ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 20295 ST VINCENT, CAROL SUE CHRYSLER CORPORATION 03/03/01 THOMAS R LICHTEN WILLIAMS & MCCARTHY 02WC038639 -C 03WC037758 -C DAIMLER CHRYSLER CORPORATI 05WC005739 -C 05WC005740 -C DAIMLER CHRYSLER CORPORATI 07WC029633 -C 2 05WC 19777 TRIPLETT, DRAPUS SHERWIN WILLIAMS 04/14/05 GESMER LAW OFFICES, PC GAROFALO SCHREIBER STORM 05WC019778 -C SHERIN WILLIAMS 3 07WC 10407 SOERGEL, DAVID A ESCOLAB INC 04/06/06 GREG TUITE & ASSOC BRADY CONNOLLY & MASUDA PC 07WC010408 -C ECOLAB INC 4 07WC 26057 MIRACLE, MARIE EYEMART EXPRESS INC 04/27/07 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 5 07WC 28559 KOSTKIEWICZ, PAWEL SEA BRIGHT INSURANCE 06/11/07 MINKOW DOMIN LITCHFIELD CAVO 6 07WC 37748 JONES, DEAN NICOR GAS 06/09/07 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 07WC037749 -C 07WC048432 -C 7 07WC 47019 ROBIN, KIMBERLY GENERAL MILLS, INC. 09/25/07 GESMER LAW OFFICES, PC PAUL A COGHLAN & ASSOC 8 08WC 10425 TAYLOR, PAULA ST OF IL - IDFPR-DPR @ 12/04/07 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 9 08WC 46058 DIAZ, IMILDA G DANAHER MOTION 03/04/08 BLACK & JONES GILDEA & COGHLAN 10 09WC 38391 BURNELL, DAVIS S & S CARTAGE 10/11/08 BLACK, JIM LAW OFFICE HINSHAW & CULBERTSON 11 09WC 52126 CHEMELLO, JUDY CRUSANDER CLINIC 08/01/09 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 09WC052127 -C 09WC052128 -C 09WC052129 -C 12 10WC 03147 GUETTERMAN, GABRIELLA CHRYSLER LLC 12/01/09 KRETMAR BEATTY & SANDZA WIEDNER & MCAULIFFE LTD 13 10WC 30949 BUCALO-BUSS, ROSE HAMILTON SUNDSTRAND UTC 05/25/10 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 14 11WC 20798 JOHNSON, PAUL R L LEEK 04/30/11 BLACK & JONES CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 11WC 20992 PACKARD, DEBORAH E IL DEPT OF HEALTHCARE & @ 03/01/10 HAUSER LAW LLC MATTHEW LICAVOLI 16 11WC 21297 VAUGHN, DONALD R JR CHRYSLER LLC 02/17/11 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 11WC023510 -C 14WC043493 -C 17 11WC 22921 HIGLEY, ANGELA WALMART 1955 03/27/11 DAVID W MARTAY QUINTAIROS PRIETO WOOD & BOY 18 11WC 27138 HOWELL, MELODIE S GENERAL MILLS, GREEN GIAN 10/21/10 GREG TUITE & ASSOC PAUL A COGHLAN & ASSOC 19 11WC 33709 KRIGBAUM, KERRY CONCRETE SYSTEMS INC 08/03/11 ALEKSY BELCHER WIEDNER & MCAULIFFE LTD 20 12WC 02773 SMITH, MICHAEL CHEM TOOL INC 09/20/11 JOHN S. ELIASIK LAW OFFICES JOSEPH MARCINIAK 21 12WC 03606 MURPHY, BRIANNA CHRYSLER LLC 01/20/11 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 22 12WC 04955 BOWGREN, JERRY DAVID HEEREN TRUCKING 11/24/11 COLLISON LAW OFFICES GILDEA & COGHLAN 23 12WC 07220 CUMBA, MARIBELLE JAC BELVIDERE CROSSLINK A 02/03/12 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 15WC026858 -C IAC BELVIDERE CROSSLINK 15WC026859 -C 17WC011558 -C IAC BELVIDERE CROSSLINK AK 24 12WC 11534 DOWNING, JEFFREY A FREEPORT METAL SPECIALTIE 03/09/11 GREG TUITE & ASSOC BRADY CONNOLLY & MASUDA PC 25 12WC 12635 NACHAMPASSACK, KINGKAMONE TESTORS CORPORATION 03/01/11 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 26 12WC 12636 NACHAMPASSACK, KINGKAMONE TESTORS CORPORATION 01/18/11 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 27 12WC 13666 MINARDI, ANTHONY R CARDINAL GLASS COMPANY 03/15/12 GREG TUITE & ASSOC ROBERT L. SMITH 13WC017675 -C 28 12WC 14372 SHEPPARD, DAVID SAS INC 08/26/11 ANKIN LAW OFFICE HENNESSY & ROACH PC 29 12WC 15720 BUCALO-BUSS, ROSE P HAMILTON-SUNDSTRAND UTC 05/18/11 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 30 12WC 22756 LAMB, JANICE G CHRYSLER GROUP LLC 05/14/12 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 12WC 23178 SCHROEDER, GEOFF CHRYSLER LLC 05/31/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 32 12WC 24517 DAVIS, GERALD T STERLING COMMERCIAL ROOFI 06/04/12 CACCIATORE, WILLIAM T PAUL A COGHLAN & ASSOC 33 12WC 26445 MYHRE, JEANNE CHRYSLER LLC 05/09/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 16WC034036 -C FCA US LLC 34 12WC 26637 GREEN, THERESA ETNYRE 05/02/12 BLACK & JONES CLARK FROST 35 12WC 29417 MACAULAY, YVONNE BERNER FOOD & BEVERAGE 04/12/12 THOMAS J STIBERTH LAW OFFI CAPUANI, FRANK S 12WC036465 -C 36 12WC 29744 BOHLMAN, PAMELA FIRST STUDENT A/K/A FIRST 03/06/12 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 37 12WC 35294 RUSSELL, STEVE STATE OF ILLINOIS/DORS @ 08/31/12 BLACK & JONES JORDAN FRANK 38 12WC 35981 THORNTON, DEBORAH CHRYSLER, LLC 09/01/12 BLACK & JONES WIEDNER & MCAULIFFE LTD 12WC035982 -C 14WC020121 -C 39 12WC 41919 EGELSTON, SCOTT J.B. HUNT 09/14/10 BLACK & JONES COZZI & GOGGIN-WARD 40 13WC 00712 CARRILLO, KELLI LUMEA STAFFING 12/19/09 BLACK & JONES 41 13WC 03576 PATTERSON, JASON CAMRYN INDUSTRIES 10/19/12 BLACK & JONES HENNESSY & ROACH PC 42 13WC 04422 LAMB, JANICE G CHRYSLER GROUP, LLC 09/28/12 GREG TUITE & ASSOC 43 13WC 06240 HITCH, TINA GENERAL MILLS 01/15/13 BLACK & JONES PAUL A COGHLAN & ASSOC 44 13WC 09076 BOTIC, FATA PBC LINEAR 11/01/12 BLACK & JONES HOLECEK & ASSOCIATES 45 13WC 11687 JACOBS, PAUL CHRYSLER ASSEMBLY PLANT 01/30/13 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 46 13WC 13504 WAWIORKO, ELIZABETH CHRYSLER LLC 11/01/12 BLACK & JONES WIEDNER & MCAULIFFE LTD 47 13WC 16325 HULTQUIST, RICHARD L ED TRNYRE & CO 01/01/11 BLACK & JONES CLARK FROST

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 13WC 17587 DIAZ, IMILDA G DANAHER MOTION 03/04/08 BLACK & JONES GILDEA & COGHLAN 49 13WC 22468 ROSKOPP, ELLEN J MC DONALDS CORP 05/11/13 GREG TUITE & ASSOC NYHAN BAMBRICK KINZIE & LOWR 50 13WC 23574 NAVARRO, FRANCISO MEYERS INDUSTRIES INC 07/15/13 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 13WC023575 -C 51 13WC 25535 ARRIGUIN, ELIZABETH GRUPO ANTOLIN 06/11/13 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 16WC012830 -C 52 13WC 26784 MAFFEI, CARMELLA SWEDISH AMERICAN HOSPITAL 12/18/12 BLACK & JONES 53 13WC 29206 MELTON, ANTHONY DOUBLE A ROOFING W 11/04/12 BLACK & JONES 54 13WC 31344 WAINWRIGHT, DAVID CELLUSUEDE PRODUCTS 04/01/12 BLACK & JONES GANAN & SHAPIRO 55 13WC 33061 HOYLE, NANCY SWEDISH AMERICAN MEDICAL 03/04/11 BLACK & JONES WILLIAMS MCCARTHY LLP 56 13WC 36237 GOMEZ, MARCO PETERSON CLEANING 11/27/12 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 57 13WC 37157 ROGERS, ANTHONY JR CHRYSLER LLC 10/12/12 KATZ FRIEDMAN EAGLE ET AL 58 13WC 40593 GUTIERREZ, ZENON AUSTIN-WESTRAN 05/20/13 ANESI OZMON RODIN NOVAK KO RIPES NELSON BAGGOT KALOBRAT 14WC029921 -C 59 13WC 42632 DELEHANTY, GENE TH FOODS 12/12/13 FRANCINE B WHITE HOLECEK & ASSOCIATES 60 14WC 01246 SELL, BARBARA WALMART SUPERCENTER 07/21/13 CLARK FROST WIEDNER & MCAULIFFE LTD 61 14WC 01497 BILJESKOVIC, LUKA ZENITH CUTTER 12/19/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 62 14WC 06990 SOLORIO, MARIA G COURTYARD BY MARRIOTT 12/20/13 AIOSSA LAW FIRM GANAN & SHAPIRO 63 14WC 07062 ROGERS, REGINA ENTERPRISE RENT-A-CENTER 08/06/13 INMAN & FITZGIBBONS 64 14WC 07333 LUNDSTROM, JEFF HILDEN REMODELING 09/13/13 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 65 14WC 08786 LANDWEHR, TERRACE L ARK LOGISTICS 05/29/13 TAMVAKIS, GEORGE L NYHAN BAMBRICK KINZIE & LOWR 66 14WC 10840 VERMIE, JOHN A AMERICAN MACHINE & ASSE 11/07/13 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 67 14WC 13274 MYERS, JUDY WINNEBAGO COUNTY HWY DEPT 12/01/13 BLACK & JONES 68 14WC 13275 MYERS, JUDY WINNEBAGO COUNTY HIGHWAY 02/25/14 BLACK & JONES 69 14WC 16768 CASINGER, GERALD WARSHAWSKY MUFFLER 03/21/14 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 70 14WC 19098 COOK, BRADLEY DEMUTH STEEL PRODUCTS 01/30/14 GREG TUITE & ASSOC QUINTAIROS PRIETO WOOD & BOY 14WC019099 -C 15WC033712 -C 71 14WC 19733 NGUYEN, HA HAMILTON SUNDSTRAND 06/01/11 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 72 14WC 20122 THORNTON, DEBORAH CHRYSLER CORP 06/17/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 73 14WC 20191 LINN, BRIGITTE ASTA CARE CENTER OF ROCKF W 05/25/14 FOHRMAN, DONALD W & ASSOCS 74 14WC 20766 PRINCE, LARRY SEIMENS 03/12/14 RIDGE & DOWNES LLC HOLECEK & ASSOCIATES 75 14WC 22871 KARL, ASHLEY M SYNCREON USA 06/05/13 REESE & REESE KEEFE CAMPBELL & ASSOC LLC 16WC038248 -C 17WC030556 -C 17WC030899 -C 76 14WC 23671 TILLMAN, THOMAS CHRYSLER 11/26/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 15WC020568 -C 77 14WC 23701 MARAS, MARY E EBM INC 07/01/14 GESMER LAW OFFICES, PC HOLECEK & ASSOCIATES 78 14WC 26695 HEITTER, CARLA J CITY OF ROCKFORD 05/01/14 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 14WC037749 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 79 14WC 28127 CRUZ, CRISTINA ROCKFORD PROCESS CONTROL 03/27/14 ALEXANDER, PETER LTD. NYHAN BAMBRICK KINZIE & LOWR 80 14WC 28487 PETERSON, RICHARD G COMCAST CABLEVISION 01/02/14 REESE & REESE POWER & CRONIN LTD 14WC038348 -C 15WC017127 -C 15WC038083 -C 81 14WC 29387 ORR, KIMBERLY ROCKFORD SCHOOL 01/01/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 82 14WC 29850 HALL, JOHN J CITY OF ROCKFORD 08/17/14 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 16WC024346 -C 83 14WC 33731 BAUMAN, MICHAEL D CITY OF ROCKFORD 03/05/14 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 16WC003687 -C 84 14WC 34757 MARTINEZ, REUBEN JOHN D AMERICAN DREAM HOME INC. 08/29/14 MARTIN V KUGIA COZZI & GOGGIN-WARD 85 14WC 35557 AUSTIN, KELANI OSF HOME CARE 08/18/14 BLACK & JONES HINSHAW & CULBERTSON 86 14WC 35710 PEARSON, KELLY CHRYSLER CORP 09/04/14 BLACK & JONES WILLIAMS MCCARTHY LLP 87 14WC 37054 HOWARD, TRACY JOSEPH JAMES PARTNERS 11/30/13 BLACK & JONES LEAHY EISENBERG & FRAENKEL 88 14WC 37598 MATLOCK, CHAROLETTE S WINNEBAGO COUNTY 07/25/14 O'CONNOR & NAKOS WILLIAMS MCCARTHY LLP 89 14WC 37704 HERNANDEZ, SALVADOR ARCHITECTURAL METALS LLC 08/02/13 GREG TUITE & ASSOC BRYCE DOWNEY & LENKOV LLC 90 14WC 39510 FLETCHER, JAMES WINNEBAGO COUNTY HIGHWAY 09/19/13 BLACK & JONES WILLIAMS MCCARTHY LLP 91 14WC 40334 WILSON, ROSE FIRST STUDENT 02/11/14 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 15WC018767 -C 16WC032662 -C 92 