ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A … · 1 04wc 33160 johnson, gregory angelica textile services 05/29/04 klar, izsak, stenger llc knapp, ohl & green 2 08wc 07493

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 33160 JOHNSON, GREGORY ANGELICA TEXTILE SERVICES 05/29/04 KLAR, IZSAK, STENGER LLC KNAPP, OHL & GREEN 2 08WC 07493 19B DRUMMOND, JEANNE SERIOUS PIZZA INC @ W 01/18/08 BRANKEY & SMITH PC 3 08WC 54468 SHANKS, JAMES DEAN DETERDING, IND & DBA W 10/12/07 BROWN & BROWN KEEFE & DEPAULI 4 09WC 21172 BURGAN, LARRY SPECTRULITE CONSORTIUM IN 07/20/03 BROWN & BROWN EVANS & DIXON 5 09WC 38615 ELMORE, WILLIAM SPECTRULITE CONSORTIUM IN 04/21/99 6 09WC 38849 MC FALLS, JASON SPECTRULITE CONSORTIUM IN 08/01/03 BROWN & BROWN 7 09WC 38970 KNOTH, GARY SR SPECTRULITE CONSORTIUM IN 07/31/03 BROWN & BROWN 8 09WC 39594 THOMA, DENNIS SPECTRULITE CONSORTIUM IN 05/01/01 9 09WC 52248 HUBBARD, RANDY CARLISLE SYNTEC INC 12/15/09 HAZLETT & SHORT, PC 10 10WC 32912 MORGAN, BRANDY ADVANTAGE SALES & MARKETI 10/20/09 WILLIAMS CAPONI & ASSOC ROUSE & CARY 11 11WC 12343 HUGHES, BOBBY E SOLVAY FLUORIDES INC 04/16/08 SCHUCHAT, COOK & WERNER GALLIANI DOELL & COZZI LTD 12 11WC 16722 OWENS, CHARLES SPECTRULITE CONSORTIUM, I 02/01/02 13 11WC 16725 HENDRIX, CHRISTOPHER SPECTRULITE CONSORTIUM, I 02/01/01 14 11WC 16733 MEDLEY, DAVID SPECTRULITE CONSORTIUM, I 08/01/01 15 11WC 16814 SCHUETTE, NORMAN SPECTRULITE CONSORTIUM IN 06/01/92 16 11WC 18768 MCQUAY, DAVID J SPECTRULITE CONSORTIUM IN 01/25/02 DAVID JEROME 17 11WC 23583 UHERCIK, DAVID SPECTRULITE CONSORTIUM, I 02/01/02 18 11WC 44023 CORNELL, CHRISTOPHER SPECTRULITE CONSORTIUM IN 07/01/89

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 19 11WC 44038 19B BRITO, YOLANDA WAL MART 10/08/11 STEVEN GIACOLETTO WIEDNER & MCAULIFFE LTD 20 11WC 46593 TURAY, ARTHUR AMERICAN STEEL 11/18/11 BISTATE INJURY LAW CENTER HENNESSY & ROACH, PC 21 12WC 25317 19B MYERS, SHARON WENDYS 06/06/12 JEROME LINDSAY SALMI LL HENNESSY & ROACH PC 22 12WC 29165 FERGUSON, BARBARA UNITED STATES 12/06/11 KATZMAN & ASSOCIATES KEEFE & DEPAULI 23 12WC 29885 JERNIGAN, ARTHUR RAND DIVERSIFIED 06/20/12 JEROME LINDSAY SALMI LL PATRICIA M CARAGHER 15WC008522 -C 24 13WC 02493 BIELONG, MARY JO ROBERT HALF 11/21/11 PETER BLASI LLC MCANANY VANCLEVE & PHILLIPS 25 13WC 04773 YARBER, DANIELLE GATEWAY REGIONAL MEDICAL 10/10/12 JEROME LINDSAY SALMI LL WIEDNER & MCAULIFFE LTD 26 13WC 10366 BEASLEY, DAVID CALCOTT ROOFING 03/02/13 JEROME LINDSAY SALMI LL HENNESSY & ROACH, PC 27 13WC 11205 BRINSON, LEO NIHLE, JR DUSTIN MC GEE DBA UNLIMIT @ W 05/04/12 MEYER LAW FIRM PC ASSISTANT ATTORNEY GENERAL 28 13WC 14288 REPKA, ROBERT IL DEPT OF AGRICULTURE @ 03/25/10 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 29 13WC 18772 TODD, MORTON GRP MECHANICAL 05/14/13 LYNN D BARNETT HEYL ROYSTER VOELKER & ALLEN 30 13WC 22738 GOLLIDAY, REGINALD AMSTED RAIL/AMERICAN STEE 03/07/13 JOHNSON GRAY LLC WIEDNER & MCAULIFFE LTD 31 13WC 23113 SPICER, EMILY HUBBELL WIEGMANN 05/03/13 JUNCKER, DANIEL K PC EVANS & DIXON, LLC 32 13WC 24567 MOORE, ERICA DIVERSIFIED MAINTENANCE 10/01/12 JOHNSTON LAW OFFICE 33 13WC 26538 RATAY, FRANK S ENTERPRISE RENT-A-CAR 05/30/13 SCHUCHAT, COOK & WERNER LAW OFFICES OF JOHN D. WENDL 34 13WC 27269 BERGMAN, FRANK C VILLAGE OF CAHOKIA 10/22/10 WILLIAMS CAPONI & ASSOC DONOVAN ROSE NESTER 35 13WC 37873 CORNELL, PATRICIA EXTENDED STAY HOTELS 10/15/13 JEROME LINDSAY SALMI LL RUSIN & MACIOROWSKI LTD 36 13WC 37982 ARNOLD, KELLY M UNIVERSITY OF ILLINOIS 09/12/13 MARK E MORELAND HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 37 13WC 42330 19B QUINN, CHERYL LINETTE GREYHOUND LINES INC 12/10/13 GALANTI LAW OFFICES EVANS & DIXON, LLC 38 14WC 01437 JOHNS, MICHELLE GOLDEN CORRAL 05/06/13 WILLIAMS CAPONI & ASSOC LAW OFFICES STEVEN PILAND 39 14WC 05037 RAGLAND, BRANDON POWER MAINTENANCE CONSTRU 03/28/13 WOMICK LAW FIRM CHTD GAROFALO SCHREIBER STORM GRA 16WC019534 -C 40 14WC 06120 HOWARD, VIRGIE DHS-HOME SERVICES PROGRAM @ 01/04/14 SCHOEN WALTON TELKEN & FOS ELIZABETH LEAHY 14WC006225 -C 41 14WC 07161 19B WATTS, MICHELLE GLOBAL BRASS'S COPPER 02/04/14 O'LEARY SHELTON CORRIGAN KEEFE & DEPAULI 42 14WC 10805 ROBINSON, JEFFREY S SOUTHERN ILLINOIS UNIVERS @ 02/03/14 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 43 14WC 15492 HAGENE, JEREMY LEE ANN PIM AND JUSTIN PI W 03/12/12 BOYNE, KEVIN PC 14WC015500 -C 44 14WC 15995 GOODMAN, ROBERT MARATHON PETROLEUM COMPAN 10/17/13 BECKER SCHROADER & CHAPMAN 45 14WC 16366 MORRIS, TAMIKA SUPPORT SYSTEMS & SERVICE 08/30/13 MCGLYNN & MCGLYNN KEEFE CAMPBELL & ASSOC LLC 46 14WC 23863 CAIN, PHILLIP POWER MAINTENANCE & 04/26/13 MUELHAUSEN & STEFANI GAROFALO SCHREIBER STORM GRA 47 14WC 26502 MOORE, OCTAVIA D COMPREHENSIVE BEHAVIOR 06/26/14 BONIFIELD & ROSENSTENGEL P RIPES NELSON BAGGOT KALOBRAT 48 14WC 28198 WILLIAMS, MILTON IL OFFICIAL GRAIN INSPECT 02/01/14 JEROME LINDSAY SALMI LL ROUSE & CARY 49 14WC 31589 STEVENSON, KATHY BEVERLY FARM FOUNDATION 04/21/14 MEYER LAW FIRM PC HOLTKAMP LIESE ET AL 18WC024696 -C 50 14WC 33655 19B WILSON, E WAYNE DOLLAR GENERAL CORP 08/21/14 SAUTER, SULLIVAN & EVANS LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 51 14WC 35407 EVERSGERD, MICHAEL P D.C.A. CONSTRUCTION 07/31/14 WILLIAMS CAPONI & ASSOC BRADY, CONNOLLY & MASUDA, PC 52 14WC 35776 ALDRICH, SHANNA D CARING FIRST NURSING HOME 09/15/14 BONIFIELD & ROSENSTENGEL P BOGGS AVELLINO 53 14WC 37194 ELY, HARRY OHL 09/17/14 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 54 14WC 40224 MENDOZA, ANGELA HOLTEN MEAT CO 04/21/14 JEROME LINDSAY SALMI LL CRAIG A HANSEN 16WC000419 -C 17WC015395 -C 55 14WC 40531 BALLHAUSEN, TERRY L SHOP N SAVE 10/01/14 SCHUCHAT, COOK & WERNER HOLTKAMP LIESE ET AL 56 15WC 02958 FRANKLIN, RONALD E WIDMAN CONSTRUCTION, INC 12/19/14 DENNIS SHEVLIN JAMES M KELLY 57 15WC 05352 19B BAUER, LAUREN MADISON POLICE DEPT 02/08/15 GALANTI LAW OFFICES KEEFE & DEPAULI 58 15WC 05924 19B LUPARDUS, RICHARD MENASHA 01/21/15 BUTLER & KEMPER HEYL ROYSTER VOELKER & ALLEN 59 15WC 06112 RODRIGUEZ, JOHN DARLING INGREDIENTS 01/09/15 SCROGGINS LAW OFFICE MATHIS MARIFIAN RICHTER ET A 60 15WC 06991 MC CALL, RITA R FIRST STUDENT MANAGEMENT 02/12/15 RICHARD LECINSKI WIEDNER & MCAULIFFE LTD 61 15WC 07224 ADAMS, PHIL AMERICAN STEEL FOUNDRIES 01/29/15 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 62 15WC 10568 GONZALEZ, ROSA EXTRA HELP 02/05/15 JEROME LINDSAY SALMI LL MCANANY VANCLEVE & PHILLIPS 63 15WC 12252 GRIMES, DONALD STEIN STEEL 02/15/15 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 64 15WC 12412 JOHNSON, WILLIE BEA SIUE HEAD START @ 03/16/15 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 65 15WC 12418 JOHNSON, WILLIE BEA SIUE HEAD START @ 01/31/13 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 66 15WC 14125 FLOWERS, ROSEMARY E KRAFT FOODS CAPRI SUN PLA 10/15/12 UNSELL, EDWARD W LAW OFFIC 67 15WC 17167 HEMSATH, TERESA THE ROHO GROUP 12/22/14 WILLIAMS CAPONI & ASSOC LAW OFFICES STEVEN PILAND 68 15WC 19549 FOSTER, NICHOLAS BULLSEYE PAINTING INC 07/13/13 SCHOEN WALTON TELKEN & FOS GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 69 15WC 21431 19B TOCCO, LEONARD CARMA CONSTRUCTION 06/23/15 O'LEARY SHELTON CORRIGAN HOLTKAMP LIESE ET AL 70 15WC 22147 JARMAN, DANIEL GLOBAL BRASS 01/23/15 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 71 15WC 22262 RULE, TRAVIS BROOKLYN POLICE DEPARTMEN 07/14/13 NELSON & NELSON 72 15WC 23371 SAYLES, REBECCA ALTON STATE MENTAL HEALTH 06/11/15 BROWN & BROWN ASSISTANT ATTORNEY GENERAL 73 15WC 23516 MURPHY, DAVID KIENSTRA ILLINOIS, LLC 07/21/15 JEROME LINDSAY SALMI LL RUSIN & MACIOROWSKI LTD 74 15WC 24956 ANDERSON, BRADLEY KENT WOKER TRUCKING 07/13/15 GALANTI LAW OFFICES MORROW WILLNAUER 75 15WC 25894 BEAN, RONALD AMSTED INDUSTRIES INCORPO 03/19/15 CLAY BARKLEY ST CLAIR WIEDNER & MCAULIFFE LTD 76 15WC 27228 HUGHES, TIMOTHY GARY ROBERT HAMPTON 05/29/14 KOLKER LAW OFFICES ASSISTANT ATTORNEY GENERAL 77 15WC 27500 COMPTON, ROBERT MID-WEST A INC 07/11/14 PETER BLASI LLC 78 15WC 27535 AUSTIN, LASHAWNDA COLUMBIA REHAB & NURSING 08/03/15 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 79 15WC 28711 BURROUGH, BILLY NEW MARKET CORP 08/21/14 COOK SHEVLIN YSURSA ET AL HENNESSY & ROACH, PC 80 15WC 28975 SUDHOLT, RITA/WIDOW OF MINTON OUTDOOR SERVICES I # 07/29/15 DAVID H. BONE LLC 81 15WC 30938 LEWIS, BRIAN J P&B INTERMODAL SERVICES 03/31/14 GOLDENBERG HELLER ANTOGNOL MCANANY VANCLEVE & PHILLIPS 82 15WC 31713 MUELLER, PAMELA CVS 04/21/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 83 15WC 34086 COY, PHYLLIS COLLINSVILLE CUSD # 10 09/11/15 BEATTY & MOTIL 84 15WC 34585 KING, GWENDOLYN GLOBAL BRASS AND 01/13/14 MATHIS MARIFIAN RICHTER ET KEEFE & DEPAULI 85 15WC 35166 JOHNSON, BERRY ELITE STAFFING 06/30/15 LYNN D BARNETT 86 15WC 35207 MILEY, ROBERT BEELMAN TRUCK COMPANY 07/12/15 JEROME LINDSAY SALMI LL HARRIS DOWELL FISHER & HARRI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 87 15WC 35417 BURTON, MELISSA BUNKER HILL CUSD #8 07/29/13 NELSON & NELSON BRYCE DOWNEY & LENKOV LLC 88 15WC 35741 BORAWSKI, PAUL ACCO BRANDS 09/28/15 LIESER LAW FIRM HENNESSY & ROACH, PC 89 15WC 38262 STELL, JOSEPH ABSOPURE WATER COMPANY 05/20/14 STRELLIS FAULBAUM WALSH & 90 15WC 38335 PORTER, ROBERT OWENS & MINOR 02/03/15 WALTON TELKEN LLC WIEDNER & MCAULIFFE LTD 91 15WC 38789 ANDERSON, ANGELA J OILN BRASS CORP 08/05/15 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 92 15WC 38799 BREWER, JACOB KETTLER CASTING CO 10/11/15 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 93 15WC 38911 HILMES, BRIAN RJ CORMAN RAILROAD GROUP 10/26/15 BROWN & BROWN EVANS & DIXON, LLC 94 15WC 41195 REITZ, DONNA SCHNUCKS 06/15/15 SANSONE & LAUBER LEMP & MURPHY 95 16WC 00042 MITCHELAR, JOHN J. NELSON TREE SERVICE, INC. 11/02/15 SMITH ALLEN MENDENHALL ET RIPES NELSON BAGGOT KALOBRAT 96 16WC 00410 CARPENTER, JACQUELINE HOLTEN MEAT COMPANY 09/04/15 RICH RICH COOKSEY & CHAPPE LAW OFFICE CRAIG A HANSEN 008 16WC025675 -C 97 16WC 02452 HOWARD, DENISE CASEY'S 03/06/15 GALANTI LAW OFFICES KEEFE & DEPAULI 98 16WC 04060 HAISLIP, ANTHONY FIVESTONE FOUNDATIONS 09/26/15 BROWN & BROWN KEEFE & DEPAULI 99 16WC 05894 FOY, ROBERT SUNRISE TRANSPORT, LLC 01/11/16 GALANTI LAW OFFICES QUINN JOHNSTON HENDERSON ETA 100 16WC 06544 JOHNSON, DEANNA LABORATORY CORP OF AMERIC 10/12/15 HENNESSY & ROACH, PC 101 16WC 09318 GABROVIC, EILEEN ST ELIZABETH'S HOSPITAL 04/12/14 GARY L. BEMENT MC ANDREWS & NORGLE LLC 102 16WC 10313 THOMPSON, JACK USF HOLLAND 02/19/16 FLOYD LAW FIRM HENNESSY & ROACH, PC 103 16WC 10736 19B SULLIVAN, JAMES M II EXPRESS SERVICES, INC 02/12/16 BOYNE, KEVIN PC MC ANDREWS & NORGLE LLC 104 16WC 10883 WARLICK, SHINZETTA ALTON MENTAL HEALTH CENTE @ 02/16/16 WALTON TELKEN LLC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 105 16WC 11123 CWIKLOWSKI, DOUG HAYES PMC 03/05/16 KEEFE & DEPAULI GAROFALO SCHREIBER STORM GRA 106 16WC 12047 THOMAS, LAMARCUS PARENTS & FRIENDS OF THE 03/26/16 BROWN & BROWN MORROW WILLNAUER 107 16WC 12488 COPE, CARLA ALTON MEMORIAL HOSPITAL 01/23/16 MILLER, WILLIAM R LAW OFFI HOLTKAMP LIESE ET AL 108 16WC 13968 EISKANT, KENNETH EARL JR PLOCHER CONSTRUCTION CO. 07/30/15 BECKER SCHROADER & CHAPMAN KNAPP, OHL & GREEN 109 16WC 14182 NICKLESS, LOWELL R&L CURRIERS 01/08/15 LYNN D BARNETT SLAVIN & SLAVIN 110 16WC 14299 LUNA, MIGUEL OLDCASTLE LAWN&GARDEN MID 01/04/16 SCHREMPF, BLAINE, KELLY & 111 16WC 15259 19B JOHNSON, GARY W IMEL PEST CONTROL 04/12/16 WENDLER LAW PC WIEDNER & MCAULIFFE LTD 394 16WC019045 -C 394 17WC014739 -C 112 16WC 17056 WILLIS, JOHN W. PLACE SMART AGENCY 04/06/16 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 17WC001162 -C 113 16WC 18435 CAWVEY, STACEY WATERLOO COMMUNITY 01/08/16 KEEFE & GRIFFITHS PC GANAN & SHAPIRO 114 16WC 19340 PLUNKETT, SAMUEL PRECICISION DESIGN AND W 05/18/16 UNSELL, EDWARD W LAW OFFIC 115 16WC 20083 FORESHEE, MICHAEL SHOP-N-SAVE WAREHOUSE FOO 06/20/16 BUTLER & KEMPER 116 16WC 22098 STEELE, KIM ABC ST LOUIS 10/19/14 KATZMAN & SUGDEN 117 16WC 23646 RENNIE, MICHELLE COLLINSVILLE COMMUNITY UN 03/22/16 NELSON & NELSON WIEDNER & MCAULIFFE LTD 118 16WC 23767 