ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 08558 JONAS, ATTILA FOX DEVELOPMENTAL CENTER 08/05/01 MATTHEW T. GUBBINS PC ASSISTANT ATTORNEY GENERAL 03WC039986 -C 07WC004882 -C STATE OF ILLINOIS 10WC003812 -C 12WC029432 -C STATE OF ILLINOIS 2 04WC 12841 MILLER, TAMMIE MASON STATE OF ILLINOIS @ 02/12/04 COPELAND FINN & FIERI LTD ASSISTANT ATTORNEY GENERAL 07WC011528 -C 3 05WC 40756 DEXTER, DUSTIN SHAPIRO DEVELOPMENTAL CEN 06/05/04 COPELAND FINN & FIERI ASSISTANT ATTORNEY GENERAL 4 06WC 02631 ROBICHEAUX, KEVIN MERCER STAFFING 11/10/05 COHN LAMBERT RYAN & SCHNEI DOWD & DOWD LTD 5 06WC 21895 WATSON, JAMES L ABC DISPOSAL 04/27/06 COPELAND FINN & FIERI LTD BARMAN BOHLEN & SCOTT 6 08WC 04154 THORNE, DANIEL SHAPIRO DEVELOPMENT CENTE 06/11/07 COPELAND FINN & FIERI LTD ASSISTANT ATTORNEY GENERAL 7 08WC 12944 19B ALLEN, MICHELLE L STATE OF ILLINOIS @ 08/26/07 MATTHEW T. GUBBINS PC ASSISTANT ATTORNEY GENERAL 8 08WC 19673 HALL, NANETTE CHANDRA RESTAURANT INC @ W 01/20/08 COPELAND FINN & FIERI LTD 9 08WC 43651 TAYLOR, ALVERTA STATE OF ILLINOIS @ 08/27/08 COPELAND FINN & FIERI LTD ASSISTANT ATTORNEY GENERAL 10 09WC 01318 GLOVER, ANNA ASSOCIATION FOR THE BETTE 12/09/07 DICKLER KAHN COZZI & GOGGIN-WARD 11 09WC 04935 WALKER, GLORIA MANTENO HEALTH CENTER @ 07/10/08 STEVEN A CRIFASE, LTD ASSISTANT ATTORNEY GENERAL 12 09WC 35236 ST PETER, JEANNA M ILLINOIS VETERANS HOME @ 01/21/09 MATTHEW T. GUBBINS PC ASSISTANT ATTORNEY GENERAL 10WC009980 -C 17WC025981 -C STATE OF ILLINOIS 13 09WC 35969 POMBERT, RHONDA ST OF IL DEPT OF @ 12/16/07 RONALDSON & KUCHLER ASSISTANT ATTORNEY GENERAL 09WC035970 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 09WC 37550 KELLER, LOIR A STATE OF ILLINOIS/ @ 01/19/09 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 12WC032555 -C SHAPIRO DEVELOPMENTAL 15 09WC 44937 GOODMAN, GLENDA TOWER MEDICAL W 10/02/09 MATTHEW T. GUBBINS PC 09WC044940 -C 16 09WC 52369 COHEN, JASON ST OF IL DEPT OF SHAPIRO @ 04/27/09 SPIROS & WALL ASSISTANT ATTORNEY GENERAL 17 10WC 04738 HINES, CARLEEN STATE OF ILLINOIS DEPT 01/07/10 COPELAND FINN & FIERI LTD ASSISTANT ATTORNEY GENERAL 18 10WC 16247 RIPPLE, EUGENIA K ST OF IL SHAPIRO @ 04/23/09 SACKS, ALBRECHT & GUBBINS ASSISTANT ATTORNEY GENERAL 10WC016254 -C 19 10WC 18605 LASEK, SHERRY STATE OF IL @ 12/23/09 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 10WC018606 -C 10WC018607 -C 10WC043722 -C 10WC043723 -C 20 10WC 29698 HETHERINGTON, WYTANIA SHAPIRO DEVELOPMENTAL CEN @ 12/18/09 BARMAN BOHLEN & SCOTT ASSISTANT ATTORNEY GENERAL 10WC048056 -C 12WC043945 -C ST OF IL SHAPIRO 21 10WC 32074 19B GARNER, ZADER MANTENO VETERAN'S HOME @ 01/06/10 BERG & BERG NICHOLE S. MCNAIR 22 11WC 01121 MOSLEY, GLORIA ILLINOIS VETERANS HOME @ 10/23/10 DANIEL SULLIVAN 23 11WC 02577 JEFFERSON, VICTORIA STATE OF ILLINOIS 11/03/08 COPELAND FINN & FIERI LTD DANIEL SULLIVAN 24 11WC 03345 BARNWELL, BRAD STATE OF IL DWIGHT @ 10/20/08 BOGGS & FILLENWARTH DANIEL SULLIVAN 25 11WC 11496 REARDAZ, PATRICIA STATE OF ILLINOIS, SHAPIR @ 12/06/10 SACKS, ALBRECHT & GUBBINS NICHOLE S. MCNAIR 26 11WC 16166 PENCE, ELIZABETH A STATE OF ILLINOIS @ 09/25/06 SACKS, GUBBINS & REGAS NICHOLE S. MCNAIR 11WC016335 -C 27 11WC 22222 MUNCY, CHRISTINE IL VETERANS HOME @ 11/03/09 TONY L BRASEL NICHOLE S. MCNAIR 28 11WC 22491 BEASLEY, TRACY IL VETERANS HOME MANTENO @ 04/14/11 COPELAND FINN & FIERI LTD SHUAIB A. AHMED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 29 11WC 27628 BRADLEY, BETTIE L STATE OF ILLINOIS @ 04/04/11 CULLEN HASKINS NICHOLSON NICHOLE S. MCNAIR 30 11WC 28793 GECAS, MARK MILLER AND MILLER CONSTRU W 06/29/11 31 11WC 34025 FISHER, ELIZABETH FOX DEVELOPMENTAL CENTER @ 04/10/11 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 32 11WC 34212 DIAZ, JASON STATE OF ILLINOIS @ 01/21/11 SPIROS & WALL NICHOLE S. MCNAIR 11WC034213 -C 33 12WC 01102 BRAV, PAMELA SUE DORS - DEPT OF REHABILITA @ 09/12/11 MCNAMARA PHELAN MCSTEEN LL DANIEL SULLIVAN 34 12WC 02677 JONES, JEANETTE SHAPIRO DEVELOPMENTAL CTR @ 07/20/11 COPELAND FINN & FIERI LTD ASSISTANT ATTORNEY GENERAL 35 12WC 19191 DAYHOFF, SHERRI ST OF IL SAMUEL SHAPIRO @ 03/06/12 COPELAND FINN & FIERI LTD 36 12WC 20444 STORKE, ROXA A ST OF IL, SHAPIRO @ 05/08/12 MATTHEW T. GUBBINS PC ASSISTANT ATTORNEY GENERAL 13WC010138 -C STATE OF ILLINOIS 14WC002673 -C 37 12WC 26286 NORRIS-HAWKINS, VIRGINIA STATE OF ILLINOIS @ 06/09/12 SPIROS & WALL ASSISTANT ATTORNEY GENERAL 13WC003291 -C DEPARTMENT OF VETERANS AFF 13WC005301 -C 17WC010032 -C ST OF ILLINOIS VETERAN'S H 38 12WC 27502 WILSON, TARA DWIGHT CORRECTIONAL CENTE 02/18/12 WILLIAMS & SWEE 39 12WC 31765 TUFFNER, BARBARA L ST OF IL