14WC 40554 JOHNSON, JAMES A PER MAR SECURITY 10/20/14 ANESI OZMON RODIN NOVAK KO COZZI & GOGGIN-WARD 93 14WC 40918 SMITH, DONALD L ACCUMENT GLOBAL TECHNOLOG 11/07/14 BLACK & JONES GAROFALO SCHREIBER STORM 94 14WC 41728 WALKER, BRITTANY CHRYSLER LLC 02/10/14 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 95 14WC 42485 HOLMES, JAMES IAC BELVIDERE CROSSLINK A 11/13/14 96 14WC 42688 TORIBIO, ALEJANDRO JAN CORTEZ/JC REMODELING W 10/22/14 BLACK & JONES 97 15WC 00031 STAMLER, CORA MENARDS 01/10/14 BLACK & JONES CHILTON YAMBERT PORTER LLP 98 15WC 00032 GRAMMER, TYLER CATCH THE WAVE 10/29/14 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 99 15WC 01086 ROSINSKI, ARTHUR F CHRYSLER GROUP LLC 01/15/12 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 100 15WC 01096 LUPONT, CYNTHIA M WOODWARD INC 05/28/13 CACCIATORE, WILLIAM T HINSHAW & CULBERTSON 101 15WC 01297 MURPHY, BRIANNA CHRYSLER LLC 12/05/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 102 15WC 01838 WRIGHT, WALTER MAHONEY ENVIRONMENT 12/18/14 PETER F FERRACUTI & ASSOCI LITCHFIELD CAVO 103 15WC 02827 RUSSELL, DOUG ALPHA BAKING COMPANY 12/20/14 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 104 15WC 03095 HELTION, CHARLES CHRYSLER LLC 01/12/15 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 105 15WC 03281 MCLESTER, LARRY E CHRYSLER CORP 11/12/14 GREG TUITE & ASSOC WILLIAMS MCCARTHY LLP 106 15WC 03832 DISMUKE, MELINDA SYNCREON 09/09/14 BRAD J. BALKE, PC HOLECEK & ASSOCIATES 107 15WC 04342 GLORIA, JOSEPH WALMAR C/O CLAIMS MANAGEM 02/08/14 POLANSKY & CICHON CHTD QUINTAIROS PRIETO WOOD & BOY 108 15WC 06273 ALKHUZAI, MOHAMMAD JENA TRANSPORTATION 01/26/15 109 15WC 07510 CONRO, SUSAN M FAMILY DOLLAR STORES OF I 02/15/09 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 15WC007889 -C 17WC017037 -C 110 15WC 07592 MC CARTHY, TANIQUA WAL MART 11/11/14 BLACK & JONES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 111 15WC 09360 CUEVAS, LUIS ROGERS BROTHERS INC 02/25/15 BLACK & JONES HOLECEK & ASSOCIATES 112 15WC 09735 BEAMUS, PAMELA CHRYSLER CORP. 01/19/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 15WC034471 -C 16WC004131 -C FCA US LLC 16WC004132 -C 16WC016894 -C FCA US LLC 113 15WC 10670 RILEY, KEN TUFF SHED INC 03/17/15 CLARK FROST COZZI & GOGGIN-WARD 114 15WC 10945 CARLBORG, BRIAN AT&T 09/08/14 CAPRON & AVGERINOS PC 115 15WC 11500 WILLIAMS, ROBERT DON HANNEMANN 05/31/14 LAWFIRST 116 15WC 11955 CALDWELL, ANDREW J MERIT RESOURCES INC 02/07/15 GREG TUITE & ASSOC HEYL ROYSTER VOELKER & ALLEN 117 15WC 12564 KLOEPPING, MARK WOODS EQUIPMENT CO 08/01/13 PIGNATELLI & ASSOCIATES COZZI & GOGGIN-WARD 118 15WC 12962 TAYLOR, SHERI CHRYSLER CORP 09/01/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 119 15WC 14196 RUDOLPH, BRENDA CHEMTOOL INC 01/26/15 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 120 15WC 14333 AVILA, RODRIGO R & D THIEL INC 02/17/15 GALLIANI DOELL & COZZI LTD WIEDNER & MCAULIFFE LTD 121 15WC 14629 SEIF, TIFFANY CHRYSLER CORP 02/12/15 BLACK & JONES WILLIAMS MCCARTHY LLP 122 15WC 14631 JENSEN, STEVEN R UPS 12/27/14 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 123 15WC 15444 LEE, BRIAN AUTO RELEASING INC 02/09/15 CLARK FROST KNAPP, OHL & GREEN 15WC035077 -C 17WC025543 -C 17WC038026 -C 124 15WC 15536 BOYLE, RICHARD D SR WALMART SUPERCENTER 03/22/15 REESE & REESE QUINTAIROS PRIETO WOOD & BOY 125 15WC 15735 DAVIS, TIMOTHY AMERICOLD LOGISTICS 09/13/13 GESMER LAW OFFICES, PC HENNESSY & ROACH PC 126 15WC 16691 DREWS, LEE CHRYSLER, LLC 01/05/15 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 127 15WC 16834 DEMARS, KENNETH JR THREE HAMMER CONSTRUCTION 09/01/13 BRADY CONNOLLY & MASUDA PC 128 15WC 17938 HOTLOVAC, MURIS ROCKNELL FASTENERS 05/16/15 GESMER & REYNOLDS PC INMAN & FITZGIBBONS 129 15WC 18056 UTRZAN, ERMINA TAYLOR FREEZER 12/06/14 REESE & REESE MACIOROWSKI SACKMANN & ULRIC 130 15WC 18308 OLSON, MICHAEL M. DIZZY DOGG INDUSTRIES 07/30/14 RODDY LAW LTD 131 15WC 18311 FLETCHER, JAMES WINNEBAGO COUNTY HWY DEPT 10/28/14 BLACK & JONES WILLIAMS MCCARTHY LLP 132 15WC 18317 BEARD, ERNEST MONDELEZ INTERNATIONAL 11/01/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 133 15WC 18443 MELENAS, TONDA OSF SAINT ANTHONY 01/10/14 GESMER & REYNOLDS PC HINSHAW & CULBERTSON 15WC030498 -C 15WC030499 -C 134 15WC 20853 MCKEE, KARA SECRETARY STATE OF ILLINO @ 05/20/15 BLACK & JONES ASSISTANT ATTORNEY GENERAL 135 15WC 22576 SHORES, KEVIN SPG INTERNATIONAL LLC 07/01/12 BLACK & JONES LAW OFFICES FRANCESCA LARSEN 136 15WC 22616 ARAND-CROWE, JOAN M VAN MATRE HEALTHSOUTH 03/25/15 BARRICK SWITZER LONG ET AL SPIEGEL & CAHILL, PC 137 15WC 22756 GUTHRIE, KENNETH J SYNCREON 03/24/15 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 138 15WC 23574 AURAND, JEFF DOT FOODS 07/17/14 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 139 15WC 23583 LANEGRAFF, EDWARD KOJA CONSTRUCTION 02/04/15 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 140 15WC 24636 BECK, KAITLYN DAIRY QUEEN 04/03/15 GOLDBERG WEISMAN & CAIRO L BARRICK SWITZER LONG ET AL 141 15WC 25039 JONES, KATHY DO IT BEST 06/05/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 142 15WC 25543 FIEDLER, LORI WOODWARD GOVERNOR 11/04/14 MARKS INJURY LAW HINSHAW & CULBERTSON 143 15WC 25668 MORRISSEY, WILLIAM R JOSEPH A MORRISSEY &ASSOC 03/13/15 GESMER LAW OFFICES, PC GANAN & SHAPIRO 144 15WC 26521 PICKETT, RICK HENNIG 09/17/12 BLACK & JONES CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 145 15WC 26558 WESLEY, FELICIA DANFOSS DRIVES 07/15/12 BLACK & JONES 146 15WC 27214 WESLEY, JAMES MONDOLEZ INTERNATIONAL 04/08/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 147 15WC 27540 CARRISON, JOHN W ACCURATE CNC MACHING INC 06/22/15 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 148 15WC 28494 QUIMBY, DAVID HOLLAND MOTOR EXPRESS 07/27/15 BLACK & JONES HENNESSY & ROACH PC 149 15WC 28561 MCGUIRE, CHARLES L ROCKFORD BOARD OF EDUCATI 06/19/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 150 15WC 28716 MORRISON, TINA M CIMINOS PIZZA RESTAURANT 04/17/15 REESE & REESE HENNESSY & ROACH PC 151 15WC 29480 MEADOWS, CARLA PRESENCE COR MARIAE 06/25/15 FRIEDMAN & SOLMOR LTD KEEFE CAMPBELL & ASSOC LLC 15WC029481 -C 152 15WC 31285 WASHINGTON, JESSE CITY OF ROCKFORD 07/28/10 THOMAS L NASH PC HEYL ROYSTER VOELKER & ALLEN 153 15WC 31875 CAREY, KEITH W CINTAS CORPORATION 01/13/15 GREG TUITE & ASSOC POWER & CRONIN LTD 154 15WC 33734 PRINNER, BROCK BLAINS'S FARM & FLEET 08/20/15 BLACK & JONES WOLFE & JACOBSON, LTD 155 15WC 33943 REDMOND, PATRICK TH FOODS 01/06/15 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 156 15WC 34397 ROFFERS, MONICA (WIDOW OF HAGEMANN TRUCKING LLC # 07/14/15 JAMES M KELLY 157 15WC 34711 MELENDEZ, BARBARA A ALPINE BANK 04/16/14 FRANCINE B WHITE HOLECEK & ASSOCIATES 15WC034712 -C 15WC034713 -C 158 15WC 34855 SMALLWOOD, GREGORY S IPSEN INTERNATIONAL INCOR 06/22/15 GREG TUITE & ASSOC GAROFALO SCHREIBER STORM 159 15WC 34870 FLOERKE, RAYMOND MORING DISPOSAL 08/07/15 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 160 15WC 34908 CONCHAS, MARIA ARAMARK UNIFORM SERVICES 10/06/15 BLACK & JONES INMAN & FITZGIBBONS 16WC015913 -C 16WC019945 -C 16WC019946 -C 161 15WC 35019 ALLEN, LAURELL K CHRYSLER 02/12/15 MARTIN V KUGIA WILLIAMS MCCARTHY LLP 15WC035020 -C 15WC035022 -C 162 15WC 35090 REYES, ANA NORTHERN PRECISION PLASTI 04/21/15 BLACK & JONES 163 15WC 35270 SHULL, RYAN SYNCREON 01/07/15 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 164 15WC 35652 KLOSOWSKI, KARL J HIGHLAND PARK CVS, LLC 08/05/15 CACCIATORE, WILLIAM T HINSHAW & CULBERTSON 165 15WC 37805 MORRIS, BRAD ADVANCE AUTO PARTS 05/19/14 BLACK & JONES 166 15WC 39325 SPEARMAN, SAMMIE STPHENSON NURSING HOME 11/15/15 BLACK & JONES INMAN & FITZGIBBONS 167 15WC 41808 STREIT, KEVIN A MONDELEZ GLOBAL LLC 10/16/14 GREG TUITE & ASSOC 168 15WC 41980 O'CONNOR, MICHAEL SOUTHERN WINE & SPIRITS 10/14/15 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 169 16WC 00276 WALLACE, RONALD JR ED ENTYRE 11/24/15 BLACK & JONES CLARK FROST 170 16WC 01426 MUSSO, PENNY WALGREENS 09/07/15 BLACK & JONES GILDEA & COGHLAN 16WC016898 -C 171 16WC 01452 ROMAN, LORENA GRUPO ANTOLIN 10/22/15 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 172 16WC 01877 GARNICA, DAVID NORTHWEST PALLET 12/23/14 DWORKIN AND MACIARIELLO 173 16WC 03054 MEAD, WILLIAM JR. SJOSTROM & SONS 10/31/13 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 174 16WC 03501 ADAMS, ANGEL SYNCREON 10/29/15 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 175 16WC 04137 NIGHSWONGER, STEVEN TAYLOR COMPANY 12/11/15 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 16WC 05656 DIEHL, DAN L STATE OF IL DEPT OF TRANS @ 01/27/14 TUITE LAW ASSISTANT ATTY GENERAL 177 16WC 07442 RILL, H YVONNE ROCKFORD SCHOOL DIST 205 04/13/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 178 16WC 07471 JORDAN, TIARA DASCO PRO 02/29/16 BLACK & JONES WOLFE & JACOBSON, LTD 179 16WC 09322 DAVIS, TIMOTHY AMERICOLD LOGISTICS 02/24/16 GESMER LAW OFFICES, PC HENNESSY & ROACH PC 180 16WC 09340 CARTWRIGHT, JOHNATHAN UTC AEROSPACE SYSTEMS 12/30/15 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 181 16WC 09526 LEVSON, MARY SEPTRAN, INC. 01/04/16 HORWITZ HORWITZ & ASSOC ROBERT L. SMITH 182 16WC 09569 ARNOLD, BETTY ACOSTA SALES AND MARKETIN 08/15/14 CACCIATORE, WILLIAM T GAROFALO SCHREIBER STORM 183 16WC 09573 NAYONIS, MICHAEL WOODWARD GOVERNOR CO 07/08/04 BLACK & JONES HINSHAW & CULBERTSON 16WC009574 -C 184 16WC 09576 MANDERA, ANNA FCA US LLC 02/17/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 185 16WC 09764 UTRZAN, ERMINA TAYLOR FREEZER 03/15/16 REESE & REESE MACIOROWSKI SACKMANN & ULRIC 186 16WC 09803 LARA MONTENEGRO, LORENZO ESTWING MANUFACTURING COM 02/26/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 187 16WC 10879 SHARP, MICHAEL J. MILESTONE, INC. 12/01/15 TUITE LAW 188 16WC 11058 ZUNIGA, FRANCISCA CHRYSLER CORP 01/15/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 