BRADLEY, MARVIN U S STEEL 01/04/16 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 119 16WC 24198 SOKALSKY, LINDA(WIDOW) WAGNER MOTOR CAR CO # 11/14/15 CULLEY & WISSORE 120 16WC 24432 JACKSON, WILLIS TRANSITIONAL HOME 07/29/16 JEROME LEFTON LAW OFFICE EVANS & DIXON, LLC 121 16WC 24579 WAHBY, VINCENT P MB THOMAS RV SALES INC 03/06/16 NELSON & NELSON BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 16WC 24704 HAWTHORNE, TIMOTHY DMS CONTRACTING, INC. 12/08/15 LAW OFFICE OF JAMES PARROT BRADY, CONNOLLY & MASUDA, PC 123 16WC 25013 HUNTER, THOMAS KERRY INGREDIENTS & FLAVO 08/24/11 HENNESSEY LAW FIRM HARRIS DOWELL FISHER & HARRI 124 16WC 26555 DEGONIA, RHONDA IL DEPT OF EMPLOYMENT SEC @ 11/16/15 125 16WC 26900 GRIMES, SANDRA SUE AMERICAN WATER 01/30/15 MILLER, WILLIAM R LAW OFFI CLAYBORNE SABO & WAGNER 126 16WC 27329 BRADLEY, MARVIN U.S. STEEL 08/09/16 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 127 16WC 28469 TUGGLE, GEORGE OLIN WINCHESTER 11/13/13 KEEFE & DEPAULI 128 16WC 29437 MYERS, DAVID GMS MINE REPAIR & MAINT I 02/26/16 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 129 16WC 30345 BECCUE, BRADLEY E AMEREN 11/03/15 BONIFIELD & ROSENSTENGEL P HOLTKAMP LIESE ET AL 130 16WC 31073 MUFFLER, THOMAS CITY OF ALTON FIRE DEPT 08/28/16 EDMONDS LAW OFFICE SCHREMPF KELLY & NAPP 131 16WC 32035 GRISSAM JR., RICHARD HARDIN COLLISION & RESTOR 06/07/16 MILLER, WILLIAM R LAW OFFI HEYL ROYSTER VOELKER & ALLEN 132 16WC 32402 DIXON, LISA R SODEXO 08/23/16 BONIFIELD & ROSENSTENGEL P INMAN & FITZGIBBONS 133 16WC 32581 BOLEN, SUSAN ILLINOIS STATE POLICE @ 01/30/15 CHATHAM & BARICEVIC ASSISTANT ATTORNEY GENERAL 134 16WC 33156 VOLKERS, BRIAN BREESE LAWN & GARDEN 09/01/16 MEYERS & FLOWERS LITCHFIELD CAVO 135 16WC 33258 RAUSCHER, JEROME L MAIN STREET BREWING 09/09/16 BONIFIELD & ROSENSTENGEL P MCANANY VANCLEVE & PHILLIPS 136 16WC 33616 PIERCE, ROBERT ALLEN UNION UNITED METHODIST CH 08/27/16 NELSON & NELSON BRYCE DOWNEY & LENKOV LLC 137 16WC 33769 CORNELISON, MARY (WIDOW) MACY'S INC 08/31/16 BOYNE, KEVIN PC BRYCE DOWNEY & LENKOV LLC 16WC036238 -C 138 16WC 34999 LILLEY, MELISSA CHEF SHOPPE 04/01/16 GALANTI LAW OFFICES THOMPSON & MCDONALD LAW OFFI 139 16WC 35117 FARMER, SHARON BRANDING IRON HOLDINGS 10/11/16 JEROME LINDSAY SALMI LL EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 140 16WC 35190 FEARS, DARYL AMSTED INDUSTRIES INCORPO 06/21/15 BECKER SCHROADER & CHAPMAN WIEDNER & MCAULIFFE LTD 141 16WC 35430 HILL, DELVIN E METRO DEVELOPMENT AGENCY 08/25/16 KEEFE & GRIFFITHS PC BROWN & JAMES, PC 142 16WC 35431 HILL, DELVIN L METRO DEVELOPMENT AGENCY 09/16/16 BROWN & JAMES, PC 143 16WC 35490 MOSS, CAROL JEAN BASLER ELECTRIC CO 06/15/16 NELSON & NELSON EVANS & DIXON, LLC 144 16WC 35975 MARKOVIC, ERIC FOUR POINTS SHERATON 04/01/15 KOLKER LAW OFFICES COZZI & GOGGIN-WARD 145 16WC 36262 COLEMAN, TERRY W ST CLAIR COUNTY HOUSING A 05/31/16 NELSON & NELSON BOGGS AVELLINO 146 16WC 37610 LUSTER, CHASITY WAL MART 06/28/16 MCGLYNN & MCGLYNN GANAN & SHAPIRO 147 16WC 37927 HALTER, KELLY J HAYES MECHANICAL 03/21/16 LAW OFFICE OF THOMAS SCHOO GAROFALO SCHREIBER STORM GRA 148 16WC 38036 DRYDEN, ANNA CASEY'S GENERAL STORE 11/16/16 DWORKIN AND MACIARIELLO 149 16WC 38080 REHKEMPER, MATT K & M CONSTRUCTION 07/29/15 MORROW WILLNAUER 150 16WC 38532 ASHCRAFT, WENDY (GUARD/PA CUSTOM STEEL PROCESSING # 07/29/16 WALTON TELKEN LLC STEPHEN H LARSON LAW OFFICE 151 16WC 38825 BABATUNDE, ADEYINKA STILLWATER SENIOR LIVING 12/19/16 MORROW WILLNAUER 152 16WC 39267 LOLESS, DAVID (DWIGHT) CITY OF WATERLOO POLICE D 11/21/16 JEROME LINDSAY SALMI LL SCHREMPF KELLY & NAPP 153 16WC 39293 ROSS, KIM DUBUQUE PAINT EQUIPMENT 09/12/16 ROBERTS,PERRYMAN,BOMKAMP,M ARCHER LASSA & MCHUGH 154 17WC 00051 BIGGS, KENNETH PEABODY GATEWAY SERVICES 05/12/16 CULLEY & WISSORE KEEFE & DEPAULI 155 17WC 00123 HARTMAN, BILLY SPEEDWAY SALVAGE, INC 08/10/15 HENNESSY & ROACH, PC 156 17WC 00466 DUNCAN, CORY N AMEREN ILLINOIS 12/21/16 NELSON & NELSON LEMP & MURPHY 157 17WC 01540 JONES, GARY A, SR CITY OF FAIRVIEW HEIGHTS 05/18/16 JEFFREY GAULT INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 158 17WC 01837 KROEGER, BROC W MAINS TREE SVC 07/04/16 CHATHAM & BARICEVIC ROUSE & CARY 159 17WC 02042 KINNISON, PATRICIA A MIDWEST PETROLEUM CO 09/03/15 BONIFIELD & ROSENSTENGEL P HENNESSY & ROACH, PC 160 17WC 02815 BUCHANAN, CANDACE GATEWAY REGIONAL MEDICAL 12/19/16 BROWN & BROWN POWER & CRONIN LTD 17WC002832 -C 161 17WC 02829 HEIDRICH, JOSHUA GREY MEYER D/B/A ALL ABOU 08/24/16 BROWN & BROWN 162 17WC 02837 OWEN, NATHAN PJR AND ASSOCIATES 08/08/16 BROWN & CROUPPEN GANAN & SHAPIRO 163 17WC 02947 HOYLMAN, TRACY SCHALTENBRAND CONSTRUCTIO 12/28/16 JEROME LINDSAY SALMI LL HENNESSY & ROACH, PC 164 17WC 03155 MARTIN, KATHERINE SYMBRIA 01/11/16 SMITH ALLEN MENDENHALL ET GAROFALO SCHREIBER STORM GRA 165 17WC 03191 WATKINS, LADONNA ALTON MENTAL HEALTH CENTE @ 04/09/15 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 166 17WC 03386 GILCREASE, RALPH V COCA COLA ENTERPRISES 02/10/15 MCSWEENEY SLATER & MERZ 167 17WC 04137 KELLEY, WILLIAM S JACK COOPER TRANSPORT 11/28/16 168 17WC 05879 JOHNSON, ALEX AMERICAN STEEL FOUNDRIES 02/14/17 GALANTI LAW OFFICES HENNESSY & ROACH, PC 169 17WC 06046 19B LILLY, DUSTIN UPS 01/11/16 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 170 17WC 07889 SUGG, KEITH US STEEL CORP 12/23/16 BEATTY & MOTIL KEEFE & DEPAULI 171 17WC 07963 EDMONDS, MARY A MONROE RANDOLPH TRANSIT 06/01/16 SCHUCHAT, COOK & WERNER 172 17WC 08137 LUSHER, RALPH F MAVERICK TRANSPORATION, L 03/26/14 LIESER LAW FIRM LEWIS RICE LLC 173 17WC 08426 FORGY, JAMES OTIS FOUR POINTS CONCRETE 09/19/16 WILLIAMSON WEBSTER ET AL 174 17WC 09249 19B CHITWOOD, SCOT USF HOLLAND 01/27/17 GALANTI LAW OFFICES HENNESSY & ROACH, PC 175 17WC 09566 MURRAY, MARION CARLISLE CONSTR MATERIALS 10/07/16 RICH RICH COOKSEY & CHAPPE KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 17WC 09617 SMITH, BRIAN CLYMER CONSTRUCTION 01/19/17 JOHNSTON LAW OFFICE 177 17WC 10077 BLAND, MICHAEL C AMEREN ILLINOIS 01/17/17 NELSON & NELSON LEMP & MURPHY 178 17WC 10306 CLEVELAND, DALLAS ST CLAIR COUNTY TRANSIT D 03/10/16 BROWN & BROWN ROUSE & CARY 179 17WC 10358 MCALPIN, THOMAS F II MADISON INDUSTRIAL SERVIC 03/15/17 THOMAS E HILDEBRAND HEYL ROYSTER VOELKER & ALLEN 180 17WC 10701 WILSON, GWENNETTE DD HOMES 09/27/16 GALANTI LAW OFFICES GANAN & SHAPIRO 181 17WC 10799 BLACK, JERRY METRO 09/13/16 BROWN & BROWN INGLIMO & HEALY 182 17WC 10931 STEPHENS, ANTHONY AMEREN IP 03/30/17 NELSON & NELSON CLAYBORNE SABO & WAGNER 183 17WC 12147 WEGRZYN, WALTER KNIPP ROOFING, INC 08/09/16 MATHIS MARIFIAN RICHTER ET BRADY, CONNOLLY & MASUDA, PC 184 17WC 12425 COPE, MICHELE AMAZON 03/26/17 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 185 17WC 12948 NOTTER, GARY COLUMBIA QUARRY COMPANY 04/10/17 KNAPP, OHL & GREEN 186 17WC 13836 AROCA LOPEZ, OSCAR AROCA ROOFING 03/27/17 BRIAN STOKES PATRICK MCHUGH 187 17WC 14245 HAWES, DARRELL AMERICAN STEEL FOUNDRIES 05/08/17 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 188 17WC 14446 STELL, JOSEPH ABSOPURE WATER COMPANY 06/01/15 STRELLIS FAULBAUM WALSH & 189 17WC 14740 ARNOLD, ALISA JR ONE ADVANTAGE, LLC 03/14/17 KATZMAN & ASSOCIATES 190 17WC 14857 RANDAZZO, PAULA FIRSTSOURCE/ONE ADVANTAGE 07/01/16 CARAWAY FISHER 191 17WC 15420 EILAND, WILLIAM HIRE LEVEL 03/23/17 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 17WC019497 -C 192 17WC 16265 MURRAY, MARION CARLISLE CONSTRUCTION MAT 10/07/16 RICH RICH COOKSEY & CHAPPE KNAPP, OHL & GREEN 193 17WC 16483 WHITE, LAURA MAE ILLINOIS DEPARTMENT OF @ 08/01/16 KING LAW FIRM ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 17WC 16813 BERGMAN, MARK STATE OF ILLINOIS, DEPT O @ 07/18/14 HOLLEY & ROSEN 195 17WC 16841 DENGLER, GARY A AT&T 12/14/15 SCOTT P. HOLWITT 196 17WC 17379 CURTIS, PAULETTE US STEEL 04/06/17 JEROME LEFTON LAW OFFICE KEEFE & DEPAULI 197 17WC 17528 CRUMP, CHARLES AMERICAN STEEL FOUNDRIES 05/19/17 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 198 17WC 17676 DAVIS, ANTHONY PEERLESS PREMIER APPLIANC 05/17/17 JEROME LINDSAY SALMI LL LAW OFFICES STEVEN PILAND 199 17WC 18735 ROACH, EDWARD API INC 05/23/17 LYNN D BARNETT LEAHY EISENBERG & FRAENKEL 200 17WC 19311 PETERS, ADAM ATTON MEMORIAL HOSPITAL 04/13/16 HOLTKAMP LIESE ET AL 201 17WC 19387 SIMS, TERRELL DEAN FOODS 11/16/16 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 202 17WC 19449 APPLEBY, JEFF PEABODY MIDWEST MNGT SVS 12/31/14 CULLEY & WISSORE KEEFE & DEPAULI 203 17WC 19743 NIEPERT, EARL JR. AIRGAS MID AMERICA 03/14/17 UNSELL & SCHUMAN MC ANDREWS & NORGLE LLC 204 17WC 20433 RIGGS, ROGER TOP AG COOPERATIVE, INC 11/10/16 STRONG LAW OFFICE EVANS & DIXON, LLC 205 17WC 20741 MORTON, DOUGLAS CUSTOMIZED DISTRIBUTION S 06/09/17 MICHAEL J BRUNTON LAW OFFI LAW OFFICES STEVEN PILAND 206 17WC 20836 FENSTERMAKER, MARK HIRE LEVEL 04/27/17 SMITH ALLEN MENDENHALL ET MCANANY VANCLEVE & PHILLIPS 207 17WC 21028 WILLIAMS, KIANA RANDSTAD 04/08/17 SWANEY, JEFFREY R 208 17WC 21105 YOUNG, JAMES GIL KLEIN TV & APPLIANCE 05/04/17 WALTON TELKEN LLC 209 17WC 21179 SIMS, TERRELL DEAN FOODS 11/01/16 JEROME LINDSAY SALMI LL BRADY, CONNOLLY & MASUDA, PC 210 17WC 22024 STEELE, RHONDA METRO LINK 07/15/17 GALANTI LAW OFFICES EVANS & DIXON, LLC 211 17WC 22372 IVY, JOHN C MR BULT'S, INC 06/20/17 JEROME LINDSAY SALMI LL 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 AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 17WC 22687 SPRUELL, MYIESHA S WALMART 06/03/17 BROWN & BROWN EARLY & MIRANDA PC 213 17WC 22747 WOLTERS, DIANE K SYMPHONY SYCAMORE DBA 07/04/17 CARAWAY FISHER BRADY CONNOLLY & MASUDA PC 214 17WC 22950 ORTIZ, DEBRA KRAFT HEINZ COMPANY 03/02/17 RICH RICH COOKSEY & CHAPPE GAROFALO SCHREIBER STORM GRA 215 17WC 23784 EDWARDS, CINDY A AMERICAN WATER 03/10/17 MILLER, WILLIAM R LAW OFFI CLAYBORNE SABO & WAGNER 216 17WC 24185 19B WELCH, MICHELE DENNY'S 04/28/17 KEEFE & DEPAULI MCANANY VANCLEVE & PHILLIPS 217 17WC 24273 KIEFER, STEVEN CAMPBELL'S TREE SERVICE 06/16/17 218 17WC 24286 SMITH, JAN GMS MINE REPAIR # 06/15/17 CULLEY & WISSORE CRAIG & CRAIG 219 17WC 24352 BOWERS, ARTHUR SCOTT FEDEX SUPPLY CHAIN 08/03/17 BROWN & BROWN SPIEGEL & CAHILL, PC 220 17WC 24398 KING-RAWLINGS, BRITTANY HIGH FLYERS GRILLE 06/30/17 BROWN & BROWN 221 17WC 25129 GILLESPIE, MARIAN PETERSON HEALTHCARE 08/01/17 WALTON TELKEN LLC KNELL LAW LLC 222 17WC 25610 CRUMER, CARL B JR DONNEWALD DISTRIBUTING CO 02/01/16 SCHREMPF KELLY & NAPP CASSANO & ASSOCIATES 223 17WC 26122 PIERCE, ROBERT A UNION UNITED METHODIST CH 09/12/14 NELSON & NELSON BRYCE DOWNEY & LENKOV LLC 224 17WC 26480 EADS, BRIAN USF HOLLAND 07/24/17 FLOYD LAW FIRM HENNESSY & ROACH, PC 225 17WC 26800 DRENNAN, DANIEL U.S. STEEL CORP 06/25/16 BEATTY & MOTIL KEEFE & DEPAULI 226 17WC 27071 PRATT, NANCY CAHOKIA NURSING & REHAB C 07/26/17 JEROME LINDSAY SALMI LL BOGGS AVELLINO LACH BOGGS 227 17WC 27246 STEPHENS, ALEKA S MVP TRANSPORTATION INC 08/18/17 BRIAN STOKES THOMAS MAMER & HAUGHEY 228 17WC 27861 SMITH, TAKEISHA FEDEX 07/30/17 KEEFE & GRIFFITHS PC 229 17WC 28001 KUEGLER, BRYAN J DAVID WHITE D/B/A W 07/22/17 WALTON TELKEN LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 17WC 28322 MURPHY, RYAN PLUMBERS SUPPLY COMPANY 08/24/17 231 17WC 29359 CRAIGMILES, ANDREA D JEFFREY LAUTZ DDS 03/23/16 NYHAN BAMBRICK KINZIE & LOWR 232 17WC 29788 MIDDLETON, JEANNE SOUTH CENTRAL TRANSIT 09/18/17 BROWN & BROWN KEEFE & DEPAULI 233 17WC 29863 LUDGATE, MANDY PACE TRANSPORT 09/13/17 WALTON TELKEN FOSTER LLC 234 17WC 30397 FISCHER, MATTHEW ALTON FIRE DEPT 09/16/17 HAXEL LAW OFFICE SCHREMPF KELLY & NAPP 235 17WC 30724 BRAZEL, RICK PERFORMANCE FOOD SERVICE 06/03/17 MICHAEL C GOLDBERG LAW INMAN & FITZGIBBONS 236 17WC 30750 LONG, JOSHUA PRAIRIE STATE GENERATING 04/11/17 O'LEARY SHELTON CORRIGAN EVANS & DIXON, LLC 237 17WC 30856 HOWLIET, ANDRE SR CITY OF EAST ST LOUIS 09/09/17 THOMAS W DUDA CLAYBORNE SABO & WAGNER 238 17WC 30905 THOMAS, KANEESHA M HOLTEN MEAT INC 08/29/17 BROWN & BROWN EVANS & DIXON, LLC 239 17WC 32272 SIMS, ELROY JOHN FRANKLIN, INDIVIDUAL W 09/28/17 BROWN & BROWN 240 17WC 32477 RADCLIFF, MARK CHARTER