VETERANS' HOME @ 04/09/11 YURGINE, JOSEPH ASSISTANT ATTORNEY GENERAL 12WC031934 -C 40 13WC 07068 GIROT, RICHARD CITY OF BRAIDWOOD 07/17/11 KROCKEY CERNUGEL COWGILL E RUSIN MACIOROWSKI & FRIEDMAN 13WC007069 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 41 13WC 08853 BREWSTER, VALERIE ST OF IL/FOX DEVELOPMENT @ 11/29/12 WILLIAMS & SWEE LTD ASSISTANT ATTORNEY GENERAL 42 13WC 09774 SHAW, DALE R EXELON 10/08/11 THOMAS W DUDA CHILTON YAMBERT PORTER LLP 13WC009775 -C 17WC034923 -C 17WC034924 -C 17WC034925 -C 43 13WC 22358 WILLIAMS, CHRYSTAL P ST OF IL, SHAPIRO @ 04/18/13 CAPRON & AVGERINOS PC ASSISTANT ATTORNEY GENERAL 44 13WC 22725 19B SANDERS, MICHAEL FLANDERS 02/26/13 THOMAS R LICHTEN BRADY CONNOLLY & MASUDA PC 45 13WC 23142 GODFREY, KATHY SHAPIRO DEVELOPMENTAL CEN @ 07/02/13 MARC J SHUMAN & ASSOCIATES ASSISTANT ATTORNEY GENERAL 46 13WC 27255 GRAY, JUAN N ST OF IL DEPT OF MH, @ 08/06/13 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 14WC038836 -C STATE OF ILLINOIS 47 13WC 28620 DASCHNER, EDNA ILLINOIS VETERANS HOME @ 09/05/10 STEVEN A CRIFASE, LTD ASSISTANT ATTORNEY GENERAL 48 13WC 28848 MC BRIDE, RHONDA PORTER ST OF IL DEPT OF VETERAN @ 06/26/13 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 13WC028849 -C 13WC028850 -C 49 13WC 34846 ZELHOFER, HEIDI MANTENO VETERANS HOME @ 10/11/13 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 50 13WC 39943 BYNUM, CHANIKA SHAPIRO DEVELOPMENT @ 11/08/13 STEVEN J TENZER, LTD ASSISTANT ATTORNEY GENERAL 51 14WC 04182 CURRY, ANNTOINETTE ST OF IL DEPT OF HS 01/13/14 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 52 14WC 12811 PAPINEAU, TANYA STATE OF ILLINOIS @ 07/31/13 BARMAN BOHLEN & SCOTT 53 14WC 13921 JACKSON, JEANETTE STATE OF ILLINOIS @ 03/20/14 COPELAND FINN & FIERI LTD COLIN KICKLIGHTER 54 14WC 20559 DENTON, AMBER SHAPIRO DEVELOPMENTAL CEN @ 05/24/14 SPIROS LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 55 14WC 31633 NOLTE, TRACY B VILLAGE OF MOMENCE 08/28/14 MATTHEW T. GUBBINS PC INMAN & FITZGIBBONS 56 14WC 33028 RICHMOND, JACK AROMA TOWNSHIP HIGHWAY DE 01/25/13 HORWITZ HORWITZ & ASSOC JAMES M KELLY 14WC033029 -C 57 14WC 37417 DREW, LISA SHAPIRO DEVELOPMENT 10/04/14 STEVEN A CRIFASE, LTD ILLINOIS ATTORNEY GENERAL 58 14WC 43144 LOVING, LAMONT SHAPIRO DEVELOPMENT CENTE 12/06/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 59 15WC 03839 MARTINEZ, ROSALINDA ILLINOIS DEPARTMENT OF 10/04/14 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 15WC037295 -C IL DEPT OF VETERANS' AFFAI 60 15WC 04231 PAWLAK, BRIDGET RIVERSIDE MEDICAL CENTER 10/06/14 CAPRON & AVGERINOS PC GILDEA & COGHLAN 61 15WC 07215 WEBER, JEFFREY A THE HILLMAN COMPANIES INC 10/09/13 COSTIGAN & WOLLRAB PC COZZI & GOGGIN-WARD 15WC011801 -C 62 15WC 07758 FOLTZ, MICHAEL DAVID IDOT 03/03/15 LEONARD LAW GROUP LLC ILLINOIS ATTORNEY GENERAL 63 15WC 10927 BOWMAN, KIM ILLINOIS VETERANS HOME 03/26/14 STRONG LAW OFFICE ILLINOIS ATTORNEY GENERAL 64 15WC 11795 WEBER, JEFFREY A THE HILLAM COMPANIES INC 03/24/14 COSTIGAN & WOLLRAB PC COZZI & GOGGIN-WARD 65 15WC 11800 WEBER, JEFFREY A THE HILLAN COMPANIES INC 03/25/14 COSTIGAN & WOLLRAB PC COZZI & GOGGIN-WARD 66 15WC 14188 SORENSON, MONA ILLINOIS VETERAN'S HOME @ 10/17/14 SPIROS LAW PC ASSISTANT ATTORNEY GENERAL 67 15WC 15948 SANDERS, ROBERT D FLANDERS 04/24/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 68 15WC 18384 NAILING, WILLARYNE SHAPIRO DEVELOPMENTAL CEN @ 05/06/15 LAW OFFICE EDWARD LICHTENS MALLORY ZIMET 69 15WC 22294 BASKIN, RHONDA STATE OF ILLINOIS @ 12/21/13 DAVID W MARTAY ILLINOIS ATTORNEY GENERAL 15WC022295 -C 15WC022296 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 70 15WC 25206 FERGUSON, JAMES IL DEPT OF NATURAL RESOUR @ 01/23/14 SCHWEICKERT & GANASSIN COLIN KICKLIGHTER 71 15WC 26304 DELGADO, PATRICIO AMICO 06/11/15 EPSTEIN, JACK R LAW OFFICE EVANS & DIXON, LLC 15WC026305 -C 72 15WC 27176 GRAYSON, JUANITA WALMART 10/16/14 CAPRON & AVGERINOS PC QUINTAIROS PRIETO WOOD & BOY 18WC033760 -C 73 15WC 27604 WALKER, VALERIE FOX DEVELOPMENTAL CENTER @ 07/15/15 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 74 15WC 27869 DENT, CRYSTAL N STATE OF IL @ 12/05/14 VITELL & SPITZ LTD COLIN KICKLIGHTER 75 15WC 28432 SPATES, APRILL SHAPIRO CENTER @ 07/10/15 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 76 15WC 29684 JONES, BRENDA D MANTENO VA HOSPITAL 08/10/15 PARENTE & NOREM PC MALLORY ZIMET 77 15WC 31787 19B MARCOTTE, CATHY DEPT OF VETERANS' AFFAIRS @ 06/04/15 RIDGE & DOWNES COLIN KICKLIGHTER 209 15WC031782 -C DEPARTMENT OF VETERANS' AF 78 15WC 35338 SIMON, STEVE PRICE GREGORY INTERNATION 10/04/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 