189 16WC 11140 VEGA, REBECCA FCA USA, INC 01/21/16 GESMER LAW OFFICES, PC WILLIAMS MCCARTHY LLP 190 16WC 11211 SPRAY, JOHN D BURKHART TRUCKING INC 03/23/16 BARRICK SWITZER LONG ET AL JAMES M KELLY 191 16WC 11386 BERUMEN, TERESA ANDROID BELVIDERE LL 07/03/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 16WC011387 -C 16WC011388 -C 16WC014469 -C 192 16WC 12529 LEWIS, MARK FCA US LLC 07/03/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 193 16WC 12930 BACON, GEANETTE CHRYSLER DIVISION FCA US 06/26/15 RICHARD O. GREENFIELD WIEDNER & MCAULIFFE LTD 194 16WC 13576 MITCHELL, JEREMY THOMAS PAGE W 12/27/15 BLACK & JONES 195 16WC 15386 TURVOLD, SUSAN SUB SOURCE, INC. 01/21/16 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 196 16WC 15624 FAVRETTO, WILLIAM ROCKFORD MASS TRANSIT 04/13/16 WHITESIDE & GOLDBERG LTD 197 16WC 15747 REYES, MARGARITA TH FOODS, INC. 07/07/15 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 198 16WC 15777 VOGEL, MARC CBI/STONE & WEBSTER 04/12/16 ELFENBAUM EVERS & AMARILIO 199 16WC 15939 TREVINO, GONZALO (DECEASE WASTE CONNECTIONS # 04/28/16 THOMPSON, ROBERT J SPIEGEL & CAHILL, PC 200 16WC 16180 BRINKMEYER, WESLEYAN CENTRAL RUBBER COMPANY 05/16/16 RIDGE & DOWNES MC ANDREWS & NORGLE LLC 201 16WC 16487 GUZMAN, JOSE ROCK RIVER DISPOSAL 11/06/15 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 16WC016488 -C 202 16WC 16495 SMITH, JAMES D EXEL LOGISTICS 08/12/15 BLACK & JONES HENNESSY & ROACH PC 16WC016496 -C 16WC016497 -C HAGEMANN TRUCKING LLC 203 16WC 16557 FINCH, GREGORY J. SPIDER COMPANY, INC. 03/30/16 GESMER & REYNOLDS PC GANAN & SHAPIRO 16WC034458 -C 204 16WC 16642 PROSIO, EUGENE AMERICAN ALUMINUM EXTRUSI 03/18/16 GESMER & REYNOLDS PC RIPES NELSON BAGGOT KALOBRAT 205 16WC 16777 MERCER, TOMMY GCA SERVICES GROUP 05/12/16 GESMER LAW OFFICES, PC POWER & CRONIN LTD 16WC016778 -C 16WC016779 -C 16WC016780 -C 206 16WC 17270 ZACKERY, FARREN ROCK RIVER DISPOSAL 02/08/16 PETER D CORTI LAW GROUP 207 16WC 17397 BYL, ROSE PECATONICA SCHOOL DISTRIC 02/24/15 BLACK & JONES RODDY LAW LTD 208 16WC 17665 HASSAN, MOHAMMED IAC BELVIDERE LLC 05/23/14 TUITE LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 209 16WC 17676 CLAYTON, ELONDRIO PEOPLE LINK STAFFING SOLU 12/16/15 MARKS & ASSOCIATES WOLF LAW LTD 210 16WC 18120 ENKE, JEFFREY GKN ROCKFORD INC 03/21/16 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 211 16WC 19400 CLARK, LISA ROCK VALLEY COLLEGE 09/03/14 TUITE LAW COZZI & GOGGIN-WARD 212 16WC 19591 PETERSEN, DONALD OSF ST ANTHONY MEDICAL CE 03/13/16 GOLDBERG WEISMAN & CAIRO L 213 16WC 19931 ZACCARD, DANIEL R CITY OF ROCKFORD FIRE DEP 04/29/16 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 214 16WC 20017 MCINTOSH, VINCENT THIESEN MASONRY 10/15/15 BLACK & JONES BRADY CONNOLLY & MASUDA PC 215 16WC 20151 MACIEL, YAYA J SLIDEMATIC PRECISION COMP 02/11/16 GESMER LAW OFFICES, PC LAW OFFICES JOSEPH MARCINIAK 216 16WC 20229 JONES, CHRISTOPHER ROCK RIVER DISPOSAL 07/22/13 D. RICHARD HAIME 217 16WC 20728 HUERTA, JOSE EVERGREEN IRRIGATION 05/24/16 GESMER & REYNOLDS PC CAPUANI, FRANK S 218 16WC 20879 HILTON, TIMOTHY WINNEBEGO CO, HIGHWAY DEP 12/19/15 REESE & REESE 219 16WC 21252 BAUMAN, MICHAEL D CITY OF ROCKFORD 04/02/16 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 220 16WC 21644 MAY, GERALD J INT'L AUTOMOTIVE COMPONEN 05/04/15 CACCIATORE, WILLIAM T GANAN & SHAPIRO 221 16WC 21826 DAUGHERTY, JENNIFER BERGSTROM MFG CO 04/01/16 BLACK & JONES WOLFE & JACOBSON, LTD 222 16WC 21828 SANCHEZ, MARCO VALLI PRODUCE 10/04/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 223 16WC 21842 MAY, GERALD J INT'L AUTOMOTIVE COMPONEN 09/07/15 CACCIATORE, WILLIAM T GANAN & SHAPIRO 224 16WC 22497 LEMBKE, JAMES MCDERMAID 08/11/14 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 225 16WC 22570 PENA, JESUS ROCKNEL FASTENERS, INC 04/18/16 BLACK & JONES INMAN & FITZGIBBONS 226 16WC 23733 ANDRADE, CONCEPCION LAWNCARE BY WALTER 06/10/16 O'CONNOR & NAKOS RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 227 16WC 24038 JENSEN, STEVEN R UPS 04/16/15 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 228 16WC 24069 BROWN, EDITH TESTORS 07/12/16 BLACK & JONES 229 16WC 24377 RAINWATER, ALAN UTC AEROSPACE SYSTEMS 12/23/14 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 230 16WC 24494 BISHOP, KEVIN SEWARD SCREW PRODUCTS, IN 09/16/15 HANSON LAW OFFICE 231 16WC 24610 RILEY-STEELE, MELENDY FCA US LLC 10/07/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 232 16WC 24647 LAPORE, GINO MOSCATTO PIZZERIA 07/09/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 233 16WC 24826 CHAVEZ, JUANA PCI PHARMA SERVICES (FORM 05/16/16 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES JOSEPH MARCINIAK 234 16WC 26106 ESPARZA, REUBEN ROCKFORD HEALTH SYSTEMS 06/10/16 MARKS INJURY LAW 235 16WC 26227 THOMAS, LUTHER SYNCREON 05/03/16 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 236 16WC 27022 MCWETHY, TANYA INTERNATIONAL AUTOMOTIC 02/07/14 STRONG LAW OFFICE GANAN & SHAPIRO 16WC027028 -C 16WC027029 -C 237 16WC 27242 19B WACKER, CARRIE B. ILLINOIS STATE TOLL @ 04/26/16 TUITE LAW GANAN & SHAPIRO 18WC011134 -C 238 16WC 27551 MIXON, TINA PAACAR PARTS 06/23/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 239 16WC 27755 NICOLAI, CHRISTOPHER LEMFCO 09/08/16 HENNESSEY LAW FIRM 240 16WC 28107 JACKSON, YVONNE HONEYWELL PLANT 04/15/16 BLACK & JONES RODDY LAW LTD 241 16WC 28130 CLOYD, JULIE CONCENTRIC ROCKFORD, INC 05/27/15 SREENAN & CAIN PC HOLECEK & ASSOCIATES 242 16WC 28857 RODRIGUEZ, EMILIO JR FCA US 12/11/15 HORWITZ HORWITZ & ASSOC WILLIAMS MCCARTHY LLP 243 16WC 29086 KIDD, SUSAN WOODWARD INC 10/27/15 GESMER & REYNOLDS PC HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 244 16WC 29825 MONTI, MICHAEL BENNY AND SONS BODY SHOP 09/15/16 BLACK & JONES GANAN & SHAPIRO 245 16WC 30034 BADER, KRISTIE UTC AEROSPACE SYSTEMS 04/19/16 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 246 16WC 30050 THOME, TIMOTHY BLAIN'S FARM & FLEET 09/03/16 247 16WC 30164 CREASY, JANICE SALONCENTRIC 06/30/15 GESMER & REYNOLDS PC 248 16WC 30203 MORAZA, YUBICELA WAL-MART ASSOCIATES INC 08/28/16 CIARDELLI CUMMINGS CAMPAGN QUINTAIROS PRIETO WOOD & BOY 249 16WC 30391 BOURQUIN, CORY JO DAVIESS COUNTY HWY DEP 07/26/16 STRONG LAW OFFICE INMAN & FITZGIBBONS 250 16WC 30432 ZACKERY, FARREN ROCK RIVER DISPOSAL 08/30/16 PETER D CORTI LAW GROUP 251 16WC 30522 PETSCH, JOSEPH LANE'S AUTO SERVICE, INC 03/17/16 GESMER LAW OFFICES, PC 252 16WC 30751 PRESENDA, JAVIER NORTHWEST PALLET SUPPLY 06/17/14 RUBIN MACHADO ROSENBLUM 253 16WC 31046 MARTIN DUANAWAY C/O DURAND SCHOOL DISTRICT 08/29/16 BLACK & JONES GAROFALO SCHREIBER STORM 254 16WC 31460 WAWIORKO, ELIZABETH FCA US LLC 08/06/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 255 16WC 31572 MACKENZIE, THERESA C PACKAGING COORDINATORS, I 09/15/16 TUITE LAW 256 16WC 31593 KUNTZ, JENNY NORTH AMERICAN TOOL CORP 05/24/16 SREENAN & CAIN PC HOLECEK & ASSOCIATES 257 16WC 31901 MUSSER, MARJORIE K KOLB-LENA, INC 10/20/13 TUITE LAW KEEFE CAMPBELL & ASSOC LLC 16WC038115 -C 258 16WC 31978 EDGREN-EARLE, DIETTA M GENERAL MILLS, INC. 08/06/16 TUITE LAW PAUL A COGHLAN & ASSOC 259 16WC 31991 HAYNES, TIMIOTHY J JR O'HAVER TRANSPORTATION 04/07/16 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 260 16WC 32240 KADHIM, SALAM LOWES 04/04/16 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 261 16WC 32909 HIRTH, COLE M REGAL PRODUCTS 02/13/15 FRANCINE B WHITE PERRY GENTILE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 262 16WC 33352 WISDOM, DENNIS SCHNUCKS 09/06/16 BROWN & BROWN 263 16WC 33905 JONES, DANIELLE D FCA US LLC 09/13/16 TUITE LAW WIEDNER & MCAULIFFE LTD 264 16WC 34127 DONEGAN, DELOREAN WALMART SUPERCENTER 06/06/16 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 265 16WC 34224 DIBBIN, EDWARD WINNEGAGO COUNTY 03/19/15 GOTTREICH & GRACE 266 16WC 34269 SMITH, KEITH FCA US LLC 04/11/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 267 16WC 34271 CHIPMAN, PAMELA GE AVIATION AIR 03/10/16 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 268 16WC 35351 TAYLOR, TED BLOUNT INTERNATIONAL INC 08/02/16 GESMER LAW OFFICES, PC 269 16WC 36652 NELSON, CYNTHIA ALPINE BANK & TRUST CO 06/04/16 CLARK FROST HOLECEK & ASSOCIATES 270 16WC 36935 THATCHER, JOHNNY M FCA US LLC 06/27/16 TUITE LAW WIEDNER & MCAULIFFE LTD 271 16WC 37055 HUBER, CYNTHIA ROCKFORD PUBLIC SCHOOL 02/18/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 272 16WC 37130 SIVERIO, EWA K WAL-MART STORES, INC. 11/23/15 TUITE LAW QUINTAIROS PRIETO WOOD & BOY 273 16WC 37379 MCMUNN, DAVID THE CALDWELL GROUP 02/23/16 BLACK & JONES HOLECEK & ASSOCIATES 274 16WC 37600 RAMSEY, DEBRA FAIR OAKS REHABILITATION 12/09/16 MC HARGUE & JONES 275 16WC 37774 PEREIRA, THERESA M FIAT CHRYSLER 08/12/16 DOUGLAS RALLO PC WIEDNER & MCAULIFFE LTD 17WC007781 -C 276 16WC 37799 LOGAN, JAMES IMAGE PROS ASPHALT MAINTE 11/10/15 BLACK & JONES CHILTON YAMBERT PORTER LLP 277 16WC 37856 JONES, ROBERT ACCURIDE CORP DBA GUNITE 07/01/16 LAWFIRST RUSIN & MACIOROWSKI LTD 278 16WC 37972 KESSEL, BARBARA ETNYRE INTERNATIONAL LIMT 11/28/16 CAPRON & AVGERINOS PC 279 16WC 38518 SALGADO, CELIA BELTWAY HOSPITALITY LLC D 09/13/16 TUITE LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 280 16WC 38616 BOWERS, JOHN PEPSI-COLA OF ROCKFORD 08/01/13 BLACK & JONES WOLFE & JACOBSON, LTD 281 16WC 38900 ROJAS, EFRAIN SWENSON SPREADER 10/05/16 BLACK & JONES GRANT & FANNING 282 16WC 39367 RIOS, LUIS LC AUTO SALES W 11/08/16 MC HARGUE & JONES VELLA & LUND 283 16WC 39434 NEWLAND, MARCY L ANDROID INDUSTRIES 07/26/16 ALEXANDER, PETER LTD. WIEDNER & MCAULIFFE LTD 284 17WC 00346 KOLLENG, MATTHEW SYSCO CORPORATION 11/08/16 GOLDBERG WEISMAN & CAIRO L 285 17WC 00529 VOLKEY, SHANE OAKLEY SUB ASSEMBLY 11/09/16 MARTIN V KUGIA 286 17WC 00614 GALARZA, SARAH C MACY'S RETAIL HOLDINGS IN 10/06/16 FRANKS, GERKIN & MCKENNA P ROBERT L. SMITH 287 17WC 01556 MANNING, LINDA