SPECTRUM 01/14/17 BROWN & BROWN HENNESSY & ROACH, PC 17WC033650 -C 241 17WC 32628 ADAMS, RANDALL CITY OF GRANITE CITY 05/12/15 RANDALL K ADAMS KEEFE & DEPAULI 242 17WC 32680 VULLO, AMY ANDERSON HOSPITAL 01/14/17 GALANTI LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 243 17WC 32906 FLETCHER, TIMMY LOWE'S HOME IMPROVEMENT L 03/28/17 GREGORY M. SKINNER KEEFE CAMPBELL & ASSOC LLC 244 17WC 33514 OWEN, PAMELA ROMA PIZZA WORKS 10/04/17 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 245 17WC 33745 DENNIS, LATISHA ELITE STAFFING 04/01/17 BROWN & BROWN 246 17WC 33771 KESSINGER, TONY STATE OF ILLINOIS/ALTON @ 09/14/16 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 247 17WC 33984 COLLINS, MINDY MAXIM HEALTHCARE SERVICES 08/23/17 NELSON & NELSON RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 17WC 34003 DRAG, JOYCE DIERGERGS MARKETS 11/21/16 KEEFE & DEPAULI 249 17WC 35429 DAVIS, ERIC SR. METRO 07/28/17 MANDEL & MANDEL LLP 250 17WC 35941 COLE, JULIE AMAZON 08/18/17 WIEDNER & MCAULIFFE LTD 251 17WC 36122 GODAR, DOUGLAS J POOR BOY TREE SERVICE, IN 10/18/17 UNSELL & SCHUMAN 252 17WC 36471 TAYLOR, WILLIE PERMOBIL 12/19/16 BOSSLET & O'LEARY 253 17WC 36750 MOOREHEAD, SAMANTHA HIRELEVEL 11/10/17 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 254 17WC 37056 SAPP, ERICA S CASEY'S GENERAL STORES 11/12/17 BROWN & BROWN 255 17WC 37372 EVERSGERD, MICHAEL CDA CONSTRUCTION 06/18/17 WILLIAMS CAPONI & ASSOC BRADY, CONNOLLY & MASUDA, PC 256 17WC 37754 MC NAUGHTON, DONALD MADISON COUNTY SHERIFF'S 10/01/16 LIESER LAW FIRM SCHREMPF KELLY & NAPP 257 17WC 37982 PIEPER, ROBERT J JR. SPECTRULITE CONSORTIUM IN 08/01/02 BROWN & BROWN 258 17WC 38005 DAVIS, WILLIAM F JR NELSON TREE SERVICE, LLC 09/18/17 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 259 17WC 38070 KINSEY, JOSEPH STATE OF ILLINOIS @ 09/12/17 RICHARD LECINSKI CORI STEWART 260 18WC 00426 MOORE, STACEY M AMAZON.COM.DEDC, LLC 12/20/17 BRIAN STOKES WIEDNER & MCAULIFFE LTD 261 18WC 01177 HAYER, MICHAEL H PSC INDUSTRIAL OUTSOURCIN 03/17/16 BONIFIELD & ROSENSTENGEL P WOLFE & JACOBSON, LTD 262 18WC 01214 HOOCK, BRENDA L HARRISONVILLE TELEPHONE C 05/24/16 BONIFIELD & ROSENSTENGEL P QUINN JOHNSTON HENDERSON ETA 263 18WC 01508 19B COBB, JOSHUA CUSTOMIZED DISTRIBUTION S 12/22/17 DWORKIN AND MACIARIELLO LUCY T. UNGER 264 18WC 01758 WILLIAMS, STEVEN SADDLE CREEK LOGOSTICS 10/23/17 TOMMIE A. HARSLEY III 265 18WC 01838 BRYANT, STEPHANIE STELLAR MANUFACTURING 05/01/17 MARK E MORELAND MORROW WILLNAUER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 266 18WC 02057 ARMSTRONG, MATTHEW OLIN CORPORATION - WINCHE 09/15/17 MARK E MORELAND KEEFE & DEPAULI 267 18WC 02636 HAYES, ALONZO SADDLE CREEK LOGISTICS SE 01/02/18 BUTLER & KEMPER BRYCE DOWNEY & LENKOV LLC 268 18WC 02661 HICKS, JULIE PROLOGISTIX 10/23/17 LYNN D BARNETT 269 18WC 03019 19B TIMPE, BRANDON M CROWN LINEN SERVICES INC 01/16/18 CLAY BARKLEY ST CLAIR HENNESSY & ROACH 270 18WC 03126 LINDER, ROBERT HOMER IV UNITED STATES STEEL- 08/31/15 SHORT AND DAUGHERTY KEEFE & DEPAULI 271 18WC 03159 WILSON, JEFF ITW DIAGRAPH 11/04/16 KEEFE & GRIFFITHS PC MCANANY VANCLEVE & PHILLIPS 272 18WC 03258 METCALF, CHRISTOPHER E JR MIDDENDORK &REUSS CONSTRU 12/29/17 FISHER KERHOVER & WELGE 273 18WC 03376 SIGLER, KAROLINE AMAZON.COM 05/03/17 DANNA MCKITRICK PC WIEDNER & MCAULIFFE LTD 274 18WC 03521 BONNEVILLE, HAROLD MARK HAYES MECHANICAL 10/10/17 WOMICK LAW FIRM CHTD GAROFALO SCHREIBER STORM GRA 275 18WC 03766 PORTER, LISA AMERICAN STEEL 12/08/16 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 276 18WC 05104 GREENWOOD, JANET WISE COMPANY 01/15/18 RON D COFFEL & ASSOC CRAIG A HANSEN 277 18WC 05525 19B TOWNSEND, REBECCA ALTON PODIATRY CLINIC 02/07/18 SHORT AND DAUGHERTY BRUCE WARREN 278 18WC 05595 STORRS, JEFFREY ELITE STAFFING 03/15/17 PETER BLASI LLC GAROFALO SCHREIBER STORM GRA 279 18WC 05999 DUNN, ANTHONY FEDEX-HERSHEY 09/30/16 BROWN & BROWN SPIEGEL & CAHILL, PC 280 18WC 06063 DAVIS, NORMA KRAFT-HEINZ 02/14/18 GALANTI LAW OFFICES GAROFALO SCHREIBER STORM GRA 281 18WC 06249 MILLER, TRACI MEMORIAL HOSPITAL EAST 07/06/16 JEROME LINDSAY SALMI LL MATHIS MARIFIAN RICHTER 282 18WC 06285 JOHNSON, MICHAEL MIDWEST TRANSPORTATION 06/09/17 NELSON & NELSON HARRIS DOWELL FISHER & HARRI 283 18WC 06344 MATHIS, LARONDA NO AMERICA CENTRAL SCHOOL 02/06/18 ELLEN E MORGAN MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 18WC 06607 MEYER, JEFFREY LINN MIKE'S INC 02/16/18 SUSAN GRAMMER GOLDSTEIN & PRICE LC 285 18WC 06680 KUDELKA, KIMBERLY PROLOGISTIX 11/05/17 286 18WC 06887 TILLMAN, KATHRYN MEMORIAL MEDICAL GROUP 06/18/17 JEROME LINDSAY SALMI LL MATHIS MARIFIAN RICHTER 287 18WC 06996 WORS, NICHOLAS O THE HOME DEPOT 04/28/15 MANDEL & MANDEL LLP ADELSON TESTAN BRUNDO 288 18WC 07292 SIMS, MELIKA BRANDING IRON 02/13/18 HENNESSEY LAW FIRM EVANS & DIXON, LLC 289 18WC 07660 PENCE, DON OLIN 01/25/18 LEE, MARK N LAW OFFICE KEEFE & DEPAULI 290 18WC 07807 EILERS, NICHOLAS E JAY HENGES ENTERPRISES 12/30/17 WALTON TELKEN LLC HENNESSY & ROACH, PC 291 18WC 08069 DIKE, RANDY L CONCRETE SUPPLY OF ILLINO 10/25/17 SMITH ALLEN MENDENHALL ET HARRIS DOWELL FISHER & HARRI 292 18WC 08266 SMITH, ELIZABETH M AT&T/ILLINOIS BELL TELEPH 12/20/16 SCOTT P. HOLWITT HENNESSY & ROACH, PC 293 18WC 08272 SHOFFNER, CAROL REDBIRD CLEANING INC 02/14/18 FISHER KERHOVER COFFEY GANAN & SHAPIRO 294 18WC 08358 MCKINNIS, TAYLOR CULVER'S 02/21/18 GALANTI LAW OFFICES MORROW WILLNAUER 295 18WC 08369 ARMSTRONG, MICHAEL W CRESCENT 02/23/18 MORMINO,VELLOFF,EDMONDS,SN 296 18WC 08512 MUERTZ, DEAN KEELEY & SONS 09/20/16 DENNIS SHEVLIN WIEDNER & MCAULIFFE LTD 297 18WC 08522 ROWLAND, JENNIFER COLLINSVILLE SCHOOL DIST 02/22/18 NELSON & NELSON EVANS & DIXON, LLC 298 18WC 09405 BROOKOS, TOMMIE J ALORTON CITY HALL 03/18/18 SHORT AND DAUGHERTY KEEFE & DEPAULI 299 18WC 09408 FREEMAN, KEVIN A AMSTED INDUSTRIES 02/09/18 CALLIS PAPA HALE & SZEWCZY WIEDNER & MCAULIFFE LTD 300 18WC 09534 WIEGAND, SANDRA TYSON FOODS INC 09/01/16 BOYNE, KEVIN PC BRADY, CONNOLLY & MASUDA, PC 301 18WC 09819 DEVINE, ANDRE AMERICAN STEEL FOUNDRIES 09/01/16 WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 18WC 10062 TORTI, JAMES ILLINOIS DEPARTMENT OF TR @ 02/14/18 JOSEPH L SAMUELSON PC ASSISTANT ATTORNEY GENERAL 303 18WC 10356 ENGLISH, JOAN BELLEVILLE NEWS DEMOCRAT 05/08/17 WILLIAMS CAPONI & ASSOC 304 18WC 10497 BRUMLEY, KIRK BI STATE TRUCK REPAIR 06/06/17 GALANTI LAW OFFICES KOPKA, PINKUS DOLIN, PC 305 18WC 10676 VIVIANO, JOSEPH CHICK-FIL-A 11/04/16 NELSON & NELSON RUSIN & MACIOROWSKI LTD 306 18WC 10835 DUNN, RICO HH GREGG 04/30/16 DWORKIN AND MACIARIELLO EVANS & DIXON, LLC 307 18WC 11764 RUTLEDGE, HARRY JR. AFTON CHEMICAL COMPANY 06/14/17 JEROME LINDSAY SALMI LL WIEDNER & MCAULIFFE LTD 308 18WC 11820 ULMER, RACHEL E HIGHLAND HEALTHCARE, LLC 09/22/15 309 18WC 11828 WEMPE, BRENDA HOSPITAL SISTERS HEALTH S 01/02/18 BROCKMAN, LARRY O HEPLER BROOM LLC 310 18WC 11900 O'DONNELL, DAVE SCHALTENBRAND CONSTRUCTIO 04/09/18 JOSEPH L SAMUELSON PC QUINN JOHNSTON HENDERSON ETA 311 18WC 11994 PAYNE, DANIELLE AMEDISYS HOME HEALTH 02/22/18 BROWN & BROWN GAROFALO SCHREIBER STORM GRA 312 18WC 12198 19B FORTMAN, BRANDI AMAZON 04/10/18 GALANTI LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC 313 18WC 12537 ADCOCK, LYNDEL W GREY EAGLE DISTRIBUTORS 03/26/18 COOK SHEVLIN YSURSA ET AL HOLTKAMP LIESE ET AL 314 18WC 12763 COOK, MATTHEW FRUTH CONSTRUCTION INC @ 04/09/18 BRADY, CONNOLLY & MASUDA, PC 315 18WC 13764 HOWARD, MICHAEL USF HOLLAND 09/07/17 BOYNE, KEVIN PC HENNESSY & ROACH, PC 316 18WC 14066 SALTO, MARIA HOLTEN MEATS 05/11/17 MANDEL & MANDEL LLP EVANS & DIXON, LLC 317 18WC 14307 CARTHY, JAMES CASEY'S GENERAL STORE 12/02/17 JEROME LEFTON LAW OFFICE 318 18WC 14369 CARROLL, TAMMY STATE OF ILLINOIS - IDHS @ 12/29/17 CALLIS PAPA HALE & SZEWCZY CORI STEWART 319 18WC 14636 AYERS, ANTWOINETTE CAHOKIA SCHOOL DISTRICT # 01/08/18 NELSON & NELSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 18WC 14889 BRIAGAS, JOSE AMAZON 12/08/17 NELSON & NELSON WIEDNER & MCAULIFFE LTD 321 18WC 14900 TRIPLETT SR, ALLEN S ROSECH, INC 12/13/17 STEVEN A. TREFTS WIEDNER & MCAULIFFE LTD 322 18WC 15148 DANLEY, FREDRICK METRO 04/06/18 NELSON & NELSON BROWN & JAMES, PC 323 18WC 15249 VIRGINIA, LOLA RAILCREW XPRESS LLC 03/20/18 BUTLER & KEMPER ROUSE & CARY 324 18WC 15410 BECKER, RANDAL BECKER FLOOR COVERING 06/04/16 CHATHAM & BARICEVIC LUCY T. UNGER 325 18WC 15856 OCEQUERA, DAVID USF HOLLAND 05/20/18 GALANTI LAW OFFICES HENNESSY & ROACH, PC 326 18WC 16527 CARNAHAN, JAMES JR SLAB MASTERS DBA SOIL INS 05/18/18 BECKER SCHROADER & CHAPMAN ROUSE & CARY 327 18WC 16717 MUNDY, ERIKA K AMAZON 01/31/18 MORMINO,VELLOFF,EDMONDS,SN WIEDNER & MCAULIFFE LTD 328 18WC 16874 MUNDY, ERIKA K AMAZON 02/23/18 MORMINO,VELLOFF,EDMONDS,SN WIEDNER & MCAULIFFE LTD 329 18WC 16875 MUNDY, ERIKA K AMAZON 01/31/18 MORMINO,VELLOFF,EDMONDS,SN WIEDNER & MCAULIFFE LTD 330 18WC 17065 BEAN, PORTIA PARENTS & FRIENDS OF THE 04/22/18 CELESTINE DOTSON 331 18WC 17129 HAYES, NEAL CONOCO PHILLIPS 02/24/17 JOHNSTON LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 332 18WC 17406 HARDIMON, SHAUN FABRICATION SPECIALISTS 11/10/17 LEONARD LAW GROUP LLC 333 18WC 17649 VANDERKOOI, KANDY EATON B-LINE 05/22/18 MILLER, WILLIAM R LAW OFFI LEAHY EISENBERG & FRAENKEL 334 18WC 17651 ZOROM, MALIK AMSTEAD RAI 03/28/18 SCHUCHAT, COOK & WERNER HENNESSY & ROACH, PC 335 18WC 17669 VAQUES, DENNIS J ALTON STEEL, INC 04/27/18 MILLER, WILLIAM R LAW OFFI KEEFE CAMPBELL BIERY & ASSOC 336 18WC 17970 KERNEY, FREDERICK SCHENKER, INC 06/26/17 KATZMAN & SUGDEN PAUL LARIMORE 337 18WC 18315 FRIERDICH, ASHLEY SUN BASKET 05/28/18 LUCY T. UNGER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 18WC 18323 ROBERTSON, KATHRYN ARAMARK CAMPUS LLC 06/08/18 BUTLER & KEMPER EVANS & DIXON, LLC 339 18WC 18360 COOPER, DOXANDRA ROYAL LIVING CENTER, INC 05/12/18 STEVEN A. TREFTS 340 18WC 18858 PENN, JOSEPH 1818 CHOPHOUSE 06/09/18 DWORKIN AND MACIARIELLO MATHIS MARIFIAN RICHTER 341 18WC 19273 SMAY, GALE PHILLIPS 66 05/30/18 ARMBRUSTER DRIPPS HEYL ROYSTER VOELKER & ALLEN 342 18WC 19499 COOLEY, JUSTIN WEST SHORE GROUP, INC 05/31/18 LAW OFFICE OF JEROME SALMI RUSIN & MACIOROWSKI LTD 343 18WC 19703 RICHARDS, CHAD JERSEY CUSD #100 10/20/17 SMITH ALLEN MENDENHALL ET INMAN & FITZGIBBONS 344 18WC 19733 WALTER, CRAIG UNITED PARCEL SERVICE 03/30/18 WALTON TELKEN LLC MCANANY VANCLEVE & PHILLIPS 345 18WC 19757 PELLAZARI, MARVIN A GRANITE CITY SCHOOL DIST 05/29/18 MILLER, WILLIAM R LAW OFFI 346 18WC 19823 MCCARTHY, MARION BROOKLYN USD #188 - 05/01/18 BRYCE DOWNEY & LENKOV LLC 347 18WC 19825 WOODS, ANITA M BI-STATE DEVELOPMENT AGEN 05/18/18 NELSON & NELSON KORTENHOF MCGLYNN 348 18WC 20091 WARCHOL, DIANE BJC MEMORIAL HOSPITAL 05/15/18 NELSON & NELSON MATHIS MARIFIAN RICHTER 349 18WC 20134 STELLA, DIANE ELITE STAFFING 06/28/18 MEEHAN LAW FIRM 350 18WC 20291 KEELY, ANTHONY USF HOLLAND INC 06/26/18 LESKERA LAW FIRM HENNESSY & ROACH, PC 351 18WC 20360 ROJAS, RICARDO TOTAL METAL RECYCLING 04/04/18 GALANTI LAW OFFICES HARRIS DOWELL FISHER & HARRI 352 18WC 20408 MULLINS, GARY LINCARE 05/29/18 BRIAN K. ZIRKELBACH STEPHEN H LARSON LAW OFFICE 353 18WC 20765 WHITE, ABDUL L TRANSITIONAL CENTER, INC 06/21/18 SHORT AND DAUGHERTY RUSIN & MACIOROWSKI LTD 354 18WC 20879 PRICE, PERMESSA EDEN VILLAGE RETIREMENT C 06/03/18 LESKERA LAW FIRM HOLTKAMP LIESE 355 18WC 20881 DASENBROCK, ROBERT CARLISLE CONSTRUCTION 11/13/17 LESKERA LAW FIRM KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 356 18WC 20902 STELLHORN, WILLIAM LIESE LUMBER COMPANY, INC 04/22/15 COOK SHEVLIN YSURSA ET AL GANAN & SHAPIRO 357 18WC 20949 PEAK, DWIGHT GEODIS 02/01/18 JEROME LEFTON LAW OFFICE HARRIS DOWELL FISHER & HARRI 358 18WC 21118 THOLE, STEPHEN RIECHMANN BROS LLC 10/23/17 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 359 18WC 21152 PYLE, SUSAN HAMPTON INN 06/19/18 GALANTI LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 360 18WC 21449 19B BROWN, LADANNA CUSTOMIZED DISTRIBUTION S 06/14/18 GLASS & KOREIN LUCY T. UNGER 394 18WC021740 -C 361 18WC 21505 TRAMMELL, RUSTY WENNEMAN'S MEAT MARKET 12/29/17 NELSON & NELSON 362 