ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 97WC 58954 JOHNSON, JACALYN COMMUNITY HOSPITAL OF OTT 10/13/95 KATZ FRIEDMAN SCHUR & EAGL HERBOLSHEIMER LANNON ET AL 97WC058955 -C 2 01WC 70153 LATINO, LYNN A EXELON CORP 06/02/00 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 01WC070161 -C 3 04WC 23962 DIMOND, MICHAEL ST OF IL DEPT OF VETRERN' @ 04/07/04 DAVID W OLIVERO ASSISTANT ATTORNEY GENERAL 4 04WC 28405 EISERT, ANNA M ADVANTAGE LOGISTICS 06/11/01 MEYERS & FLOWERS 5 06WC 37657 19B BUFFINGTON, QUENTIN ACE HARDWARE CORP 09/21/05 DAVID W OLIVERO KLAUKE LAW GROUP LLC 6 07WC 10698 STEVENS, HOMER ARTISAN CONTRACTING 11/05/06 MUELHAUSEN & STEFANI GRANT & FANNING 7 07WC 22510 RUDER, TEDDI ST OF IL (IDOC) SHERIDAN @ 01/25/07 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 8 07WC 47430 OHME, PAMELA ST OF IL DEPT OF HUMAN @ 09/26/06 GANASSIN, SCOTT J ASSISTANT ATTORNEY GENERAL 9 08WC 29954 MARTINEZ, GUSTAVO SUPERVALU INC 05/07/08 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 10 08WC 41745 STWORZYJANEK, HEATHER WORLD FINANCE 08/08/08 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 10WC000616 -C 11 09WC 27563 19B EDDY, CHRISTINA SHABBONA HEALTH CARE CENT 04/19/09 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO 12 09WC 35302 IHDE, JAMIE S HELP AT HOME INC 05/01/07 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 13 10WC 06638 DE LISLE, MICHAEL S RMD GRAPHICS 01/25/10 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 14 10WC 39359 19B REYNOLDS, GARY CARRIAGE HOUSE 10/19/09 PETER F FERRACUTI & ASSOCI HOLECEK & ASSOCIATES 15 10WC 41419 MCBRIDE, MICHAEL L JR WESTERN SAND & GRAVEL, LL 09/27/10 PETER F FERRACUTI & ASSOCI THOMAS & ASSOCIATES 10WC041420 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 11WC 13083 SCHERI, JOSEPH A THE PRO BODY SHOP 12/13/10 COZZI & GOGGIN-WARD 11WC013085 -C 17 11WC 18013 STILES, SHANNON LASALLE COUNTY SHERIFF'S 04/07/11 KATZ FRIEDMAN EAGLE ET AL HERBOLSHEIMER LANNON ET AL 11WC018014 -C 18 11WC 45905 GARDNER, JAMES MIDWEST MFG./MENARDS 06/29/11 DWORKIN AND MACIARIELLO EVANS & DIXON 19 12WC 27340 BIAGI-BRUER, CHAUNTELLE STATE OF ILLINOIS- OFFICE 05/30/12 PERONA, PETERLIN, ANDREONI ASSISTANT ATTORNEY GENERAL 20 12WC 44325 BATTLES, COREY MARKING SPECIALISTS 11/13/12 LAW OFFICES DANIEL E MURPH THOMAS & ASSOCIATES 21 13WC 01121 BRADBURY, JAMIE OAK STATE PRODUCTS, INC 06/27/11 SCHWEICKERT & GANASSIN KNELL LAW LLC 22 13WC 05277 FRIBBS, NANCY SIMPLY RIGHT INC 11/19/12 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 23 13WC 09032 ZURINSKI, DAVID L ST OF IL DEPT OF @ 05/06/13 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 24 13WC 20861 SEXTON, LESTER SILVERLEAF 04/18/13 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 25 13WC 31737 CRUZ, MANUEL WALMART DISTRIBUTION CENT 11/12/12 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 17WC002102 -C 17WC015093 -C 26 13WC 32489 MENDEZ, RIGOBERTO WAL MART DISTRIBUTION CEN 06/21/13 SCHWEICKERT GANASSIN WIEDNER & MCAULIFFE LTD 27 13WC 32757 COGDALL, CHRSTOPHER T R H BOEIK TRUCK LINES, IN 05/08/13 MERTES & MERTES PC JAMES M KELLY 18WC005777 -C R.H. BOELK TRUCK LINES INC 28 13WC 39063 FRIG, WESLEY R GROWMARK INC 10/31/12 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 18WC012663 -C 19WC033330 -C 29 14WC 01860 19B YEE, MARIA GRACEY ST MARY'S HOSPITAL 10/01/13 RATHBUN CSEVENYAK & KOZOL HEYL ROYSTER VOELKER & ALLEN 30 14WC 04345 JUDY, KEVIN KEN FRENCH D/B/A QUALITY W 01/16/14 SCHWEICKERT & GANASSIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 14WC 05814 MEDRANO, IRMA RUSH COPLEY 12/18/13 PORRO NIERMANN LAW GROUP INMAN & FITZGIBBONS 32 14WC 13498 ARMSTRONG, MICHAEL K US FOODS 04/02/12 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 15WC014261 -C 33 14WC 17279 WHITE, DEBRA BETTMAN GROUP 03/30/12 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 34 14WC 21954 HICKS, JAMIE ILLINOIS VALLEY 02/21/14 SCHWEICKERT GANASSIN GILDEA & COGHLAN 35 14WC 40803 TORRES, MARIA E MENARDS DISTRIBUTION PLAN 03/19/14 MEYERS & FLOWERS EVANS & DIXON 14WC040804 -C 19WC032389 -C 36 15WC 01185 WEIGT, DAVID ST OF IL DEPT OF 07/01/14 WHITESIDE & GOLDBERG LTD JEANNINE SIMS 15WC001186 -C 15WC001187 -C 18WC008010 -C IL DEPT OF TRANSPORTATION 18WC008011 -C 37 15WC 02970 HINKLE, JENNIFER RURAL KING SUPPLY INC 03/21/14 SCHWEICKERT & GANASSIN CAPUANI, FRANK S 38 15WC 05071 PROCTOR, RICHARD A MARSHALL'S 02/28/14 MERTES & MERTES PC BRADY CONNOLLY & MASUDA PC 39 15WC 06833 KENDALL, DAVID FLINK CO 02/03/15 STROW LAW LLC RIPES NELSON BAGGOT KALOBRAT 15WC007373 -C 40 15WC 07868 FEHR, JENNIFER FOR THE FLINK CO # 02/03/15 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 15WC007871 -C 41 15WC 07886 EASTATE OF HUBBARD, RANDY FLINK CO 02/03/15 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 42 15WC 08828 WILEMAN, MARTIN STATE OF IL - ILLINOIS @ 11/22/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 15WC028410 -C 43 15WC 10998 HALLAM, DAVID JR HALC 02/03/15 SCHWEICKERT GANASSIN GILDEA & COGHLAN 44 15WC 12889 ALBARRAN, MARIA ESTELA MONTERREY MUSHROOMS INC 12/09/14 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 45 15WC 14367 HEINZ, DERRICK ALLOY SPECIALITES, INC 10/02/14 MEYERS & FLOWERS LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 15WC 15181 PERRY, DAVID MORRIS COMMUNITY H.S. 05/01/12 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 47 15WC 15664 19B EITUTIS, AMY LASALLE COUNTY CIRCUIT 01/23/15 SCHWEICKERT & GANASSIN HERBOLSHEIMER LANNON ET AL 48 15WC 16296 AMELL, BRUCE C STATE OF ILLINOIS @ 05/20/14 PERONA, PETERLIN, ANDREONI ASSISTANT ATTORNEY GENERAL 15WC016297 -C 15WC016298 -C 15WC016299 -C 15WC016300 -C 49 15WC 20678 REIMANN, RANDY CHARP'S WELDING INC 06/15/15 SCHWEICKERT GANASSIN GRANT & FANNING 50 15WC 22477 19B GRAY, ANGELA ACE DISTRIBUTION CENTER 12/22/14 SCHWEICKERT GANASSIN KLAUKE LAW GROUP LLC 51 15WC 23629 MADDOX, CHARLES NOTHERN PLANT SERVICES 08/26/11 OSVALDO RODRIGUEZ PC THOMAS & ASSOCIATES 