79 15WC 36002 WHITE, JAMES RING CONTAINER 02/26/15 DAVID W MARTAY HOLECEK & ASSOCIATES 80 15WC 36319 CAIRE, GABRIEL MOMENCE PACKING COMPANY 07/31/15 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 81 15WC 36615 READUS, LEVENIA ST OF IL DEPT OF MENTAL H @ 08/28/15 FOHRMAN, DONALD W & ASSOCS ASSISTANT ATTORNEY GENERAL 82 15WC 37683 MINNICK, DAVID LAKESHORE BEVERAGES 04/07/15 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 83 15WC 39105 HELM, ALEXIA DONNA SUE TAYLOR, IL DEPT @ 10/31/15 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 84 15WC 41626 ROHLFS, REBECCA S STATE OF IL, VETERANS HOM @ 05/03/15 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 85 15WC 45497 BOWMAN, CLEVELAND MANTENO VETERANS HOME @ 08/16/15 STRONG LAW OFFICE COLIN KICKLIGHTER 86 16WC 00792 MARTINEZ, EDMUNDO REPUBLIC SVCS 12/04/14 STEVEN A CRIFASE, LTD GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 87 16WC 02204 WHITE, PATRICIA RIVERSIDE MEDICAL CENTER 10/10/15 DAVID W MARTAY GILDEA & COGHLAN 88 16WC 03781 BELL, SYLVIA STATE OF IL @ 09/08/15 STRONG LAW OFFICE COLIN KICKLIGHTER 89 16WC 04459 MENDOZA, VENANCIO ELITE STAFFING INC 01/18/16 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM GRA 90 16WC 04722 TRIOLO, ANGELO MOLD SOLUTIONS 05/30/14 WOLFE LAW PC 16WC004723 -C 91 16WC 05521 GONZALEZ, FRANCISCO G. KANKAKEE NURSERY 10/20/14 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 16WC008864 -C 16WC010823 -C 92 16WC 05728 HENRY, DAWN ST OF IL DEPT OF 01/19/16 GOLDBERG WEISMAN & CAIRO L MALLORY ZIMET 93 16WC 06346 TURRUBIARTES, ANDREA DHS SHAPIRO @ 02/20/16 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 94 16WC 07730 HOLZAEPFEL, ERIC H TYCO INTEGRATED SECURITY 02/10/16 SPIROS LAW PC RUSIN & MACIOROWSKI LTD 95 16WC 08100 HEMP, JUANETTE RIVERSIDE MEDICAL CENTER 01/29/16 RIDGE & DOWNES GILDEA & COGHLAN 96 16WC 09200 WILDMAN, RICHARD KINDER MORGAN ENERGY PART 08/16/11 ANESI OZMON RODIN NOVAK KO SPIEGEL & CAHILL, PC 97 16WC 10819 SONETZ, LOUIS GREAT LAKES ELECTRICAL 01/26/15 ALEKSY BELCHER LAW OFFICES JOSEPH MARCINIAK 16WC010820 -C 17WC031995 -C 17WC034520 -C ALDRIDGE ELECTRIC, INC 98 16WC 11137 HAZZARD, JONATHAN LAWRENCE TRANSPORTATION S 11/01/14 BLEAKNEY & TROIANI HEYL ROYSTER VOELKER & ALLEN 99 16WC 11533 ROHLFS, REBECCA S. STATE OF IL, VETERANS 03/23/16 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 100 16WC 12651 MENTEL, JASON JOHNSON CONTROLS INC 02/08/16 STANCZAK LAW OFFICES RUSIN & MACIOROWSKI LTD 101 16WC 13882 GOUGLASS, DEBBIE DOLLAR GENERAL 03/28/16 HORWITZ HORWITZ & ASSOC LEAHY EISENBERG & FRAENKEL 102 16WC 15669 CHACA, SANTIAGO BRUCE A SCHAAFSMA D/B/A W 02/07/16 DESTEFANO, ROBERT A & ASSO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 16WC 18138 O'NEIL, HARRY KANKAKEE COUNTY 05/20/16 SPIROS LAW PC RUSIN & MACIOROWSKI LTD 104 16WC 18271 RENVILLE, SUE BOURBONNAIS ELEMENTARY 09/23/14 MINKOW DOMIN HEYL ROYSTER VOELKER & ALLEN 105 16WC 18734 SMITH, DONALD P. STATE OF ILLINOIS SAMUEL @ 05/10/16 KARCHMAR & STONE ASSISTANT ATTORNEY GENERAL 106 16WC 22232 PAPINEAU, GEORGE CARRYALL TRANSPORTATION I 06/13/16 SPIROS LAW PC JAMES M KELLY 107 16WC 22499 PARKS, KATHLEEN ADDUS HEALTH CARE 11/11/15 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 16WC022690 -C 108 16WC 22688 HERNANDEZ, ANGELICA BASF CORPORATION 12/08/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 109 16WC 24248 RUSSOW, EVA THE CAMELOT SCHOOLS, LLC 12/09/15 MATTHEW T. GUBBINS PC JOSEPH MARCINIAK 110 16WC 26044 FRAZIER, ELMER TRAFFIC MANAGEMENT INC 08/03/16 LUSAK AND COBB WIEDNER & MCAULIFFE LTD 111 16WC 26593 SPERRY, KELLY PRESENCE MERKLE KNIPPRATH 01/26/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 112 16WC 27043 ROOF, FORREST M. SCOTT VENT INDIVIDUALLY A 08/10/16 113 16WC 27303 GLASS, HELEN CITADEL HEALTHCARE 08/26/16 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 16WC029561 -C 17WC002021 -C 114 16WC 27622 WHITTAKER, KEN PRICE GREGORY INTERNATION 11/11/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 115 16WC 35903 WHITLOW, LARRY CITY OF KANKAKEE POLICE D 10/27/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 116 16WC 37704 MAXON, JANENE ILLINOIS DHFS @ 11/01/16 LEE, MARK N LAW OFFICE MALLORY ZIMET 117 16WC 38774 MINOR, TIMOTHY CITY OF MOMENCE 09/09/16 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 17WC 00197 BROWN, SHERITA R STATE OF ILLINOIS @ 12/18/16 THE ROMAKER LAW FIRM COLIN KICKLIGHTER 119 17WC 04060 MAGEE, VICTORIA SHAPIRO STATE OF IL @ 12/10/16 MARSZALEK AND MARSZALEK MALLORY ZIMET 17WC008701 -C 19WC024213 -C 120 17WC 05471 WATSON, SYBIL RENEE STATE OF ILLINOIS @ 