18WC 21716 NEWMAN, DICK HIGHLAND COMMUNITY UNIT S 06/14/18 NELSON & NELSON KEEFE & DEPAULI 363 18WC 21725 ADAMS, LAMONT LOWE'S 02/09/18 NELSON & NELSON KEEFE CAMPBELL BIERY & ASSOC 364 18WC 21754 OTH, ROBERT MIDWEST SANITARY SERVICES 01/05/18 FLOYD LAW FIRM QUINTAIROS PRIETO WOOD & BOY 365 18WC 21824 KORBESMEYER, GLENN SCHNUCK MARKETS, INC 10/14/14 LIESER LAW FIRM 366 18WC 22327 19B NAIL, AUDREY GLOBAL BRASS & COPPER 04/04/18 BROWN & CROUPPEN KEEFE & DEPAULI 367 18WC 22330 FLORES, ROMEIRA CEDARHURST OF SHILOH 07/24/18 RICH RICH COOKSEY & CHAPPE INMAN & FITZGIBBONS 368 18WC 22740 FLOWERS MCCORMACK BARON SALAZAR @ 06/21/18 HENNESSEY LAW FIRM 369 18WC 22766 HOLTHAUS, EDWIN SPECTRULITE CONSORTIUM, I 05/01/02 BROWN & BROWN 370 18WC 22864 BAER, CHELSEY REGIONS BANK 10/13/16 JEROME LINDSAY SALMI LL MCANANY VANCLEVE & PHILLIPS 371 18WC 22899 PARMLEY, LAURIE CATHOLIC CHILDREN'S HOME 05/08/17 SMITH ALLEN MENDENHALL ET CLAYBORNE & WAGNER 372 18WC 23271 MYERS, PAUL LANTZ HOMES, INC 02/26/18 ERIN M. PHILLIPS GANAN & SHAPIRO 373 18WC 23490 PICKETT, CARA DYNEGY MIDWEST GENERATION 06/27/17 CARAWAY FISHER KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 374 18WC 24395 BOUILLON, JODY GLOBAL BRASS 07/10/18 ARMBRUSTER DRIPPS KEEFE & DEPAULI 375 18WC 24448 KUDELKA, KIMBERLY QPSI 11/05/17 376 18WC 24491 GOLLIDAY, JIMMY J D BELL TREE SVC 04/11/18 ALVIN WOLFF JR 377 18WC 24504 LANHAM, ROBERT VON ALST OPERATING, LLC 10/04/16 KEEFE & DEPAULI LITCHFIELD CAVO 378 18WC 24847 DAVIS, RUSTY SCI ENGINEERING, INC 06/27/18 JOSEPH L SAMUELSON PC LAWRENCE COZZI - LAW OFFICE 379 18WC 24903 DRYDEN, ANNA CASEY'S GENERAL STORE 05/22/18 DWORKIN AND MACIARIELLO 380 18WC 25070 BUSH, MARION AMAZON 05/14/18 KEEFE & GRIFFITHS PC 381 18WC 25146 MICNHEIMER, AMANDA LEE MBR CORP 05/18/18 JEROME LINDSAY SALMI LL HENNESSY & ROACH 382 18WC 25163 GIBSON, KEVIN BRANDING IRON HOLDINGS, I 08/03/18 NELSON & NELSON EVANS & DIXON, LLC 383 18WC 25258 VOYLES, MARY J SIGNET JEWELERS DBA KAY 08/13/18 WENDLER LAW PC KELLEY KRONENBERG 384 18WC 25358 KERNEY, MICHAEL L CIT OF EAST ST LOUIS 02/13/18 THOMAS W DUDA CHATHAM & BARICEVIC 385 18WC 25498 RICHARDSON, SHERYL HOLTEN MEATS 03/06/17 EVANS & DIXON, LLC 386 18WC 25785 LOEZA, JOSEPH TEQUILA OF COLUMBIA INC @ 06/21/18 MCGLYNN & MCGLYNN 387 18WC 26016 19B DAUBMAN, MARK PRECISIOIN ENGINES, INC 08/03/18 SMITH ALLEN MENDENHALL ET BRADY, CONNOLLY & MASUDA, PC 388 18WC 27071 DAVIS, MARSHA D CATHOLIC CHILDREN'S HOME 08/27/18 SHORT AND DAUGHERTY CLAYBORNE & WAGNER 389 18WC 27330 KLAAS, LAETHA WAL-MART, INC 01/28/18 EDMONDS LAW OFFICE EARLY & MIRANDA PC 390 18WC 27699 FRANKLIN, DEANGELO EAST ST LOUIS 08/06/18 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 391 18WC 28618 SPRAGGS, CANDY INTERNATIONAL MULCH CO, I 08/24/18 SMITH ALLEN MENDENHALL ET ROUSE & CARY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 392 18WC 28928 SELLERS, IVANIA R INTEGRITY HEALTHCARE OF 09/02/18 BROWN & BROWN 393 18WC 28939 WADE, ERICA ALTON MENTAL HEALTH CENTE @ 09/01/18 ARMBRUSTER DRIPPS ASSISTANT ATTORNEY GENERAL 394 18WC 28952 SUCHMAN, RANDY ADVANCED TECHNOLOGY SRVCS 07/11/18 JASON GOING EVANS & DIXON, LLC 395 18WC 28970 HARRIS, QUIANA BEHAVIORAL HEALTH SERVICE 07/11/18 CANTOR & BURGER 396 18WC 29214 HUGHES, LEONDRA AMSTED RAIL ASF 04/01/16 CARAWAY FISHER HENNESSY & ROACH, PC 397 18WC 29244 BLEDSOE, VICTORIA CASEY'S GENERAL STORES 08/08/18 BROWN & BROWN 398 18WC 29343 ALBERSON, COREY ILLINOIS STATE TROOPERS @ 01/16/16 HENNESSEY LAW FIRM CORI STEWART 399 18WC 29376 HAMLETT, JASON VILLAGE OF BETHALTO 05/16/16 SMITH ALLEN MENDENHALL ET KEEFE & DEPAULI 400 18WC 29445 KING, ROSCOE INDUSTRIAL TRADING INC 03/26/18 SMITH ALLEN MENDENHALL ET STEPHEN H LARSON LAW OFFICE 401 18WC 29494 WOMACK, DAMON OLIN CORPORATION D/B/A 07/28/17 REED & BRUHN, PC KEEFE & DEPAULI 402 18WC 29618 GOODWIN, SAMMIE DB SCHENKER 07/09/18 KEITH SHORT PAUL LARIMORE 403 18WC 29641 ODUNLEYE, CAROL WAL-MART 06/22/18 DENNIS SHEVLIN QUINTAIROS PRIETO WOOD & BOY 404 18WC 30002 LUSTER, LUCINDA U.S. STEEL CORPORATION 08/18/18 BEATTY & MOTIL KEEFE & DEPAULI 405 18WC 30618 DEPPE, SHARON FIRST STUDENT BUS COMPANY 08/24/18 NELSON & NELSON WIEDNER & MCAULIFFE LTD 406 18WC 30957 STEWART, MARK USF HOLLAND 08/28/18 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 407 18WC 31027 CLUCK, DORETTA RESIDENTIAL DEVELOPERS 12/06/17 CARAWAY FISHER GANAN & SHAPIRO 18WC031042 -C 408 18WC 31125 SCHULTZ, WILLIAM RONALD BRUNS 07/19/18 409 18WC 31280 STAFFORD, DAVID J ILLINOIS DEPT OF TRANSPOR @ 09/14/18 MILLER, WILLIAM R LAW OFFI CORI STEWART

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 410 18WC 31296 BARNHART, JOE SHOP N SAVE 10/19/15 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 411 18WC 31381 MILFORD, MARY ALTON MEMORIAL HOSPITAL 04/29/17 BECKER SCHROADER & CHAPMAN HOLTKAMP LIESE 412 18WC 31416 GREEN, SHARON ALTON MENTAL HEALTH CENTE @ 09/01/18 ARMBRUSTER DRIPPS CORI STEWART 413 18WC 31465 BROWN, LUKE W PETROFF TRUCKING CO 08/12/18 MILLER, WILLIAM R LAW OFFI 414 18WC 31612 HOSFORD, JOHN MCCANN CONCRETE PRODUCTS 09/13/18 BECKER SCHROADER & CHAPMAN 415 18WC 31715 WALKER, DONNA M STAFF QUICK 05/26/18 BRASHER, WILLIAM A LEMP & MURPHY 416 18WC 31940 BRIGGS, JOSHUA EATON B-LINE 07/01/18 MILLER, WILLIAM R LAW OFFI LEAHY EISENBERG & FRAENKEL 417 18WC 31948 WEISHAUPT, PAUL A AMEREN ILLINOIS 04/06/17 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE 418 18WC 32224 PERKINS, JOHN FEDEX GROUND PKG SYSTEM I 09/26/18 GLASS & KOREIN MCANANY VANCLEVE & PHILLIPS 419 18WC 32276 SMITH, SANDRA CAHOKIA UNIT SCHOOL 09/10/18 JEROME LEFTON LAW OFFICE 420 18WC 32445 RICHARDSON, SHERYL HOLTEN MEAT, INC 10/09/18 JEROME LINDSAY SALMI LL EVANS & DIXON, LLC 421 18WC 32706 19B WESTFALL, MATTHEW L CUSTOMIZED DISTRIBUTION S 07/10/18 SMITH ALLEN MENDENHALL ET LUCY T. UNGER 422 18WC 32983 SMITH JR, ROY A BI-STATE DEVELOPMENT AGEN 03/18/18 LEVENHAGEN LAW FIRM PC EVANS & DIXON, LLC 423 18WC 33184 STRAM, GREGORY GLOBAL BRASS & COPPER 10/22/18 GALANTI LAW OFFICES KEEFE & DEPAULI 424 18WC 33919 OLIVER, NATHAN ACME FIREPROOFING 05/21/18 RIDGE & DOWNES HEYL ROYSTER VOELKER & ALLEN 425 18WC 34018 WESLEY, KAREN IMPERIAL MANUFACTURING GR 10/17/18 LESKERA LAW FIRM EVANS & DIXON, LLC 426 18WC 34898 MONTGOMERY, SHANDEL RED CHEETAH MOVING COMPAN 10/09/18 BROWN & CROUPPEN 427 18WC 34910 BASILE, VINCENT IL DEPT OF TRANSPORTATION @ 11/09/17 WEIL MUENSTER & WIGGINTON ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 428 18WC 34936 CURLOVIC, ANDREA ALTON MENTAL HEALTH CENTE 09/29/18 ARMBRUSTER DRIPPS 429 18WC 35144 RICH, KATHRYN THE SPECIALIZED LIVING CE 08/28/18 TOMMIE A. HARSLEY III 430 18WC 35477 AUSTIN, LAKEISHA CHURCH'S CHICKEN 06/21/18 DWORKIN AND MACIARIELLO HOLTKAMP LIESE 431 18WC 35578 HENRY, ALEXIS N RED BUD ILLINOIS HOSPITAL 10/11/18 CLAY BARKLEY ST CLAIR 432 18WC 35598 CREEKPAUM, JAMES CON GLOBAL INDUSTRIAL 10/26/18 MILLER, WILLIAM R LAW OFFI BRYCE DOWNEY & LENKOV LLC 433 18WC 35660 SCHRAGE, RON RED-E-MIX 10/30/18 GALANTI LAW OFFICES EVANS & DIXON, LLC 434 18WC 35921 LEACH, ALISON M WALMART STORES INC 10/30/17 EARLY & MIRANDA PC 435 18WC 36046 NUNEZ, VERONICA AMAZON 10/05/18 BUTLER & KEMPER 436 18WC 36080 LAW, COREY GRP MECHANICAL CO. 04/01/18 SHORT AND DAUGHERTY HEYL ROYSTER VOELKER & ALLEN 437 18WC 36181 HOLMES, KAREN MACY'S 12/19/16 SCHUCHAT, COOK & WERNER BRYCE DOWNEY & LENKOV LLC 438 18WC 36274 BOARMAN, JOE GRAFTON HARBOR MARINA 03/24/18 KEEFE & GRIFFITHS PC 439 18WC 36417 WEBER, CARRIE TRIAD C.U.S.D 2 06/11/18 HUSTAVA, JOHN H 440 18WC 36467 MORRIS, JEREMY OLIN 11/17/16 SHORT AND DAUGHERTY KEEFE & DEPAULI 441 18WC 36487 WHITE, AMBER STELLAR CLEANING SERVICES 11/09/18 442 18WC 36569 BINDER, KATHY HOLTEN MEATS INC 10/11/18 BROWN & BROWN EVANS & DIXON, LLC 443 18WC 36592 COLES, CHRISTINE ROXANA CUSD #1 09/17/18 NELSON & NELSON WIEDNER & MCAULIFFE LTD 444 18WC 36682 HINTON-PROCTOR, TOI ALTON MENTAL HEALTH CENTE @ 09/29/18 ARMBRUSTER DRIPPS ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 445 18WC 36883 SMITH, TAKEISHA DB SCHENKER LOGISTICS 10/26/18 KEEFE & GRIFFITHS PC PAUL LARIMORE 446 18WC 36914 THOMAS, STEPHANIE CARLYLE HEALTHCARE CENTER 11/01/18 JEROME LINDSAY SALMI LL GOLDBERG & SEGALLA LLP 19WC010086 -C 447 18WC 37028 NELSON, JOSEPH W COWAN INTERMODAL GROUP 03/09/18 NELSON & NELSON BRADY CONNOLLY & MASUDA PC 448 18WC 37034 STEPHENS, RYAN EDWARDS STEEL, INC. 11/16/18 KIRKPARTICK LAW OFFICES GANAN & SHAPIRO 449 18WC 37037 USELTON, HELEN LOUISE FOUR FOUNTAINS NURSING HO 06/20/18 TERRY PEEBLES MCANANY VANCLEVE & PHILLIPS 450 18WC 37049 NELSON, JOSEPH W COWAN INTERMODAL GROUP 09/18/17 NELSON & NELSON BRADY CONNOLLY & MASUDA PC 451 18WC 37067 CRAFTON, JAMES BOYD HEALTHCARE SERVICES 07/13/18 NELSON & NELSON NYHAN BAMBRICK KINZIE & LOWR 452 18WC 37416 RAINES, JOSEPH CROWN ROOFING & EXTERIORS 11/14/18 JEROME LINDSAY SALMI LL BRADY, CONNOLLY & MASUDA, PC 18WC037417 -C 453 18WC 37435 BOLLE, RANDY C VILLAGE OF DUPO 07/02/18 BONIFIELD & ROSENSTENGEL P KEEFE & DEPAULI 454 18WC 37446 SLATER, LAWANA LASHON ALTON MENTAL HEALTH @ 09/28/18 UNSELL & SCHUMAN 455 18WC 37491 TALBOTT, RUSSELL ILLINOIS DEPARTMENT @ 11/26/18 GORI JULIAN & ASSOC ASSISTANT ATTORNEY GENERAL 456 18WC 37743 WARREN, PAMELA TANDEM PROFESSIONAL EMPLO 09/13/18 GLASS & KOREIN INMAN & FITZGIBBONS 457 18WC 38022 ALLISON, BRIAN MATTINGLY LUMBER & MILLWO 10/18/18 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 458 18WC 38044 JARVIS, ANTHONY K JR HUDSON TREE SERVICE 11/08/18 GREGORY M. SKINNER 459 18WC 38051 LA MOTTE, RANDAL YRC WORLDWIDE 08/05/16 HOLLORAN SCHWARTZ GAERTNER 460 18WC 38075 MUMPER, KENNY JR HUBBELL WIEGMANN 11/15/18 LESKERA LAW FIRM ATWILL & MONTGOMERY 461 18WC 38122 CARPENTER, THOMAS AMSTED RAIL 11/06/18 NELSON & NELSON HENNESSY & ROACH, PC 462 18WC 38484 ELLISON, ETHEL GLOBAL BRASS 10/31/18 ARMBRUSTER DRIPPS KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 463 19WC 00069 LANDI, CHRISTOPHER BORAL USA 01/18/16 CRAIG A HANSEN 464 19WC 00313 MORROW, HORCELIA L JUDY RULL 11/23/18 NO ATTORNEY MORROW WILLNAUER 465 19WC 00429 COAKLEY, ROBBIE DB SCHENKER 11/14/18 JEROME LINDSAY SALMI LL PAUL LARIMORE 466 19WC 00478 JACKSON, THERESA M COMMUNITY CARE SYSTEM INC 12/03/18 BROWN & BROWN LIVINGSTONE MUELLER ET AL 467 19WC 00552 ACKER, RANDY MARKS PLUMBING PARTS 11/05/15 KRETMAR BEATTY SANDZA STEPHEN H LARSON LAW OFFICE 468 19WC 00575 CHILDS, DAWONDA AMAZON 10/18/18 THOMAS SCHOOLEY WIEDNER & MCAULIFFE LTD 469 19WC 00605 CHILDS, DAWONDA AMAZON 03/17/18 THOMAS SCHOOLEY WIEDNER & MCAULIFFE LTD 470 19WC 01007 HEBERER, ERIC IL STATE POLICE 01/08/19 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 471 19WC 01124 LATINETTE, MICHAEL KEELEY & SONS INC 06/07/17 BOYNE, KEVIN PC WIEDNER & MCAULIFFE LTD 472 19WC 01625 HILL, DEINETA S METRO/BISTATE DEVELOPMENT 12/16/18 NELSON & NELSON KORTENHOF MCGLYNN 473 19WC 01659 HENSHAW, JIMMY J JR. SHANNON CONSTRUCTION 12/12/18 NELSON & NELSON 474 19WC 01674 FENNEWALD, BRIAN GBW RAILCAR SERVICES 05/29/18 GALANTI LAW OFFICES HENNESSY & ROACH 475 19WC 01688 MILLER, CHARLES M RHP PROPERTIES INC 11/07/18 MORMINO,VELLOFF & SNIDER CRAIG A HANSEN 476 19WC 01694 HURLEY, AARON EATON 11/26/18 MILLER, WILLIAM R LAW OFFI LEAHY EISENBERG & FRAENKEL 477 19WC 01973 MANGUM, MARK SIUE @ 12/11/18 SHORT AND DAUGHERTY CORI STEWART 478 19WC 02051 RADOSEVICH, ROBERT J CITY OF TROY 12/18/18 CALLIS PAPA HALE & SZEWCZY INMAN & FITZGIBBONS 479 19WC 02066 BARNES, JAMIE WEIR CHEVROLET BUICK GMC 02/01/18 BISTATE INJURY LAW CENTER RIPES NELSON BAGGOT KALOBRAT 480 19WC 02128 HALDEMAN, JAMIE FIRST STUDENT 09/24/18 WALTON TELKEN LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 481 19WC 02165 OLLER, CLINTON IDOT @ 09/19/18 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 482 19WC 02309 MCCORMICK, CANDACE ALTON INTERNAL MEDICINE 09/28/18 BUTLER & KEMPER HOLTKAMP LIESE 483 19WC 02318 CARLIN, LUIS AS PROFESSIONAL ROOFING 08/10/18 CARAWAY FISHER 484 19WC 03130 JABLONSKI, DENNIS KURTS CARSTAR DBA CARSTAR 09/04/18 GLASS & KOREIN GANAN & SHAPIRO 485 19WC 03144 HARRIS, GAYLON US STEEL 11/08/18 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 486 19WC 03249 MEJIAI, ROEANDO