CASEY'S GENERAL STORES, I 12/23/16 MAURICE E DUSKY PC 288 17WC 01817 COLLINS, SHIRLEY PERSONAL TOUCH PRO MAID S 08/29/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 289 17WC 02176 RATFIELD, JERRY VENTRA PLASTICS 02/02/16 BLACK & JONES BRUCE WARREN 290 17WC 02298 MASON, GREGORY ILLINOIS BELL TELEPHONE C 10/31/16 SREENAN & CAIN PC INMAN & FITZGIBBONS 291 17WC 02313 GROGAN, JOHN SYNCREON 10/10/16 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 292 17WC 02348 WILSON, JACOB STRAIGHT SHOT EXPRESS 01/16/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 293 17WC 02522 ZIMMERMAN, KATHRINE VAN MATRE HEALTHSOUTH REH 07/29/16 BLACK & JONES SPIEGEL & CAHILL, PC 294 17WC 02638 HENRY, JODI SWEDISH AMERICAN HOSPITAL 11/07/16 BLACK & JONES WILLIAMS MCCARTHY LLP 295 17WC 02688 STUBBLEFIELD, GRACE L DARDEN RESTAURANTS, INC D 01/11/17 TUITE LAW WIEDNER & MCAULIFFE LTD 296 17WC 02826 NAVA, RAQUEL VENTRA BELVIDERE LLC 11/01/16 TUITE LAW BRUCE WARREN 297 17WC 03178 MC NINCH, KURT LOESCHER HEATING & 12/23/14 SLAVIN & SLAVIN MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 298 17WC 03739 COZZI, GARY T SOUTHERN CO FOMERLY NICAR 12/27/16 GALLIANI DOELL & COZZI LTD MACIOROWSKI SACKMANN & ULRIC 299 17WC 03945 BARRERA, PASCUAL ANCO STEEL COMPANY, INC 05/12/16 KINNALLY FLAHERTY KRENTZ & 300 17WC 04231 MONTES, ROMELIA AMERICAN ALUMINUM EXTRUSI 02/01/16 JONATHAN SCHLACK RIPES NELSON BAGGOT KALOBRAT 301 17WC 04284 ENZENBACHER, DAVID FIAT CHRYSLER AUTOMOBILES 02/16/16 BART DURHAM WIEDNER & MCAULIFFE LTD 302 17WC 04750 CONTRERAS, ALEJANDRO RW DUNTEMAN CO 08/08/14 JONATHAN SCHLACK 303 17WC 04926 SADEWATER, VICKI LOVE PARK LAUNDRY 01/09/17 GESMER LAW OFFICES, PC GANAN & SHAPIRO 304 17WC 05040 WATTS, WILLIAM B WESLEY WILLOWS CORPORATIO 10/27/16 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 16WC026546 -C 305 17WC 05269 JONES, CHRISTINA COMPANION ANIMAL CLINIC 02/08/17 DWORKIN AND MACIARIELLO 306 17WC 05586 HARTLEY, BETH STOP-N-GO OF MADISON, INC 08/14/16 GESMER LAW OFFICES, PC GANAN & SHAPIRO 307 17WC 05733 BLACKSHEAR, TOM J.P. ELECTRIC INC 02/13/17 GESMER LAW OFFICES, PC LAW OFFICES JOSEPH MARCINIAK 308 17WC 05876 FINK, JUDY, WIDOW OF VAN GALDER COACH USA # 01/22/17 MARKS INJURY LAW POULOS & DIBENEDETTO LAW 309 17WC 06083 WILLIAMS, EARL METRO STAFFING INCORPORAT 11/21/16 BRASSFIELD KRUEGER & RAMLO FRANCIS J DISCIPIO LAW OFFIC 310 17WC 06203 HAYES, JO ANN PARRIS ENTERPRISES INC. 05/17/16 TUITE LAW INMAN & FITZGIBBONS 311 17WC 06655 ROSE, DANIELS TARGET 09/30/16 ALEXANDER, PETER LTD. 312 17WC 07061 JONES, JERRY KENT FARMS INC 12/30/16 DWORKIN AND MACIARIELLO 313 17WC 07075 CHANCE, TINA LANDSTAR INWAY INC. 11/28/16 BLACK & JONES COZZI & GOGGIN-WARD 314 17WC 07117 CONGRAVE RUDE, CHENIN OSF ST ANTHONY MEDICAL CE 12/26/16 FRANCINE B WHITE HINSHAW & CULBERTSON 315 17WC 07544 WHAPLES, GLENDON J JR. WOODWARD INC 12/10/16 ANKIN LAW OFFICE HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 316 17WC 07880 MARONDE, JOSHUA HUGHES RESOURCES 02/24/17 BLACK & JONES SLAVIN & SLAVIN 317 17WC 07883 TIMMERMAN, MICHAEL PACCAR PARTS DIVISION 12/20/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 318 17WC 08145 SCOTT, MICHAELE UPS 02/01/17 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 319 17WC 08174 SIMPSON, WILMA D PINNACLE LOGISTICS 12/30/16 GESMER LAW OFFICES, PC KEEFE CAMPBELL BIERY & ASSOC 320 17WC 08270 HORTON, RENEE L WILLOWGLEN ACADEMY-ILLINO 12/04/16 TUITE LAW ACCIDENT FUND HOLDINGS 321 17WC 08619 SEMINI, EDMOND MODERN PLATING CORP 07/06/15 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 322 17WC 08685 MYERS, STEVE THOMPSON'S TRANSMISSIONS 11/21/14 BLACK & JONES GILDEA & COGHLAN 323 17WC 08689 COLIZ, NOE ACCURATE METALS OF ILLNOI 02/20/17 BLACK & JONES CASSANO & ASSOCIATES 324 17WC 08728 STOVALL, BRENT ROCKFORD BOARD OF EDUCATI 01/24/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 325 17WC 08808 HALL, JAMES QPS EMPLOYMENT GROUP 02/02/17 WOLFE & JACOBSON, LTD 326 17WC 09074 HARKNESS, ANDREA DICK'S SPORTING GOODS 03/06/17 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 327 17WC 09101 KASKE, JOSHUA MODERN ADVANCED MANUFACTU 12/08/15 KATZ FRIEDMAN EAGLE ET AL 328 17WC 09226 MONTES, ELIZABETH WIS INTERNATIONAL 02/21/17 BLACK & JONES HENNESSY & ROACH PC 329 17WC 09673 MENEFEE, DONALD D TITAN TIRE CORPORATION 01/25/16 HAUSER LAW LLC GRANT & FANNING 330 17WC 09693 GANDER, JAMES ROCK ENERGY COOPERATIVE 12/22/16 DOUGLAS RALLO PC HEYL ROYSTER VOELKER & ALLEN 331 17WC 09697 ADRIAN, STUART YRC WORLDWIDE 11/07/16 BLACK & JONES 332 17WC 09896 LAMM, GINGER NEW MEDIA INVESTMENT GROU 02/22/17 CAPRON & AVGERINOS PC COZZI & GOGGIN-WARD 333 17WC 10114 MYLNE, MICHAEL NORTH SKYLINE MGMT 03/17/17 WOODRUFF & JOHNSON JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 17WC 10298 MARONDE, CHRISTINA STATE OF ILLINOIS @ 11/14/16 GESMER LAW OFFICES, PC HELEN LOZANO 335 17WC 10422 HANSEN, DAVID UTC AEROSPACE SYSTEMS 03/13/17 GESMER & REYNOLDS PC MACIOROWSKI SACKMANN & ULRIC 336 17WC 10452 CRABTREE, CHERYL CLINTON CO 01/07/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 337 17WC 10598 JOHNSON, CHANTREL UDL LABORATORIES, INC 12/01/16 BLACK & JONES GRANT & FANNING 338 17WC 10725 HALLDEN, JAMES SR. KRAUTER FOREST PRODUCTS L 03/07/17 SREENAN & CAIN PC 339 17WC 10798 COOK, LLOYD K DOTY'S COLLISION CENTER 05/26/16 WARD MURRAY PACE & JOHNSON BRADY CONNOLLY & MASUDA PC 17WC035842 -C 17WC036485 -C 340 17WC 10964 SKELTON, RANDY DAGNON BUILDING AND ROOFI W 12/03/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 341 17WC 11055 HILL, PENNEY LOWES DISTRIBUTION CTR 04/20/16 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 342 17WC 11068 BLAZER, DONALD PTO SERVICES 03/07/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 343 17WC 11388 CARRISON, JOHN W RELIANCE STEEL & ALUMINIU 01/09/17 TUITE LAW POULOS & DIBENEDETTO LAW 344 17WC 11408 SANDOVAL, ROSIO QPS STAFFING SERVICES, IN 03/16/17 BLACK & JONES WOLFE & JACOBSON, LTD 345 17WC 11628 MCVAY, JORDAN BEHR IRON METAL 06/30/14 GESMER LAW OFFICES, PC 346 17WC 11655 DUYNE, MICHAEL MIDWEST PACKAGING & CONTA 04/03/17 NASH LAW OFFICE PC COZZI & GOGGIN-WARD 347 17WC 11739 GONZALEZ, ALICIA MAUH-NAH-TEE-SEE COUNTRY 07/01/16 CLARK CASTREJO LAW FIRM BRADY CONNOLLY & MASUDA PC 348 17WC 12126 LUX, CONSTANCE BON TON DISTRIBUTON CENTE 09/11/15 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 349 17WC 12274 MARQUEZ, YESENIA PCI 03/20/17 GESMER LAW OFFICES, PC JOSEPH MARCINIAK 17WC012510 -C 350 17WC 12520 HURLEY, SCOTT HURLEY'S GREEN ENVY LAWNS 08/18/16 CLARK FROST

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 351 17WC 12681 JOHNSON, LLOYD F JR GCA SERVICES GROUP INC & 10/01/16 ROSS TYRRELL WIEDNER & MCAULIFFE LTD 352 17WC 12830 LUNDE, JACOB ROCKFORD SPECIALTIES CO 02/28/15 BLACK & JONES WOLFE & JACOBSON, LTD 353 17WC 12984 DAVENPORT, SEAN M LOU BACHRODT CHEVEROLET C 02/16/17 TUITE LAW 354 17WC 13136 MEADORS, ERIK J CITY OF LOVES PARK - 03/13/17 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 355 17WC 13197 HARRIS, NICHOLAS R FCA US LLC 06/01/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 356 17WC 13214 CASAZZA, MEREDITH BON TON STORES, INC 10/26/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 357 17WC 13482 KRAUS, SID EXELON CORP 05/20/16 BLACK & JONES RUSIN & MACIOROWSKI LTD 358 17WC 13667 OLSEN, KATHLEEN MARSHALLS 08/22/14 BLACK & JONES BRADY CONNOLLY & MASUDA PC 17WC013668 -C 359 17WC 13813 MATTHEWS, NANETTE FEDEX GROUND 03/02/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 360 17WC 14084 LIAMBAS, MIKE ROCKFORD ICE HOGS 10/17/15 FLOYD LAW FIRM HENNESSY & ROACH PC 361 17WC 14085 LABRIE, PIERRE-CEDRIC ROCKFORD ICE HOGS 03/20/16 FLOYD LAW FIRM 362 17WC 14095 FINK, MICHAEL SLIDEMATIC PRECISION 04/24/17 GESMER & REYNOLDS PC JOSEPH MARCINIAK 363 17WC 14361 BELMONTES, IVAN G DAYTON FREIGHT LINES, INC 04/28/17 TUITE LAW RUSIN & MACIOROWSKI LTD 364 17WC 14385 STILTNER, ROCKY GRANE TRANSPORTATION 04/05/17 EVAN A HUGHES LAW OFFICE LITCHFIELD CAVO 365 17WC 14677 MARTINEZ, LIZ M. ROCKFORD SD #205 05/09/17 REESE & REESE WIEDNER & MCAULIFFE LTD 366 17WC 14849 WILLIAMS, LAWRENCE BOONE COUNTY AUTO BODY 10/07/16 BLACK & JONES GANAN & SHAPIRO 367 17WC 15006 HARRISON, JOSEPH P COILCRAFT 01/03/17 PIGNATELLI & ASSOCIATES HENNESSY & ROACH PC 368 17WC 15387 HECOX, TABATHA L ITW SHAKEPROOF AUTOMOTIVE 03/03/17 BLACK & JONES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 369 17WC 15446 GEHRT, COLE IDOT @ 08/19/15 FRANCINE B WHITE HELEN LOZANO 370 17WC 15508 BRANT, KRISTINA NICAA HEAD START 03/29/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 371 17WC 15513 DULL, ROBERT SERTA MATTRESS CO 04/07/17 BLACK & JONES 17WC015514 -C 372 17WC 16263 WILKINS, JENNIFER KEITH COUNTRY DAY SCHOOL 10/02/09 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK 373 17WC 16491 BROWN, DEBORAH FCA US, LLC 07/14/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 374 17WC 16853 DUNDORE, LORETTA ROCKFORD PUBLIC SCHOOL 09/15/16 KATZ FRIEDMAN EAGLE ET AL 375 17WC 16860 SHEETS, MATTHEW UNITED PARCEL SERVICE 10/14/16 ROSS TYRRELL NYHAN BAMBRICK KINZIE & LOWR 376 17WC 16949 HAMMER, LAURA HARLEM SCHOOOL DISTRICT 05/12/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 377 17WC 17254 WOODS, CYNTHIA BOYLAN CATHOLIC HIGH SCHO 12/01/15 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 378 17WC 17368 CROFFOOT, CRAIG S STEPHENSON COUNTY SHERIFF 12/20/16 HAUSER LAW LLC INMAN & FITZGIBBONS 379 17WC 17740 PELLINI, MARK BYRON MOTOSPORTS PARK W 08/07/16 BLACK & JONES 380 17WC 17820 HERDT, EVON PCI PHARMA 05/31/17 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 381 17WC 17894 SWANSON, DEBORAH BON-TON DISTRIBUTION CENT 06/02/17 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 382 17WC 17949 WILBOURN, JOHN SNAK KING CORP 11/14/16 MARKS INJURY LAW COZZI & GOGGIN-WARD 383 17WC 17994 GOMEZ-SANCHEZ, ARISTEO CPM RECYLING SERVICES 11/23/16 BLACK & JONES 384 17WC 17997 MARQUEZ, JONATHAN CHEMTOOL