09/25/15 STEVEN A CRIFASE, LTD ASSISTANT ATTORNEY GENERAL 121 17WC 06175 PERRY, STEVE NU-WAY TRANSPORTATION 10/19/16 WOODRUFF & JOHNSON LITCHFIELD CAVO 122 17WC 06239 HOFER, PAMELA CROWN CORK & SEAL 11/01/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 123 17WC 06692 BENSON, MELISSA RIVERSIDE MEDICAL CENTER 10/03/16 GESMER & REYNOLDS PC GILDEA & COGHLAN 124 17WC 06965 WINDHAM, VIRGINIA STATE OF ILLINOIS @ 06/01/15 ROBERT BURROWS 125 17WC 07296 KIBBONS, TIFFANY STATE OF IL DEPT OF HUMAN @ 01/11/17 GOLDBERG WEISMAN & CAIRO L MALLORY ZIMET 126 17WC 13591 ESQUIVEL, OSCAR ELITE STAFFING INC 03/21/17 GONZALEZ LAW GROUP 127 17WC 15267 PARADES, ALEJANDRO BOB'S DISCOUNT FURNITURE 03/21/17 RAYMOND M SIMARD, PC 128 17WC 16468 PLEASANT, RENNE WAL-MART #1307 11/30/16 BLOCK, KLUKAS & MANZELLA P QUINTAIROS PRIETO WOOD & BOY 129 17WC 18476 DIAZ, JASON STATE OF IL DEPARTMENT OF @ 06/13/17 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 18WC011054 -C IDOT 130 17WC 19709 ANDERSON, KAREN KANKAKEE SCHOOL DIST 111 07/11/16 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 131 17WC 20977 HARTMAN, KERRY COUNTY OF KANKAKEE 03/20/17 MATTHEW T. GUBBINS PC RUSIN & MACIOROWSKI LTD 132 17WC 21456 19B ASHMAN, ROBERT D PEPSI BEVERAGE CO 02/18/17 MC HARGUE & JONES ROBERT L. SMITH 133 17WC 21602 RODRIGUEZ, JOSE LUIS RJPG CONSTRUCTION W 07/12/17 CHEPOV & SCOTT LLC SPIEGEL & CAHILL, PC 134 17WC 24220 KING, LEON FEDEX 06/19/17 SPIROS LAW PC ASHER, RAYMOND L LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 135 17WC 25803 WHITAKER, CHRISTINA KANKAKEE COUNTY TRAINING 07/19/17 EAMES LAW GROUP LTD 136 17WC 27566 MULLADY, TERI J. KANKAKEE SD 111 08/19/16 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 17WC027567 -C 137 17WC 28390 LONG, MAKAYLA ALDI DISTRIBUTION CENTER 08/03/17 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 138 17WC 29074 CROSS, KATHY KROGER 07/07/17 ANESI OZMON RODIN NOVAK KO CLAYBORNE SABO & WAGNER 139 17WC 31861 HEILGEIST, JOSEPH CARPENTERS CHICAGO 02/24/17 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 140 17WC 32327 SANDOVAL, ROSA URBAN FARMER LLC 09/27/17 KATZ FRIEDMAN EAGLE ET AL 141 17WC 35137 GILMAN, CAROL WALMART 02/16/17 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 142 17WC 35837 LYNN, JAMES EXELON NUCLEAR SECURITY, 05/25/17 NYHAN BAMBRICK KINZIE & LOWR 143 17WC 36044 ROSE, LISA RIVER NORTH OF BRADLEY HE 11/17/17 LEONARD LAW GROUP LLC 144 18WC 00583 DECKER, CRISTYL IL DEPT OF HUMAN SERVICES 05/10/17 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 145 18WC 02621 MCCLANAHAN, KELLY GILMAN RED DOOR 08/07/16 SPIROS LAW PC 146 18WC 03163 GUINGRICH, CYNTHIA C ADDUS HOMECARE, INC 01/31/18 MATTHEW T. GUBBINS PC 147 18WC 03801 LALLY, PAUL D STATE OF ILLINOIS @ 01/02/18 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 148 18WC 05537 VILLAGOMEZ, ERIK CITY OF KANKAKEE 12/01/15 MATTHEW T. GUBBINS PC RUSIN & MACIOROWSKI LTD 149 18WC 06723 PETERSEN, LAURA RIVERSIDE MEDICAL CENTER 01/22/18 COSTA IVONE LLC GILDEA, COGHLAN & REGAN LTD.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 150 18WC 08610 19B CARTER, DAVID SWIFT TRANSPORATION 02/15/18 WOODRUFF & JOHNSON EVANS & DIXON 151 18WC 09982 JECK, RONDA JEWEL FOODS 06/01/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 18WC033253 -C 152 18WC 10127 HERNANDEZ, MARIA PATRICIA AAF/FLANDERS 11/14/17 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM GRA 153 18WC 10464 VILLAGOMEZ MORALES, ALOND VAN DRUNEN ARMS AND 08/31/17 EPSTEIN, JACK R LAW OFFICE FRANCESCA LARSEN 18WC010465 -C 154 18WC 11420 WILSON, CHINA SECURITAS SECURITY SVCES 02/09/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 155 18WC 11911 JONES, MARILYN Y RIVERSIDE HEALTHCARE 01/10/18 MAT0THEW T. GUBBINS PC 156 18WC 12272 GUTIERREZ, JENNIFER MENARDS 09/28/17 JAMES ELLIS GUMBINER & ASS GANAN & SHAPIRO 157 18WC 12983 THARPE, BURNA L SOI - SHAPIRO D.C @ 12/03/17 CORNFIELD & FELDMAN 158 18WC 13203 MASKEL, DAVID LSC COMMUNICATION 06/16/17 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 159 18WC 13732 MARTIN, BETTY FIRST STUDENT MANAGEMENT 04/12/18 MATTHEW T. GUBBINS PC 160 18WC 14067 CARRUTHERS, KENNETH NDY MANUFACTURING 12/15/17 SPIROS LAW PC 161 18WC 14869 CALDERON, ALEJANDRO PEREZ ALLIED WASTE TRANSPORTATI 04/16/18 ACEVES & PEREZ PC GILDEA, COGHLAN & REGAN LTD. 162 18WC 15519 CHIRA, NICHOLAS SANTEFORT SERVICES, LLC 03/15/18 BRISKMAN BRISKMAN GREENBER 163 18WC 15734 MELI, TODD STATE OF ILLINOIS, SHAPIR @ 06/25/15 MATTHEW T. GUBBINS PC ASSISTANT ATTORNEY GENERAL 164 18WC 17201 NAVARRO, MARGARITA LEGENDARY STAFFING, INC 05/24/18 HERRERA LAW CENTER 165 18WC 17271 PEREZ, KAREN M NEXU'S ONARGA ACADEMY 03/01/18 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 166 18WC 17594 WILLIAMS, TACHICA S KANKAKEE TERRACE 05/19/18 ANKIN LAW OFFICE 167 18WC 17960 SCHULTZ, DOMINQUE FOX DEVELOPMENTAL CENTER @ 06/05/18 SPIROS LAW PC ASSISTANT ATTY GENL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 168 18WC 18847 DIXON, JEFFREY MSW SEED, LLC 07/26/17 LAWRENCE COZZI - LAW OFFICE 169 18WC 19964 READUS, LAVENIA ILLINOIS VETERANS HOME 04/03/18 STEVEN A CRIFASE, LTD ASSISTANT ATTY GENL 170 18WC 20244 ROSARIO, JOSEPH WENDY'S 06/16/18 171 18WC 20870 BERGE, PAUL M CITY OF KANKAKEE 07/03/18 MATTHEW T. GUBBINS PC RUSIN & MACIOROWSKI LTD 172 18WC 21194 VALLEY, TRACY ST OF ILLINOIS-DEPT OF HU 02/08/18 WHITESIDE & GOLDBERG LTD ASSISTANT ATTY GENL 173 18WC 22605 TOPP, JAMIE EXELON GENERATION COMPANY 05/17/18 LEITER LAW OFFICES HENNESSY & ROACH PC 174 18WC 22895 JOHANDES, ROGER L FEDEX FREIGHT INC 04/10/18 COVEN LAW GROUP GANAN & SHAPIRO 175 18WC 22973 MORALES, JESUS MOMENCE PACKING CO. 06/12/17 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 176 18WC 23268 SERAFINI, SUSAN GOOD SHEPHERD MANOR 07/11/17 SPIROS LAW PC POWER & CRONIN LTD 18WC023269 -C 177 18WC 23670 WILLIAMS, SHAWN K-MART 07/16/18 FREDERICK & HAGLE 178 18WC 25084 SOLIS, ANNA K (GUARDIAN O EVANS DELIVERY COMPANY IN # 05/25/18 PETER CULOTTA SCOPELITIS GARVIN LIGHT 179 18WC 25430 KRUG, CARL DE LONG FORD 07/16/18 O'CONNOR & NAKOS KEEFE CAMPBELL BIERY & ASSOC 180 18WC 26402 MERRILL, SANDRA INNOVEL SOLUTIONS 01/15/18 STEVEN A CRIFASE, LTD 181 18WC 27038 WASHINGTON, LARITA DUANE DEAN BEHAVIORAL CEN 11/28/17 STEVEN A CRIFASE, LTD BRADY CONNOLLY & MASUDA PC 182 18WC 27605 MORGAN, SAMANTHA PIPER CITY REHAB & LIVING 03/02/18 STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 183 18WC 28483 VILLA, GEORGIA RIVERSIDE MEDICAL CENTER 01/13/18 PORRO NIERMANN LAW GROUP GILDEA, COGHLAN & REGAN LTD. 184 18WC 29098 MILLER, THOMAS MOMENCE PACKING 07/31/18 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 18WC029099 -C 185 18WC 29237 DELANEY, DENISE SHAPIRO DEVELOPMENT CENTE 07/10/18 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL 186 18WC 29295 PASILAS, LOUIS MENARD'S 09/06/18 SPIROS LAW PC CHILTON YAMBERT PORTER LLP 187 18WC 30165 BOWLES, MARIE SHAPIRO DEVELOPMENT 08/31/18 STEVEN A CRIFASE, LTD ASSISTANT ATTORNEY GENERAL 188 18WC 31233 WAGNER, DANELLE SHAPIRO DEVELOPMENTAL CEN @ 07/30/18 SPIROS LAW PC ASSISTANT ATTY GENL 189 18WC 32505 COLLINS, CHARLES CITY OF KANKAKEE 03/07/16 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 190 18WC 33278 HANSEN, STEVE AT WORK PERSONNEL 10/15/18 POULOS & DIBENEDETTO LAW 191 18WC 34144 JOHNSON, GARY MCLANE MIDWEST 09/19/18 SPIROS LAW PC KEEFE CAMPBELL BIERY & ASSOC 192 18WC 34366 LAMPHEAR, JAMES SUPERIOR CARRIERS, INC 11/08/18 RIDGE & DOWNES SCOPELITIS GARVIN LIGHT 193 18WC 34943 SPARENBERG, SHERRY L SOI-ILLINOIS VETERANS HOM @ 05/03/18 CORNFIELD & FELDMAN ASSISTANT ATTY GENL 194 18WC 35120 PEREZ, BERTHA LEGENDARY STAFFING, INC 09/09/18 COHN LAMBERT RYAN & SCHNEI 195 18WC 35291 RITTMANIC, MARLENE R VILLAGE OF BRADLEY - 01/09/18 ANESI OZMON RODIN NOVAK KO 196 18WC 35390 GIESE, MICHELLE KANKAEE FIRE DEPARTMENT 10/18/18 SEROWKA LAW POWER & CRONIN LTD 197 18WC 36385 FIGUEROA, RICARDO URBINA EXPRESS TRANSPORT W 04/22/16 PETER F FERRACUTI & ASSOCI 20WC004496 -C IWBF 198 18WC 36722 JONES, ANTHONY STATE OF ILLINOIS 12/05/18 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 16WC036737 -C SHAPIRO DEVELOPMENTAL CENT 199 18WC 36913 JEFFERSON, CARRIE INDIAN OAKS ACADEMY 09/14/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 200 18WC 37168 CHANEY, RICHARD RENT-A-CENTER 09/17/18 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 201 18WC 37266 ALLEN, ROBERT L BILL BALTHUN AUTOMOTIVE 05/01/18 QUINN JOHNSTON HENDERSON ETA 202 18WC 37561 MARTIN, JULIE STATE OF IL - 07/12/18 SEIDMAN MARGULIS & FAIRMAN ASSISTANT ATTORNEY GENERAL 203 18WC 37668 MILLER, JACOB COLMAC COIL 09/16/18 FREDERICK & HAGLE RUSIN & MACIOROWSKI LTD 19WC033173 -C 204 19WC 00196 COOLEY, BEVERLY ST OF IL DEP OF HUMAN SER @ 11/18/18 ROSS TYRRELL ASSISTANT ATTORNEY GENERAL 205 19WC 01734 WILHOYTE, DENIA KANKAKEE SCHOOL DIST #111 09/28/18 SPIROS LAW PC INMAN & FITZGIBBONS 206 19WC 02085 MACHINSHOK, MELISSA CIRCLE K 09/12/18 SPIROS LAW PC NYHAN BAMBRICK KINZIE & LOWR 207 19WC 02499 DODGE-ROAT, MARY J COMMONWEALTH EDISON COMPA 01/16/19 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 208 19WC 02536 ARROYO, CRISTINA SILVA INTERNATIONAL, INC 07/17/18 TIMOTHY HENDERSON WIEDNER & MCAULIFFE LTD 209 19WC 02704 BECTON, NICHOLAS CHICAGO BEARS FOOTBALL CL 08/08/16 