52 15WC 25040 GARCIA, ANGELICA HCC INC 05/14/15 BLACK & JONES RUSIN & MACIOROWSKI LTD 53 15WC 25392 DERBY JR, ROBERT STATE OF IL DEPT OF CORRE @ 06/25/15 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 54 15WC 27589 STATON, DANIELLE KROGER 07/12/15 PETER F FERRACUTI & ASSOCI STONE & JOHNSON CHARTERED 15WC039432 -C 16WC017521 -C 55 15WC 27986 NEWKIRK, ROBERT ILLINOIS DEPARTMENT OF @ 07/01/15 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 56 15WC 29675 REED, DANIEL OWEN-ILLINOIS 07/08/15 DREW J FERRACUTI POWER & CRONIN LTD 18WC007988 -C OWENS-ILLINOIS 18WC017840 -C 57 15WC 32942 LAPRADD, RODDY R VISSERING CONSTRUCTION CO 04/22/15 DREW J FERRACUTI RUSIN & MACIOROWSKI LTD 58 15WC 38826 HANDZUS, MICHAEL FLINK CO 02/03/15 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 59 15WC 42594 MARTINEZ, JESUS MENARD'S INC 08/27/15 DWORKIN AND MACIARIELLO EVANS & DIXON 60 16WC 00466 PARCOLA, TERI LYNN GENERAL PARTSINT'L 11/01/14 DREW J FERRACUTI 61 16WC 00735 GODDARD, LISA COMMUNITY CONSOLIDATED 01/20/15 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 16WC 00918 FUENTES, MARTIN DIAZ GROCERY, HERIBERTO 11/29/15 EPSTEIN, JACK R LAW OFFICE 63 16WC 02425 EWING, GARY DAVE'SEAT MRKT 05/22/15 KINNALLY FLAHERTY KRENTZ & FRANCIS J DISCIPIO LAW OFFIC 64 16WC 02793 GREEN, WANDA THE KROGER CO 12/07/15 DREW J FERRACUTI GANAN & SHAPIRO 16WC021801 -C 65 16WC 03160 ELMENDORF, JUDY E WALDER RHODES AGENCY/DIVI 04/15/15 LAW OFFICE OF SCOTT B SHAP BRADY CONNOLLY & MASUDA PC 66 16WC 03273 HERNANDEZ, DANIEL FOX VALLEY MOLDING INC 12/04/15 WOODRUFF & JOHNSON WOLFE & JACOBSON, LTD 67 16WC 05084 FREEMAN, MICHAEL BUZZI UNICAM AKA LONE STA 01/13/16 PETER F FERRACUTI & ASSOCI EVANS & DIXON, LLC 68 16WC 05240 BECKCOM, ANDREW J MARMON KEYSTONE LLC 10/20/15 LAW OFFICE ALISSA GEARHART RUSIN & MACIOROWSKI LTD 69 16WC 07052 TERBUSH, JESSICA MARIA VETERANS HOME OF LASALLE 09/18/15 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 16WC015100 -C 70 16WC 07373 MUNKS, MARCELLA HERITAGE ENTERPRISES INC 11/21/15 MEYERS & FLOWERS RIPES NELSON BAGGOT KALOBRAT 71 16WC 08043 19B PEREZ, MARSHA ANDY SKOOG LASALLE COUNTY 10/23/15 SCHWEICKERT GANASSIN HERBOLSHEIMER LANNON ET AL 72 16WC 09181 STERN, BRANDY LEE COUNTY SHERIFF'S DEPT 02/08/16 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 73 16WC 10278 PALASIK, ANDREW CHI-TOWN TRANSFER INC 02/19/16 CULLEN HASKINS NICHOLSON BRADY, CONNOLLY & MASUDA, PC 74 16WC 11238 SLAUGHTER, AMBER STATE OF ILLINOIS DOC SHE @ 03/13/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 75 16WC 15434 SPEVAK, MARSHA J WALMART 04/04/16 PIGNATELLI & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 76 16WC 16192 19B WILLIAMS, PAULA STATE OF ILLINOIS @ 05/15/16 FOOTE MIELKE CHAVEZ & O'NE ASSISTANT ATTORNEY GENERAL 77 16WC 19337 NEWKIRK-COOK, KATHY LAREDO HOSPITALITY VENTUR 03/02/16 SCHWEICKERT GANASSIN GANAN & SHAPIRO 78 16WC 20028 PALASIK, ANDREW CHI-TOWN TRANSFER INC W 02/19/16 MARSZALEK AND MARSZALEK 79 16WC 25769 VALCANI, FRANK JR VILLAGE OF STANDARD, ILLI 11/24/15 MEYERS & FLOWERS HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 16WC 27876 SHELTON, LINDA ROEHL TRASNPORT, INC. 08/25/16 WOLFGRAM & ASSOCIATES CACCHILLO LAW GROUP LLC 81 16WC 29734 COOPER, RICHARD C DALE COTTON W 06/30/16 BERTRAND LAW OFFICE HERBOLSHEIMER LANNON ET AL 82 16WC 30500 BURCAR, CHRISTOPHER WALMART DISTRIBUTION CTR 08/07/16 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 83 16WC 30727 SHURTS, JAMES AMEREN IL COMPANY 09/26/16 SCHWEICKERT GANASSIN CASSIDY & MUELLER 84 16WC 30861 DIAL, GAIL SMALL NEWSPAPER GROUP/ 12/08/15 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 85 16WC 32598 ROGERS, EDWARD COSTCO DISTRIBUTION CENTE 06/29/16 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 18WC014395 -C 86 16WC 32661 COOPER, RICHARD C DALE COTTON DBA 06/30/16 BERTRAND LAW OFFICE HERBOLSHEIMER LANNON ET AL 87 16WC 32692 ARREGUIN, NANCY PARKER NURSING & REHAB CT 07/13/16 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL BIERY & ASSOC 88 16WC 35849 SIMPSON, ROBERTA WORLD FINANCE CORP OF ILL 11/02/16 SCHWEICKERT GANASSIN LAW OFFICES JOSEPH MARCINIAK 89 16WC 36537 VENEGAS, RICHARD PETER KIEWIT SONS INC 08/28/16 BRUSTIN & LUNDBLAD LTD 90 16WC 38097 JONES, KEVIN ALLTECH, INC. 01/05/16 SCHWEICKERT GANASSIN SPIEGEL & CAHILL, PC 91 16WC 38118 JONES, KEVIN ALLTECH INC 01/18/16 SCHWEICKERT GANASSIN SPIEGEL & CAHILL, PC 92 16WC 38902 SALISBURY, KELLY OSWEGO SCHOOL DISTRICT #3 12/07/16 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 93 17WC 02036 DUFFIELD, SARAH-MARIE DUNKIN DONUTS D/B/A LASAL 09/06/16 COZZI & GOGGIN-WARD 94 17WC 02709 LOPEZ GONZALEZ, LUCIANO CONTRACTOR SOURCE LLC 01/12/17 RUEDA, IVAN A 95 17WC 02988 19B ROBERTS, TONYA STARVED ROCK REGIONAL 08/08/16 STROW LAW LLC NYHAN BAMBRICK KINZIE & LOWR 17WC019329 -C 96 17WC 03882 PICARD, BRIAN AREA ERECTORS INC 12/23/16 O'CONNOR & NAKOS HENNESSY & ROACH PC 97 17WC 04826 LENTO, SAM GJOVIK FORD INC 12/19/16 BLACK & JONES NOBLE & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 17WC 05921 WARREN, CHRIS STATE OF IL DEPARTMENT OF 09/26/16 SCHWEICKERT GANASSIN ASSISTANT ATTORNEY GENERAL 99 17WC 06502 BRADBURY, KRISTINE MORRIS HOSPITAL 12/17/16 DWORKIN AND MACIARIELLO STEPHEN P. KELLY 100 17WC 06899 ELLIS, NORMA MENARDS DISTRIBUTION PLAN 02/19/15 MEYERS & FLOWERS EVANS & DIXON 101 17WC 07816 MOBERG, TORBEN NORTHFIELD BLOCK COMPANY 02/16/17 ASHER, RAYMOND L LTD 102 17WC 11592 LEE, RANDY K CITY OF OTTAWA 01/12/17 DREW J FERRACUTI EVANS & DIXON 103 17WC 11657 SCENTS, JEFFREY DESIGNED STAIRS, INC 02/06/15 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 104 17WC 11675 SCENTS, JEFFREY DESIGNED STAIRS, INC 04/21/16 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 105 17WC 11988 TOOLEY, TONEY E. OWENS-BROCKWAY GLASS CONT 05/17/16 DREW J FERRACUTI 106 17WC 12563 BODDIE, KELLY ST MARGARET'S HOSPITAL D/ 10/11/16 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 17WC033071 -C 107 17WC 