TOTAL METAL RECYCLING 12/11/18 PETER BLASI LLC 487 19WC 03370 THORNSBURY, MATTHEW CASSIDY CONSTRUCTION 01/03/19 SMITH ALLEN MENDENHALL ET RUSIN & MACIOROWSKI LTD 488 19WC 03499 GARNER, MATT MW TRUCKING 10/31/18 GALANTI LAW OFFICES 489 19WC 03535 SAINE, BARBARA PARENTS & FRIENDS OF THE 01/14/19 JEFFREY GAULT 490 19WC 03725 ROGERS, JOHN F HIRE LEVEL 09/18/18 491 19WC 03736 JONES, TUESDI OSF ST ANTHONY'S 01/07/19 GALANTI LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 492 19WC 03890 PATTERSON, DOUG SHILOH POLICE DEPT 10/14/18 WOODRUFF JOHNSON 493 19WC 04063 PRUITT, HOLLY BELLEVILLE TWP HSD #201 12/18/18 BOYNE, KEVIN PC RUSIN & MACIOROWSKI LTD 494 19WC 04100 SUDBRING, NANCY FAITH COUNTRYSIDE HOMES 01/04/19 PETER BLASI LLC QUINN JOHNSTON HENDERSON ETA 495 19WC 04134 HOFFEE, JENNA L GOODWILL OF THE COASTAL E 02/02/17 MANDEL & MANDEL LLP 496 19WC 05331 FORSYTHE, SYNTHIA ALTON MEMORIAL 01/11/19 GALANTI LAW OFFICES HOLTKAMP LIESE 497 19WC 05363 HOLMAN, KENJVAN L HIRE LEVEL 01/08/19 SHORT AND DAUGHERTY MCANANY VANCLEVE & PHILLIPS 498 19WC 05434 HEINDRICKS, LORENA HSHS ST ELIZABETH'S HOSPI 02/08/19 GALANTI LAW OFFICES MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 499 19WC 05536 SIMS, JOHN GLOBAL BRASS AND COPPER 05/08/18 KEEFE & DEPAULI 500 19WC 05698 LEWIS, JOSEPH ST JOSEPH'S HOSPITAL 02/05/19 BROWN & CROUPPEN HEPLER BROOM LLC 501 19WC 06024 MILAM, KEVIN HUBBELL WIEGMANN 04/16/18 LESKERA LAW FIRM ATWILL & MONTGOMERY 502 19WC 06039 LAEL, GREGORY S MICHELS CORPORATION 01/21/19 STEPHEN P. KELLY ROSARIO CIBELLA 503 19WC 06110 PISTOLIS, LOUIS G JF ELECTRIC 10/10/18 SCHUCHAT, COOK & WERNER STEPHEN H LARSON LAW OFFICE 504 19WC 06165 TUCKER, MICHAEL MISTER BULTS, INC. 08/22/18 JOHNSTON LAW OFFICE WIEDNER & MCAULIFFE LTD 505 19WC 06275 RANDLE, DANIEL THE BOEING COMPANY 05/08/18 WIEDNER & MCAULIFFE LTD 506 19WC 06351 GETTIS, EARL IDOT @ 01/12/19 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 507 19WC 06368 YURCISIN, EVA LYNN FOUNTAIN VIEW MEMORY CARE 06/18/18 BROWN & CROUPPEN 508 19WC 06412 SCHMIDT, TRACY CENTRAL IL CARE SRVS 08/30/18 CHATHAM & BARICEVIC 509 19WC 06547 BULARD, DESHAY L KRAFT-HEINZ 02/03/19 SMITH ALLEN MENDENHALL ET GAROFALO SCHREIBER STORM GRA 510 19WC 06562 SHEARD, SHEILA WESTROCK 02/11/19 EDMONDS LAW OFFICE HENNESSY & ROACH PC 511 19WC 06653 HENSON, CODY PREMIER AIR CENTER D/B/A 08/19/18 RUSIN & MACIOROWSKI LTD 512 19WC 06693 EHLERS-JOHNS, CAROLIN BRAINS & BRAUN, INC. DBA 09/11/17 BONIFIELD & ROSENSTENGEL P 513 19WC 06722 KREHER, ANDREW COLUMBIA QUARRY 08/09/16 KEEFE & DEPAULI 514 19WC 06829 GRAVITT, JAMES E CONTINENTAL COMMUNITIES D 10/31/18 BONIFIELD & ROSENSTENGEL P RUSIN & MACIOROWSKI LTD 515 19WC 06957 LITTEKEN, MARY ST JOSEPH HOSPITAL 11/28/16 WILLIAMS CAPONI & ASSOC MC ANDREWS & NORGLE LLC 516 19WC 07168 STREET, DARREN MATRIX NORTH AMERICAN 08/21/18 ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 517 19WC 07336 MUNDY, DAVID SUNSET HILLS COUNTRY CLUB 02/08/19 GORI JULIAN & ASSOC GANAN & SHAPIRO 518 19WC 07344 SERRANO, FELIPE CHIP & CHAN, INC 07/20/18 BUTLER & KEMPER SCHREMPF KELLY & NAPP 519 19WC 07369 MORRIS, DAVID VISTRA ENERGY CORPORATION 12/08/18 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 520 19WC 07457 HARRIS, MATTIE PROLOGISTIX 11/20/18 SHORT AND DAUGHERTY 521 19WC 07512 MELNEK, ROBERT U.S. STEEL 10/25/18 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 522 19WC 08025 ROGERS, THEODORE AMSTED INDUSTRIES, INC 02/13/19 BECKER SCHROADER & CHAPMAN 523 19WC 08031 SEGER, KYLE STATE OF ILLINOIS @ 02/08/19 GORI JULIAN & ASSOC CORI STEWART 524 19WC 08048 THOMAS, DEBRA HIRE LEVEL 11/03/18 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 525 19WC 08082 SEYMOUR, PATRICK ROBERTS ENVIRONMENTAL DRI 09/20/18 HOLTKAMP LIESE 526 19WC 08083 HUMMERT, JOSEPH AMEREN IL 02/03/17 LEMP & MURPHY 527 19WC 08138 THOMAS, DEBRA HIRE LEVEL 12/01/18 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 528 19WC 08168 WALKER, JOHN MADISON COUNTY GOVT 09/11/18 JUSTIN B MATTEA SCHREMPF KELLY & NAPP 529 19WC 08195 SWANK, JACOB GRL CONTRACTING & LIGHTIN 01/07/19 GALANTI LAW OFFICES 530 19WC 08450 COLE, CHARLOTTE SPARTAN LIGHT METAL PRODU 05/12/16 RICH RICH COOKSEY & CHAPPE HENNESSY & ROACH, PC 19WC008451 -C 531 19WC 08500 NEIBER JR, THOMAS ZURCHER TIRE INC 01/17/19 JOHNSTON LAW OFFICE HOLTKAMP LIESE 532 19WC 08522 WHELAN, BRADLEY M CITY OF WATERLOO 10/23/17 KEEFE & DEPAULI 533 19WC 08577 DANLEY, FREDRICK METRO 02/14/19 NELSON & NELSON BROWN & JAMES, PC 534 19WC 08648 FICOR, WILLIAM TERRA SOURCE GLOBAL 02/14/19 JASON GOING EARLY & MIRANDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 535 19WC 08676 PERRY, DELARION ILLINOIS DEPT OF TRANSPOR @ 01/09/19 JOSEPH L SAMUELSON PC ASSISTANT ATTORNEY GENERAL 536 19WC 08683 BARNES, ROCHELLA SENIOR SERVICES PLUS 01/07/19 BUTLER & KEMPER 537 19WC 08699 BROWN, DAWSON SCHNUCKS 03/03/19 SHORT AND DAUGHERTY LEMP & MURPHY 538 19WC 08747 GIORGI, MARTIN USF HOLLAND 06/12/17 HENNESSY & ROACH, PC 539 19WC 08837 WYATT, TAMRA C KUJAWSKI & ASSOCIATES 05/26/16 SCANLON, CHARLES R 540 19WC 09122 RILEY-GILLIAM, JACQUELINE CITY OF EAST ST LOUIS 06/05/18 JAMES PARROT CHATHAM & BARICEVIC 541 19WC 09284 RICHARDSON, DONNA WHELAN SECURITY 02/24/16 JEROME LINDSAY SALMI LL 542 19WC 09306 GRACE, LARRY E WERNER ENTERPRISE INC & 02/24/19 NELSON & NELSON SMITH AMUNDSEN LLC 543 19WC 09311 BUHS, BRIAN BETHALTO FIRE DEPT 03/05/19 GALANTI LAW OFFICES KEEFE & DEPAULI 544 19WC 09322 NICHOLSON, TERRY BELLEVILLE SCHOOL DIST #2 02/18/19 NELSON & NELSON RUSIN & MACIOROWSKI LTD 545 19WC 09450 ZARATE, GARY USF HOLLAND 03/15/18 FLOYD LAW FIRM 546 19WC 09488 JACKSON, KIMBERLY COLLINSVILLE UNIT 02/11/19 GORI JULIAN & ASSOC 547 19WC 09768 DONAHUE, JAMES III MIDWEST TRANSIT EQUIPMENT 01/29/19 WILLIAMS CAPONI & ASSOC 548 19WC 09776 STUBY, MATT G.D. LAESING OF INDIANA, 03/17/19 NELSON & NELSON QUINTAIROS PRIETO WOOD & BOY 549 19WC 10099 POWERS-JAMES, DONNA BI-STATE DEVELOPMENT AGEN 01/29/19 BOYNE, KEVIN PC KORTENHOF MCGLYNN 550 19WC 10389 AGUIAR, LOUIS TIGER PLUMBING 01/30/19 SCHUCHAT, COOK & WERNER 551 19WC 10783 FLOYD, KATHY EDEN VILLAGE RETIREMENT C 02/27/19 DAVID HUNT HOLTKAMP LIESE 552 19WC 10804 BRAWLEY, DALYCE A1 MED CAR SERVICES 11/02/18 WILLIAMSON WEBSTER ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 553 19WC 10930 VENTRESS, SHAWN C DB SCHENKER 12/22/18 BUTLER & KEMPER PAUL LARIMORE 554 19WC 11055 DAVIS, ANTIONE SR TITUS TRANSPORT HOLDINGS, 03/22/19 NELSON & NELSON WIEDNER & MCAULIFFE LTD 555 19WC 11060 CRUME, STEPHEN REBEL, INC 02/12/19 BROWN & CROUPPEN 556 19WC 11065 THOMAS, WILLIAM GROENDYKE TRANSPORT 03/14/19 GOLDBLATT + SINGER HEYL ROYSTER VOELKER & ALLEN 557 19WC 11336 WALKER, ROBERT H JERSEYVILLE POLICE DEPART 08/18/18 SMITH ALLEN MENDENHALL ET SCHREMPF KELLY & NAPP 558 19WC 11360 JOHNSON, DONALD EDWARDS OTR 03/15/19 STEPHEN P. KELLY LEAHY EISENBERG & FRAENKEL 559 19WC 11770 CLARK, BETHANIE DOLLAR GENERAL 04/08/19 GALANTI LAW OFFICES LEAHY EISENBERG & FRAENKEL 560 19WC 11779 DUNN, JONATHON KRAFT FOODS 03/22/19 RICH RICH COOKSEY & CHAPPE GAROFALO SCHREIBER STORM GRA 561 19WC 11817 GOETTEN, MARK KIENSTRA PRECAST LLC 01/01/18 NORBERT GOETTEN GANAN & SHAPIRO 562 19WC 11880 FUENTES, JOSE HIRELEVEL 03/11/19 BOYNE, KEVIN PC MCANANY VANCLEVE & PHILLIPS 563 19WC 12100 STULLER, MIRANDA NEXT STEP FOOT & ANKLE CE 01/11/19 SHORT AND DAUGHERTY STEPHEN H LARSON LAW OFFICE 564 19WC 12184 WILLIAMS, EUGENE DB SCHENKER LOGISTICS 04/16/19 DANIEL J. GAUTHIER 565 19WC 12326 SINSKEY, DENNIS CRAFTON CONSTRUCTION 02/12/19 GALANTI LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC 566 19WC 12350 GARMAN, TIMOTHY J DOHRN TRANSFER 07/10/18 HARVEY & STUCKEL GANAN & SHAPIRO 567 19WC 13102 TOPPINGS, APRIL WALGREENS 06/08/17 TERRY PEEBLES 568 19WC 13152 HEIL, JANE CC FOOD MART 07/22/17 THE FISCHER LAW FIRM LLC 569 19WC 13169 POWELL, CAMILLE AMAZON 12/06/18 SHORT AND DAUGHERTY WIEDNER & MCAULIFFE LTD 570 19WC 13389 TIPTON, JOSHUA MARSHALL'S TREE SERVICE W 04/12/19 CARAWAY FISHER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 571 19WC 13416 LARUE, JENNIFER HOSPITAL SISTERS HEALTH S 10/01/18 NELSON & NELSON MC ANDREWS & NORGLE LLC 572 19WC 13462 RANKIN, VICKY STAPLES 07/21/15 HUSTAVA, JOHN H HENNESSY & ROACH PC 573 19WC 13957 REEVES, MICKEL WATCO COMPANIES CO 03/08/19 RICH RICH COOKSEY & CHAPPE HENNESSY & ROACH 574 19WC 14162 STEELE, RHONDA METRO LINK 04/16/19 GALANTI LAW OFFICES EVANS & DIXON, LLC 575 19WC 14598 HALL, ERICK L SUPPLIED INDUSTRIAL SOLUT 04/02/19 SCHREMPF KELLY & NAPP WOLFE & JACOBSON, LTD 576 19WC 14638 SCHREIBER, DOUG MADISON COUNTY SHERIFF'S 02/01/19 GALANTI LAW OFFICES SCHREMPF KELLY & NAPP 577 19WC 14644 RIGGS, PHILLIP G AT&T 02/06/19 SCOTT P. HOLWITT 578 19WC 14746 BASLER, LINDA D PEPSI MID AMERICA 01/09/19 ONDER LAW LLC 579 19WC 14819 SCHNEIDER, THERESA CASEY'S GENERAL STORES 04/09/18 ERIN M. PHILLIPS 580 19WC 14837 BELL, DWIGHT RAILCREW XPRESS, LLC 11/16/18 BOYNE, KEVIN PC ROUSE & CARY 581 19WC 14934 HANNA, CHRIS BASLER ELECTRIC 02/15/19 HUSTAVA, JOHN H EVANS & DIXON, LLC 582 19WC 14950 GRIFFIN, JUSTIN AG WASH CORP./DENT WIZARD 04/08/19 JEROME LINDSAY SALMI LL 583 19WC 14954 JOINER, DIAPHIA K D.B. SCHENKER 11/07/18 EDWARD J. KOZEL 584 19WC 15119 KISH, NANCY ST. ELIZABETH'S HOSPITAL 09/09/13 NELSON & NELSON 585 19WC 15145 SANDERS, DIEDRA IMPERIAL MANUFACTURING GR 02/19/19 ARMBRUSTER DRIPPS EVANS & DIXON, LLC 586 19WC 15277 ELLENBERGER, FARY TYLER JACK COOPER TRANSPORT 07/05/17 WENDLER LAW PC EVANS & DIXON, LLC 587 19WC 15367 LINDSEY, DENNIS US STEEL 04/10/19 SHORT AND DAUGHERTY KEEFE & DEPAULI 588 19WC 15381 JEFFERSON, JON FENCE & DECK DEPOT 01/05/19 GOLDBLATT + SINGER BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 589 19WC 15411 RICKE, MICHAEL WALMART 09/26/18 JEROME LINDSAY SALMI LL QUINTAIROS PRIETO WOOD & BOY 590 19WC 15539 SCHNEIDER, MARY ILLINOIS DEPT OF PUBLIC H @ 03/25/19 BECKER SCHROADER & CHAPMAN CORI STEWART 591 19WC 15941 PATTON, EBONI DURHAM SCHOOL SERVICES 04/30/19 ANGELINI & ORI LLC 592 19WC 16003 HAYNES, MARVIN EAST ST LOUIS FIRE DEPART 05/09/19 JEROME LINDSAY SALMI LL CHATHAM & BARICEVIC 593 19WC 16044 JOHNSON, CHRIS PAVLICH INC 11/13/18 PETER BLASI LLC LEAHY EISENBERG & FRAENKEL 594 19WC 16090 HACKMAN, MARIAH GOODWILL INDUSTRIES 03/05/19 CARAWAY FISHER 595 19WC 16323 WELTY, KATHLEEN SELECT REHABILITATION INC 11/27/17 BROWN & CROUPPEN STEPHEN H LARSON LAW OFFICE 596 19WC 16453 SCHREIBER, KYLE MADISON COUNTY SHERIFF'S 04/07/19 GALANTI LAW OFFICES SCHREMPF KELLY & NAPP 597 19WC 16479 CASE, BONNIE CAPRI IGA 09/03/19 JOSHUA KARMEL GANAN & SHAPIRO 598 19WC 16580 BREWER, LINDA DOLLAR TREE 03/19/19 KEEFE & GRIFFITHS PC LEAHY EISENBERG & FRAENKEL 599 19WC 16675 HUBBARD, MICHAEL USF HOLLAND 04/05/19 BECKER SCHROADER & CHAPMAN 600 19WC 16774 WALLEN, JACOB KUNA FOOD SERVICES 03/07/19 THOMAS SCHOOLEY BRYCE DOWNEY & LENKOV LLC 601 19WC 17027 NELSON, CHARLOTTE MEMORIAL HOSPITAL/BJC 07/28/16 JUNCKER, DANIEL K PC MATHIS MARIFIAN RICHTER 602 19WC 17207 BEASTON, DEBORAH DAVID NORMAN, MD 06/20/17 JASON GOING RUSIN & MACIOROWSKI LTD 603 19WC 17229 GOULD, DONALD AAA PARTNERS, INC D/B/A 04/22/19 JOSEPH L SAMUELSON PC HENNESSY & ROACH, PC 604 19WC 17240 SHARP, RICHARD E ST LOUIS POLICE DEPT 05/26/19 BONIFIELD & ROSENSTENGEL P CHATHAM & BARICEVIC 605 19WC 17251 19B HULTQUIST, TOM ICON MECHANICAL 05/15/19 GALANTI LAW OFFICES HENNESSY & ROACH, PC 606 19WC 17269 WHITEHEAD, DAVID STAFF QUICK 04/29/19 LEMP & MURPHY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 607 19WC 17282 GILLESPIE, LEON II FRESH THYME MARKET 01/13/19 BROWN & BROWN 608 19WC 17289 SANDERS, LURETHA ALTON MENTAL HEALTH CENTE @ 02/19/18 SMITH ALLEN MENDENHALL ET CORI STEWART 609 19WC 17292 SANDERS, LURETHA ALTON MENTAL HEALTH CENTE @ 05/10/19 SMITH ALLEN MENDENHALL ET CORI STEWART 610 19WC 17373 MORGAN, BRANDON OLIN WINCHESTER 05/09/19 GALANTI LAW OFFICES 611 19WC 17392 WUEST-MOORE, BARBARA N ST. PAUL'S SENIOR COMMUNI 09/22/18 NELSON & NELSON WIEDNER & MCAULIFFE LTD 612 19WC 17413 REISA, KELLY SCHNUCK MARKETS 05/25/19 RICH RICH COOKSEY & CHAPPE LEMP & MURPHY 613 19WC 17984 ANTROBUS, HOWARD CITY OF ALTON 10/08/18 