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 210 19WC 02930 RODRIGUEZ TREJO, LUIS MIG ELITE STAFFING 09/26/18 HERRERA LAW CENTER 211 19WC 03393 RIVERS, LAKEISHA ILLINOIS CENTRAL SCHOOL B 11/30/18 STEVEN A CRIFASE, LTD GAROFALO SCHREIBER STORM GRA 212 19WC 04142 HERTZ, CHARLES KANKAKEE COUNTY SHERIFF'S 01/21/19 HORWITZ HORWITZ & ASSOC 213 19WC 04210 FIER, LISA RIVERSIDE MILLER 04/24/18 SANDMAN LEVY & PETRICH GILDEA, COGHLAN & REGAN LTD. 214 19WC 05351 BOUDREAU, PAUL PEDDINGHAUS 04/19/16 MC HARGUE & JONES 215 19WC 05477 JOHNSON, NYLA CROWN CORK & SEAL CO. 02/11/19 SHANCER, JEFFREY M 216 19WC 07479 SMITH, KAREN L STATE OF ILLINOIS WM W FO @ 12/07/18 KAVANAGH GRUMLEY & GORBOLD ASSISTANT ATTY GENL 217 19WC 07693 ROGERS, MARK A FIRST TRANSIT INC 01/10/18 BRUGGEMAN HURST & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 218 19WC 08309 BOWARD-TIMM, MICHELE KANKAKEE COUNTY SHERIFF'S 02/05/19 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 219 19WC 09095 PENA, JUSTIN PACTIVE 12/29/18 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 220 19WC 09894 VILLAGOMEZ, RIGOBERTO JR CITY OF KANKAKEE 12/27/18 STEVEN A CRIFASE, LTD 221 19WC 10234 JEJE, JACOB PACTIV 03/29/19 MC HARGUE & JONES 222 19WC 11017 FANT, RASHARD CHICAGO BEARS FOOTBALL CL 07/21/18 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 223 19WC 11578 WRIGHT, SHERRY CITCHENS NEXUS DBA INDIAN OAKS ACA 01/15/19 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 19WC011579 -C 224 19WC 12724 COLLINS, CHARLES CITY OF KANKAKEE 04/01/19 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 225 19WC 13064 MORRISON, MICHAEL CHEBANSE GRAIN, INC 06/08/12 MALKINSON AND HALPERN P.C. KNELL O'CONNOR DANIELWICZ 226 19WC 13681 LEE, JENNIFER MURPHY EXPRESS 04/11/19 MC HARGUE & JONES LAWRENCE COZZI - LAW OFFICE 227 19WC 14219 SCANLON, JOHN SCANLON EXCAVATING & CONC 08/21/18 SPIROS LAW PC RUSIN & MACIOROWSKI LTD 228 19WC 14963 WATTS, SARETHA MANTENO IL VETERAN'S HOME @ 02/05/19 SPIROS LAW PC ASSISTANT ATTY GENERAL 229 19WC 15080 TAYLOR, MONTANNA RESCARE 12/16/18 COSTA IVONE LLC SPIEGEL & CAHILL, PC 230 19WC 15248 MOORE, WILLIE JR. AAF FLANDERS 04/03/19 COPELAND FINN & FIERI LTD WOLFE & JACOBSON, LTD 231 19WC 15463 GRIFFITH, JOSEPH RUAN TRANSPORTATION 01/19/18 POLANSKY & CICHON CHTD JAMES M KELLY 232 19WC 16017 MCCARTY, AUSTIN GORDON FOOD SERVICE 09/28/16 SPIROS LAW PC GANAN & SHAPIRO 233 19WC 16773 ROMANIA, CHRISTINE WALMART 04/27/19 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 234 19WC 17506 MIRAMONTES, MATILDE CITY OF KANKAKEE 05/21/18 MATTHEW T. GUBBINS PC RUSIN & MACIOROWSKI LTD 235 19WC 17902 AHRENS, TRYA URBAN FARMER, LLC 04/18/19 MATTHEW T. GUBBINS PC QUINN JOHNSTON HENDERSON ETA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 19WC 18154 BURNS, ANTOINETTE SHAPIRO DEVELOPMENTAL CEN 06/16/19 HETHERINGTON KARPEL & BOBB ASSISTANT ATTORNEY GENERAL 237 19WC 19272 HARRIS, JOSEPH ATS COMMERCIAL GROUP 05/05/19 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 238 19WC 19772 SCHNEIDER, JASON PACIFIC MANAGEMENT, INC. 05/23/19 PARENTE & NOREM PC 19WC019773 -C 239 19WC 20884 CHAMBERS-SCHWOB, JENNIFER KANKAKEE AREA YMCA 03/22/19 MARC J SHUMAN & ASSOCIATES RUSIN & MACIOROWSKI LTD 240 19WC 21335 CLARY, STEPHEN, F/K/A BARGE TERMINAL 06/13/19 LEONARD LAW GROUP LLC GANAN & SHAPIRO 241 19WC 22222 POWELL, VALERIE GREEN TOE OF BRADLEY 04/15/19 STEVEN J MALMAN & ASSOCIAT POWER & CRONIN LTD 242 19WC 22631 REYNOLDS, RASHAAD CHICAGO BEARS FOOTBALL CL 08/05/17 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 243 19WC 22870 LOUIS, KAVERE DAVID BRUCE TOYOTA 10/08/18 MARSZALEK AND MARSZALEK GAROFALO SCHREIBER STORM GRA 244 19WC 23485 SIMS, DION CHICAGO BEARS FOOTBALL CL 08/05/18 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 19WC023486 -C 245 19WC 24830 DAHLGREN WALKER, LAURETTA ALDI 08/28/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 246 19WC 24959 THOMPSON, AINSLEY ALDI DISTRIBUTION 04/22/19 PETER F FERRACUTI & ASSOCI BRADY CONNOLLY & MASUDA PC 247 19WC 25093 ELLIS, BRITTANY SHAPIRO DEVELOPMENTAL CEN 08/14/19 VASILATOS & COTTER LLC ASSISTANT ATTORNEY GENERAL 248 19WC 25372 GABRIEL, TAYLOR CHICAGO BEARS FOOTBALL CL 07/31/18 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 249 19WC 25695 FLOWERS, SABRINA COUNTY OF KANKAKEE 02/08/19 TOPPER & WEISS LTD INMAN & FITZGIBBONS 250 19WC 25773 KLING, GINA ALDI WAREHOUSE 05/17/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 251 19WC 25854 RUSHBROOK, REBECCA NEXUS ONARGA ACADEMY 05/04/19 STRONG LAW OFFICE INMAN & FITZGIBBONS 252 19WC 25999 RUSSELL, DEBORAH HARBOR FREIGHT TOOLS 07/08/19 HANNIGAN & BOTHA, LTD