13746 ROSENGREN, CHRISTINE ILLINOIS SECRETARY OF STA @ 06/04/14 SCHWEICKERT GANASSIN ASSISTANT ATTORNEY GENERAL 108 17WC 13859 COVELL, EDDIE HCC, INC 09/01/16 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 109 17WC 15871 SPRADLING, GREGG C VACTOR MANUFACTURING 04/16/17 PETER F FERRACUTI & ASSOCI BRADY CONNOLLY & MASUDA PC 110 17WC 16629 ENGELMAN, DEBORAH L VEGRZYN, SARVER & ASSOC, 06/08/15 SEIGLER, DARRELL K LTD RUSIN & MACIOROWSKI LTD 111 17WC 17988 SALAMONE, MICHAEL A&R LOGISTICS, INC 02/10/17 LOUIS A PLZAK & ASSOCIATES WIEDNER & MCAULIFFE LTD 18WC032919 -C 19WC020785 -C 112 17WC 18870 JENSEN, KENT STATE OF ILLINOIS JACK MA @ 12/25/16 REESE & REESE ASSISTANT ATTORNEY GENERAL 113 17WC 19035 KURKOWSKI, DOUG LASALLE COUNTY HIGHWAY DE 02/28/17 WILSON LAW OFFICES LLC HERBOLSHEIMER LANNON ET AL 114 17WC 19540 JOHNSON, TIFFANY C NORTHWESTERN MEDICINE 04/21/17 MICHAEL HELLMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 115 17WC 19588 NAVARRO, JENNIFER STARVED ROCK REG CTR 07/21/15 ARNETT LAW GROUP 116 17WC 20023 GLADLE, TERINA L ILLINOIS TOLLWAY 10/16/16 BARRY A KETTER GANAN & SHAPIRO 17WC033565 -C 17WC033566 -C 117 17WC 20030 TOOLEY, TONY E OWENS-BROCKWAY GLASS CONT 07/02/15 DREW J FERRACUTI 118 17WC 20373 ESTRADA, FREDDY GERARDO UNISTAFF INC 06/27/17 JAMES ELLIS GUMBINER & ASS LITCHFIELD CAVO 119 17WC 20824 MCCARVER, DONALD E STATE OF ILLINOIS JACK @ 04/04/17 REESE & REESE ASSISTANT ATTORNEY GENERAL 120 17WC 20937 ORLOVICH, CHAD GRAINCO F.S. 01/11/16 CORTINA & MUELLER HEYL ROYSTER VOELKER & ALLEN 121 17WC 22597 INT-HOUT, CHRISTOPHER MEADE ELECTRIC COMPANY 09/13/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 122 17WC 23935 OTTO, MADISON OPEN DOOR REHABILITATION 05/27/17 GALLIANI DOELL & COZZI LTD 123 17WC 24056 OTTO, MADISON OPEN DOOR REHAB CENTER 06/11/17 GALLIANI DOELL & COZZI LTD 124 17WC 24367 KIMBRELL, RENE RURAL KING SUPPLY 07/18/16 DREW J FERRACUTI HENNESSY & ROACH 125 17WC 24494 BARAJAS, JOSE HCC, INC 08/04/17 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 126 17WC 24935 LARSON, JAMES PCS PHOSPHATE 08/18/17 LAW OFFICES MICHAEL HELLMA CREMER SPINA SHAUGHNESSY ETA 127 17WC 25101 TURNER, JERIMIAH INDUATRIAL INSTALLATION 11/16/16 CATERPILLAR INC 128 17WC 26064 WARREN, DAVID RYDER SYSTEMS LOGISTICS/ 08/16/17 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 129 17WC 27682 GARDNER, MARJORIE HEARTHSIDE FOOD SOLUTIONS 03/22/17 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 130 17WC 27852 SERBY, GLENN BILYEU SEAMLESS GUTTERS, 11/10/15 MEYERS & FLOWERS QUINN JOHNSTON HENDERSON ETA 131 17WC 28404 MICHALS, RICHARD MZI ELECTRIC INC 09/15/17 RATHBUN CSEVENYAK & KOZOL 132 17WC 30249 STAKELY, DEBRA L WEXFORD HEALTH SOURCES, I 12/20/15 PERONA, PETERLIN, ANDREONI RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 133 17WC 30595 SODARO, ERIC IDOT 10/11/16 FRANCINE B WHITE ILLINOIS ATTORNEY GENERAL 134 17WC 30759 COX, PAMELA J STATE OF IL, JACK MABLEY @ 09/18/17 REESE & REESE STATE OF ILLINOIS 135 17WC 31120 19B CURL, LYNDA FLANAGAN REHAB & HEALTH C 07/04/17 LAW OFFICE OF CHRIS DOSCOT KNELL LAW LLC 136 17WC 31982 MORALES, ELIDA HCG, INC 05/15/15 DREW J FERRACUTI RUSIN & MACIOROWSKI LTD 137 17WC 31987 MORALES, ELIDA HCC INC 07/09/15 DREW J FERRACUTI RUSIN & MACIOROWSKI LTD 138 17WC 32241 KENDRA, DAVE NORTHFIELD BLOCK CO 10/03/17 RATHBUN CSEVENYAK & KOZOL LAWRENCE COZZI - LAW OFFICE 139 17WC 35329 KELLET, RANDY BUCHHEIT ENTERPRISES INC 08/27/16 DREW J FERRACUTI CAPUANI, FRANK S 140 17WC 35606 WILKINSON, SHERRY LIBERTY VILLAGE OF PERU 01/26/17 DREW J FERRACUTI 141 17WC 36150 SHEAR, TERESA MORRIS HOSP & HEALTHCARE 06/30/11 SCHWEICKERT & GANASSIN 142 17WC 36256 DIAZ, RUBEN GALE CONSTRUCTION COMPNY 09/21/17 BLOCK, KLUKAS & MANZELLA P WOLF & LAUDICINA LTD 143 17WC 36547 SANCHEZ, SANDRA MENARDS 09/08/17 EPSTEIN, JACK R LAW OFFICE EVANS & DIXON 144 17WC 36592 LUNN, KENNETH O'REILLY AUTO ENTERPRISES 07/15/17 SCHWEICKERT GANASSIN HENNESSY & ROACH 145 17WC 36801 JOHNSTON, JOHN STATE OF ILLINOIS @ 12/19/16 JOHN LESAGANICH ASSISTANT ATTY GENERAL 146 17WC 37748 BANTISTA, TERRI LASALLE VETERANS' HOME @ 11/15/17 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 147 18WC 02187 SMITH, DONNA SPECTRUM BRANDS, INC 08/24/17 STROW LAW LLC LAWRENCE COZZI - LAW OFFICES 148 18WC 02332 19B GREER, JOSH MBL USA CORP 01/03/18 SCHWEICKERT GANASSIN INMAN & FITZGIBBONS 149 18WC 03014 TUDOR, JACOB R CREST FOODS CO INC 01/11/18 TUITE LAW 150 18WC 03303 WIESBROCK, WAYNE CATHOLIC DIOCESE OF PEORI 12/16/17 LAW OFFICES MARK LOFTUS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 151 18WC 03329 MANNING, KEITH W ALLEN FOREST PRODUCTS COR 12/01/17 DREW J FERRACUTI HENNESSY & ROACH PC 152 18WC 05828 HEITMAN, JASON HEATON TILING, LLC 11/18/17 DAVID W OLIVERO GILDEA, COGHLAN & REGAN LTD. 153 18WC 07321 REPPIN, MICHAEL LA SALLE COUNTY 11/08/16 SCHWEICKERT & GANASSIN HERBOLSHEIMER LANNON ET AL 154 18WC 07692 GOAD, EDDIE VISSERING CONSTRUCTION CO 03/20/17 GOLDFINE & BOWLES HOLECEK & ASSOCIATES 155 18WC 08078 CAPASSO, ANTHONY ST MARY'S CEMENT 10/10/17 LIPKIN & HIGGINS LAW OFFIC 156 18WC 08265 OGAN, MICHELLE E STATE OF ILLINOIS @ 04/25/16 REESE & REESE ASSISTANT ATTY GENERAL 19WC003141 -C 157 18WC 08596 THOMPSON, MATTHEW HAPPY VALLEY ENTERPRISES, 11/02/17 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 158 18WC 08821 WAIDO, SCOTT J US POSTAL SVC 01/20/18 FISHER, JOHN W 159 18WC 09517 ONSEN, RICK GRUNDY COUNTY SHERIFF'S D 02/06/18 SAUNDERS CONDON & KENNY PATRICK JENNETTEN 160 18WC 10275 BROCK, PAUL GROUND SERVICE, ICN 03/29/18 RIDGE & DOWNES 161 18WC 11106 FISCHER, MICHAEL J&J PAINTING OF NAPERVILL 01/31/18 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 162 18WC 11310 STAYTON, DONNA L LASALLE VETERANS HOME @ 02/26/17 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 163 18WC 12061 FLORES-MUNOZ, AGUSTIN EXEL INC 03/26/18 DANIEL E MURPHY HENNESSY & ROACH PC 164 18WC 12685 WALKER, TERRY UNYTITE, INC 04/06/18 SCHWEICKERT & GANASSIN 