INC 05/07/17 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 385 17WC 18432 BUCK, KAREN WINNEBAGO COUNTY HEALTH D 02/15/17 NICHOLAS ROBERT RECCHIA WILLIAMS MCCARTHY LLP 386 17WC 18628 TAYLOR, KEITH AIRGAS STORE 10/01/16 BLACK & JONES MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 387 17WC 18639 EVERLY, ROBERT CPC LOGISTICS 12/31/16 BLACK & JONES GAROFALO SCHREIBER STORM 388 17WC 18643 FIGUEROA, ISRAEL METRO STAFF, INC 06/09/17 TUITE LAW FRANCIS J DISCIPIO LAW OFFIC 389 17WC 18715 GOWAN, LYNWOOD MEADE ELECTRIC CO, INC 09/16/16 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 390 17WC 18841 ROBINSON, RACHEL SURISE TRANSPORTATION 02/06/17 BLACK & JONES KNELL & O'CONNOR 391 17WC 18898 ARMSTRONG, FREDERICK O HAYES BEER DISTRIBUTING C 02/10/17 FRANCINE B WHITE 392 17WC 18907 BROWN, STEVEN CINTAS CORP 05/19/17 BLACK & JONES POWER & CRONIN LTD 393 17WC 18910 LUBINSKI, FRANCIS FCA US LLC 11/28/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 394 17WC 19033 LIVINGSTON, DAWN COUNTY OF WINNEBAGO 06/15/17 GESMER LAW OFFICES, PC 395 17WC 19277 JOHNSON, TANISHA HELP AT HOME 03/08/17 GESMER & REYNOLDS PC 396 17WC 19302 BUTLER, KAREN S WHEELOCK, INCORPORATED 06/13/17 TUITE LAW POWER & CRONIN LTD 397 17WC 19318 PATTERSON, JASON CAMRYN INDUSTRIES 10/19/12 BLACK & JONES HENNESSY & ROACH PC 398 17WC 19354 MASLIN, PETER USF HOLLAND, INC 06/29/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 399 17WC 19508 HARTMAN, MICHAEL ILL DEPT OF TRANSPORTATIO @ 01/24/17 GESMER LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 400 17WC 19880 ELLIS-GOOCHER, STEPHANI EASTER SEALS METRO 05/12/17 STORTO FINN & ROSINSKI NOBLE & ASSOCIATES PC 17WC020882 -C 401 17WC 20082 FORSTER, RANDY ANCHOR HARVEY 08/20/15 WOLFE LAW PC 402 17WC 20180 HOLTE, ELLEN AT-HOME HEALTHCARE 06/23/17 KATZ FRIEDMAN EAGLE ET AL 403 17WC 20530 SABINE, LISA ANDROID INDUSTRIES 05/16/11 BLACK & JONES WIEDNER & MCAULIFFE LTD 404 17WC 20533 COLEMAN, CYNTHIA S FAS MART 10/12/16 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 405 17WC 20746 PIPPEL, KERRY TRI-DIM FILTER CORP 09/01/16 BLACK & JONES INMAN & FITZGIBBONS 406 17WC 20980 MONTES, ROMELIA AMERICAN ALUMINUM EXTRUSI 08/10/16 JONATHAN SCHLACK 407 17WC 21124 MARTIN, ERIK C FCA USA, LLC 06/14/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 408 17WC 21128 PAYNE, ROBERT STEEL FABRICATING, INC 05/12/17 BLACK & JONES GANAN & SHAPIRO 409 17WC 21408 SCHABACKER, MARK A COUNTY OF WINNEBAGO 06/27/17 TUITE LAW WILLIAMS MCCARTHY LLP 410 17WC 22226 JAMES, COLLEEN MERCY HEALTH SYSTEM 11/28/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 411 17WC 22309 CLARK, TRACIE OFFICE TEAM 06/09/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC 412 17WC 22320 GRIESE, GARY SONCO POOLS AND SPAS, INC 06/16/17 BLACK & JONES 413 17WC 22443 MCVAY, JORDAN BEHR IRON METAL 07/19/17 GESMER LAW OFFICES, PC MCBREARTY, BRIAN K 414 17WC 22577 ETHRIDGE, RONALD K MALCOLM EATON ENTERPRISES 07/11/14 HAUSER LAW LLC COZZI & GOGGIN-WARD 415 17WC 22760 HERNANDEZ, MARTINA ND INDUSTRIES INC 02/19/16 GESMER & REYNOLDS PC HENNESSY & ROACH PC 416 17WC 22852 BERTUCCI, DEBORAH GALENA & ASSOC, INC DBA 04/01/16 PETER D CORTI LAW GROUP GANAN & SHAPIRO 417 17WC 23059 VARGAS GONZALEZ, ALICIA FURST STAFFING 07/20/17 BLACK & JONES ACCIDENT FUND HOLDINGS 17WC023060 -C 17WC023061 -C 418 17WC 23062 VICKERMAN, JUSTIN ONE OF A KIND WALL DESIGN 07/26/17 BLACK & JONES 419 17WC 23226 COULTER, REBECCA STATZ DELONG COMPANY, INC 07/03/17 CLARK FROST COZZI & GOGGIN-WARD 420 17WC 23564 ALSHEREFI, AHMED THE BON TON STORES INC 11/30/15 THE ROMAKER LAW FIRM 421 17WC 23749 MALONE, DOYLE FCA US LLC 08/07/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 422 17WC 24101 HARING, WONDA FAMILY DOLLAR 04/07/17 BLACK & JONES BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 423 17WC 24196 CARROLL, KIMBERLY MS KIMBERLY CARROLL 07/28/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 424 17WC 24244 BEASLEY, NANCY EVOLUTION STAFFING 06/14/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 425 17WC 24690 MERSHON, CHRISTINE DAN FOSS 01/01/17 GESMER & REYNOLDS PC 426 17WC 24784 COGGINS, JERRY JR STAR MANUFACTURING 03/01/17 BLACK & JONES CAPUANI, FRANK S 427 17WC 24856 SCHULTZ, DAVID BRIDGEWAY 07/25/17 GESMER & REYNOLDS PC PERRY GENTILE 428 17WC 25038 CARLBORG, BRIAN AT&T 06/14/17 CAPRON & AVGERINOS PC 429 17WC 25050 WILSON, JACOB CITY OF ROCKFORD POLICE D 08/15/17 GESMER LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 430 17WC 25088 FREE, TONYA RENT-A-CENTER 04/07/17 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 18WC006899 -C 431 17WC 25295 GIBSON, KATHRYN GRUPO ANTOLIN 05/18/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 17WC025296 -C 432 17WC 25541 O'CONNOR, MARY VISITING NURSES ASSN 04/19/17 CLARK FROST WIEDNER & MCAULIFFE LTD 433 17WC 25753 EVANS, BETTEY L PINNACLE LOGISTICS 06/15/17 GESMER LAW OFFICES, PC KEEFE CAMPBELL BIERY & ASSOC 434 17WC 25941 HARRIS, JEFF MULLER PINESHURST 01/17/17 BRASSFIELD KRUEGER & RAMLO 435 17WC 26373 EDMONDS, CHARLES J EAST DUBUQUE NITROGEN 06/14/16 KATZ FRIEDMAN EAGLE ET AL 436 17WC 26457 TAYLOR, KEITH AIRGAS STORE 08/18/17 BLACK & JONES MC ANDREWS & NORGLE LLC 437 17WC 26466 ROOS, LAWRENCE SIMOS INSOURCING SOLUTION 08/15/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 438 17WC 26717 HANOOSH, SALIH N FURST STAFFING SERVICES, 04/23/17 CACCIAT0ORE, WILLIAM T ACCIDENT FUND HOLDINGS 439 17WC 26927 FOREMAN, ELIJAH MONDELEZ INTERNATIONAL 03/09/15 FRANCINE B WHITE WIEDNER & MCAULIFFE LTD 440 17WC 27203 WALSTON, TASHA SPEE DEE TRANSPORTATION S 08/31/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 441 17WC 27217 SWEAT, AMANDA L MERIDIAN CUSD #223 05/16/17 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 442 17WC 27295 LINDBOHM, PETTERI CHICAGO WOLVES 11/26/16 GORDON LAW OFFICES LTD 443 17WC 27823 NAVA, JESSICA DADY & HOFFMANN LLC 04/05/16 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 444 17WC 27830 HARDY, JENNIFER WALMART STORES INC 06/14/17 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 445 17WC 27988 WALKER, STEPHANIE ENLIVANT 07/06/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 446 17WC 28050 JAMES, TRAVIS GKN ROCKFORD 07/29/17 DWORKIN AND MACIARIELLO 447 17WC 28373 BROACH, AMY FCA US LLC 09/01/17 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 448 17WC 28627 SCHABACKER, EUGENE S SPARKY'S ELECTRICAL 08/08/17 HOLMSTROMKENNEDY PC HEYL ROYSTER VOELKER & ALLEN 449 17WC 28772 KREPFLE, RICHARD DURAND SCHOOL DISTRICT 07/10/17 BLACK & JONES 450 17WC 28822 JACOBS SR, JAMES SUNRISE SOUTHWEST LLC 05/01/17 BLACK & JONES KNELL & O'CONNOR 451 17WC 29291 GRECH, KURT F TACO BELL OF AMERICA LLC 08/16/17 ANKIN LAW OFFICE 452 17WC 29390 ALVAREZ, NICOLE FCA US, LLC 06/19/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 453 17WC 29718 MAY, OTTO JR FCA US, LLC 07/05/15 GESMER LAW OFFICES, PC 454 17WC 29747 VAGLE, STEPHEN STILLMAN BANK 06/26/17 BLACK & JONES 455 17WC 29982 CUELLAR, BERNARDO SURESTAFFING 08/23/17 ANGELINI & ORI LLC LOUIS MUNDY 456 17WC 30007 COLLINS, JAVAR FURST STAFFING 07/10/17 457 17WC 30302 RAISBECK, TIMOTHY STATE OF ILLINOIS/IDOT @ 09/09/16 ROSENBERG EISENBERG ASSOC ASSISTANT ATTORNEY GENERAL 17WC030303 -C 458 17WC 30327 WHITE, KATHERINE COUNTY OF WINNEBAGO 02/07/15 GESMER LAW OFFICES, PC WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 459 17WC 30346 GARSHVA, MARIAN ROCKFORD MEMORIAL HOSPITA 05/08/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 460 17WC 30424 CREVISTON, TEDDIE BUDDY'S HOME FURNISHINGS 09/19/17 BLACK & JONES HENNESSY & ROACH PC 461 17WC 30512 GRAY-UPP, DAWN MURPHY OIL USA, INC 09/25/17 GESMER LAW OFFICES, PC COZZI & GOGGIN-WARD 462 17WC 30703 INGRAM, LANETKA ALDEN PARK STRATHMOOR 08/26/17 DWORKIN AND MACIARIELLO 463 17WC 30765 MONTANA, MARIAN ROCKFOD SCHOOL DISTRICT # 07/21/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 17WC030777 -C 464 17WC 30889 ZELLNER, EDWARD C EVEN KEEL MARINE 11/02/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 465 17WC 30948 ZERKEL, SUSAN ST RITA'S CHURCH 09/12/17 WOODRUFF & JOHNSON 466 17WC 31025 WAWIORKO, ELIZABETH FCA US LLC 11/01/12 BLACK & JONES WIEDNER & MCAULIFFE LTD 467 17WC 31259 RIVERA, MARIO BARBOUR TWO-WAY LANG IMME 09/11/17 KATZ FRIEDMAN EAGLE ET AL 468 17WC 31286 TELFAIR, CRISTIE J CITY OF ROCKFORD 07/27/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 469 17WC 31292 LANE-BARRY, JERRY 3P CONSTRUCTION AND REMOD W 05/15/17 BLACK & JONES 470 17WC 31568 BRAUER, TAMRA MEIJER 10/16/17 GESMER LAW OFFICES, PC KOPKA, PINKUS DOLIN, PC 471 17WC 32102 HALL, GREGORY METRO STAFFING 10/12/17 BLACK & JONES FRANCIS J DISCIPIO LAW OFFIC 472 17WC 32105 O'LEARY, PATRICK GREASE MONKEY INTERNATION 06/09/17 BLACK & JONES COZZI & GOGGIN-WARD 473 17WC 32251 BERGER, JAMES AXIOM FOODS INC 10/15/17 BLACK & JONES WARMOUTH LAW PC 474 17WC 32274 RIVERA, MARIO AELDRIDGE ROOFING & SIDIN 10/13/17 GESMER LAW OFFICES, PC 475 17WC 32288 TOLENTO, RAFAEL TH FOODS, INC 05/02/16 BLACK & JONES RODDY LAW LTD 476 17WC 32407 ZIMMERMAN, NICHOLE L FEDERAL EXPRESS CORPORATI 03/08/17 TUITE LAW HANSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 477 17WC 32451 MENEFEE, DONALD D TITAN TIRE CORP 08/10/17 HAUSER LAW LLC GRANT & FANNING 478 17WC 32507 VAN BARRIGER, JOSEPH R BAY VALLEY FOODS 08/25/17 GESMER LAW OFFICES, PC 479 17WC 32563 MUHASKY, DAVE HOLLAND MOTORS 04/11/12 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 480 17WC 32796 RICHARDSON, JOHNETTA ROCKFORD HOME SERVICES DR 09/27/17 DWORKIN AND MACIARIELLO 481 17WC 32877 BERRY, THOMAS SYNCREON 10/23/17 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 482 17WC 33158 GUY, ANDREA WOODS EQUIPMENT 08/01/17 PIGNATELLI & ASSOCIATES 483 17WC 33759 RIVERA, MARIO ANGEL ORTEGA 10/13/17 GESMER LAW OFFICES, PC 484 17WC 33858 PETERS, MARY KOLB-LENA CHEESE CO 07/29/17 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 485 17WC 34045 PECK, ANTHONY MONDELEZ INTERNATIONAL 10/12/17 LAW OFFICE PATRICK JENNETT 486 17WC 34209 CALLES, ANTONIO CARPENTER CONTRACTORSOF 10/12/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 487 17WC 34334 HOBSON, APRIL CARDINAL STAFFING 11/07/17 DWORKIN AND MACIARIELLO 488 17WC 34524 VOITIK, ALLEN ESTES EXPRESS LINES 09/06/17 BLACK & JONES 489 17WC 34589 SCOTT, MICHAELE UNITED PARCEL SERVICE INC 11/03/17 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 490 17WC 34666 DEERING, MELVIN TIRES PLUS 10/31/17 DWORKIN AND MACIARIELLO 491 17WC 34717 PORTER, TIM WOODS EQUIPMENT CO 06/14/16 BLACK & JONES LAWRENCE COZZI - LAW OFFICES 492 17WC 34767 TAYLOR, ROBERT FCA US LLC 09/18/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 493 17WC 34832 BASS, CODY ROCKFORD ICEHOGS 12/16/14 WOLFE LAW PC HENNESSY & ROACH PC 494 17WC 35420 COX, CAITLIN M SURV SPOUS CITY OF ROCKFORD POLICE D # 11/05/17 REESE & REESE HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 495 17WC 35450 CASSIDY, JENNIFER RR DONNELLEY 11/17/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC 496 17WC 35624 LOUDON, CHRISTOPHER VILLAGE OF LISLE 10/27/16 BARRY A KETTER RUSIN & MACIOROWSKI LTD 497 17WC 35749 LOVE, GERALD R ILLINOIS DEPARTMENT @ 03/07/17 FRANKS, GERKIN & MCKENNA P 498 17WC 35935 BOWMAN, RUSSELL P RL LEEK INDUSTRIES, INC 05/05/17 REESE & REESE 499 17WC 35971 ADAMS, BEVERLY MORGAN BUILDING MAINTENAN 10/30/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 500 17WC 36037 HOLTE, CANDICE ALDEN PARK STRATHMOORE 01/24/16 BLACK & JONES FRANCESCA LARSEN 501 17WC 36105 PRINCE, MAURICE EXPRESS EMPLOYMENT PROFES 10/16/16 BLACK & JONES MC ANDREWS & NORGLE LLC 502 17WC 36428 SAGER, RANDY BENNETT BOALS TRUCKING, I 05/30/17 BRADY CONNOLLY & MASUDA PC 503 17WC 36555 CONNER, JERRY STANDARD FORWARDING 11/02/17 LEE, MARK N LAW OFFICE 504 17WC 36565 CARDENAS, JOSE GALVAN AEROTEK 09/15/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 505 17WC 36747 HOLMES, ROGER FORTERRA, INC 05/03/17 GESMER LAW OFFICES, PC HENNESSY & ROACH PC 506 17WC 36904 KINCH, BETH ROCKFORD PUBLIC SCHOOLS 02/01/11 BLACK & JONES WIEDNER & MCAULIFFE LTD 17WC036905 -C 507 17WC 36952 MANOS, RANDY FITXGERALD EQUIPMENT 05/07/15 GESMER & REYNOLDS PC 508 17WC 37178 LOVE, GERALD R IL DEPT OF TRANSPORTATION @ 06/18/15 FRANKS, GERKIN & MCKENNA P ASSISTANT ATTORNEY GENERAL 509 17WC 37275 JOHNSON, TERESA ROCK RIVER VALLEY BLOOD C 07/19/16 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 510 17WC 37589 PRINE, BRIAN CITY OF ROCKFORD 10/12/17 GESMER LAW OFFICES, PC 511 17WC 37744 ABREGO, RONDA MATRANGA INDUSTRIES INC 10/05/17 GESMER & REYNOLDS PC JOSEPH MARCINIAK 512 17WC 37797 BUSTOS, JOANNE SYNCREON 10/14/17 STROM, NEAL B

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 513 17WC 37992 HERRERA, OCTAVIO MARTINEZ TRES-M-SOLUTIONS LLC 10/04/17 HAUSER LAW LLC 514 17WC 38027 CEHIC, DZEVIDA ROCKNEL FASTENER, INC 04/14/17 CLARK FROST KOPKA, PINKUS DOLIN, PC 515 17WC 38040 SCHMIDT, ANITA FCA US LLC 04/15/16 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 516 17WC 38086 ALBERT, ANGELIQUE UPS 02/04/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 517 18WC 00025 DAVIDSON, VICKEY SERVICOM 12/18/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 518 18WC 00118 BASS, CODY ROCKFORD ICEHOGS 05/26/15 WOLFE LAW PC HENNESSY & ROACH PC 519 18WC 00292 HALL, JEFFRY A COUNTY OF WINNEBAGO 07/28/17 TUITE LAW WILLIAMS MCCARTHY LLP 520 18WC 00362 LUKER, KELLEY FABRICATED STEEL PRODUCTS 09/01/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 18WC000363 -C 18WC010868 -C 521 18WC 00406 FIGURIN, LYNDA OSF ST ANTHONY MEDICAL CE 10/20/17 BLACK & JONES HINSHAW & CULBERTSON 522 18WC 00413 ROE, KENT HOLLAND M-BAR-D 08/09/17 BLACK & JONES GOLDBERG SEGALLA LLC 523 18WC 00569 GILMORE, BONNIE L HOMEGOODS, INC 01/12/17 TUITE LAW 524 18WC 00575 WILSON, TRAVIS BERNER FOODS INC 07/07/16 BLACK & JONES HOLECEK & ASSOCIATES 525 18WC 00578 JOHNSON, ROCKWOOD PARKER HYDRAULIC ACCUMULA 12/14/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 526 18WC 00699 TREVINO, MARIA J SYNCREON AUTOMOTIVE 07/29/17 REESE & REESE 527 18WC 00745 HARDY, JENNIFER WALMART STORES INC 12/15/17 JAMES G AHLBERG QUINTAIROS PRIETO WOOD & BOY 528 18WC 00955 JIMENEZ, GABRIEL FCA US LLC 11/21/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 529 18WC 00960 UNDERWOOD, GLENN FCA US LLC 11/01/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 530 18WC 01073 SHERER, DAVID ANDRITZ PAPER MACHINE 11/21/17 BLACK & JONES LAWRENCE COZZI - LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 531 18WC 01490 SAUKA, THOMAS CENTRAL TRANSPORT, LLC 01/19/17 LOUIS A PLZAK & ASSOCIATES HINSHAW & CULBERTSON 532 18WC 01522 PEHL, SUSAN QPS STAFFING 11/03/17 GESMER LAW OFFICES, PC WOLFE & JACOBSON, LTD 533 18WC 01552 THOMPSON, ERIC COCA COLA 12/21/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 534 18WC 01566 VIEDERIS, PAT CARDINAL GLASS COMPANY 01/30/17 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 535 18WC 01702 COLE, GABRIELLE CASEYS GENERAL STORES 05/07/17 WHITESIDE & GOLDBERG LTD HEYL ROYSTER VOELKER & ALLEN 536 18WC 01863 THOAMS, MARZAVIOUS UPS 10/10/17 BLACK & JONES 537 18WC 02024 STROH, VANESSA ROCHELLE GARDENS CARE CEN 11/16/17 BLACK & JONES KNELL LAW LLC 538 18WC 02027 WASHINGTON, WARRICK CHEMTOOL INC 12/21/17 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 539 18WC 02483 PEREZ, MELISSA ARAMARK 09/18/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 540 18WC 02874 BIRD, MICHAEL OAKLEY SUB-ASSEMBLEY 12/14/17 MARTIN V KUGIA ACCIDENT FUND HOLDINGS 541 18WC 02881 ITZEN, LELAND WINNEBAGO FOUNDRY 10/11/17 BLACK & JONES GANAN & SHAPIRO 542 18WC 02909 KURSCHNER, TODD TITAN TIRE CORP 10/09/17 CAPRON & AVGERINOS PC HEYL ROYSTER VOELKER & ALLEN 543 18WC 03280 MARKS, WILLIAM ARAMARK UNIFORM SERVICES 01/16/18 BLACK & JONES INMAN & FITZGIBBONS 544 18WC 03322 MARYOTT, HOLLY M DARDEN RESTAURANTS, INC 01/13/18 TUITE LAW 545 18WC 03366 GROOMS, DANA L SWEDISH AMERICAN HOSPITAL 01/05/17 KELLY & KING WILLIAMS MCCARTHY LLP 546 18WC 03383 VAN DEN BUSCH, LARRY ACUMENT GLOBAL TECHNOLOGI 06/02/17 BLACK & JONES GAROFALO SCHREIBER STORM 547 18WC 03397 BASSETT, DANICHA EASTERSEALS ACADEMY 08/30/17 BLACK & JONES NOBLE & ASSOCIATES PC 548 18WC 03587 SIVERIO, HECTOR USF HOLLAND, INC 06/20/17 FRANKS, GERKIN & MCKENNA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 549 18WC 03593 BURMMETT, AMY RIVER BLUFF NURSING HOME 04/15/15 BLACK & JONES WILLIAMS MCCARTHY LLP 550 18WC 03596 NELSON-THOMPSON PA PETERSON OUTPATIENT RE 01/20/18 BLACK & JONES GALLIANI DOELL & COZZI LTD 551 18WC 03639 MARTINEZ-VALDEZ, MAYRA JONES NATURAL CHEWS 09/20/17 BLACK & JONES ACCIDENT FUND HOLDINGS 552 18WC 03932 LANE, RAYMOND W GENERAL MILLS, INC. 01/14/17 TUITE LAW BRYCE DOWNEY & LENKOV LLC 553 18WC 04097 DUFEK, JACQUES L BERGSTROM, INC 03/01/17 TUITE LAW WOLFE & JACOBSON, LTD 554 18WC 04397 LASHER, BRANDY ALDI, INC 11/30/17 GESMER LAW OFFICES, PC BRADY CONNOLLY & MASUDA PC 555 18WC 04431 CUMBA, MARIBELLE RESOURCE MFG/PROLOGISTIX 07/07/17 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 556 18WC 04548 NAVA, NICANDRO CHRYSLER, LLC/ 11/20/17 RUEDA, IVAN A WILLIAMS MCCARTHY LLP 557 18WC 04678 BLAZER, REBEKAH MENARDS 10/14/17 DWORKIN AND MACIARIELLO 558 18WC 05095 BIRD, MICHEAL OAKLEY SUB-ASSEMBLY 12/14/17 MARTIN V KUGIA 559 18WC 05183 MARQUEZ, MONICA SLIDEMATIC PRECISION COMP 04/26/17 SOSTRIN AND SOSTRIN PC JOSEPH MARCINIAK 560 18WC 05241 SANDERS, ANITA COMFORT KEEPERS 11/29/17 BLACK & JONES HENNESSY & ROACH PC 561 18WC 05245 SMITH, MARK MORNING DISPOSAL, INC 01/10/18 GESMER LAW OFFICES, PC RIPES NELSON BAGGOT KALOBRAT 562 18WC 05385 FITTS, MICKEY A & B FREIGHT LINES 08/21/15 DWORKIN AND MACIARIELLO 563 18WC 05577 SMITH, APRIL PARKVIEW NURSING HOME 01/22/17 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 564 18WC 05641 FLORES, LUCIA ROCKFORD MEMORIAL HOSPITA 08/05/15 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 18WC005642 -C 565 18WC 05700 STOREY, RHONDA S AJ KENT, INC DBA GOODTIME 09/17/13 TUITE LAW 566 18WC 05736 STERLING, SALLY TYLERS LANDSCAPING 01/27/18 BLACK & JONES GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 18WC 05988 AYERS, JEWELL WAL-MART 01/24/18 GESMER LAW OFFICES, PC QUINTAIROS PRIETO WOOD & BOY 568 18WC 06060 SEAGREN, LANE ESTATE OF SAFELITE AUTO GLASS 12/08/17 GESMER LAW OFFICES, PC SPIEGEL & CAHILL, PC 569 18WC 06120 ALVEY, DARLENE R HONEYWELL INTERNATIONAL I 03/05/15 TUITE LAW 570 18WC 06439 RODRIGUEZ, JOSE VALLI PRODUCE 12/04/17 NASH LAW OFFICE PC 571 18WC 06484 HOOKS, STEVE CURTIS METAL FINISHING 01/15/18 BLACK & JONES HENNESSY & ROACH PC 572 18WC 06598 VRLEC, JOHN TRADESMAN INTERNATIONAL 11/17/17 BLACK & JONES RODDY LAW LTD 573 18WC 06601 BELLOWS, WILLIAM CINCINNATTI TOOL STEEL 02/15/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 574 18WC 06783 HORSTMAN, KEN RYDER INTEGRATED LOGISTIC 02/28/18 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 575 18WC 06843 MURPHY, CHRISTAL FCA US, LLC 02/06/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 576 18WC 06897 ALVARADO, MARIA TRI STAR METALS 08/15/17 BLACK & JONES HOLECEK & ASSOCIAT0ES 577 18WC 06900 SLAVIC (GOLUB), SVJETLANA CARDINAL STAFFING SVS 01/22/18 BLACK & JONES 578 18WC 06939 MAY, GERALD J INTERNATIONAL AUTOMOTIVE 04/24/15 CACCIATORE, WILLIAM T 579 18WC 06942 BROOKS, JOSEPH CITY OF OREGON POLICE DEP 11/14/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 580 18WC 06999 KOHEN, JOHN J II R & D THIEL INC 08/18/17 TUITE LAW WIEDNER & MCAULIFFE LTD 581 18WC 07169 ESLING, JEFF AEROTEK 02/13/18 BLACK & JONES HENNESSY & ROACH PC 582 18WC 07172 BAKER, JAMES SOS STAFFING AGENCY 02/21/18 BLACK & JONES 583 18WC 07186 SCHEPLEY, JAMES P PIERCE LAMINATED PRODUCTS 10/01/13 RIPES NELSON BAGGOT KALOBRAT 584 18WC 07198 FOWLER, BRUCE EXELON CORPORATION 01/30/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 18WC 07285 COBLE, CALVIN ROCK RIVER HEALTHCARE 12/13/16 BLACK & JONES ROBERT L. SMITH 586 18WC 