ARMBRUSTER DRIPPS SCHREMPF KELLY & NAPP 614 19WC 18145 JOHNSON, ANTWOIN CULLIGAN 03/05/19 DWORKIN AND MACIARIELLO 615 19WC 18482 HOOD, SAM USF HOLLAND, INC 06/05/19 LESKERA LAW FIRM HENNESSY & ROACH, PC 616 19WC 18489 SCERRI, VALNOR DOLLAR TREE 04/24/19 SCHREMPF KELLY & NAPP NYHAN BAMBRICK KINZIE & LOWR 617 19WC 18541 PIASECKI, GREG OAK TREE MANAGEMENT 05/12/19 HUSTAVA, JOHN H MCANANY VANCLEVE & PHILLIPS 618 19WC 18616 POWELL, DWAYNE FEDERAL EXPRESS GROUND 06/07/19 BUTLER & KEMPER 619 19WC 18771 BAUSILY, CHRISTIAN WALMART 06/15/19 SHORT AND DAUGHERTY WIEDNER & MCAULIFFE LTD 620 19WC 18777 HESS, STEVE HESS SEPTIC & PORTABLE TO 01/14/17 WINTERS BREWSTER CROSBY SC 621 19WC 18783 MILAM, KEVIN HUBELL WIEGMANN 05/16/19 NO ATTORNEY ATWILL & MONTGOMERY 622 19WC 19078 HARRISON, ROSE J PRAIRIE FARMS DAIRY 05/22/18 BROWN & BROWN KNAPP, OHL & GREEN 623 19WC 19186 CROWE, JOHN DYNEGY, INC 05/04/18 KIRKPARTICK LAW OFFICES KEEFE & DEPAULI 624 19WC 19203 WARE, DARLENE SCIOTO SERVICES 05/22/19 NELSON & NELSON QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 625 19WC 19646 WEATHERBY, BRITTANY J HOYLETON YOUTH & FAMILY S 05/16/19 BROWN & BROWN LITCHFIELD CAVO 626 19WC 19655 HINKLE, AMANDA MALLINCKRODT SPECIALTY 03/11/19 JEROME LINDSAY SALMI LL MCANANY VANCLEVE & PHILLIPS 627 19WC 19730 HALL, STANLEY EASTMAN CHEMICAL 03/05/19 HOLLORAN SCHWARTZ GAERTNER 628 19WC 19750 PACE, KIMBERLY DEPT OF HUMAN SERVICES @ 06/05/19 HUSTAVA, JOHN H CORI STEWART 629 19WC 19783 WILHELM, ROBERT TYSON FOODS 04/23/19 BROWN & BROWN WIEDNER & MCAULIFFE LTD 630 19WC 19796 WARE, EUREKA WESTROCK 05/01/19 KEEFE & GRIFFITHS PC HENNESSY & ROACH PC 631 19WC 20122 KESSLER, DAVID GRANITE CITY SCHOOL DISTR 06/19/18 HUSTAVA, JOHN H EVANS & DIXON, LLC 632 19WC 20133 MCFALLS, GARY U.S. STEEL CORPORATION 01/22/17 GORI JULIAN & ASSOC 633 19WC 20368 CARTER, JACOB S STRATA WORLDWIDE HOLDINGS 12/21/17 JAMES RUPPERT CRAIG A HANSEN 634 19WC 20400 DEERING, HEATHER HSHS ST JOSEPHS HOSPITAL 10/06/18 SHORT AND DAUGHERTY MC ANDREWS & NORGLE LLC 635 19WC 20411 GROSS, LOIS SCHNUCKS MARKETS, INC. 06/05/19 JEROME LEFTON LAW OFFICE LEMP & MURPHY 636 19WC 20660 SISSOM, TODD T CITY OF ALTON 08/02/16 THOMAS W DUDA 637 19WC 21039 LIGIBEL, BARB COLTON STEAKHOUSE 07/14/19 DWORKIN AND MACIARIELLO LUCY T. UNGER 638 19WC 21176 HUBBARD, JOE WATCO MECHANICAL SERVICES 07/10/19 GALANTI LAW OFFICES HENNESSY & ROACH 639 19WC 21186 BROWN, JALEN CARITAS FAMILY SOLUTIONS 05/11/19 JEROME LINDSAY SALMI LL 640 19WC 21268 GRIFFIN, JAMEY OLIN 12/22/18 GALANTI LAW OFFICES KEEFE & DEPAULI 641 19WC 21360 SCOTT, KEVIN PRAIRIE FARMS DIARY 08/26/16 THE WILBERS LAW FIRM KNAPP, OHL & GREEN 642 19WC 21493 BROWN, DWAUN DEAN FOODS 05/01/19 BECKER SCHROADER & CHAPMAN ORENSTEIN & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 643 19WC 21506 BATES, NICKOLAS CHARTER COMMUNICATIONS 12/28/17 BROWN & BROWN GANAN & SHAPIRO 644 19WC 21515 STOCLERT, BRITTANI CEDARHURST LIVING, LLC 05/20/19 WALTON TELKEN LLC 645 19WC 21526 FOX, MATTHEW KREITNER CONSTRUCTION COM 06/20/19 HUSTAVA, JOHN H 646 19WC 21626 JONES, TRACY A MEMORIAL HOSPITAL BELLEVI 06/01/19 BRAD L BADGLEY PC MATHIS MARIFIAN RICHTER 647 19WC 21675 MOSLEY, ROSHANDRA AMAZON 09/19/18 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 648 19WC 21855 YOUNGBAUER, MELISSA AMAZON 05/20/19 WILLIAMSON WEBSTER ET AL 649 19WC 21984 SMITH, JOEY DEAN CUSTOMIZED DISTRIBUTION S 02/16/19 GOLDBLATT + SINGER 650 19WC 22165 PARENT, KRIS ARNETTE PATTERN 02/04/19 HUSTAVA, JOHN H 651 19WC 22215 ROBERTS, CHRISTOPHER CGB ENTERPRISES, INC 07/01/19 KENNETH LEEDS MCDONALD & BOGDAN 652 19WC 22498 ROBERTS, KIMBERLY K SHOP-N-SAVE 09/18/18 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE 653 19WC 22555 BURTON, DREW NELSON TREE SERVICE 07/05/19 JEROME LINDSAY SALMI LL RIPES NELSON BAGGOT KALOBRAT 654 19WC 22636 PARKS, FREIDA AXCESS STAFFING SERVICE 05/28/19 THE HESTER GROUP LLC BRADY CONNOLLY & MASUDA PC 655 19WC 22834 DIETZ, RICHARD JOHN JR. CROSSROADS CONSTRUCTION 07/26/19 DENNIS SHEVLIN ORENSTEIN & ASSOCIATES 656 19WC 22973 SPANGENBERG, CHRISTY LUTHERAN SENIOR SERVICES 01/04/19 JOHNSTON LAW OFFICE BRINKER & DOYNELLP 657 19WC 23021 MCCOTTRELL, MARSHA A SCHNUCKS 06/20/19 DAVID H. BONE LLC LEMP & MURPHY 658 19WC 23052 CLIFTON, ANN SIUE 07/22/19 JULIAN GORI & ASSOC 659 19WC 23628 SANCHEZ, YULISSA CROWN LINEN SERVICE 12/12/18 BUTLER & KEMPER 660 19WC 23744 CAMERON, DEVELYN STUTZ EXCAVATING INC 07/24/19 MILLER, WILLIAM R LAW OFFI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 661 19WC 23851 DENHAM, TAMMY ST CLAIR SUPPORTIVE LIVIN 06/14/19 LESKERA LAW FIRM ROSARIO CIBELLA 662 19WC 23911 WHITE, JEAN WILLIAM M BEDELL ACHIEVEM 07/15/19 ERIN M. PHILLIPS 663 19WC 23939 ELLIS, JAMES R ONGWEOWEH SCS ST LOUIS LL 12/03/18 BECKER SCHROADER & CHAPMAN 664 19WC 23954 WILSON, DENISE AMAZON 06/12/17 ERIN M. PHILLIPS 665 19WC 24047 HARRIS, SCOTTIE PRAIRIE STATE COAL 10/28/16 CULLEY FEIST KUPPART & JOR EVANS & DIXON, LLC 666 19WC 24129 GRANT, JESSICA AEROTEK 07/25/19 SHORT AND DAUGHERTY 667 19WC 24132 WATSON, TERRENCE JR. METRO EAST INDUSTRIES 07/01/14 LYNN D BARNETT KEEFE & DEPAULI 668 19WC 24220 RANDOLPH, ALISON MADISON COUNTY GOVERNMENT 01/08/19 SMITH ALLEN MENDENHALL ET SCHREMPF KELLY & NAPP 669 19WC 24444 BLACKBURN, STEPHANIE ESSENDANT CO 02/11/19 KATZMAN & SUGDEN HOLECEK & ASSOCIATES 670 19WC 24686 REDMAN, MICHAEL BATCHELOR REAL ESTATE 09/23/16 WILLIAMSON WEBSTER ET AL 671 19WC 24691 WEBER, KIRK AMAZON FULFILLMENT CENTER 09/07/17 NELSON & NELSON 672 19WC 24736 REEVES, TAMI CEO SCHOOL 11/05/18 GALANTI LAW OFFICES SCHREMPF KELLY & NAPP 673 19WC 24826 KNIGHT, JODIE USF HOLLAND 02/14/19 FLOYD LAW FIRM 674 19WC 24879 HEMANN, MARK D&D TIRE SERVICES 07/22/19 JUSTIN MASON LLC BRADY, CONNOLLY & MASUDA, PC 675 19WC 24901 BOCKEWITZ, CHAD UPS 06/27/19 KEEFE & DEPAULI MCANANY VANCLEVE & PHILLIPS 676 19WC 25137 OTOOLE, JOSHUA R.J.'S CARRYOUT & CATERIN 08/18/19 DWORKIN AND MACIARIELLO 677 19WC 25259 BRASKET, KRISTINA ALTON MENTAL HEALTH 06/02/19 HUSTAVA, JOHN H ASSISTANT ATTORNEY GENERAL 678 19WC 25268 FRENCH, MICHAEL LF & SON CONSTRUCTION, LL 04/27/18 KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 679 19WC 25274 HOPKINS, MICHAEL DOBBS TIRE 11/07/18 MANDEL & MANDEL LLP 680 19WC 25285 FISHER, EBONY ST OF ILLINOIS-ALTON MENT @ 06/17/19 MARK E MORELAND ASSISTANT ATTORNEY GENERAL 681 19WC 25391 HATCH, JERRIE GEODIS 08/12/19 GALANTI LAW OFFICES HARRIS DOWELL FISHER & HARRI 682 19WC 25430 LITTLE, LISA TOUCHETTE REGIONAL HOSPIT 06/19/19 KEEFE & DEPAULI CLAYBORNE SABO & WAGNER 683 19WC 25592 MCELROY, DIONNE LEWIS & CLARK COMMUNTY CO 05/23/19 ARMBRUSTER DRIPPS 684 19WC 25606 DIETRICH, CHRISTOPHER D.B. SCHENKER 06/30/19 JEROME LEFTON LAW OFFICE 685 19WC 25860 GIVENS, SHAWONDA AMAZON 08/02/19 KEEFE & GRIFFITHS PC WIEDNER & MCAULIFFE LTD 686 19WC 25965 KELLY, HELEN EARL HENDERSON TRUCKING 07/29/19 RUBENS KRESS MULHOLLAND WOLFE & JACOBSON, LTD 687 19WC 26045 ROSE, KIMBRUEL AGENCY FOR COMMUNITY TRAN 06/16/19 GALANTI LAW OFFICES RUSIN & MACIOROWSKI LTD 688 19WC 26078 BRADTKE, MARK ST CLAIR SERVICE CO 09/08/17 KEVIN J. KUBITSCHEK HEYL ROYSTER VOELKER & ALLEN 689 19WC 26133 AUTOCUNAS, PAULINE WAL-MART 05/11/19 MILLER, WILLIAM R LAW OFFI WIEDNER & MCAULIFFE LTD 690 19WC 26138 BEARD, KEVIN IL DEPT OF TRANSPORTATION @ 04/23/19 LESKERA LAW FIRM CORI STEWART 691 19WC 26180 WARLICK, LINDA ALTON MENTAL HEALTH CTR @ 08/16/19 SHORT AND DAUGHERTY CORI STEWART 692 19WC 26263 MOORE-WILSON, TISHA AGENCY FOR COMMUNITY TRAN 10/01/17 KENNETH LEEDS KEEFE & DEPAULI 693 19WC 26853 DECKER, SUZANNE M BASLER ELECTRIC 04/22/19 WENDLER LAW PC EVANS & DIXON, LLC 694 19WC 27097 MOORE, KEVIN R UNITED STATES STEEL CORP 04/08/19 KEEFE & DEPAULI 695 19WC 27147 CROOK, KEVIN J BURRIS ENTERPRISES, LLC 05/25/19 ST. CLAIR, GILBRETH & STEP 696 19WC 27163 NELSON, KELNESHA ST. PAUL'S HOME FOR THE A 08/20/19 HUSTAVA, JOHN H WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 697 19WC 27186 MILLER, TAMMIE LIFETIME DENTAL CARE OF I 11/20/18 WALTON TELKEN LLC STEPHEN H LARSON LAW OFFICE 698 19WC 27350 GARNER, VIVIAN J MEMORIAL HOSPITAL BELLEVI 08/01/19 RICHARD LECINSKI MATHIS MARIFIAN RICHTER 699 19WC 27381 SIMON, SCOTT FENIX CONSTRUCTION 07/26/19 COOK SHEVLIN YSURSA ET AL STEPHEN H LARSON LAW OFFICE 700 19WC 27937 COURDIN, PATRICIA MS. KITTY'S 05/20/19 BECKER SCHROADER & CHAPMAN 701 19WC 28051 DRAG, DAVID US STEEL 09/05/19 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 702 19WC 28073 CRUZ, JOEY E CITY OF EDWARDSVILLE 08/17/19 WALTON TELKEN LLC KEEFE & DEPAULI 703 19WC 28084 GUFFEY, ERIC KLINGS DRYWALL & PAINTIGN 08/09/19 SHORT AND DAUGHERTY BRADY, CONNOLLY & MASUDA, PC 704 19WC 28118 SUTTON, TAMMY FREESECORP INC D/B/A CERT 07/12/19 GOLDENBERG HELLER ANTOGNOL GAROFALO SCHREIBER STORM GRA 705 19WC 28157 CROWELL JR, EMMETT AMERICA'S AUTO AUCTION 09/06/19 DANIEL J. GAUTHIER LAWRENCE COZZI - LAW OFFICE 706 19WC 28181 RISKOVSKY, JAMES GRANITE CITY SCHOOL DIST 04/17/19 HUSTAVA, JOHN H 707 19WC 28189 WILSON, STEPHEN GRANITE CITY PUBLIC WORKS 09/06/19 GALANTI LAW OFFICES 708 19WC 28195 NEAL, JERRY SUN BASKET 06/27/19 JEROME LINDSAY SALMI LL LUCY T. UNGER 709 19WC 28239 MUELLNER, DEREK JLP HOMES 06/07/19 BROWN & BROWN 710 19WC 28243 SEEHAUSEN, THOMAS J FEED PRODUCTS 09/11/19 UNSELL, EDWARD W LAW OFFIC RUSIN & MACIOROWSKI LTD 711 19WC 28260 SMITH, STEPHEN TEAM INDUSTRIAL SERVICES 09/04/19 GORI JULIAN & ASSOC HENNESSY & ROACH, PC 712 19WC 28267 JOHNSON, KRISTOPHER A WORLD WIDE TECHNOLOGY 05/01/19 JOHNSON GRAY LLC 713 19WC 28295 MAES, PHILIP TERRASOURCE GLOBAL COURT 09/12/19 FISHER KERHOVER COFFEY EARLY & MIRANDA PC 714 19WC 28302 HEIMANN, TYLER BREESE JOURNAL 09/25/19 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 715 19WC 28332 DILL, TIMOTHY PRAIRIE FARMS 06/19/19 BECKER SCHROADER & CHAPMAN KNAPP, OHL & GREEN 716 19WC 28356 WISELY, TIMOTHY A BELLEVILLE AREA SPECIAL S 08/15/19 ALVIN WOLFF JR WIEDNER & MCAULIFFE LTD 717 19WC 28453 MANCILLAS, KAREN ROESCH INC 08/28/19 BROWN & BROWN KEEFE CAMPBELL BIERY & ASSOC 718 19WC 28626 CAMPBELL, KEITH KRAFT HEINZ FOODS 06/28/19 BROWN & BROWN GAROFALO SCHREIBER STORM GRA 719 19WC 28872 GREEN, LINAYA ALTON MENTAL HEALTH CENTE @ 09/14/19 ARMBRUSTER DRIPPS 720 19WC 28879 PARKER, ANGELA BELLEVILLE AREA SPECI 06/24/19 RICH RICH COOKSEY & CHAPPE WIEDNER & MCAULIFFE LTD 721 19WC 29108 EDGAR, HEATH BANK OF EDWARDSVILLE 09/19/18 KEEFE & GRIFFITHS PC HENNESSY & ROACH, PC 722 19WC 29138 CLENDENEN, CORY WATCO MECHANICAL 08/27/19 SMITH ALLEN MENDENHALL ET HENNESSY & ROACH 723 19WC 29146 BITTRICH, MARC TIGER PLUMBING SERVICES 01/10/19 GALANTI LAW OFFICES STEPHEN P. KELLY 724 19WC 29168 WILKEN, STEPHANIE NORTHGATE ANIMAL HOSPITAL 06/24/19 NELSON & NELSON 725 19WC 29175 JAMES, DONALD US STEEL CORPORATION 12/07/17 GORI JULIAN & ASSOC KEEFE & DEPAULI 726 19WC 29187 PRUITT, STEVEN A SAVVY EMPLOYMENT SOLUTI 09/11/19 WILLIAMSON WEBSTER ET AL 727 19WC 29212 BRUCE, RICHARD HEIDTMAN STEEL 11/16/18 BUTLER & KEMPER 728 19WC 29616 COOPER, ALVIN RAILCREW XPRESS LLC 09/11/19 SAUTER, SULLIVAN & EVANS ROUSE & CARY 729 19WC 29703 BUCKLEY, ARETHA KFC AMPEX BRAND 06/30/18 MANDEL & MANDEL LLP 730 19WC 29717 PINKLEY, DONALD HARGET RENTAL & REMODELIN 06/07/19 JEROME LINDSAY SALMI LL FEIRICH MAGER GREEN & RYAN 731 19WC 29721 PORTER, SAMUEL TRU GREEN 06/25/19 BROWN & BROWN RUSIN & MACIOROWSKI LTD 732 19WC 29751 19B KEARNS, ANGELA WISE COMPANY 02/12/19 RICH RICH COOKSEY & CHAPPE HOLTKAMP LIESE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 733 19WC 29832 MARSHALL, ROBERT AMSTED INDUSTRIES, INC. 09/30/19 GALANTI LAW OFFICES HENNESSY & ROACH, PC 734 19WC 29862 FENOGLIO, TONI ALTON STATE MENTAL HOSPIT @ 01/12/18 ERIN M. PHILLIPS 735 19WC 30143 FORD, JERRY SUN BASKET 06/25/19 SHORT AND DAUGHERTY LUCY T. UNGER 736 19WC 30160 HOLLAND, RYAN J FOSTERBURG FIRE PROTECTIO 10/01/18 THOMAS W DUDA 737 19WC 30294 BELZ, MARY ANDERSON HOSPITAL 09/23/19 CHATHAM & BARICEVIC NYHAN BAMBRICK KINZIE & LOWR 738 19WC 30380 MITES, MELISSA AMAZON 04/10/18 SHORT AND DAUGHERTY 739 19WC 30404 SUGG, MARGARET AGENCY FOR COMMUNITY TRAN 01/10/19 NELSON & NELSON RUSIN & MACIOROWSKI LTD 740 19WC 30667 LYONS, ARIEL