165 18WC 12933 GODDARD, DAVID PERFORMANCE FOOD GROUP 03/09/18 DAVID HUNT INMAN & FITZGIBBONS 166 18WC 13548 DIEHL, DAN L STATE OF IL 02/08/18 TUITE LAW ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 167 18WC 13972 ARRINGTON, CONRAD D BIG D EARTH REMOVAL W 04/27/18 BERTRAND LAW OFFICE 168 18WC 15727 HARAZIN, TERESA M STATE OF ILLINOIS, JACK M @ 09/29/16 REESE & REESE ASSISTANT ATTY GENERAL 18WC015728 -C 169 18WC 16661 PINA, PATRICIA LEGAL REP LAKEWEST CUSTOM HOMES 11/15/17 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 170 18WC 16957 GREEN, PENNY NORTHWESTERN MEDICINE 10/28/17 WOODRUFF & JOHNSON 171 18WC 17804 MERCER, JON S ILLINOIS VALLEY CC DIST 5 05/08/18 PERONA PETERLIN ANDREONI ROSARIO CIBELLA 172 18WC 18318 STERLING, BEATRICE M CASEYS GENERAL STORES INC 03/13/18 PERONA PETERLIN ANDREONI HEYL ROYSTER VOELKER & ALLEN 173 18WC 18935 CONLEY, MARGARET WALMART STORES INC 03/07/18 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 174 18WC 19052 SOSA, ERNEST B JR. A & R LOGISTICS 04/21/17 HASSELBERG GREBE SNODGRASS WIEDNER & MCAULIFFE LTD 175 18WC 20392 HOBSON, JANICE SISTER ACT, INC 06/02/16 DAVID W OLIVERO HENNESSY & ROACH PC 176 18WC 21479 DEVENNY, MARGIE A STATE OF ILLINOIS @ 06/14/17 REESE & REESE ASSISTANT ATTY GENERAL 18WC021480 -C 177 18WC 22398 ROSS, MARY G FINANCIAL PLUS CREDIT UNI 07/06/16 DREW J FERRACUTI WIEDNER & MCAULIFFE LTD 178 18WC 22798 BECKER, JILA PRETIUM PACKAGING, LLC 05/16/18 PERONA PETERLIN ANDREONI EDWARD J. KOZEL 179 18WC 23392 MARKS, WILLIAM IDOT @ 05/29/18 PETER F FERRACUTI & ASSOCI ASSISTANT ATTY GENERAL 180 18WC 25393 NANTZ, REBECCA HCC, INC. 04/27/18 RUSIN & MACIOROWSKI LTD 181 18WC 26487 VASQUEZ, ALBERTO S COSTOC WHOLESALE CORP 03/26/18 O'CONNOR & NAKOS GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 182 18WC 27590 DAVIS, ROSEANN CASEY GENERAL STORE 08/14/18 183 18WC 28425 HERNANDEZ, MARLA HEARTHSIDE FOOD SOLUTIONS 01/09/18 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 18WC028426 -C 20WC004662 -C 184 18WC 28584 HUBER, JACK US TRUCK BODY 09/04/18 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 185 18WC 28847 OSER, DAVID IDOT @ 01/05/18 STRONG LAW OFFICE ASSISTANT ATTY GENERAL 186 18WC 29383 HAVERLAND, GARY A DO IT BEST CORP 06/04/18 PIGNATELLI & ASSOCIATES 187 18WC 29591 HAUCH, FRED FS GRAIN 09/18/18 MEYERS & FLOWERS HEYL ROYSTER VOELKER & ALLEN 188 18WC 30984 PEDELTY, LORI STARVED ROCK LOUNGE & 06/03/17 PERONA PETERLIN ANDREONI 189 18WC 31423 SIMPSON, RANDALL O CITY OF MENDOTA 08/19/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 190 18WC 31459 MAYHEW, MARK JR THE KROGER CO 08/03/18 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 191 18WC 31590 POLLETT, JULIE YOUTH SVC BUREAU OF IL VA 05/18/18 PERONA PETERLIN ANDREONI 192 18WC 31622 WEBER, DANIEL WALMART DISTRIBUTION CENT 09/13/18 SCHWEICKERT GANASSIN QUINTAIROS PRIETO WOOD & BOY 193 18WC 31801 DAVIS, BRADLEY BURNER DESIGN & CONTROL, 10/01/18 JEROME LINDSAY SALMI LL WOLFE & JACOBSON, LTD 194 18WC 32263 MONROE, CYNTHIA RURAL KING 10/02/18 SCHWEICKERT GANASSIN RURAL KING 195 18WC 32411 WHIPPLE, KENYON J PERFORMANCE FOOD GROUP 06/29/18 MERTES & MERTES PC 196 18WC 32565 BREWER, NATHAN BRUCE OAKLEY INC 04/19/18 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 197 18WC 32591 PHELPS, SHARON LEE COUNTY SPECIAL EDUCAT 10/26/18 JAMES G AHLBERG ROSARIO CIBELLA 198 18WC 33065 SCHUNING, BONNIE FOX VALLEY YMCA 09/28/17 PETER F FERRACUTI & ASSOCI NYHAN BAMBRICK KINZIE & LOWR 199 18WC 33308 TWARDOWSKI, KEVIN VIAKABLE MANUFACTURING, L 09/14/18 SCHWEICKERT GANASSIN GRIFFIN, LORETTA M LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 200 18WC 33511 MADDOX, MARY PRIMA EXPRESS 10/14/18 LEONARD LAW GROUP LLC EVANS & DIXON, LLC 201 18WC 34147 GILBERT, DONNA MORRIS DINER & PANCAKE HO 09/30/18 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 202 18WC 34365 ERICKSON, JON ALLIED POWER SERVICES 11/04/18 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 203 18WC 34645 HEREDIA, JASON PQ CORPORATION 11/08/18 DREW J FERRACUTI PELLIS LAW GROUP 204 18WC 34730 WHITEHEAD, STETSON AFC TRANSPORATION 11/16/18 SKLARE LAW GROUP GOLDBERG SEGALLA LLC 205 18WC 34845 WEINREICH, CARRIE WALMART, INC 11/06/17 WIEDNER & MCAULIFFE LTD 206 18WC 35267 KIMMELL, BILLIE KSR EQUIPMENT LLC 08/30/18 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 207 18WC 35534 GOTCH, WILLIAM STREATOR ELEMENTARY 03/15/18 STEPHEN P. KELLY 208 18WC 35631 PHELPS, SHARON M LEE COUNTY SPECIAL EDUCAT 09/17/18 JAMES G AHLBERG ROSARIO CIBELLA 209 18WC 35827 MEYER, LARRY L STATE OF ILLINOIS @ 07/11/18 PIGNATELLI & ASSOCIATES ASSISTANT ATTY GENERAL 210 18WC 36580 MATHIEU, DEBRA HEARTLAND BANK & TRUST CO 03/22/18 PERONA PETERLIN ANDREONI 211 18WC 36595 WOODS, KITTIE WW HEALTHCARE CONSULTANTS 10/26/18 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 212 18WC 36666 19B JARIGESE, DAVID PEORIA CHARTER COACH COMP 07/07/18 GOLDFINE & BOWLES HENNESSY & ROACH, PC 213 18WC 37046 DALTON, LINDA BILL WALSH CHEVROLET CADI 08/20/18 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 214 18WC 37678 HERT, RANDALL OWENS-ILLINOIS INC 12/26/17 SCHWEICKERT GANASSIN POWER & CRONIN LTD 215 18WC 37921 HENRIKSEN, NICOLE HAIM ELECTRIC 11/12/18 HORWITZ HORWITZ & ASSOC 216 18WC 38093 KASPERSKI, ROBERT RIVERFRONT MACHINE, INC 09/07/18 JOHN LESAGANICH 217 18WC 38358 FIALCO, KASI COUNTRY COMFORT BOARDING 02/16/18 FRANKS, GERKIN & MCKENNA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 218 19WC 00202 ALEXANDER, APRIL PROLOGISTIX 09/27/18 LESTER, JEFFREY D CITY A 219 19WC 00279 DEBATES, JAYE JAYE R DEBATES CONTRACTIN 12/10/18 GOLDFINE & BOWLES WIEDNER & MCAULIFFE LTD 220 19WC 00510 ANDERSON, CYNTHIA M AEGIS THERAPIES, INC. 09/07/18 REESE & REESE RUSIN & MACIOROWSKI LTD 221 19WC 00833 BARONA-GONZALEZ, JUAN VIAKABLE 11/20/18 RUEDA, IVAN A GILDEA, COGHLAN & REGAN LTD. 222 19WC 01144 SMITH, SHONNA ALLEGION 11/27/18 DAVID W OLIVERO HOLECEK & ASSOCIATES 223 19WC 01153 SEA, AMY