ADELSON TESTAN BRUNDO 253 19WC 26635 BALL, DEBORAH PRAIRIEVIEW LUTHERAN HOME 07/10/19 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 254 19WC 27517 GRIFFEY, JENNIFER RIVERSIDE WORKFORCE HEALT 08/10/18 HORWITZ HORWITZ & ASSOC 255 19WC 27948 CELIO, MA CONSUELO MCDONALDS 06/22/19 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 256 19WC 28096 SANTOYO, FILIBERTO LEE TRUCKING INC 08/12/17 KANOSKI BRESNEY JAMES M KELLY 257 19WC 28207 ARBUCKLE, TIFFANIE STATE OF ILLINOIS, DEPART @ 06/24/19 MICHAEL HELLMAN ASSISTANT ATTORNEY GENERAL 258 19WC 28760 NUTTER, JENNINGS MARK SECURITY LUMBER & SUPPLY 08/22/19 HORWITZ HORWITZ & ASSOC EVANS & DIXON 259 19WC 28960 WHEELER, CHARLES NUCOR STEEL 06/17/19 CAPRON & AVGERINOS PC LEAHY EISENBERG & FRAENKEL 260 19WC 29051 DAY, LAKEITHA S ILLINOIS VETERAN'S HOME 09/12/19 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 261 19WC 29139 GRIFFITH SHAYNA JOAN & J HAUCK, INC # 09/19/19 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 262 19WC 29480 JOHNSON, TAMMY CASEY'S GENERAL STORE 02/25/19 RATHBUN CSEVENYAK & KOZOL JAMES M KELLY 263 19WC 30561 MARTIN, KENNETH STATE OF ILLINOIS, @ 10/03/19 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 264 19WC 30889 DRAINO, WILLIAM ALLIED POWER 10/19/19 PARENTE & NOREM PC LAWRENCE COZZI - LAW OFFICE 265 19WC 31400 CHINSKI, RHONDA L PRAIRIEVIEW LUTHERAN HOME 03/15/19 SPIROS LAW PC KEEFE CAMPBELL BIERY & ASSOC 266 19WC 31843 BURGE, TYLA T-MOBILE USA INC 10/11/19 SPIROS LAW PC ARNETT LAW GROUP 267 19WC 32286 FISHER, DEMESHA ASCENSION PRESENCE OUR LA 10/13/19 MICHAEL HELLMAN NYHAN BAMBRICK KINZIE & LOWR 268 19WC 32460 ROBERTS, THOMAS COMCAST 10/07/19 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 269 19WC 32478 STOKELY, FRANK CROWNCORK & SEAL 10/07/19 ELFENBAUM EVERS AMARILIO Z BRADY CONNOLLY & MASUDA PC 270 19WC 32844 SPRIGGS, KEITH MANPOWER 06/17/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 271 19WC 33289 WILLIAMS, ALYSSA N EXELON CORPORATION 10/01/19 CHARLES A FANUCCHI CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 272 19WC 33978 MOSES, DANIELLE RIVERSIDE MEDICAL CENTER 09/04/19 MCNAMARA PHELAN MCSTEEN LL GILDEA, COGHLAN & REGAN LTD. 273 19WC 34248 JARRETT, TYRENESHA (MINOR MCDONALD'S 10/27/19 FREDERICK & HAGLE 274 19WC 34678 GARRETT, LESTER CSL BEHRING 04/08/19 MARSZALEK AND MARSZALEK 275 19WC 35131 TRUSTY, THERESA LOVE'S TRAVEL STOPS & 11/15/19 SPIROS LAW PC ROSARIO CIBELLA 276 19WC 35212 KARNES, KURT EXEL INC. DBA DHL SUPPLY 09/15/19 ANESI OZMON RODIN NOVAK KO 277 19WC 35249 DUPUIS, BREANNE RIVERSIDE MEDICAL CENTER 01/03/17 FRANK A CELANI GILDEA, COGHLAN & REGAN LTD. 278 19WC 35406 MOODY, ADAM J SELECT REHABILITATION 09/23/19 HORWITZ HORWITZ & ASSOC 279 19WC 35567 WALGENBACH, CYNTHIA A NATIONAL OPINION RESEARCH 02/24/19 MEYERS & FLOWERS 280 19WC 35987 MAESTAS, DAWN CIRCLE K 11/25/19 DWORKIN AND MACIARIELLO 281 19WC 36042 SMITH, AARON WESCO INTERNATIONAL 11/25/19 ANGELINI & ORI LLC LAWRENCE COZZI - LAW OFFICE 282 19WC 36295 FOLTZ, NATHAN P BASF CORP 11/16/19 ANKIN LAW OFFICE 283 19WC 37067 MEYER, LISA ON BEHALF OF KANKAKEE FIRE DEPARTMENT 11/16/19 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 284 20WC 00094 CUMMINS, SEAN ARMSTRONG FLOORING, INC 07/25/19 KROL BONGIORNO & GIVEN LTD 285 20WC 00217 DENTON, AMBER SHAPIRO DEVELOPMENTAL CEN 08/24/17 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 286 20WC 00534 DELAHR, STEVEN ROBINSON ENGINEERING 08/06/19 SPIROS LAW PC EDWARD J. KOZEL 287 20WC 00574 WRIGHT, SHERRY INDIAN OAKS ACADEMY/NEXUS 01/23/19 ANKIN LAW OFFICE 288 20WC 00848 WHALEN, GLENDA LSC COMMUNICATIONS US LLC 09/05/19 CORTINA & MUELLER 289 20WC 01331 SANCHEZ, ADAN INCOBRASA INDUSTRIES, LTD 04/03/18 RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 290 20WC 01385 ROBINS, SUSAN LOWE'S HOME IMPROVEMENT 09/09/19 COVEN LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 291 20WC 01632 MITCHELL, MARIAH ALDI INC 10/22/18 SCHWEICKERT GANASSIN BRADY CONNOLLY & MASUDA PC 292 20WC 01985 CROUCH, SHARON KROGER 12/22/19 ANESI OZMON RODIN NOVAK KO 293 20WC 02305 NICHOLS, BILAL CHICAGO BEARS FOOTBALL CL 08/26/18 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 294 20WC 02404 SOLIDAY, BRANDON C AMBASSADOR STEEL FABRICAT 01/20/20 ARGIONIS & ASSOCIATES LLC KRAKER FANNING & OLSEN 295 20WC 02623 STENNIS, CAROLYN STATE OF ILLINOIS/ILLINOI 01/24/20 ANKIN LAW OFFICE 296 20WC 02885 DINKINS, HEATHER SHAPIRO DEVELOPMENT CENTE 01/29/20 HORWITZ HORWITZ & ASSOC 297 20WC 03162 WADE, TAMEKA POSH COMMUNITIES, LLC 05/13/19 LAWRENCE COZZI - LAW OFFICE 298 20WC 03355 COBB, CHESTER JR EXPRESS EMPLYMNT PROFESSI 01/13/20 DWORKIN