AMSTED RAIL 07/07/19 SCROGGINS LAW OFFICE 741 19WC 30824 MCLAIN, CARRIE MEMORIAL HOSPITAL 10/09/19 HUSTAVA, JOHN H HOLTKAMP LIESE 742 19WC 31070 JONES, SABRINA KAY GATEWAY MEDICAL GROUP 10/03/19 BROWN & BROWN 743 19WC 31092 CUMMINES, HEATHER ALTON MEMORIAL HOSPITAL 03/08/19 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE 744 19WC 31183 FRANCIS, ROBERT A ILLINOIS DEPARTMENT 04/20/19 JOSEPH L SAMUELSON PC ASSISTANT ATTORNEY GENERAL 745 19WC 31261 BUCH, WENDY SUNRISE RESTAURANTS LLC 12/19/18 BISTATE INJURY LAW CENTER 746 19WC 31416 SAPP, ERICA S LEBANON TERRACE NURSING H 09/16/19 SANDIFER PURCHASE 747 19WC 31571 MULLIGAN, IAN P F-M EXTERIORS 08/14/19 BUTLER & KEMPER MATHIS MARIFIAN RICHTER 748 19WC 31649 ELLIS, TOM M HAWKINS INC. 06/27/19 BROWN & BROWN RUSIN & MACIOROWSKI LTD 749 19WC 31673 MEYER, SHEILA THE ATRIUM OF BELLEVILLE 08/03/19 NELSON & NELSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 750 19WC 31747 FLEIGLE, MARK GENE'S HEATING & COOLING 10/17/18 BROWN & BROWN 751 19WC 31813 HENKEL, KENT CARLISLE CONSTRUCTION 08/01/18 BROWN & BROWN KNAPP, OHL & GREEN 19WC031814 -C 752 19WC 31844 DAVIS, PAULA CITI TRENDS 09/16/19 BROWN & BROWN STEPHEN H LARSON LAW OFFICE 753 19WC 31880 WIENEKE, DENISE KRAFT HEINZ 04/16/19 RICH RICH COOKSEY & CHAPPE GAROFALO SCHREIBER STORM GRA 754 19WC 31893 LATINETTE, JOHN KETTLER CASTING COMPANY, 09/20/19 JUNCKER, DANIEL K PC HEYL ROYSTER VOELKER & ALLEN 755 19WC 31910 FLANAGAN, JACQUELINE BJC MEMORIAL HOSPITAL 07/12/19 CARAWAY FISHER MATHIS MARIFIAN RICHTER 756 19WC 32028 BEYER, JOSEPH HARRISONVILLE TELEPHONE C 09/10/19 MCCARTHY ROWDEN RIPES NELSON BAGGOT KALOBRAT 757 19WC 32652 FAULKNER HENRICK, ADELL WALGREENS 03/31/19 DWORKIN AND MACIARIELLO EVANS & DIXON, LLC 758 19WC 33157 MADISON, RUBY ILLINOIS CENTRAL SCHL BUS 10/16/19 SMITH ALLEN MENDENHALL ET MCANANY VANCLEVE & PHILLIPS 759 19WC 33181 WILKEN, JOSEPH V TDK CONSULTING INC 05/14/19 BECKER SCHROADER & CHAPMAN BRADY, CONNOLLY & MASUDA, PC 760 19WC 33394 SCHMIDT, ALLEN O'FALLON HIGH SCHOOL DIST 04/12/19 JUNCKER, DANIEL K PC RUSIN & MACIOROWSKI LTD 761 19WC 33415 WHITFIELD, NORMA J WALMART #4695 07/11/19 MORMINO,VELLOFF & SNIDER EARLY & MIRANDA PC 762 19WC 33425 MCKINNEY, SHIRLEY AFTON CHEMICAL 10/15/19 BROWN & CROUPPEN 763 19WC 33440 HEMINGS, LISA VETOQUINOL 10/07/19 RICH RICH COOKSEY & CHAPPE LUCY T. UNGER 764 19WC 33495 DEVER, TRENT METRO SUPPLY 02/01/19 BUTLER & KEMPER 765 19WC 33551 LYNES, DANIELLE DB SCHENKER 07/01/19 JOHNSTON LAW OFFICE 766 19WC 33587 SHAW, DELORIS LESSIE BATES 09/23/19 BROWN & BROWN 767 19WC 33694 BUGG, THOMAS CERRO FLOW PRODUCTS LLC 10/19/18 COOK SHEVLIN YSURSA ET AL RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 768 19WC 33772 FREEMAN, DAIJAH WAFFLE HOUSE 08/14/19 KEEFE & GRIFFITHS PC EVANS & DIXON, LLC 769 19WC 33798 RAY, KATHY MACOUPIN COUNTY PUBLIC 06/11/19 GALANTI LAW OFFICES INMAN & FITZGIBBONS 770 19WC 34006 CAROTHERS, CINDY SOUTHWESTERN IL C.C. @ 10/16/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 771 19WC 34037 WASHINGTON, CHERYL SIUE HEADSTART @ 08/26/19 HUSTAVA, JOHN H ASSISTANT ATTORNEY GENERAL 772 19WC 34215 ORMESHER, JAMES T STOCK TRANSPORT 10/29/19 JAMES M KELLY 773 19WC 34277 DESETT, NATHAN GRP MECHANICAL CO, INC 09/25/19 GORI JULIAN & ASSOC HEYL ROYSTER VOELKER & ALLEN 774 19WC 34288 FULLER, AISHA CHRISTIAN BROTHERS SVCS 10/15/19 SHORT AND DAUGHERTY 775 19WC 34723 FORD, ANGELA USF HOLLAND, INC 07/23/19 LESKERA LAW FIRM HENNESSY & ROACH, PC 776 19WC 34745 SIMBURGER, ROY JOSEPH CASEYS GENERAL STORE #163 10/03/19 FREEARK HARVEY MENDILLO 777 19WC 34780 RIDDLESPRIGER, RONICA SWAGAT HOSPITALITY, LLC 11/11/19 BUTLER & KEMPER 778 19WC 34833 BALL, SCOTT D.B. SCHENKER 07/30/19 BROWN & BROWN 779 19WC 34850 WOLFE, PAIGE ROBINGS MANOR 10/31/19 ARMBRUSTER DRIPPS STEPHEN P. KELLY 780 19WC 35053 KILLINGSWORTH, LOKESHA AMAZON.COM, INC 09/30/19 KULLMAN KLEIN & DIONEDA WIEDNER & MCAULIFFE LTD 781 19WC 35198 ROSEN, JASON CROSS AUTO BODY TOWING 11/13/19 GALANTI LAW OFFICES 782 19WC 35313 JACKSON, TEARON RESERVE NETWORK 09/17/19 STEVEN J MALMAN & ASSOCIAT WIEDNER & MCAULIFFE LTD 783 19WC 35392 MCCASKEY, DENVER ST ELIZABETH'S HOSPITAL 02/26/18 HENNESSEY LAW FIRM MC ANDREWS & NORGLE LLC 784 19WC 35396 PHILLIPS, DAVID WIELAND 11/13/19 ARMBRUSTER DRIPPS KEEFE & DEPAULI 785 19WC 35474 LIDDELL, JESSICA ALLIED UNIVERSAL 11/22/19 GALANTI LAW OFFICES GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 786 19WC 35762 FOSTER, TAMELA DIERBERG'S MARKETS 11/08/16 RICE LAW OFFICES LTD HEPLER BROOM LLC 787 19WC 35781 BILLOPS-MARTIN, KENNA DISTRICT 201 06/26/19 COOK SHEVLIN YSURSA ET AL RUSIN & MACIOROWSKI LTD 788 19WC 35859 CONKLIN, JAMES INTERNATIONAL MULCH COMPA 09/06/19 DWORKIN AND MACIARIELLO ROUSE & CARY 789 19WC 36257 ZEIGLER, JAMES SUNCOKE 05/30/19 BECKER SCHROADER & CHAPMAN MCANANY VANCLEVE & PHILLIPS 790 19WC 36267 DUKE, DERRICK JB HUNT 12/06/19 DWORKIN AND MACIARIELLO 791 19WC 36285 STRAUB, JULIE MERCY REHAB AND CARE CENT 11/29/19 HUSTAVA, JOHN H HEYL ROYSTER VOELKER & ALLEN 792 19WC 36348 STUBBAN, MICHAEL WIELAND 11/26/19 GALANTI LAW OFFICES KEEFE & DEPAULI 793 19WC 36369 HEYEN, SUSAN ANDY'S AUTO SALES DBA 04/15/19 SMITH ALLEN MENDENHALL ET 794 19WC 36488 SANDERS, LURETHA ALTON MENTAL HEALTH CENTE @ 11/24/19 SMITH ALLEN MENDENHALL ET ASSISTANT ATTORNEY GENERAL 795 19WC 36571 RATCLIFF, DONNA AMAZON 11/10/19 BROWN & BROWN 796 19WC 36633 MILLER, MICHAEL MATRIX MAC 10/17/19 BRAD L BADGLEY PC 797 19WC 36646 KING, MICHELLE HIGHLAND COMMUNITY UNIT 10/03/19 NELSON & NELSON KEEFE & DEPAULI 798 19WC 36769 VAUGHN, JEFFREY L AMSTEAD RAIL 07/17/19 BROWN & BROWN WIEDNER & MCAULIFFE LTD 799 19WC 36780 RARDIN, JAMES W GEODIS 10/15/19 BUTLER & KEMPER 800 19WC 36799 WILLIS, DALPHANIE HOLTEN MEAT INC. 01/29/18 BROWN & BROWN EVANS & DIXON, LLC 801 19WC 36930 JAMIESON, RICHARD L GEODIS 09/23/19 SHORT AND DAUGHERTY HARRIS DOWELL FISHER & HARRI 802 19WC 36955 DELP, BYRON CARDINAL CATASTROPHE SRVC 11/25/19 803 19WC 36958 THOMAS, SHENA WALGREENS 12/01/19 SHORT AND DAUGHERTY EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 804 19WC 36977 PATTI, DAN HSHS ST ELIZABETH'S HOSPI 11/14/19 GALANTI LAW OFFICES MC ANDREWS & NORGLE LLC 805 19WC 36989 LEWIS VIRTIS CHARTER COMMUNICATIONS 03/22/19 BROWN & CROUPPEN 806 19WC 37061 WALLACE, GREGORY UNITED PARCEL SERVICE 12/03/19 ARMBRUSTER DRIPPS MCANANY VANCLEVE & PHILLIPS 807 19WC 37069 CALDWELL, DANYAIL WALMART 11/14/19 SAUTER, SULLIVAN & EVANS EARLY & MIRANDA PC 808 19WC 37072 GRAY, PAMELA SUNBRITE CLEANING SYSTEMS 11/28/19 SHORT AND DAUGHERTY 809 19WC 37135 ODLE, HARRY D PROGRESS RAIL 07/20/18 WENDLER LAW PC GOLDBERG SEGALLA LLC 810 19WC 37421 BLACKWELL, ANDREW US STEEL 05/24/19 MILLERKING LLC KEEFE & DEPAULI 811 19WC 37424 FREEMAN, RODNEY USF HOLLAND 09/23/19 FLOYD LAW FIRM 812 19WC 37540 LAMBERT, ERIC CDS LOGISTICS 12/07/19 SHORT AND DAUGHERTY 813 20WC 00134 BUTLER, STANLEY USF HOLLAND 12/05/19 BROWN & BROWN HENNESSY & ROACH, PC 814 20WC 00138 HUGHES, JERMAINE AMSTED INDUSTRIES INC 08/19/19 BRAD L BADGLEY PC HENNESSY & ROACH, PC 815 20WC 00230 HAYDEN, DANIEL WW TRANSPORT 11/14/18 SCROGGINS LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 816 20WC 00513 IM MOTAN, ABDALAZIZ POP'S FISH AND CHICKEN 09/17/19 KEEFE & DEPAULI 817 20WC 00598 GENDRON, DALTON M PEABODY ENERGY GATEWAY MI 07/16/19 DEVIN M JONES KEEFE & DEPAULI 818 20WC 00821 THIGPEN, CECELIA PANERA HOLDINGS CORP DBA 12/03/19 BOYNE, KEVIN PC 819 20WC 00858 BROCKWAY, PATRICIA BIG LOTS 05/17/18 BUTLER & KEMPER LITCHFIELD CAVO 820 20WC 01061 HIGGINS, TODD BEELMAN TRUCK CO. 10/27/17 COOK SHEVLIN YSURSA ET AL HARRIS DOWELL FISHER & HARRI 821 20WC 01065 FRISBY, ANDREW ANDREWS LOGISTICS 10/30/19 ARMBRUSTER DRIPPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 822 20WC 01204 SORENSON, DAVID JOLLY ROOFING & CONTRACTI 07/12/19 JUSTIN MASON LLC EDWARD J. KOZEL 823 20WC 01217 NEAL, SUSAN AEROTEK, INC 09/30/19 GOLDBLATT + SINGER 824 20WC 01287 GIESEKING JR, JEFFREY EXCEL BOTTLING CO 12/26/19 HIPSKIND & MCANINCH 825 20WC 01527 MITCHELL-BURTON, MARQUITA LEBANON TERRACE 12/27/19 SANDIFER & ASSOCIATES HOLTKAMP LIESE 826 20WC 01577 WEISHAUPT, PAUL A AMEREN ILLINOIS 10/22/18 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE 827 20WC 01635 BRUHN, ALAN TRACTOR SUPPLY CO 10/05/19 SHORT AND DAUGHERTY HENNESSY & ROACH PC 828 20WC 01651 COLLMAN, ALEXANDRA CEDARHURST OF BETHALTO 09/28/19 SHORT AND DAUGHERTY BRADY CONNOLLY & MASUDA PC 829 20WC 01659 PARSONS, JEANNETTE SCHNUCKS 12/19/19 RICH RICH COOKSEY & CHAPPE LEMP & MURPHY 830 20WC 01672 OWENS, RAFAEL ILLINOIS DEP OF TRANSPORT @ 12/17/19 BROWN & BROWN CORI STEWART 831 20WC 01990 BECK, EDWARD DREYER INDUSTRIES DBA BI- 10/16/19 LYNN D BARNETT 832 20WC 02062 WILLARD, DEBRA ATRIUM OF BELLEVILLE 12/01/18 RICH RICH COOKSEY & CHAPPE 833 20WC 02079 ROLPH, JEFFREY AFTON CHEMICAL 01/04/20 CHATHAM & BARICEVIC WIEDNER & MCAULIFFE LTD 834 20WC 02119 HAWN, JODIE L HSHS ST ELIZABETH'S HOSPI 11/23/19 SHORT AND DAUGHERTY MC ANDREWS & NORGLE LLC 835 20WC 02128 PIERCE, BRYAN SAFWAY SERVICES, LLC 12/11/19 ARMBRUSTER DRIPPS 836 20WC 02146 WILLARD, ANTHONY CDS 12/02/19 LAW OFFICE OF JEROME SALMI LUCY T. UNGER 837 20WC 02213 BOYD, KENNY GEODIS 04/22/19 GALANTI LAW OFFICES HARRIS DOWELL FISHER & HARRI 838 20WC 02220 LUFF, DAVID L BLACK BEAUTY COAL CO 03/21/19 JAMES RUPPERT KEEFE & DEPAULI 839 20WC 02230 LATHAM, KEUNTA J AMSTED RAIL 12/20/18 KLAR, IZSAK, STENGER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 840 20WC 02310 WILL, DANIELLE M SCHNUCKS MARKETS, INC. 10/22/19 JAMES RUPPERT LEMP & MURPHY 841 20WC 02319 WILLARD, ANTHONY CDS 06/05/19 LAW OFFICE OF JEROME SALMI 842 20WC 02326 SCHLESINGER, TIMOTHY JPK EXCAVATING INC. 12/13/19 BROWN & BROWN 843 20WC 02763 EDDINGTON, BRENDA L LIBERTY VILLAGE OF MARYVI 09/08/19 HANNIGAN & BOTHA, LTD 844 20WC 03145 BROWN, DEVIN WORLD WIDE TECHNOLOGY 03/27/19 GORI JULIAN & ASSOC 845 20WC 03172 PROFFER, JOHNATHAN ALTON MEMORIAL HOSPITAL 10/21/19 BROWN & BROWN HOLTKAMP LIESE 846 20WC 03189 SCOTT, CLARRISA HELP AT HOME, ICN 12/19/19 JAMES PARROT 847 20WC 03209 HENSON, BARRY D D.B. SCHENKER 10/18/19 THE DONOHOO LAW FIRM 848 20WC 03378 JENNINGS, CATHERINE D ARIA HOTEL CORPORATION 10/09/19 BRAD L BADGLEY PC 849 20WC 03382 COMBS, BLAKE US STEEL CORP 01/13/20 GORI JULIAN & ASSOC KEEFE & DEPAULI 850 20WC 03507 MC CLENDON, JEANNETTE SODEXO FOOD SERVICE 12/18/19 SCHUCHAT, COOK & WERNER INMAN & FITZGIBBONS 851 20WC 03540 COWGILL, BRANDON DB SCHENKER USA 12/10/19 BROWN & CROUPPEN 852 20WC 03649 VUICHARD, CHARLES PEABODY ENERGY 10/24/19 NELSON & NELSON KEEFE & DEPAULI 853 20WC 04084 AKERS, STEVEN BRIGHTON TOWNSHIP 08/13/19 SEIDMAN MARGULIS & FAIRMAN SEIDMAN MARGULIS & FAIRMAN L 854 20WC 04158 CROWDER, LASHANDA AEROTEK 09/01/19 BROWN & CROUPPEN 855 20WC 04228 EDWARDS, TROI-JEANNA WIELAND NORTH AMERICA 12/01/19 LAW OFFICE OF JEROME SALMI KEEFE & DEPAULI 856 20WC 04507 HOGAN, EARL IL DEPT OF TRANSPORTATION @ 12/26/19 BECKER SCHROADER & CHAPMAN CORI STEWART 857 20WC 04524 STARR, MICHAEL THE BOEING COMPANY 01/02/20 KIRKPARTICK LAW OFFICES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 858 20WC 04707 STRODE, STEVEN USF HOLLAND 10/10/19 FLOYD LAW FIRM 859 20WC 04911 SHEAHAN, JOHN HOME DEPOT 01/07/20 CARAWAY FISHER ADELSON TESTAN BRUNDO 860 20WC 04915 HILL, JAMES S SR EMPIRE COMFORT SYSTEMS, I 09/11/19 BOYNE, KEVIN PC KEEFE & DEPAULI 861 20WC 04918 WILSON, DARRELL BRANDING IRON 10/03/19 JUNCKER, DANIEL K PC EVANS & DIXON, LLC 862 20WC 04947 DIUGUID, WILLIAM INTERNATIONAL PAPER 01/15/20 LASHLY & BAER PC GOLDBERG SEGALLA LLC 863 20WC 04957 SIGLAR, JONI WALMART 01/03/20 BECKER SCHROADER & CHAPMAN WIEDNER & MCAULIFFE LTD 864 20WC 04966 DRAG, JOYCE DIERBERGS MARKETS 12/02/19 KEEFE & DEPAULI HEPLER BROOM LLC 865 20WC 04978 GARRETT, CAMILLIA AMAZON 12/14/19 SAUTER, SULLIVAN & EVANS 866 20WC 05000 FELDMAN, ALAN ARROW SHED, LLC 11/14/19 CARAWAY FISHER KEEFE CAMPBELL BIERY & ASSOC 20WC005001 -C 20WC005002 -C 20WC005003 -C 867 20WC 05163 SEITRICH, ROBERT PEPSICO 12/07/18 LYNN D BARNETT GAIDO & FINTZEN 868 20WC 05362 STRONG, JERMAH UPS 11/01/19 BROWN & CROUPPEN MCANANY VANCLEVE & PHILLIPS 869 