PEOPLE LINK 03/06/17 DAVID W OLIVERO WOLF LAW LTD 224 19WC 01714 CORRIGAN, KEVIN CITY OF MENDOTA 11/26/18 SCHWEICKERT & GANASSIN POWER & CRONIN LTD 225 19WC 01875 RASMUSSEN, AUSTIN SULLIVAN DOOR COMPANY 08/15/18 DAMON YOUNG BRYCE DOWNEY & LENKOV LLC 226 19WC 02061 ROBERTS, KAYLA JO (WIDOW BUREAU SERVICE COMPANY # 11/22/18 NO ATTORNEY HOPKINS & HUEBNER PC 227 19WC 02574 LUNN, KENNETH O'REILLY AUTO ENTERPRISES 08/30/17 SCHWEICKERT & GANASSIN HENNESSY & ROACH 228 19WC 02803 KACHLIC, DENISE YORKVILLE HIGH SCHOOL 01/25/19 LAW OFFICE OF LAURA A CHIL ROSARIO CIBELLA 19WC002804 -C 229 19WC 02986 LEYNAUD, GEORGE G GEORGE G LEYNAUD & ASSOC 07/06/17 DREW J FERRACUTI GILDEA, COGHLAN & REGAN LTD. 230 19WC 03090 PETZEL, MARK AMERICAN NICKELOID CO 06/19/18 SCHWEICKERT & GANASSIN 231 19WC 03150 KRAFT, WILLIAM RYDER TRUCK RENTAL INC D/ 08/17/18 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 232 19WC 03515 CAZAREZ, EMILIO MENDEZ S&C TURF MASTERS, INC 11/26/18 CRONAUER, CHARLES E GILDEA, COGHLAN & REGAN LTD. 233 19WC 03930 PIRAINO, JOE R PIGATI BUILDERS 11/07/17 DREW J FERRACUTI HEYL ROYSTER VOELKER & ALLEN 234 19WC 04078 STILABOWER, KEVEN UTILITY SVCE & MAINTENANC 01/15/19 SMITH LAW LTD WIEDNER & MCAULIFFE LTD 235 19WC 05237 COLLINS, BRUCE SAIA LTL MOTORFREIGHT 01/12/19 MCNAMARA PHELAN MCSTEEN LL CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 19WC 05602 KENWICK, LOU ANNE APERION CARE PRINCETON 01/22/19 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 237 19WC 06488 GULA, DONNA HERITAGE HEALTH 01/02/19 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 238 19WC 06712 FREITAG, AARON CASEY'S 11/27/18 TURNER & SACKETT LLC 239 19WC 06802 BRECKENRIDGE, JOHN ILLINOIS CEMENT COMPANY 03/28/18 MEYERS & FLOWERS SPIEGEL & CAHILL, PC 240 19WC 07029 BLACKLAW, JOEL US SILICA CORPORATION 09/24/18 ELFENBAUM EVERS ZIELINSKA KNELL O'CONNOR DANIELWICZ 241 19WC 07481 KOESTER, TIMOTHY P VANTAGE TECHNOLOGY LLC 07/26/17 HELLER HOLMES & ASSOC 242 19WC 07554 MOONEY, CATHY FIRST CHOICE CREDIT UNION 01/03/18 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 243 19WC 08113 GLASGOW, ANNA D, WIDOW OF QUALITY INSTALLATIONS CO # 02/09/19 BOWMAN & CORDAY 244 19WC 08194 MARTINEZ, ABEL MONTEREY MUSHROOMS, INC. 02/28/19 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 19WC008600 -C 245 19WC 08592 NAVE, KALI PIZZA HUT 02/10/19 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 246 19WC 08664 MENDOZA, GUTBERTO LILJA CONSTRUCTION 06/27/18 RATHBUN CSEVENYAK & KOZOL 247 19WC 09068 DILLEY, LINDSAY M. ARBANAS CONSTRUCTION C 01/24/19 SCHWEICKERT & GANASSIN BRYCE DOWNEY & LENKOV LLC 248 19WC 09098 SMITH, DANIEL J BUREAU COUNTY SHERIFF'S O 04/27/16 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 249 19WC 09207 HROUNDA, JOHN CA VENTURES 09/19/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 250 19WC 09392 GRISWOLD, NATHAN BRIGHT FARMS 01/28/19 DAVID W OLIVERO BRYCE DOWNEY & LENKOV LLC 251 19WC 09505 DAUM, LISA SSHE RFMF, INC 02/19/19 PETER F FERRACUTI & ASSOCI BRYCE DOWNEY & LENKOV LLC 252 19WC 09800 RODRIGUEZ, RAUL WALMART SUPERCENTER 05/24/18 DREW J FERRACUTI GANAN & SHAPIRO 253 19WC 09947 ESCATEL, JUAN ANTONIO MONTEREY MUSHROOMS 12/17/17 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 254 19WC 10387 HANSON, KAREN KENDALL CNTY SHERIFF'S OF 02/17/19 TURNER & SACKETT LLC INMAN & FITZGIBBONS 255 19WC 10859 CADENA, IRMA MENARDS 03/20/19 DWORKIN AND MACIARIELLO 256 19WC 11355 STANFORD, SCOTT US AUTO PARTS NETWORKS IN 02/20/19 SCHWEICKERT & GANASSIN 257 19WC 12004 CORDUA, LORRI COOKIE KINGDOM 03/07/19 PETER F FERRACUTI & ASSOCI GANAN & SHAPIRO 19WC023229 -C 258 19WC 12051 DUNCAN, JAMES IL TOOL WORKS INC 02/16/19 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 19WC012063 -C ILLINOIS TOOL WORKS INC 19WC030326 -C 259 19WC 12087 MALONE, KAREN FAMILY DOLLAR INC. 10/17/18 SCHWEICKERT & GANASSIN 260 19WC 12907 SADOWSKI, ROGER ORKIN LLC D/B/A PEST & TE 05/16/18 RITTENBERG BUFFEN BRADY CONNOLLY & MASUDA PC 261 19WC 12959 PATTERSON, BERNARD COSTCO WHOLESALE MEATS 04/17/19 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO 262 19WC 13132 MARTYN, TERRI HI-TECH ELECTRONIC PRDCTS 04/16/19 NO ATTORNEY 263 19WC 13136 SCHAEFER, JAMES M STATE OF IL DEPTOF CORREC @ 01/12/19 REESE & REESE ASSISTANT ATTY GENERAL 264 19WC 13205 CAVANESS, JIM C RIVERVIEW ENTERPRISES, LL 08/27/18 PERONA PETERLIN ANDREONI 265 19WC 13390 HEWITT, TERESA STATE OF ILLINOS/ 03/31/19 SCHWEICKERT & GANASSIN ASSISTANT ATTY GENERAL 266 19WC 13792 YANEZ, REBECA WRIGLEY MANUFACTURING 01/24/19 STEVEN B SALK & ASSOC LTD GAROFALO SCHREIBER STORM GRA 267 19WC 13881 ESSMAN, RENAE HEARTHSIDE FOOD SOLUTIONS 01/14/19 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 268 19WC 14297 ATWELL, ANGELA OPEN DOOR REHAB CENTER 04/09/19 DREW J FERRACUTI 269 19WC 14630 SEDAM, JESSE BRIAN'S BULLDOG EXPRESS L 04/02/19 SCHWEICKERT & GANASSIN 270 19WC 15386 HOBSON, JANICE SISTER ACT INC DBA GREAT 06/02/18 DAVID W OLIVERO HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 271 19WC 15857 WHITE, ASHLEY STATE OF IL, JACK MABLEY @ 12/16/18 REESE & REESE ASSISTANT ATTY GENERAL 272 19WC 16013 COLLINS, LUTHER CATERPILLAR INC 05/21/18 DAVID HUNT CATERPILLAR, INC. 273 19WC 16468 BIERWIRTH, KATHY S HORIZON HOUSE OF IL VALLE 09/24/18 GEARHART, GARY L & ASSOCS HEYL ROYSTER VOELKER & ALLEN 274 19WC 16623 MEIERKORD, BARRY IDOT 08/03/18 STEPHEN P. KELLY ASSISTANT ATTY GENERAL 275 19WC 17128 WHITE, COZING SWIFT TRANSPORTATION 02/12/19 MILLON & PESKIN LTD WIEDNER & MCAULIFFE LTD 276 19WC 17528 MARTINEZ, HERIBERTO VIAKABLE MANUFACTURING, L 05/05/19 SCHWEICKERT & GANASSIN GRIFFIN, LORETTA M LAW OFFIC 277 19WC 17619 FLACK, APRIL L ABM 04/09/19 SALVATO O'TOOLE FROYLAN ASA LAW GROUP 19WC017620 -C 278 19WC 17694 HAUGE, ROSS E.J. MCKERNAN CO. 02/20/19 CORTINA & MUELLER JOSEPH MARCINIAK 279 19WC 17834 SHAFFER, WILLIAM R SR. DAVIS MAIL SERVICES INC 04/06/19 ANKIN LAW OFFICE GOLDBERG SEGALLA LLC 280 19WC 17913 TUPAYACHI, JOSEPH