07468 ERUINS, LASHONDA ROSECRANCE, INC 09/11/17 PUMILIA LAW LLC 587 18WC 07652 HENYARD, DOMINQUE MERCY HEALTH CORPORATION 11/14/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 588 18WC 07657 ABARBANEL, KATHERINE RGIS INVENTORY SERVICES 05/10/17 BLACK & JONES ARNETT LAW GROUP 589 18WC 07802 ALVAREZ-RIVERA, EVANGELIN SLIDEMATIC INDUSTRIES, IN 01/24/18 GESMER & REYNOLDS PC 590 18WC 07862 TILLEY, KATHERINE A CARDINAL SERVICES LLC 02/01/18 GAROFALO SCHREIBER STORM 591 18WC 07865 MILES, LATORA R EMPLOYBRIDGE MIDWEST 1, I 02/17/18 TUITE LAW 592 18WC 07882 INGLE, BRANDON AMERICAN ALUMINUM EXTRUSI 10/31/17 WOODRUFF & JOHNSON 593 18WC 08019 ORTIZ, JOSE ANDY'S PROFESSIONAL 02/06/18 JOHN S. ELIASIK 594 18WC 08070 STRAM, JASON SPAHN AND ROSE LUMBER 11/22/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 595 18WC 08077 LEPKA, PAUL UPS FREIGHT 06/14/17 GESMER LAW OFFICES, PC LAWRENCE COZZI - LAW OFFICES 596 18WC 08227 HANSERD, VIRGINIA FCA US, LLC 12/20/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 597 18WC 08511 DAUGHERTY, LISA HCR MANOR CARE/ HEARTLAND 06/19/17 GESMER & REYNOLDS PC 598 18WC 08535 MC INTYRE, SHARON LIFETOUCH PRODUCTION 12/12/17 GESMER LAW OFFICES, PC RODDY LAW LTD 599 18WC 08727 DANNO, PATRICK ILLINOIS STATE TOLL @ 02/06/18 GESMER & REYNOLDS PC NYHAN BAMBRICK KINZIE & LOWR 600 18WC 08860 WATTS, ANDREA CHRYSLER 11/11/17 RUBIN MACHADO ROSENBLUM WIEDNER & MCAULIFFE LTD 601 18WC 08891 ISHMON, DEILO MODERN PLATING 01/01/18 BLACK & JONES HOLECEK & ASSOCIATES 602 18WC 09006 ERBE, BRANDON S. CHERRY VALLEY FIRE PROTEC 01/16/18 THOMAS W DUDA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 18WC 09076 WAHLIN, ANITA LEGACY ACADEMY OF EXCELLE 12/01/17 GESMER & REYNOLDS PC 604 18WC 09100 FOOTE, MARGIE MONDELEZ INTERNATIONAL 03/14/18 BLACK & JONES 605 18WC 09262 REINE, COLLEEN ROCKFORD RIGGING, INC 10/15/17 NASH LAW OFFICE PC 606 18WC 09481 KRAUCUNAS, ROBERT ALTER TRADING CORP 05/31/17 BLACK & JONES 607 18WC 09484 ERVING, MARQUITA FCA US LLC 03/01/18 BLACK & JONES WILLIAMS MCCARTHY LLP 608 18WC 09596 REINE, COLLEEN ROCKFORD RIGGING, INC. 10/31/17 NASH LAW OFFICE PC 609 18WC 09767 PYFER, JAMES SHEET METAL CONNECTORS 06/22/16 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 610 18WC 09810 SAVALLA, DIANNA D MAGNA INTERNATIONAL INC 01/22/18 REESE & REESE POWER & CRONIN LTD 611 18WC 09954 VAUTSMEIER, JERAMYA J UNITED PARCEL SERVICE CO 03/05/18 TUITE LAW ASA LAW GROUP 612 18WC 10245 PETROS, STEVEN T E2 HAULING LLC 01/10/17 TUITE LAW RIPES NELSON BAGGOT KALOBRAT 613 18WC 10367 MAUERMAN, DUSTIN LOWE'S DISTRIBUTION CENTE 06/20/17 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 614 18WC 10401 HUBBELL, MICHAEL W ILLINOIS DEPT OF TRANSPOR @ 08/10/17 MERTES & MERTES PC ASSISTANT ATTORNEY GENERAL 615 18WC 10579 NUNEZ, REINALDO MIDCOR SUPPLY 03/31/18 BOTTO GILBERT WIEDNER & MCAULIFFE LTD 616 18WC 10695 TATE, JUDY PCI PHARMA SERVICES 11/07/17 BLACK & JONES 617 18WC 10839 PONCE DE LEON, DAYRA MIDWEST WIRE WORKS 11/13/17 CLARK FROST LAWRENCE COZZI - LAW OFFICE 618 18WC 10860 PENCE, JOYCE M VONACHEN SERVICES, INC. 10/02/17 BLACK & JONES ACCIDENT FUND HOLDINGS 619 18WC 10864 KAMPPI, DANIEL FCA US, LLC 02/19/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 620 18WC 11004 SMELSER, JONATHAN DCA US LLC 10/11/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 621 18WC 11071 NEMENSKI, PHILLIP R MIDSTATES CONCRETEINDUSTR 09/11/17 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM 622 18WC 11119 SANDERS, ANTHONY L K & J FINISHING INC 09/13/16 ALEXANDER, PETER LTD. 623 18WC 11288 GELENCIR, JOHN CHRYSLER 09/06/17 BROWN & CROUPPEN WIEDNER & MCAULIFFE LTD 624 18WC 11340 BURKE, BRANDEN J CITY OF ROCKFORD 11/27/16 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 625 18WC 11373 PERSING, JEFFRY PEAK ELECTRIC 02/14/18 BLACK & JONES CAPUANI, FRANK S 626 18WC 11376 HIGGS, LARRY STEINER ELECTRIC 03/29/18 BLACK & JONES NOBLE & ASSOCIATES PC 627 18WC 11503 MINER, RAMON ROCKFORD TOOKCRAFT, INC 04/06/18 DWORKIN AND MACIARIELLO 628 18WC 11809 SWETZ, LOUIS AMTB DELIVERY INC 04/04/18 BLACK & JONES HENNESSY & ROACH PC 629 18WC 11981 HARRIS, TIMOTHY CHRYSLER 02/22/18 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 630 18WC 12164 HERNANDEZ, ERIC SALVATION ARMY 01/15/18 SCHAFER DERANGO & CAIN RODDY LAW LTD 631 18WC 12182 HARROLLE, JOHN NEW MEDIA INVESTMENT GROU 03/05/18 CLARK FROST KNELL LAW LLC 632 18WC 12264 LAMBAREN, HECTOR CUSTOM ALLOYS INC 08/09/17 COSTA IVONE LLC 633 18WC 12517 MENKE, JOHN CITY OF FREEPORT 09/01/17 GOLDBERG WEISMAN & CAIRO L 634 18WC 12541 STRYSIK, CASEY DIRECT ENERGY 04/16/18 BRISKMAN BRISKMAN GREENBER 635 18WC 12681 HOLLINGSWORTH, JOHN APRIL SHOWERS, LLC 03/22/18 MARKS INJURY LAW 636 18WC 12773 ILIC, SLOBODANKA WAL-MART 02/11/17 GESMER & REYNOLDS PC QUINTAIROS PRIETO WOOD & BOY 637 18WC 12779 CARON, JENNIFER M ROCKFORD PARK DISTRICT 03/07/18 LAWFIRST HENNESSY & ROACH PC 638 18WC 12896 WISDOM, EMILE WOODMANS FOOD MARKET 01/29/18 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 639 18WC 12946 JOHNSON, BRANDON S HOMES NOW 11/10/17 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 640 18WC 12949 STOHR, IAN EMERY AIR, INC. 11/29/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 641 18WC 12953 ZELLNER, EDWARD WINNEBAGO COUNTY 12/18/16 BLACK & JONES WILLIAMS MCCARTHY LLP 642 18WC 12956 SAYGO, LATRICIA GUNITE CORP 07/16/15 BLACK & JONES 643 18WC 13036 NIEMIEC, WALTER PENSKE TRUCK LEASING 04/10/18 WILLIAM MARTAY HENNESSY & ROACH PC 17WC028368 -C 644 18WC 13115 YATTONE, TAMMY STEPPING STONES 03/01/16 GESMER & REYNOLDS PC BRYCE DOWNEY & LENKOV LLC 645 18WC 13193 SMELTZER, MARK EXELON CORP 04/19/18 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 646 18WC 13225 BENNETT, JEFFREY WILSON ELECTRIC 04/21/18 BLACK & JONES HENNESSY & ROACH PC 647 18WC 13230 ASTANEDA-ARCE, YADIRA SLIDEMATIC PRECISION COMP 04/16/18 COPLAN & CRANE, LTD WOLFE & JACOBSON, LTD 648 18WC 13433 ELSASSER, DREW UNITED POWER 11/18/15 DWORKIN AND MACIARIELLO 649 18WC 13572 LOPEZ, KEVIN GENERAL MILLS, INC 03/23/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 650 18WC 13694 CALDERA, MARIBEL DIVERSIFIED MAINTENANCE 03/27/18 BLACK & JONES HARRIS DOWELL FISHER & HARRI 651 18WC 13909 BYERS, PAMELA FCA US LLC 02/11/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 652 18WC 13923 SMITH, DESTINY CARDINAL SMITH 04/26/18 GESMER & REYNOLDS PC HENNESSY & ROACH PC 653 18WC 13978 DUFEK, JACQUES L BERGSTROM INC 01/03/18 TUITE LAW 654 18WC 14083 PRICE, CEDRICK E FEDEX GROUND PKG SYSTEMS 04/21/18 TUITE LAW 655 18WC 14093 LABBE-ASSELIN, DYLAN MINNESTOTA WILD 04/02/16 FLOYD LAW FIRM 656 18WC 14130 PHILLIPS, MYRNA BERNER FOODS 05/05/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 18WC 14290 WAGENKNECHT, CINDY DELTA POWER 03/14/18 BRASSFIELD KRUEGER & RAMLO 658 18WC 14319 GUMS, WANDA SAVENCIA CHEESE LLC 11/01/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 659 18WC 14396 BILLINGSLY, BARBARA FCA US LLC 01/25/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 660 18WC 14671 MASUNAS, LYLE MIKE THIELING CONSTRUCTIO 03/03/18 KATZ FRIEDMAN EAGLE ET AL 661 18WC 14818 KING, EDWARD L CITY OF ROCKFORD POLICE D 05/03/18 REESE & REESE 662 18WC 14924 LANDWEHR, VALERIE ED ETNYRE & CO 05/03/18 BLACK & JONES CLARK FROST 663 18WC 15008 MCLAIN, JOHN NEW MEDIA INVESTMENT GROU 08/09/17 CLARK FROST KNELL LAW LLC 664 18WC 15087 WIRTH, KEITH W HOME DEPOT USA, INC. 05/05/18 TUITE LAW ADELSON TESTAN BRUNDO 665 18WC 15104 CALLAHAN, KATHLEEN VAN MATRE HEALTH SOUTH RE 11/07/17 BLACK & JONES SPIEGEL & CAHILL, PC 666 18WC 15129 LOPEZ, AMANDA CARDINAL STAFFING * 04/19/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 667 18WC 15229 MCGHEE, DECARLES ROCKFORM CARBIDE 12/13/17 GESMER & REYNOLDS PC 668 18WC 15236 MCGHEE, DECARLES ROCKFORD CARBIDE 10/02/17 GESMER & REYNOLDS PC 669 18WC 15271 GARCIA, LUIS ROMAN HENNIG, INC 03/15/18 BLACK & JONES HENNESSY & ROACH PC 670 18WC 15565 FONSECA, GERMAN ANDROID II 09/29/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 671 18WC 15577 AGUILERA, JUAN AMERICOLD LOGISTICS 10/20/17 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM 672 18WC 15624 LEVERTON, DAVID REYES HOLDINGS, LLC 10/02/17 KATZ FRIEDMAN EAGLE ET AL 673 18WC 15761 SCHUENKE, KEITH AUTOZONE DEVELOPMENT, LLC 08/18/17 CLARK FROST 674 18WC 15799 CASTANEDA-ARCE, YADIRA QPS EMPLOYMENT GROUP 04/16/18 GESMER & REYNOLDS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 675 18WC 15851 CIMINO, ALDO MIDWEST PACKAGING & CONTA 06/19/17 GESMER & REYNOLDS PC LAWRENCE COZZI - LAW OFFICE 676 18WC 15910 TRUCKENMILLER, DARRYL STEPHENSON SERVICE CO 03/05/18 BLACK & JONES 677 18WC 15930 RAMOS, GUADALUPE BEAVER CREEK NURSERY, INC 04/26/17 FRANKS, GERKIN & MCKENNA P CAPUANI, FRANK S 678 18WC 16071 ERNST, ROBERT NAVAJO EXPRESS INC. 02/06/18 WOLFE LAW PC HOLECEK & ASSOCIATES 679 18WC 16083 CANADA, BRIAN CARDINAL STAFFING SERVICE 08/20/17 BLACK & JONES 680 18WC 16475 WHITMORE, JOANNA BYRON SCHOOL DISTRICT #22 11/02/17 OWENS & LAUGHLIN LLC 681 18WC 16573 AVELLANEDA, ADAN BON TON STORESINC 10/10/16 BLACK & JONES 682 18WC 16578 MUNCH, ALLISON EASTERSEALS ACADEMY 11/22/16 BLACK & JONES DENNIS J NOBLE & ASSOC 683 18WC 16581 HARRIS, ANTWON FURST STAFFING 04/15/18 BLACK & JONES ACCIDENT FUND HOLDINGS 684 18WC 16587 CLUKEY, CAROL RESTORIX 07/31/17 BLACK & JONES HOLECEK & ASSOCIATES 685 18WC 16718 ALLEN, ANDRE WINNEBAGO COUNTY JAIL 01/19/17 BLACK & JONES WILLIAMS MCCARTHY LLP 686 18WC 16891 TRICKIE, ADAM W RRB FABRICATION INC 05/17/18 TUITE LAW 687 18WC 16897 HARRIS, THIMOTHY COUNTY OF WINNEBAGO RIVER 04/15/18 TUITE LAW 688 18WC 16964 GONZALEZ, INGRID CRUSADER COMMUNITY HEALTH 04/01/18 ADRIAN MURATI WOLFE & JACOBSON, LTD 689 18WC 16980 WESSMAN, KRISTEN FCA US LLC 11/28/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 690 18WC 17035 SKAKAVAC, DANICA WAL-MART ASSOCIATES, INC. 03/14/18 GESMER & REYNOLDS PC GANAN & SHAPIRO 691 18WC 17121 BOSSANY, MICHAEL J DISTINCTIVE ROOFING, INC 