIVE PLASTICS 01/17/17 DREW J FERRACUTI 404 17WC 22434 WYATT, STEVEN M BUREAU COUNTY HWY DEPT 06/22/17 PATRICOSKI, MARK G LAW OFFICE PATRICK JENNETTEN 405 17WC 22672 RYNKEWICZ, SANDRA HENNEPIN MARINE INC 02/06/17 SCHWEICKERT & GANASSIN 406 17WC 22708 ROSOS, RAFAEL RAYA MONTEREY MUSHROOMS 06/08/17 TAMVAKIS, GEORGE L 407 17WC 23370 ALVAREZ, ALBERT JB HUNT 08/09/17 MC HARGUE, JAMES P LAW OFF 408 17WC 23384 BENCKENDORF, JOSHUA WAL-MART DISTRIBUTION CEN 07/30/17 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 409 17WC 23447 OTTO, MADISON OPEN DOOR REHABILITATION 07/04/17 TURNER & SACKETT LLC 410 17WC 23512 ORVIS, AGNES CASY'S GENERAL STORE INC 03/14/17 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 411 17WC 23698 WATTS, JEFFREY STAFFQUICK D/B/A 06/29/17 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 412 17WC 24077 ORTIZ, TOMAS XPO LOGISTICS INC 06/02/17 SCHWEICKERT & GANASSIN 413 17WC 24173 FOSTER, RUSSELL MONTEREY MUSHROOMS 02/26/16 DAVID W OLIVERO BRADY CONNOLLY & MASUDA PC 414 17WC 24434 GARCIA, GARCIA THE RESERVES NETWORK INC * 07/24/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 415 17WC 24497 THOMPSON, FONZELL EUCLID BEVERAGE LTD * 12/23/16 STROW LAW LLC 416 17WC 25102 BONNEAU, TIMOTHY MTH TOOL CO, INC * 08/23/16 TURNER & SACKETT LLC 417 17WC 25174 FICHTENMUELLER, JASMINE HERMAN & KITTLE PROPERTIE * 01/17/17 PERONA, PETERLIN, ANDREONI 418 17WC 25493 CLASSON, MICHELLE ILLINOIS DEPARTMENT OF @ * 01/27/16 PETER F FERRACUTI & ASSOCI 419 17WC 25564 POLIER, ROBERT N PIONEER HI-BRED INT, INC * 08/08/16 SEIGLER, DARRELL K LTD RUSIN & MACIOROWSKI LTD 420 17WC 25728 QUAKA, MARK MIDWEST TRUCK SERVICE INC * 05/30/14 GOLDFINE & BOWLES 421 17WC 25953 ORTEGA, JARED L COLLINS & HERMANN, INC. * 08/17/17 SCHWEICKERT & GANASSIN 422 17WC 25956 BRAY, CHARLES RTS, INC. * 08/04/17 SCHWEICKERT & GANASSIN 423 17WC 26158 VAUGHN, ROBERT W NICOR * 09/07/17 GOLDBERG WEISMAN & CAIRO L 424 17WC 26429 STALLMAN, MICHAEL J STALLMAN TRUCKING INC * 08/22/17 BART DURHAM 425 17WC 26753 CREW, JULIE HART ELECTRIC INC * 09/01/17 EMMANUEL F GUYON QUINTAIROS PRIETO WOOD & BOY 426 17WC 26949 SCHROVER, DONALD STATE OF IL * 07/17/17 GOLDBERG WEISMAN & CAIRO L 427 17WC 27053 HALL, DEVON ALLEGION, PLC * 07/27/17 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 428 17WC 27396 REEDER, SYDNEY MBL (USA) CORPORATION * 09/04/17 PETER F FERRACUTI & ASSOCI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 429 17WC 27632 RODRICK, WILLIAM VACTOR MANUFACTURING, INC * 05/05/16 DAVID W OLIVERO 430 17WC 27649 WHITE, GARY JM SWANK * 04/13/17 LEONARD LAW GROUP LLC COZZI & GOGGIN-WARD 431 17WC 27665 BECKER, JANICE K LA MOILLE HIGH SCHOOL DIS * 12/06/16 PETER F FERRACUTI & ASSOCI 432 17WC 27683 MELVIN, JOSEPH PEOPLELINK, LLC * 06/30/17 SCHWEICKERT & GANASSIN 433 17WC 27833 ADAMS, ROY AMERICAN BARE CONDUTOR * 07/18/17 PERONA, PETERLIN, ANDREONI ROSARIO CIBELLA 434 17WC 27965 DOYLE, BONNIE 4L TOPCO CORP * 10/27/15 JAY H JANSSEN INMAN & FITZGIBBONS 435 17WC 28247 GARZA, SALLY INNOVATIVE STAFFING * 09/05/17 WOODRUFF & JOHNSON BRUCE WARREN 436 17WC 28351 BROWN, REGINA HEARTHSIDE FOOD SOLUTIONS * 04/27/17 GOLDFINE & BOWLES 