US TRUCK BODY 07/27/18 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 281 19WC 18938 FARLEY, ELLIOT PETSMART 06/03/19 BERTRAND LAW OFFICE WIEDNER & MCAULIFFE LTD 282 19WC 18975 O'BRIEN, TINA WAXFORD HEALTH SRVS/DIXON 06/26/18 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 283 19WC 19108 SIEBER, CHARLES OWENS-IILINOIS 06/10/19 PETER F FERRACUTI & ASSOCI POWER & CRONIN LTD 284 19WC 19318 LEONARD, ELIZA OTTAWA ELEMENTARY 01/23/19 ELFENBAUM EVERS AMARILIO Z 285 19WC 19420 HASZLER, MARTIN UNYTITE, INC 08/24/17 SCHWEICKERT & GANASSIN 286 19WC 19423 HASZLER, MARTIN UNYTITE, INC 05/24/19 SCHWEICKERT & GANASSIN 287 19WC 19437 COLLINS, ROCHELLE HERMAN & KITTLE PROPERTIE 04/09/19 SCHWEICKERT & GANASSIN 288 19WC 20192 ENGLISH, MEGAN MENARDS 06/05/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 289 19WC 20817 GREEN, TAMMY THORNTONS 07/07/19 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 290 19WC 21166 MILLER, HARLEY LAKE HOLIDAY MARINA 06/14/19 MARK N LEE 291 19WC 21433 BLANKS, SARAH COUNTRY COMFORT RETIREMT 01/07/19 SALVATO O'TOOLE FROYLAN 292 19WC 21505 ARMSTRONG, LES IL DEPT OF CORRECTIONS/PA @ 10/23/17 PETER F FERRACUTI & ASSOCI ASSISTANT ATTY GENERAL 293 19WC 21644 GONZALEZ, LUIS A JR OLD DOMINION FREIGHT LINE 07/08/19 SCHWEICKERT & GANASSIN EVANS & DIXON 294 19WC 21800 COOPER, RICHARD FLANAGAN-CORNELL UNIT 74 11/18/17 KANOSKI BRESNEY ROSARIO CIBELLA 295 19WC 22213 CARRIZALE, FRANCISCO ESTR AAA GALVANIZING 01/26/19 PIGNATELLI & ASSOCIATES KRAKER FANNING & OLSEN 296 19WC 22423 MYERS, MARTIN WALMART DISTRIBUTION CENT 08/01/16 DEPAOLO & ZADEIKIS QUINTAIROS PRIETO WOOD & BOY 297 19WC 22476 LOLLING, FLORENCE PLEASANT VIEW LUTHER HOME 06/21/19 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 298 19WC 22533 ANDERSON, WILLIAM CITY OF OGLESBY 06/12/19 TIMOTHY CANTLIN 299 19WC 22727 RIOS, TIMOTHY BBC, INC 06/19/19 JANSSEN LAW CENTER RUSIN & MACIOROWSKI LTD 300 19WC 22878 KAUFMAN, MARK MENARD DISTRIBUTION CENTE 03/30/19 HORWITZ HORWITZ & ASSOC 301 19WC 23604 PARKER, JUDITH OTTAWA ELEMENTARY SCHOOL 09/13/18 STROW LAW LLC 302 19WC 23747 RODGERS, GALE WALMART ASSOCIATES INC 01/11/19 SCHWEICKERT GANASSIN QUINTAIROS PRIETO WOOD & BOY 303 19WC 23847 SHEEHAN, PATRICIA FASTENAL COMPANY 03/04/19 SCHWEICKERT GANASSIN 304 19WC 23884 STACEY, ROBERT MIDWEST HOSPITALITY 06/03/19 STRONG LAW OFFICE CHILTON YAMBERT PORTER LLP 305 19WC 23907 ENRIQUEZ, OSCAR RYDER SYSTEMS LOGISTICS 06/27/19 LEITER LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 306 19WC 23932 FLINT, PEGGY A DIXON DIRECT LLC 02/09/19 TUITE LAW HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 307 19WC 24225 MCDONALD, JORDAN OTTAWA FIRE DEPARTMENT 04/01/18 STROW LAW LLC 308 19WC 24354 FLORES, CHRISTINA MBL USA CORP 05/30/19 SCHWEICKERT GANASSIN INMAN & FITZGIBBONS 309 19WC 24518 KILGORE, JOSEPH PGI MFG LLC 06/25/19 SCHWEICKERT GANASSIN NYHAN BAMBRICK KINZIE & LOWR 310 19WC 24541 LIGHTSEY, DAVID W NC PIZZA HUT 02/21/19 DWORKIN AND MACIARIELLO 311 19WC 25315 TYLER, EMMANUEL XPO LOGISTICS 08/24/19 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 312 19WC 25465 BEDFORD, DAWN KOHL'S DEPT STORES, INC 03/07/19 SCHWEICKERT GANASSIN CHILTON YAMBERT PORTER LLP 19WC025466 -C KOHLS DEPT STORES, INC 313 19WC 26143 HEWITT, BRANDON ALLEGION LCN 04/25/19 REHN LAW LLC HOLECEK & ASSOCIATES 314 19WC 26209 CIONI, DAWN E ST MARGARET'S HOSPITAL A 09/14/16 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 315 19WC 26819 BERG, FREDERICK JR. OWENS-ILLINOIS INC 08/19/19 SCHWEICKERT GANASSIN POWER & CRONIN LTD 316 19WC 26834 DAUCK, ROBERT EXELON GENERATION CO LLC 10/30/18 SCHWEICKERT GANASSIN CHILTON YAMBERT PORTER LLP 317 19WC 26976 HANSON, MEGAN YORKVILLE COMMUNITY UNIT 05/09/19 RIPES NELSON BAGGOT KALOBR BRYCE DOWNEY & LENKOV LLC 318 19WC 27283 ESPOSITO, MICHAEL NORTHERN PIPELINE 07/25/19 BRUSTIN & LUNDBLAD LTD KRAKER FANNING & OLSEN 319 19WC 27323 MILBY, THOMAS R WASHINGTON MILLS HENNEPIN 12/12/18 PERONA PETERLIN ANDREONI WIEDNER & MCAULIFFE LTD 320 19WC 27523 TRINIDAD, JUAN C CONTRACTOR SOURCE, INC 08/28/19 ESR LAW GROUP BRADY CONNOLLY & MASUDA PC 321 19WC 28263 JORGENSON, BRENNEN L RP LUMBER COMPANY 07/24/19 DREW J FERRACUTI LAWRENCE COZZI - LAW OFFICE 322 19WC 28684 GARCIA, GUILLERMO MONTEREY MUSHROOMS, INC. 08/02/19 SCHWEICKERT GANASSIN 323 19WC 28756 VALLE, AMANDA K XPO LOGISTICS 09/21/19 DREW J FERRACUTI RUSIN & MACIOROWSKI LTD 324 19WC 28909 FOWLER, AARON IL DEPT OF TRANSPORTATION @ 07/30/19 SCHWEICKERT GANASSIN ASSISTANT ATTY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 325 19WC 29003 BRYANT, KATELYNN RIVERFRONT MACHINE, INC 03/12/19 SCHWEICKERT GANASSIN BRADY CONNOLLY & MASUDA PC 326 19WC 29006 CLOUW, DOROTHY B STATE OF IL - JACK MABLEY @ 05/07/19 REESE & REESE ASSISTANT ATTY GENERAL 327 19WC 29275 TOTO, SANTOS MENARDS DISTRIBUTION CENT 06/01/19 KINNALLY FLAHERTY KRENTZ QUINN JOHNSTON HENDERSON ETA 328 19WC 29609 SAROSINSKI, SAMANTHA CITY OF LADD 09/01/19 SCHWEICKERT GANASSIN NYHAN BAMBRICK KINZIE & LOWR 329 19WC 29794 CARR, AMY SENECA GRADE SCHOOL N CAM 08/21/19 KATZ FRIEDMAN EAGLE ET AL KNELL LAW LLC 330 19WC 29805 PROMENSCHENKEL, MARIBETH KROGER 11/01/17 DREW J FERRACUTI GANAN & SHAPIRO 331 19WC 29875 LUCKEY, KENYATTA WESTCARE @ 08/09/19 DONALD FOHRMAN & ASSOC 332 19WC 30015 ALBAZI, BAILOS BURGER KING 01/19/19 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 333 19WC 30413 VAN SCHAICK, JASON ADVANCED DRAINAGE SYSTEMS 10/05/19 SCHWEICKERT GANASSIN HOLECEK & ASSOCIATES 334 19WC 30576 BURKES, ANTHONY KOSAN CRISPLANT 10/14/19 DWORKIN AND MACIARIELLO 335 19WC 30900 GOTCH, WILLIAM STREATOR ELEMENTARY SCHOO 09/30/19 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 336 19WC 31154 VOKAL, ROBERT JB HUNT TRANSPORT 09/25/19 DAVID W MARTAY MICHAEL JASPER 337 19WC 31227 GREEN, WANDA THE KROGER COMPANY 06/12/17 DREW J FERRACUTI 338 19WC 31295 ESPADA, MIGUEL AURORA SPECIALTY TEXTILES 06/14/19 SAUNDERS CONDON & KENNY 339 19WC 31648 GIFFORD, ERIC AHW LLC 