AND MACIARIELLO 299 20WC 03588 ALVAREZ, VICTOR ELITE STAFFING 07/28/17 WHITING LAW GROUP 300 20WC 03757 GARCIA, SHAWN JEWEL FOODS 12/21/19 DAVID W MARTAY 301 20WC 03984 CALVIN, JAMES INDIAN OAKS ACADEMY 02/05/20 DWORKIN AND MACIARIELLO 302 20WC 04183 STOLZ, MATTHEW S MONICAL PIZZA CORP 04/05/19 GANAN & SHAPIRO 303 20WC 04393 PAYNE, SAMANTHA BRADLEY WEST ELEMENTARY S 05/04/17 ANESI OZMON RODIN NOVAK KO 304 20WC 04529 MILLER, CHARLES SUPERIOR BULK LOGISTICS I 01/12/19 SMITH AMUNDSEN LLC 305 20WC 04642 LIGHTNER, RAVEN S STATE OF ILLINOIS @ 07/22/19 HANNIGAN & BOTHA, LTD 306 20WC 04785 MARSH, ANGELLA INDEPENDENCE PLUS, INC 01/16/20 SOSTRIN AND SOSTRIN PC 307 20WC 05107 IVERY, ANGELENE MOMENCE PACKING CO 12/13/19 THOMAS R LICHTEN GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 308 20WC 05896 GAYTAN, ADRIAN VAN DRUNEN FARMS 10/02/19 CULLEN HASKINS NICHOLSON 309 20WC 05998 TATONE, DONALD CUSTARD INSURANCE ADJUSTE 01/15/20 SPIROS LAW PC 310 20WC 06194 LAWRENCE-BARBIERI, SAMANT SHAPIRO DEVELOPMENTAL CEN 01/19/20 LEITER LAW OFFICES 311 20WC 06388 MILLER, ANTHONY CHICAGO BEARS FOOTBALL CL 08/10/19 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 312 20WC 06521 JOHNSON, DONNEISHA D MCDONALD'S 02/16/20 GALLAGHER, DONALD V 313 20WC 06710 BELLO, OLUWAYOMI FOX DEVELOPMENTAL CENTER/ @ 07/17/19 WILLIAMS & SWEE 314 20WC 07044 LINDSEY, KEKE STATE OF ILLINOIS DEPARTM 03/01/20 MICHAEL HELLMAN 315 20WC 07935 GOSA, LAWANDA GP CONSULTING, LLC 02/28/20 SCHWEICKERT GANASSIN 316 20WC 08339 HOUCH, DEBBIE LSC COMMUNICATIONS INC 11/13/19 SCHWEICKERT GANASSIN 317 20WC 08438 BOWER, NICOLETTE ALDI-DWIGHT 09/07/19 MEYERS & FLOWERS 318 20WC 08605 GOUDREAU, KEVIN BRADLEY FIRE DEPT 02/18/20 GWC INJURY LAWYERS LLC 319 20WC 09061 PALMATEER, FRANK KANKAKEE FIRE DEPARTMENT 02/20/20 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 20WC009063 -C 320 20WC 09239 GARRETT, SUSAN IROQUIS SPECIAL EDUCATION 09/06/19 SPIROS LAW PC 321 20WC 10070 MITCHELL, CARA RIVER VALLEY CHRISTIAN * 09/17/19 BARMAN BOHLEN & SCOTT 322 20WC 10571 STRYSIK, JANET P RIVERSIDE MEDICAL CENTER 11/20/19 RONALDSON & KUCHLER 323 20WC 11084 PETERS, LEVI KANKAKEE POLICE DEPT 04/07/20 GWC INJURY LAWYERS LLC 324 20WC 11209 NAPIER, STEVE HENKELS & MCCOY 01/07/20 MC HARGUE & JONES 325 20WC 12083 SMITH, TYLER CMC REBAR * 03/07/20 SPIROS LAW PC KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 326 20WC 12417 REARDANZ, STEVEN CROWN HOLDINGS, INC * 03/29/20 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 327 20WC 12587 BERNICKY, STACY ALDI DISTRIBUTION * 02/24/20 DWORKIN AND MACIARIELLO 328 20WC 12698 SMITH, JOHNIE TRANSFORMCO HOLDINGS, LLC * 05/27/20 ANKIN LAW OFFICE 329 20WC 13125 FRANKS, JOHN WISHELL TRANSIT * 11/16/18 SPIROS LAW PC 330 20WC 13605 MARTIN, BETTY JEWEL FOOD STORES, INC * 12/01/19 MATTHEW T. GUBBINS PC 331 20WC 14065 IRBY, REBECCA ST OF IL- SHAPIRO @ * 05/11/20 CULLEN HASKINS NICHOLSON 332 20WC 14159 AUBERRY, LEE MARBERRY CLEANERS * 05/03/19 KINNALLY FLAHERTY KRENTZ 333 20WC 14291 KERNS, ALAN ALLIED POWER SERVICES * 04/22/20 CULLEN HASKINS NICHOLSON 334 20WC 14970 WELLS, RYAN NEXUS, INC * 03/12/20 WOODRUFF JOHNSON 335 20WC 15411 KIEFFER, MICHAEL EDMUND A ALLEN LUMBER CO * 06/18/20 DWORKIN AND MACIARIELLO 336 20WC 15666 SCHULTZ, CRAIG LSC COMMUNICATIONS * 08/12/19 PETER F FERRACUTI & ASSOCI 337 20WC 15822 PYZDROWSKI, STEPHEN PEPSI BEVERAGES CO * 04/13/20 ANESI OZMON RODIN NOVAK KO 338 20WC 16130 ZIGA, DEBORAH ALDI DISTRIBUTION CENTER * 01/06/20 TIMOTHY HENDERSON 339 20WC 16563 MUNNICH, AMY ALDI'S WAREHOUSE * 11/07/18 SPIROS LAW PC 340 20WC 16980 CHOUINARD, GUY SUN CHEMICAL CORP * 06/06/20 BLOCK, KLUKAS & MANZELLA P 341 20WC 17006 MINGO, ROBERT CSL BEHRING LLC * 05/16/19 HOLECEK & ASSOCIATES 342 20WC 17095 MILLER, RANDALL K BERKOT'S SUPER FOODS * 05/14/20 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 343 20WC 17299 JOHNSON, BEVERLY KANKAKEE TERRACE * 08/29/18 STEVEN A CRIFASE, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR KANKAKEE 32003 ON 09/15/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 344 20WC 17320 REDDINGTON, LAUREN ALDI, INC * 09/09/19 CORBOY & DEMETRIO PC 345 20WC 17534 SMITH, KENT TURN KEY ENVIRONMENTAL * 01/06/20 PETER F FERRACUTI & ASSOCI 346 20WC 18434 LASLIE, BRUCE L&N CROP SPRAYING INC * 07/15/20 STEVEN A CRIFASE, LTD 347 20WC 18594 BAGNARA, ROBERT AT&T * 01/23/02 DEPAOLO & ZADEIKIS 348 20WC 18771 CHACA, MIGUEL RJ VAN DRUNENE & SONS INC * 04/22/20 COSTA IVONE LLC 349 20WC 18932 HOOVER, KRISTINA WILLIAM FOX DEVELOPMENTAL @ * 05/09/20 SPIROS LAW PC 350 20WC 18971 MC GLONE, TIMMY SILVA INTERNATIONAL, INC * 06/14/20 MC HARGUE & JONES