05/16/18 COHN LAMBERT RYAN & SCHNEI 692 18WC 17318 RIESEN, DAVID THERMOPLASTIC INC. 01/25/18 BLACK & JONES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 18WC 17321 KAMPMEIER, TABATHA AKA HE ITW SHAKEPROOF 03/03/17 BLACK & JONES 694 18WC 17354 MONTOYA, JOEL III MC DONALD'S CORPORATION D 08/25/16 TUITE LAW HENNESSY & ROACH PC 695 18WC 17378 THOMAS, ERICK A ANFENG AUTOMOTIVE INTERIO 04/30/18 KATZ FRIEDMAN EAGLE ET AL 696 18WC 17447 JACKSON, TARRONE HUGHES RESOURCES 06/03/18 DWORKIN AND MACIARIELLO 697 18WC 17647 DOBSON, DAVID WILLIAM CHARLES INVESTMEN * 01/16/18 SCHAFER DERANGO & CAIN HOLECEK & ASSOCIATES 698 18WC 17756 ONG, JONAS ENVIRONMENTAL SPECIALTIES * 05/11/18 BLACK & JONES 699 18WC 17759 CARMACK, MARY FCA US LLC * 04/21/18 BLACK & JONES WILLIAMS MCCARTHY LLP 700 18WC 17762 GUZMAN, MARCO ROCK RIVER DISPOSAL * 05/08/18 BLACK & JONES 701 18WC 17765 SCOTT JR, JACKIE RAY FORRESTVILLE VALLEY SD 22 * 02/16/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 702 18WC 17768 HERNANDEZ, ALEJANDRA HELP AT HOME * 01/09/18 BLACK & JONES 703 18WC 17778 AVELLANEDA, ADAN BON TON STORES INC * 05/29/18 BLACK & JONES 704 18WC 17869 COIL, JAMES MARTIN & CO EXCAVATING * 06/01/18 GOLDBERG WEISMAN & CAIRO L WOLF LAW LTD 705 18WC 18147 LOUIS, ANTHONY ROCKFORD ICE HOGS * 11/10/17 GORDON LAW OFFICES LTD 706 18WC 18424 SALDANA, PEDRO BRYNOLF MFG, INC * 10/09/17 PEDRO SALDANA GAROFALO SCHREIBER STORM 707 18WC 18504 APARICIO, MARIA ELIASAR MCDONALDS * 06/01/18 BLACK & JONES 708 18WC 18507 FOSTER, BRENDA HERITAGE WOODS OF ROCKFOR * 04/10/17 BLACK & JONES GOLDBERG SEGALLA LLC 709 18WC 18510 TRIMBLE, JOHN TRI STAR ENTERPRISES/ * 11/20/17 BLACK & JONES 710 18WC 18514 FOLEY, HEATHER FORRESTON FIRE PROTECTION * 10/26/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 18WC 18517 MAY, GERALD IAC * 09/07/15 BLACK & JONES 712 18WC 18656 MAYER, MARIA GRUPO ANTOLIN * 08/08/16 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 713 18WC 18751 GARCIA, RICARDO THORNE ASSOCIATES, INC * 03/01/18 GOLDBERG WEISMAN & CAIRO L 714 18WC 19173 ZUNIGA, AMY YANFENG AUTOMOTIVE 10/28/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC 715 18WC 19267 MELENDEZ, MIRCA I LOWE'S HOME CENTERS, LLC * 11/05/16 TUITE LAW KEEFE CAMPBELL BIERY & ASSOC 716 18WC 19305 COCHRAN, SHEILA SAS RETAIL SERVICES * 03/26/18 DWORKIN AND MACIARIELLO 717 18WC 19328 MALLEN, SUSAN ALLIED UNIVERSAL SECURITY * 01/21/18 NASH LAW OFFICE PC GAROFALO SCHREIBER STORM 718 18WC 19455 HINRICHS, ANNE SNAK KING * 06/04/18 DWORKIN AND MACIARIELLO 719 18WC 19462 NAVARRETE, FRANCISCO ZEI DECORATING, INC, JIM W* 03/24/17 BLACK & JONES 720 18WC 19465 COOPER, COLLIES GUNITE CORP * 05/23/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 721 18WC 19567 MURRAY, JAMIE K CUSTOM CYLINDER, INC * 05/22/18 ALEXANDER, PETER LTD. 722 18WC 19648 KERO, TANNER CHICAGO BLACK HAWKS * 02/18/18 GORDON LAW OFFICES LTD 723 18WC 19722 FLORES, ESTEPHANIE DOLLAR TREE STORES * 05/16/18 GESMER & REYNOLDS PC 724 18WC 19770 KESSLER, ROBERT ROLLING HILLS TRADING * 01/10/18 BLACK & JONES RODDY LAW LTD 725 18WC 20120 KEMPKE, WILL MR. ALBERT J TILFORD DBA * 05/22/18 BLACK & JONES 726 18WC 20144 COLWELL, ROBERT L NATIONAL HEADER DIE CORP * 06/11/18 TUITE LAW 727 18WC 20160 PATTEN, PAMELA MACLELLAN INTEGRATED SVCS * 03/25/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 728 18WC 20245 WELLBORN, CHRISTOPHER LUTHERAN OUTDOOR MINISTRI * 05/24/18 TURNER & SACKETT LLC ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 18WC 20280 WILLIAMS, MICHELLE GENERAL MILLS * 01/11/16 GESMER & REYNOLDS PC 730 18WC 20287 PETERSON, JOHN SCOTT EVOLUTION STAFFING * 02/23/18 BLACK & JONES HENNESSY & ROACH PC 731 18WC 20290 HERTZNER, PAMELA FCA US LLC * 06/08/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 732 18WC 20369 PAREDES, SERGIO CARDINAL STAFFING SVS * 04/13/18 BLACK & JONES HENNESSY & ROACH PC 733 18WC 20405 BENYO, JASON M WODA COOPER COMPANIES, IN * 11/14/17 REESE & REESE 734 18WC 20511 NORDHEIM, BRIANA FCA US LLC * 02/02/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 735 18WC 20575 BALLUFF, KEVIN FAMILY DOLLAR * 04/27/18 DWORKIN AND MACIARIELLO 736 18WC 20617 RODRIGUEZ, JOSE THMOPSON PIPE GROUP * 05/30/18 GESMER & REYNOLDS PC 737 18WC 20660 WEEDE, MICHAEL J & R RENTAL, INC * 01/11/18 QUINTAIROS PRIETO WOOD & BOY 738 18WC 20675 POSLEY, LILLIE SYNCREON NORTH AMERICA * 07/03/15 GAROFALO SCHREIBER STORM 739 18WC 20828 ROCHON, SERGE NATIONWIDE INBOUND, INC * 12/12/17 GESMER & REYNOLDS PC 740 18WC 20890 TOVAR, ORMARI AEROTEK * 06/26/18 FOOTE MIELKE CHAVEZ O'NEIL 741 18WC 20942 DAY, THOMAS GROENWOLD FUR & WOOL CO. * 01/26/17 HAUSER LAW LLC RIPES NELSON BAGGOT KALOBRAT 742 18WC 21078 TORRES, MIGUEL LUCHA CANTINA INC * 10/14/17 GESMER & REYNOLDS PC 743 18WC 21084 HEMLOCK, JOSEPH LAWN CARE BY WALTER * 06/21/18 BLACK & JONES 744 18WC 21113 SANDS, NIKKI STATE OF IL @ * 03/16/18 BLACK & JONES 745 18WC 21309 KUHNWALD, APRIL M T.Q.M. INC BELVIDERE * 03/30/18 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 746 18WC 21498 DALLAS, LEE SWEDISH AMERICAN HOSPITAL * 06/27/18 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 747 18WC 21661 RHYNE, KEVIA BERNER FOOD & BEVERAGE * 11/16/16 GESMER & REYNOLDS PC 748 18WC 21710 JONES, JEFF S&H NURSERY * 06/22/18 BLACK & JONES HEYL ROYSTER VOELKER ALLEN 749 18WC 21839 GUADALUPE-REYES, MARIA ROCK HOSPITALITY, LLP * 06/05/18 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 750 18WC 21924 MURO, ROSA TH FOODS * 06/08/18 BOTTO GILBERT 751 18WC 22026 BAKER, ANN C WALGREENS * 06/20/17 TUITE LAW 752 18WC 22064 HAVLOVIC, MICHELE NORTH BOONE COMMUNITY UNI * 07/12/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 753 18WC 22227 LAMB, JANICE FCA US LLC * 11/23/16 BLACK & JONES 754 18WC 22331 AURAND, LORI A SCHNUCKS MARKETS, INC * 05/15/18 TUITE LAW LEMP & MURPHY 755 18WC 22383 COOTER, DAVID SIMPLEX LEASING * 02/12/18 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 756 18WC 22416 METZ, AARON ROGERS PRECISION MACHININ * 09/04/17 CAPRON & AVGERINOS PC 757 18WC 22673 BAILEY, BRANDON L AEROTEK INC * 06/23/18 TUITE LAW 758 18WC 22694 YOUNG, SHANEKA GUNITE CORPORATION * 07/25/18 DWORKIN AND MACIARIELLO 759 18WC 22784 ROSS, ROBERT INDUSTRIAL MOLDS INC * 07/03/18 BLACK & JONES 760 18WC 22787 HUGHART, THOMAS BLAIN'S FARM & FLEET * 01/01/75 BLACK & JONES 761 18WC 22833 ROCHA, MARIA TREE HOUSE FOODS * 05/15/18 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL BIERY & ASSOC 762 18WC 22857 RODRIGUEZ, IRMA SURESTAFF, INC * 08/22/17 BRASSFIELD KRUEGER & RAMLO LOUIS MUNDY 763 18WC 23035 BOSSIER, ROBERT TIMBER LAKE RESORT * 05/14/18 SAUNDERS CONDON & KENNY 764 18WC 23219 THEISEN, SUZY HARLEM CONSOLIDATED SCHOO * 02/16/18 GESMER & REYNOLDS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 765 18WC 23225 VANGORKUM, EMILY COBALT MEDPLANS * 07/26/18 FRANKS, GERKIN & MCKENNA P 766 18WC 23255 SLAVIC, BRANIMIR MAGNA EXTERIORS * 07/05/18 BLACK & JONES POWER & CRONIN LTD 767 18WC 23258 MOORE, DEBRETTA FCA US LLC * 04/14/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 768 18WC 23261 FOREMAN, WHITNEY FCA US LLC * 05/11/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 769 18WC 23322 BRAUN, ANTHONY PEOPLE READY * 07/27/18 DAVID W MARTAY 770 18WC 23479 ENTMEIER, CINDY SUE ARAMARK EVS * 01/25/18 BLACK & JONES 771 18WC 23556 VOGT, CONNIE HONEYWELL INTERNATIONAL * 06/01/18 BLACK & JONES 772 18WC 23767 MORRIS, TESS AEROTEK * 05/20/18 DWORKIN AND MACIARIELLO 773 18WC 23972 BECK, BASIL P PEI OHIO INC * 06/21/18 TUITE LAW 774 18WC 24013 LANDWEHR, VALERIE ED ETNYRE & CO. * 07/27/18 BLACK & JONES 775 18WC 24210 BRANDT, BEVAN AMS MECHANICAL SYSTEMS, I * 06/27/18 NILSON STOOKAL GLEASON CAP GAROFALO SCHREIBER STORM 776 18WC 24377 CARTER, JOE METRO STAFFING * 07/31/18 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 777 18WC 24382 FRANK, NEIL TITAN TIRE * 12/22/16 BLACK & JONES 778 18WC 24434 RAHM, ANDREW QUANEX BUILDING PRODUCTS * 07/06/18 BLACK & JONES BRADY CONNOLLY & MASUDA PC 779 18WC 24609 LETCHER, LAWRENCE PIZZA HUT * 08/03/17 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 780 18WC 24826 LEMUS, JESUS DAN DALPRA PROPERTY MANAG * 05/12/18 KATZ FRIEDMAN EAGLE ET AL 781 18WC 24852 BRAVO, ALFONSO TOP DIE CASTING CO INC * 04/11/18 LEONARD LAW GROUP LLC 782 18WC 24965 MCGEE, JAMAL CINTAS CORP * 08/07/18 BLACK & JONES POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 10/10/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 783 18WC 25118 HOWARD, LENISHA ROSEWOOD CARE CENTER * 06/06/18 DWORKIN AND MACIARIELLO 784 18WC 25186 LOWERY, ROBERT UPS * 01/16/18 NYHAN BAMBRICK KINZIE & LOWR 785 18WC 25284 BAYLOR, TERESA CASEY'S GENERAL STORE * 03/30/18 GESMER & REYNOLDS PC 786 18WC 25633 YOUNG, DANIELLE FCA ASSEMBLY PLANT * 08/17/18 MC HARGUE & JONES 787 18WC 25671 GORDON, KATIE ROCK VALLEY CREDIT UNION * 02/06/18 DWORKIN AND MACIARIELLO 788 18WC 25690 JOHNSON, JAMES JESSE MID STATES CONCRETE * 08/09/18 BLACK & JONES 789 18WC 25851 HILL, TAMEKA FCA CHRYSLER * 06/01/18 ARGIONIS & ASSOCIATES LLC 790 18WC 25878 PEYTON, CHRISTINE FCA US LLC * 10/03/17 KATZ FRIEDMAN EAGLE ET AL 791 18WC 26000 NISSEN, DAVID EXELON- COMMONWEALTH ED. * 05/10/18 BLACK & JONES 792 18WC 26056 RITTER, GENE DERRY ENTERPRISES, INC * 08/08/16 RIPES NELSON BAGGOT KALOBRAT 793 18WC 26134 TORREZ, ELOY M ZENITH CUTTER CO * 11/20/17 TUITE LAW 794 18WC 26144 STEELE, MARK A VIKING CHEMICAL COMPANY * 11/27/17 TUITE LAW 795 18WC 26194 FEHR, DOUG FCA US LLC * 10/05/17 BLACK & JONES 796 18WC 26197 MORRISSEY, WILLIAM (BILL) AFLAC * 06/14/18 BLACK & JONES 797 18WC 26239 MACIEL, VERONICA VAN MATRE HEALTHSOUND REH * 07/01/18 BLACK & JONES 798 18WC 26243 STEWARD, MYLON BERNER FOODS INC * 07/25/18 BLACK & JONES 799 18WC 26365 ROBINSON, MICHAEL FCA US LLC * 07/30/18 GESMER & REYNOLDS PC 800 18WC 26449 MILES, FRANCES ROSS DRESS FOR LESS * 08/25/18 HORWITZ HORWITZ & ASSOC 801 18WC 26553 FRY, MATTHEW AMERICAN AXLE * 08/23/18 GESMER & REYNOLDS PC