437 17WC 29062 MUELLER, BRITTANY HOME DEPOT * 06/29/17 PETER F FERRACUTI & ASSOCI 438 17WC 29113 VINSON, EVERETT EDF RENEWABLE ENERGY * 08/07/17 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 439 17WC 30150 SALORIO, STEVEN WALMART * 03/29/17 MISKELL LAW CENTER QUINTAIROS PRIETO WOOD & BOY 440 17WC 30478 KONIECZKI, KARLA LASALLE ELEMENTARY SCHOOL * 09/01/17 SCHWEICKERT & GANASSIN 441 17WC 30523 BIERWIRTH, KATHY S HORIZON HOUISE OF IL VALL * 04/22/17 GEARHART, GARY L & ASSOCS HEYL ROYSTER VOELKER & ALLEN 442 17WC 30555 SCHMIDT, MARGO YORKVILLE PUBLIC LIBRARY * 04/07/17 LAW OFFICE OF JAMES H MILL 443 17WC 30603 MCCANN, ERIN STREATOR DEPENDABLE MFG * 09/29/17 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 444 17WC 30728 MINJARES, MARIO CURRAN CONTRACTING CO * 11/18/16 TARADASH LAW OFFICE 445 17WC 30803 ROBERTS, BRYAN COMMUNICATIONS TEST DESIG * 07/10/15 HORWITZ HORWITZ & ASSOC 446 17WC 30938 PALANOS, ROBERT B PGI MANUFACTURING * 03/12/17 DREW J FERRACUTI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 447 17WC 31063 CHAVEZ, CANDIDO MERIDIAN INDUSTRIES D/B/A * 07/27/17 BURNETT & CARON, LTD 448 17WC 31121 CAMACHO, LEONEL STEVE PIPER & SONS INC * 11/23/15 KUMLIN & FROMM RODDY LAW LTD 449 17WC 31323 BASS, MICHAEL A XPO LOGISTICS * 09/14/17 KROL BONGIORNO & GIVEN LTD 450 17WC 31590 NELSON, ROBERT TOWN & COUNTRY SERVICES * 11/28/16 SCHWEICKERT & GANASSIN 451 17WC 31803 WHITE, REBECCA WILLOW CREST NURSING PAVI * 04/19/17 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 452 17WC 31983 MCCLOSKEY, JEFF B JAMES HARDIE BUILDING PRO * 02/19/17 DREW J FERRACUTI 453 17WC 32001 DRAKA, RAYVN LAFEBER CO * 08/17/17 PETER F FERRACUTI & ASSOCI 454 17WC 32082 POWELL, TERESA L.W. SCHNEIDER INC * 08/21/17 LAW OFFICE DAVID HUNT 455 17WC 32264 CAIN, TIM A&R LOGISTICS, INC * 09/08/17 SCHWEICKERT & GANASSIN 456 17WC 32457 MARTIN, JANET OTTAWA FRIENDSHIP HOUSE * 09/26/17 PERONA, PETERLIN, ANDREONI 457 17WC 32596 DEAN, MARCINIA R ADVANTECH B+B SMART WORX * 10/26/17 O'CONNOR & NAKOS 458 17WC 32826 JACKSON, VALERIE PLEASANT VIEW LUTHERAN HO * 10/16/16 PORRO NIERMANN LAW GROUP 459 17WC 32845 ARCHER, ALLEN F BLACK BROTHERS CO * 07/27/16 DREW J FERRACUTI 460 17WC 33070 HAMM, SABRINA ADVANTAGE LOGISTICS INC * 09/21/17 SCHWEICKERT & GANASSIN 461 17WC 33184 TAYLOR, CARA ALLEGION,PLC D/B/A LCN CL * 08/10/17 SCHWEICKERT & GANASSIN 462 17WC 33187 DAVIS, JAMES US TRUCK BODY, INC * 10/05/17 SCHWEICKERT & GANASSIN 463 17WC 33296 HANSON, KIMBERLY FLEXICORP INCORPORATED * 10/12/17 PETER F FERRACUTI & ASSOCI 464 17WC 33463 PACK, MICHAEL CITY OF LA SALLE * 02/24/17 PETER F FERRACUTI & ASSOCI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR OTTAWA 40003 ON 12/27/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 465 17WC 33566 GLADLE, TERINA L ILLINOIS TOLLWAY * 01/27/17 BARRY A KETTER 466 17WC 33631 ALVAREZ, RAUL JR MENARDS DISTRIBUTION CENT * 06/10/16 EPSTEIN, JACK R LAW OFFICE 467 17WC 33762 CROUCH, DENISE TACO BELL * 06/22/17 GEARHART, GARY L & ASSOCS 468 17WC 34052 FORD, RICK A STREATOR DEPENDABLE MFG C * 10/01/17 EMMANUEL F GUYON 469 17WC 34349 TASKER, PHILIP W RYDER SYSTEM, INC * 10/05/17 KANOSKI BRESNEY