02/01/19 TURNER & SACKETT LLC 340 19WC 31874 LYND, WILLIAM VACTOR MANUFACTURING 02/19/19 PERONA PETERLIN ANDREONI 341 19WC 32244 SCHULTZ, REBECCA SOI-ILLINOIS DEPARTMENT O @ 10/01/19 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 342 19WC 32797 DAVIS-SCAHUM, PATRICIA YORKVILLE SCHOOL DIST #11 08/20/19 WOODRUFF JOHNSON ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 343 19WC 32954 COLCLASURE, KANDICE R CASEY'S GENERAL STORE 10/01/19 KANOSKI BRESNEY 344 19WC 33506 HINES, TAMMY ST OF IL/LASALLE VETERANS @ 10/16/19 SCHWEICKERT GANASSIN ILLINOIS ATTORNEY GENERAL OF 345 19WC 33574 GARDNER, KRIS KSB HOSPITAL W 02/07/19 PIGNATELLI & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 346 19WC 33708 GUARDIOLA, ROBERTO LILLY PADS RESALE BOUTIQU 02/27/19 DREW J FERRACUTI ROSARIO CIBELLA 347 19WC 34098 ELLIOTT, CASSANDRA THORTONS LLC 11/29/18 MEYERS & FLOWERS 348 19WC 34104 ELLIS, GREGORY STERICYCLE 08/21/19 SANDMAN LEVY & PETRICH 349 19WC 34452 TRUJILLO, INOSENCIA SODEXO 05/17/18 SAUNDERS CONDON & KENNY 350 19WC 34473 JACOBS, ROBERT A SOI-DIXON CORRECTIONAL CE @ 09/20/19 CORNFIELD & FELDMAN ASSISTANT ATTY GENERAL 351 19WC 34604 VIETTI, WILLIAM WILLIAM VIETTI CONCRETE 09/10/18 EVANS & DIXON 352 19WC 34824 MILLER, TERRY L BAY VALLEY FOODS DBA TREE 07/09/19 MERTES & MERTES PC KEEFE CAMPBELL BIERY & ASSOC 353 19WC 34919 VILLANUEVA PEREZ, JOSE SA ASPLUNDH TREE SERVICES 10/29/19 MC HARGUE & JONES KNELL O'CONNOR DANIELWICZ 354 19WC 35168 OWENS, EDWARD MENARDS 07/01/19 RIDGE & DOWNES CHILTON YAMBERT PORTER LLP 355 19WC 35254 WAY, DEBRA RUSH COPLEY MEDICAL GROUP 08/07/19 KINNALLY FLAHERTY KRENTZ 356 19WC 35500 WALDORF, GREGORY ILLINOIS DEPARTMENT @ 03/21/18 MEYERS & FLOWERS 357 19WC 35566 BIAGIONI, THEODORE EUCLID BEVERAGE LLC 11/18/19 SCHWEICKERT GANASSIN GAIDO & FINTZEN 358 19WC 35954 MEZA, ROGELIO MENARDS DISTRIBUTION CENT 01/15/19 KINNALLY FLAHERTY KRENTZ 359 19WC 36560 SHIELDS, JOHN ACE HARDWARE CORP 07/04/19 SCHWEICKERT GANASSIN KLAUKE LAW GROUP LLC 360 19WC 36614 GLEASON, JENNIFER (MOTHER DOLPHIN CAR WASH II INC 11/17/19 DROST GILBERT ANDREW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 361 19WC 36685 SULLIVAN, KERRY A SIMPLE LABORATORIES/LAB P 03/18/19 ANESI OZMON RODIN NOVAK KO JOSEPH MARCINIAK 362 19WC 36815 OSORIO, ARSENIO ACE HARDWARE CORPORATION 10/02/19 WILSON LAW OFFICES LLC KLAUKE LAW GROUP LLC 363 19WC 36925 PEREZ GONZALEZ, MARIA R HEARTHSIDE FOOD SOLUTIONS 10/24/19 SCHWEICKERT GANASSIN HOLECEK & ASSOCIATES 364 19WC 37151 KING, RICK OMKAR FOODS INC DBA 01/19/17 DAVID HUNT 365 19WC 37317 WEETS, BRADLEY M SOI-DIXON CORRECTIONAL CE @ 12/09/19 CORNFIELD & FELDMAN ASSISTANT ATTY GENERAL 366 19WC 37513 BONTZ, ANGELA JENNIFER STANGLAND D/B/A 05/08/19 SCHWEICKERT GANASSIN BRYCE DOWNEY & LENKOV LLC 367 20WC 00036 LITTLE, BETTY PLANO MOLDING CO PLANO SY 11/13/19 DREW J FERRACUTI 368 20WC 00288 SCHAUB, TOM U.S. SILICA COMPANY 12/16/19 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 369 20WC 00730 MOZZI, WILLIAM RYDER INTEGRATED LOGISTIC 11/25/19 HUGHES SOCOL PIERS RESNICK 370 20WC 00785 GRADY, DAVID MASTERCORP, INC 07/02/19 DREW J FERRACUTI LAWRENCE COZZI - LAW OFFICE 371 20WC 00917 BROADWAY, STEVEN EXPRESS EMPLOYMNT PROFESS 12/14/19 MC HARGUE & JONES MC ANDREWS & NORGLE LLC 372 20WC 00952 PEREZ, JESSE COSTCO 06/18/19 BIZZIERI LAW OFFICES WOLFE & JACOBSON, LTD 373 20WC 01269 PRESIDENT, GAIRY WALMART DISTRIBUTION CENT 09/01/19 DWORKIN AND MACIARIELLO 374 20WC 01508 SANDOVAL, ASHLEA DIXON PUBLIC SCHOOLS 12/10/19 SIGMOND, STEVEN 375 20WC 01906 HOLLOWAY, GREGG HCC INC 10/24/19 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 376 20WC 02117 NOOKS, BENNY L JOHANNES BUS SERVICE, INC 02/05/19 THE CANTLIN LAW FIRM 377 20WC 02382 ROSALES, ROSIO WEL COMPANIES 12/13/19 DREW J FERRACUTI 378 20WC 02761 GUERRERO, RICARDO J N R PAINTING & CONSTRUC 11/26/19 TAMVAKIS, GEORGE L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 379 20WC 03495 PHALEN, PATRICK MBL USA CORPORATION 01/05/20 PETER F FERRACUTI & ASSOCI INMAN & FITZGIBBONS 380 20WC 04047 ROSENCRANZ, JOSEPH E ALLIED POWER 02/03/20 DREW J FERRACUTI 381 20WC 04430 DELGADILLO, JOGE QUALITY GLASS BLOCK 06/19/19 KROL BONGIORNO & GIVEN LTD 382 20WC 04653 BONTZ, ANGELA JENNIFER STANGLAND D/B/A 06/15/19 SCHWEICKERT GANASSIN 383 20WC 04663 GOSKUSKY, TOM LASALLE COUNTY HIGHWAY DE 01/21/20 SCHWEICKERT GANASSIN HERBOLSHEIMER LANNON ET AL 384 20WC 04956 SLAFER, DAVID COOKIE KINGDOM, INC 10/07/19 PERONA PETERLIN ANDREONI 385 20WC 05290 CORRAL, BERTA MENARDS 03/20/19 COSTA IVONE LLC 386 20WC 05398 MARTIN, JASMAN MANPOWER 12/12/19 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 387 20WC 05506 GEMMELL, KENNETH P MARIOTTINI CONSTRUCTION I 10/10/17 TIMOTHY LAMPINEN GILDEA, COGHLAN & REGAN LTD. 388 20WC 05699 STEPHENS, WAYNE R RYDER INTEGRATED LOGISTIC 02/13/19 WILLIAMS MCCARTHY LLP HEYL ROYSTER VOELKER & ALLEN 389 20WC 05938 VAUPEL, MATTHEW B STATE OF ILLINOIS @ 02/08/19 REESE & REESE ILLINOIS ATTORNEY GENERAL OF 390 20WC 06031 JOHNSON, RYAN AEGIS THERAPIES INC 03/19/19 VANDERGINST LAW PC 391 20WC 06157 NEVAREZ, ROSALIO MENARDS DISTRIBUTION 04/30/19 KINNALLY FLAHERTY KRENTZ 392 20WC 06291 POWERS, AMY PARKER NURSING & RHAB CEN 07/18/19 BRASSFIELD KRUEGER & RAMLO 393 20WC 06787 GANCARZ, MICHELLE DOLLAR TREE 07/20/19 PARENTE & NOREM PC 394 20WC 06919 ESCOBAR, FRANCISCA DEL MONTE FOODS, INC. 06/11/19 MEYERS & FLOWERS EVANS & DIXON 395 20WC 07163 SCHMIDT, NICHOLAS R VISSERING CONSTRUCTION CO 08/28/16 ANESI OZMON RODIN NOVAK KO 396 20WC 07180 SWIFT, JUSTIN E CDH EDUCATION CENTER 01/08/20 REESE & REESE JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 397 20WC 07290 RENKEN, HEIDI LAFEBER COMPANY 01/21/20 DREW J FERRACUTI 398 20WC 07586 KUHSE, JEFFERY STATE OF ILLINOIS DIXON @ 02/19/20 CORNFIELD & FELDMAN ILLINOIS ATTORNEY GENERAL OF 399 20WC 07589 QADRI, ITZHEL OSF HEALTHCARE SYSTEMS D/ 05/03/18 SCHWEICKERT GANASSIN 400 20WC 07682 SNOW, KEVIN PETERSON HEALTHCARE SVCS 12/20/19 SEIDMAN MARGULIS & FAIRMAN 401 20WC 07740 RIVERA, RICHARD PEOPLELINK, LLC 08/03/19 PERONA PETERLIN ANDREONI 402 20WC 07865 STEELE, FELICIA LIFESCAN LABORATORY, INC 09/11/17 PETER C KOPOULOS NOBLE & ASSOC 403 20WC 08192 HUBER, JACK US TRUCK BODY 08/07/18 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 404 20WC 08273 BRUDER, JALON KSB HOSPITAL 12/17/19 PIGNATELLI & ASSOCIATES 405 20WC 08326 CROMWELL, RICHARD A IDOT/STATE OF IL @ 12/30/19 DREW J FERRACUTI ILLINOIS ATTORNEY GENERAL OF 406 20WC 08549 ROSAS, MARIA TERESA PONCE EAKAS CORPORATION 02/27/20 EPSTEIN, JACK R LAW OFFICE 407 20WC 08597 YEAGER, CHARLES A US SILICA 02/06/20 PETER F FERRACUTI & ASSOCI 408 20WC 08655 SALETZKI, DONALD PRINCETON FLIGHTING CORP 09/28/17 CAPUANI, FRANK S 409 20WC 08684 BRUCE, MICHAEL PMW HOLDINGS, INC 08/07/19 NYHAN BAMBRICK KINZIE & LOWR 410 20WC 08725 SWEENEY, JOHN HRS COMPANY, INC 03/05/20 SCHWEICKERT GANASSIN 411 20WC 09380 SANDOVAL, GUILLERMO US SILICA 05/21/19 GAROFALO SCHREIBER STORM GRA 412 20WC 09476 HURLEY, WILLIAM SMITH TRUCKING INC 01/18/20 WILSON LAW OFFICES LLC HENNESSY & ROACH PC 413 20WC 09698 ALBAZI, BALLOS BURGER KING * 02/16/20 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 414 20WC 09965 FOXWORTHY, MICHAEL PIPEVISION PRODUCTS, INC * 02/06/20 PERONA PETERLIN ANDREONI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 415 20WC 10001 MC CARTY, ROGER REHRIG PACIFIC COMPANY * 04/29/19 PERONA PETERLIN ANDREONI 416 20WC 10029 ETHERTON, STEVE SERVICE KING COLLISION * 11/19/19 MICHAEL HELLMAN COZZI & ZAPF LAW OFFICE 417 20WC 10245 DAVIDSON, NATHAN CIMCO RESOURCES,INC AND/O * 03/24/20 HETHERINGTON KARPEL & BOBB 418 20WC 10387 RALSTON, BRADLEY CIANBRO CORPORATION * 11/20/19 WILSON LAW OFFICES LLC 419 20WC 10641 SCHOENEKASE, SHERRI NATHAN PAPPAS D/B/A * 01/01/19 SCHWEICKERT GANASSIN NYHAN BAMBRICK KINZIE & LOWR 420 20WC 10858 ROBINSON, JAMES B STATE OF IL @ * 04/11/20 REESE & REESE ILLINOIS ATTORNEY GENERAL OF 421 20WC 10907 GAYDOS, RAYMOND FRANK LIGORI * 10/01/19 PERONA PETERLIN ANDREONI 422 20WC 11094 ZEILMAN, VICTORIA OI-GLASS, INC. * 06/28/18 POWER & CRONIN LTD 423 20WC 11175 ELLIS, LARRY FERRELLGAS, INC * 10/09/19 NO ATTORNEY 424 20WC 11251 SARVER, DAN RUAN TRANSPORTATION * 11/18/19 PETER F FERRACUTI & ASSOCI 425 20WC 11447 CARREON, CLEOTILDE MENARDS DISTRIBUTION CENT * 03/12/20 EFTEKHARI LAW OFFICES LLC 426 20WC 11771 JOHNSON, LOUIS HOWARD JR VARSITY STRIPING & * 08/23/19 FREDERICK & HAGLE 427 20WC 11851 WILSON, ROBERT PLYMOUTH TUBE CO * 02/17/20 SCHWEICKERT GANASSIN 428 20WC 12263 OTTO, JACKIE KOHL'S DISTRIBUTION CTR * 02/27/20 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 429 20WC 12507 RENTERIA, WENDY M LINCOLN ELEMENTARY * 10/04/19 DREW J FERRACUTI 430 20WC 12634 MOYER, TAMIKA WALMART, INC. * 09/30/19 SCHWEICKERT GANASSIN EARLY & MIRANDA PC 431 20WC 12666 HEYOB, AUDREY MORRIS HOSPITAL & HEALTHC * 11/23/19 ANKIN LAW OFFICE 432 20WC 12789 LINBOOM, STEVE KITZMAN'S-DIXON LLC * 10/01/19 COZZI & ZAPF LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 433 20WC 12871 VALDEZ, DEBBIE LMK TECHNOLOGIES * 10/16/19 PETER F FERRACUTI & ASSOCI 434 20WC 13009 HORN, LESTER SIGAN AMERICA LLC * 05/18/20 SCHWEICKERT GANASSIN QUINTAIROS PRIETO WOOD & BOY 435 20WC 13042 MADDEN, OLIVIA OTTAWA PAVILION LTD * 08/08/19 STROW LAW LLC POWER & CRONIN LTD 436 20WC 13170 COLLINS, DEBBIE HEARTHSIDE FOODS * 07/24/19 KROL BONGIORNO & GIVEN LTD 437 20WC 13317 SIEKIERKA, NANCY ILLINOIS VALLEY COMMUNITY * 11/02/18 NYHAN BAMBRICK KINZIE & LOWR 438 20WC 13609 HUEBBE, JASON L ACE HARDWARE * 04/20/20 BERTRAND LAW OFFICE 439 20WC 14167 WHITECOTTON, LUCAS JB HUNT TRANSPORT * 06/18/18 LAW OFFICE ALISSA GEARHART 440 20WC 14279 GONZALES, MICHAEL UTILITY CONCRETE PRODUCTS * 06/17/20 DWORKIN AND MACIARIELLO 441 20WC 14321 DIAZ, CESAR AT & T * 11/18/19 NILSON STOOKAL GLEASON CAP 442 20WC 14420 PROULX, TAWNY JACK MABLEY CENTR-DHS ST @ * 09/19/19 PIGNATELLI & ASSOCIATES 443 20WC 14629 LOPEZ, VERONICA SPINNAKER NINE * 10/13/19 RUBENS KRESS MULHOLLAND 444 20WC 14678 MEJIA, MARY ST OF IL-LASALLE VETERANS @ * 04/18/20 PERONA PETERLIN ANDREONI 445 20WC 14958 BUSTAMANTE, DIOSELINA WRIGLEY MANUFACTURING CO * 09/26/19 WOODRUFF JOHNSON 446 20WC 15213 GALIFOS, MICHAEL JB HUNT * 04/22/20 KREITER, BYCK & ASSOC LLP 447 20WC 15307 LOPEZ, ARIANA MENARD'S DISTRIBUTION CEN * 05/25/20 MC HARGUE & JONES 448 20WC 15424 DANIELS, CHARLES THORNTON INDUSTRIES INC * 07/01/20 DWORKIN AND MACIARIELLO 449 20WC 15513 GONZALEZ, PEDRO UNYTITE INC. * 04/13/20 ANKIN LAW OFFICE INMAN & FITZGIBBONS 450 20WC 15630 PAPE, KELLY WALGREENS * 06/15/20 ASHER, RAYMOND L LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40002 ON 08/24/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 451 20WC 16008 LAUNIUS, JAMES BAYER CROP SCIENCES, LP * 01/16/18 MC ANDREWS & NORGLE LLC 452 20WC 16092 KILARSKI, SANDRA J MENARDS * 03/20/18 MEYERS & FLOWERS 453 20WC 16195 GARMS, LOUIS THE BOLDT COMPANY * 06/24/20 HORWITZ HORWITZ & ASSOC 454 20WC 16341 OCHUBA-NEILL, JULIE LASALLE VETERANS HOME @ * 10/27/18 DREW J FERRACUTI 455 20WC 16344 SCHMITZ, BILLIE HI-TECH ELECTRONICS PRODU * 06/18/20 DREW J FERRACUTI 456 20WC 16463 WILLIAMS, KENYATTA STAGE LINE COMPANY * 07/01/20 LEONARD LAW GROUP LLC 457 20WC 16577 STAFFER, TIMOTHY YRC WORLD WIDE * 12/31/19 FRANKS, GERKIN & MCKENNA P 458 20WC 16639 KETTMAN, JOHN ZIP PAK OTTAWA * 07/03/20 PETER F FERRACUTI & ASSOCI 459 20WC 16862 OSMOND, JEFFREY VACTOR MANUFACTURING INC * 06/15/20 DREW J FERRACUTI 460 20WC 16900 STINAR, ROY K TREEHOUSE FOODS, INC * 04/08/20 REESE & REESE 461 20WC 16944 FUQUA, WILLIAM CONSERV FS, INC * 04/14/20 DUDLEY & LAKE LLC 462 20WC 16994 LAMPSON, SANDRA L MORRIS HOSPITAL & HEALTHC * 04/09/20 ANKIN LAW OFFICE 463 20WC 17032 TAYLOR, MICHAEL R COUNTY OF LASALLE- * 06/27/20 ANESI OZMON RODIN NOVAK KO 464 20WC 17138 DOLLEY, ERIC TACO BELL * 04/25/20 SCHWEICKERT GANASSIN 465 20WC 17240 NEGRETE, GORGE N NATIONAL DCP, LLC * 08/29/19 BRIAN J MC MANUS & ASSOC,