20WC 05429 DESSALINES, MARIE PARKWAY GARDENS SENIOR LI 11/30/19 LAW OFFICE OF JEROME SALMI EVANS & DIXON, LLC 870 20WC 05632 CARPENTER, WANDA LESSIE BATES DAVIS NEIGHB 04/18/19 JASON GOING BRADY, CONNOLLY & MASUDA, PC 871 20WC 05679 KILLINGSWORTH, LOKESHA AMAZON 09/30/19 WILLIAMS CAPONI & ASSOC 872 20WC 05731 BARNES, LARRY W WESTROCK COMPANY 11/26/19 JAMES RUPPERT HENNESSY & ROACH, PC 873 20WC 05753 COUNTS, SCOTT E BEELMAN TRUCKING 11/01/19 BUTLER & KEMPER HARRIS DOWELL FISHER & HARRI 874 20WC 05776 EATON, TYLER Q SUNCOKE ENERGY 01/15/20 NELSON & NELSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 875 20WC 05777 SIMS, JOHN WIELAND ROLLED PRODUCTS 01/17/20 HENNESSEY LAW FIRM KEEFE & DEPAULI 876 20WC 05793 HANNON, MORRIS ALL CITIES RECOVERY 01/22/19 BECKER SCHROADER & CHAPMAN 877 20WC 05904 MILLS, CODY A METRO EAST INDUSTRIES, IC 01/30/20 SMITH ALLEN MENDENHALL ET KEEFE & DEPAULI 878 20WC 05911 KALAHER, DANNY GRAY EAGLE DISTRIBUTING 12/14/17 JOHNSTON LAW OFFICE 879 20WC 05922 WRIGHT, JOHNNIE BRANDING IRON 07/05/19 JUNCKER, DANIEL K PC EVANS & DIXON, LLC 880 20WC 05939 WRIGHT, JULIE KRAFT FOODS 04/19/17 ARMBRUSTER DRIPPS GAROFALO SCHREIBER STORM GRA 881 20WC 05967 KNEPPER, MICHAEL ECKERT'S INC 10/12/19 MICHAEL J BRUNTON LAW OFFI 882 20WC 06021 POE, JARAMIE K & E TECHNICAL 01/14/20 KEEFE & DEPAULI HOLTKAMP LIESE 883 20WC 06025 SMITH, EVAN ARIZON BUILDING SYSTEMS 10/17/19 MILLERKING LLC 884 20WC 06047 PARKER, CYNTHIA A SCHNUCK MARKETS, INC 01/26/20 SANDIFER & ASSOCIATES LEMP & MURPHY 885 20WC 06053 DEY, DENNIS GRAIN DENSIFICATION INC. 12/18/19 THE GORI LAW FIRM, P.C. EVANS & DIXON, LLC 886 20WC 06102 DECONCINI, LANEA ALTON SCHOOL DISTRICT 03/22/18 KNAPP, OHL & GREEN 887 20WC 06107 ORIGLIOSSO, DAVID A AT&T/ILLINOIS BELL TELEPH 01/17/20 SCOTT P. HOLWITT HENNESSY & ROACH, PC 888 20WC 06286 PORTER, BRIAN TOENNIES SERVICE CO, INC 05/21/19 DANIELS WILZBACH PC 889 20WC 06295 BLASSINGAME, MARY D EMPIRE COMFORT SYSTEMS 02/21/17 BROWN & BROWN KEEFE & DEPAULI 890 20WC 06332 WALKER, EDWARD JR. STANLEY CONVERGENT SECURI 10/02/19 NELSON & NELSON 891 20WC 06496 WILKINSON, ADDIE JONES THE KORTE COMPANY 02/06/20 WALTON TELKEN LLC ROUSE & CARY 892 20WC 06674 HARRIS, JANVIERE GRANITE CITY NURSING 01/07/20 BROWN & BROWN WOLF & LAUDICINA LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 893 20WC 06844 PRYOR, JEREMY GEORGE WEISS COMPANY 08/08/19 HANAGAN & MCGOVERN PC 894 20WC 07085 BRADY, CARRIE SMILE TEAM DENTAL P.C. 02/12/20 BROWN & CROUPPEN 895 20WC 07091 PATTON, MIKE WINCHESTER 11/13/19 GALANTI LAW OFFICES KEEFE & DEPAULI 896 20WC 07185 TURMON, TWANA SOUTHERN ILLNOIS HEALTHCA 02/10/20 JEROME LEFTON LAW OFFICE 897 20WC 07473 DAUBMAN, GRACE WILLIAM M BEDELL 07/03/19 ERIN M. PHILLIPS 898 20WC 07487 BURNS, DAVID W US STEEL 11/01/19 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 899 20WC 07597 FRENCH, DORANELL SCHNUCKS 01/27/20 GALANTI LAW OFFICES 900 20WC 07630 RUSHING, SHELLY AMAZON 02/03/20 BECKER SCHROADER & CHAPMAN 901 20WC 07664 HALL, PATRICK BRAND ENERGY SVCS LLC 11/08/19 GLASS & KOREIN 902 20WC 07669 BREEDWELL, WILLIAM PEABODY ENERGY 02/24/20 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 903 20WC 07675 HOLLWELL, ASIA KRAFT FOODS 01/23/20 LAW OFFICE OF JEROME SALMI GAROFALO SCHREIBER STORM GRA 904 20WC 07947 VONBOKEL, DAVID BREAKTHRU BEVERAGE 01/02/18 GALANTI LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 905 20WC 07962 BURNS, MARCUS TDL GROUP, INC D/B/A 02/06/20 JUNCKER, DANIEL K PC GOLDBERG & SEGALLA LLP 906 20WC 07975 UPCHURCH, ROBERT WORLD WIDE TECHNOLOGY 04/03/18 JUNCKER, DANIEL K PC HENNESSY & ROACH, PC 907 20WC 07988 ROSTON, AMBER ALTON MEDICAL HEALTH CENT @ 03/28/19 BROWN & CROUPPEN ASSISTANT ATTORNEY GENERAL 908 20WC 08012 HAMMONDS, PIPER W&M RESTAURANTS, INC 06/07/19 REED & BRUHN, PC 909 20WC 08027 MCQUAY, JENNIFER INTEGRITY STAFFING SOLUTI 01/10/20 LAW OFFICE OF JEROME SALMI SLAVIN & SLAVIN 910 20WC 08059 MYERS JR, THOMAS R CLARK FLOOR CO 01/18/17 ST. CLAIR, GILBRETH & STEP ROUSE & CARY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 911 20WC 08084 ZIMMERMANN, JAMES A ST JACOB GLASS, INC 09/20/19 THE STOKES LAW OFFICE 912 20WC 08113 CURTIS, AARON WIESER CONCRETE 09/11/19 MILLERKING LLC 913 20WC 08124 RUSSELL, JON MAYCO 11/01/18 BECKER SCHROADER & CHAPMAN 914 20WC 08128 BRUCE, BENTLEY AMSTED RAIL 03/05/20 BECKER SCHROADER & CHAPMAN 915 20WC 08184 WILHOITE, MICHAEL RESPITORY SVCS, LLC 03/17/17 STEVE SLOUGH 916 20WC 08201 CROCHRELL SR, DEMARQUE IDOT @ 02/24/20 LAW OFFICE OF JEROME SALMI 917 20WC 08218 CLARK-HAMILTON, NANCY SENIOR SVCS PLUS 03/05/20 GALANTI LAW OFFICES HENNESSY & ROACH, PC 918 20WC 08226 EVANS, TIFFANY WALGREENS D.C 02/15/19 GALANTI LAW OFFICES 919 20WC 08240 EVANS, JAMIKKA EAST ST LOUIS SD 189 02/18/20 CARAWAY FISHER BECKER PAULSON HOERNER 920 20WC 08252 BROOKS, TRACY FAMILY DOLLAR STORES INC 06/25/17 REED & BRUHN, PC 921 20WC 08368 GAVIN, SHIRLEY TOUCHETTE REGIONAL HOSPIT 12/18/19 DAVID H. BONE LLC 922 20WC 08428 ROSS, DAVID PEABODY ENERGY 06/16/17 WINTERS BREWSTER CROSBY SC 923 20WC 08430 ROSS, DAVID PEABODY ENERGY 01/03/19 WINTERS BREWSTER CROSBY SC 924 20WC 08610 SANDERS, TIMOTHY SER-REND 03/09/20 SMITH ALLEN MENDENHALL ET 925 20WC 08751 LEVERETTE, KENNETH CARITAS FAMILY SOLUTIONS 03/01/20 LAW OFFICE OF JEROME SALMI 926 20WC 08884 PROWELL, ANDREW YRC WORLDWIDE DBA HOLLAND 05/21/19 BISTATE INJURY LAW CENTER HENNESSY & ROACH, PC 927 20WC 08890 BALWIN, THOMAS ROSS PRIME, INC 10/31/18 SCROGGINS LAW OFFICE 928 20WC 08932 COLE, SHIRLY(WIDOW/EXEC O AREA #1 OUTDOOR CLUB # 04/22/17 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 929 20WC 08944 O'DELL, BRIAN ILLINOIS DEPT OF TRANSPRT 02/24/20 JOSEPH L SAMUELSON PC 930 20WC 08951 TENNILL, MATTHEW E STAUNTON AREA AMBULANCE S 12/28/19 UNSELL, EDWARD W LAW OFFIC 931 20WC 08978 HAMILTON, RICHARD KCLP 01/16/20 GALANTI LAW OFFICES 932 20WC 09163 GINES, TRESEAN RELIABLE RELAMPING, INC 03/26/20 ANKIN LAW OFFICE 933 20WC 09226 HARRISON, WILLIAM MATRIX NORTH AMERICA CONS 08/01/18 BROWN & BROWN 934 20WC 09238 SCHANTZ, JAMES K&D COUNTERTOPS 10/17/19 NELSON & NELSON 935 20WC 09255 DASCH, CHRISTINE PRAIRIE STATE GENERATING 11/21/19 JUNCKER, DANIEL K PC EVANS & DIXON, LLC 936 20WC 09268 MAIN, LAURA CEDARHURST OF EDWARDSVILL 05/05/19 GALANTI LAW OFFICES 937 20WC 09404 PRUETT, DANNY U.S. STEEL 11/14/19 BECKER SCHROADER & CHAPMAN 938 20WC 09416 BYRD, RODNEY UPS 02/17/20 GLASS & KOREIN 939 20WC 09507 PLAZA, PAWEL LANTER DISTRIBUTING LLC 01/31/20 SCHWEICKERT GANASSIN 940 20WC 09514 EVANS, TINA IMPERIAL MANUFACTURING 10/23/19 GALANTI LAW OFFICES 941 20WC 09529 WATKINS, LADONNA M ILLINOIS DEPT OF PUBLIC H @ 08/15/19 CORNFIELD & FELDMAN 942 20WC 09853 GILIBERTI, JOSEPH BARKSDALE, INC 05/18/17 JUNCKER, DANIEL K PC QUINTAIROS PRIETO WOOD & BOY 943 20WC 09857 REDMOND, TRACEY MORNINGSIDE OF GODFREY 06/29/18 MELVIN J SMITH & ASSOC 944 20WC 10008 MOORE, RICHARD AL'S AUTOMOTIVE SUPPLY 02/28/20 BROWN & BROWN 945 20WC 10302 MCELROY, LORETTA WLC MGMT FIRM LLC 03/23/20 DWORKIN AND MACIARIELLO 946 20WC 10460 MORGAN, KIM L PRAIRIE STATE GENERATING 03/10/20 DEVIN M JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 947 20WC 10511 TURNER, KERRIE BAILY INTERNATIONAL FOODS 04/29/20 DWORKIN AND MACIARIELLO 948 20WC 10638 DUMSTORFF, TRISHA CSC SERVICEWORKS, INC 01/24/20 BISTATE INJURY LAW CENTER MC ANDREWS & NORGLE LLC 949 20WC 10684 JACKSON, MAURICE AMSTED RAIL 12/14/19 BRAD L BADGLEY PC 950 20WC 10692 BINKLEY, NICHOLAS IDOT @ 03/23/20 BECKER SCHROADER & CHAPMAN CORI STEWART 951 20WC 10901 SCHMUTZ, AUSTIN HAYES MECHANICAL 09/28/19 HOLLORAN SCHWARTZ GAERTNER GAROFALO SCHREIBER STORM GRA 952 20WC 10969 GESSI, BRIAN VILLAGE OF MARYVILLE 10/15/18 NELSON & NELSON 953 20WC 10979 FULLER, ROLAND AMSTED INDUSTRIES INC 03/01/19 GALANTI LAW OFFICES 954 20WC 10982 DOYLE, MARIANNE GCS FEDERAL CREDIT UNION 11/27/19 THE GORI LAW FIRM, P.C. 955 20WC 11172 GOODWIN, JOSEPH US STEEL 04/11/20 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 956 20WC 11229 JENKINS, CARLO WALMART STORES, INC. 09/13/19 EARLY & MIRANDA PC 957 20WC 11409 ARNOLD, HAROLD WIELAND 10/17/19 GALANTI LAW OFFICES KEEFE & DEPAULI 958 20WC 11557 ARVIEW, ELVA CUSTOM STAFFING 10/13/19 DWORKIN AND MACIARIELLO 959 20WC 11678 EVANS, TONYA L LTI TRUCKING SERVICES, IN 01/29/20 BRAD L BADGLEY PC WIEDNER & MCAULIFFE LTD 960 20WC 11691 GREEN, EARL KEELEY & SONS 11/06/19 COOK SHEVLIN YSURSA ET AL 961 20WC 11721 MITCHELL, CHARLES V JR CARLISLE CONSTRUCTION 11/10/19 HASSAKIS & HASSAKIS PC KNAPP, OHL & GREEN 962 20WC 11740 DAVIS, DOROTHY SCHNUCKS 01/30/20 GALANTI LAW OFFICES 963 20WC 11768 WARREN, MARY JO BURLINGTON COAT FACTORY 01/06/20 COOK SHEVLIN YSURSA ET AL 964 20WC 11777 TURNER, ALAN UNILEVER 11/24/19 GALANTI LAW OFFICES SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 965 20WC 11795 CAMPO, DAVID AMERICAN EXTERIOR- 03/26/20 STRELLIS FAULBAUM WALSH & KEEFE & DEPAULI 966 20WC 12018 WADLOW, JEFFREY P U.S. STEEL CORPORATION 10/07/19 KEEFE & DEPAULI 967 20WC 12090 MAYS, JOSHUA F PRAIRIE STATE GENERATING 03/04/20 JAMES RUPPERT EVANS & DIXON, LLC 968 20WC 12402 GARIOLA, GEORGIA ELITE STAFFING 04/30/20 DWORKIN AND MACIARIELLO 969 20WC 13052 CALDWELL, VICKIE C JTC ACADEMY 03/30/20 BROWN & BROWN 970 20WC 13077 MARTIN, ZACHARY LOWE'S HOME IMPROVEMENT 03/21/19 BROWN & CROUPPEN 971 20WC 13099 WIMBERLY, JASON SURMEIER AND SURMEIER, IN 04/15/20 JOHNSTON LAW OFFICE 972 20WC 13106 PATINO, JOYCE CFA STAFFING 03/19/20 PEDROLI & GAUTHIER 973 20WC 13129 KLEIN, BRET CITY OF HIGHLAND 11/30/19 NELSON & NELSON SCHREMPF KELLY & NAPP 974 20WC 13133 SHARP-DAVIS, ANNETTE WAL-MART 02/29/20 WILLIAM BERRY & ASSOCIATES EARLY & MIRANDA PC 975 20WC 13147 PANNIER, RITA FOUR FOUNTAINS CONVALESCE 02/13/20 KEEFE & DEPAULI MCANANY VANCLEVE & PHILLIPS 976 20WC 13333 VOGELPOHL, JEFFREY WIELAND 05/11/20 GALANTI LAW OFFICES 977 20WC 13345 NORMAN, TERRY L MICK'S GARAGE 04/21/20 WENDLER LAW PC RUSIN & MACIOROWSKI LTD 978 20WC 13353 COURTOUISE, MARK GENERAL WASTE SERVICES 04/27/20 GALANTI LAW OFFICES COZZI & ZAPF LAW OFFICE 979 20WC 13396 LOOPER, WESTON M UPS 03/05/20 GLASS & KOREIN MCANANY VANCLEVE & PHILLIPS 980 20WC 13419 MERZ, ETHAN COTTONS INC DBA ACE HARDW 03/24/20 GALANTI LAW OFFICES 981 20WC 13507 BEAN, RONALD K GEODIS LOGISTICS, LLC 04/08/20 ST. CLAIR, GILBRETH & STEP HARRIS DOWELL FISHER & HARRI 982 20WC 13571 PELLAZARI, JASON U.S. STEEL 06/26/19 KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 983 20WC 13579 GRAU, JASON REDNOUR STEEL 01/09/20 COOK SHEVLIN YSURSA ET AL JAMES M KELLY 984 20WC 13611 STRAKE, LAURA L ARROW GROUP INDUSTRIES 04/30/19 NELSON & NELSON 985 20WC 13653 JACKSON, RICHARD D ILLINOIS BELL TELEPHONE/A 02/07/20 SCOTT P. HOLWITT 986 20WC 13666 WECKER, BRIAN TRU-GREEN PARTNERS LTD 01/01/20 BROWN & BROWN RUSIN & MACIOROWSKI LTD 987 20WC 13721 WHITTEN, ZACHARI WALMART 10/08/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 988 20WC 13883 DRAGOY, MARC MIKE'S, INC * 04/06/20 SCHREMPF KELLY & NAPP 989 20WC 13900 ILLIG, JANET PRAIRIE FARMS DAIRY * 05/06/20 BUTLER & KEMPER KNAPP, OHL & GREEN 990 20WC 13910 NASH, TYLER FOLSOM DISTRIBUTING * 05/03/17 GALANTI LAW OFFICES 991 20WC 13930 WOMACK, JENNIFER LYNN ALTON MEMORIAL HOSPITAL * 05/06/20 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE 992 20WC 13963 PEREZ, IRMA BAILEY INTERNATIONAL * 04/28/20 ESR LAW GROUP 993 20WC 14168 SNYDER, JANE KRAFT HEINZ * 05/10/20 RICH RICH COOKSEY & CHAPPE GAROFALO SCHREIBER STORM GRA 994 20WC 14177 HOWELL, JOHN METRO EAST APARTMENTS * 03/12/20 LAW OFFICE OF JEROME SALMI WIEDNER & MCAULIFFE LTD 995 20WC 14187 MC NAMEE, JONI FOUR FOUNTAINS * 04/20/20 RICH RICH COOKSEY & CHAPPE 996 20WC 14198 ADAMS, COREY CARITAS FAMILY SOLUTIONS * 04/24/20 LAW OFFICE OF JEROME SALMI 997 20WC 14338 JOOST, PAUL GATEWAY F.S. * 07/24/18 FISHER KERHOVER COFFEY 998 20WC 14357 ELLISON, TRESSA SOUTHERN ILLINOIS HEALTH * 04/10/20 JOHNSTON LAW OFFICE 999 20WC 14438 HEADLEY, AUSTIN K&J CHEVROLET * 06/01/17 VAN-LEAR P ECKERT 1000 20WC 14682 WALKER, BILLIE JO KUNKEL WITTENAUER GROUP * 05/26/20 GALANTI LAW OFFICES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1001 20WC 14692 WILKEN, STEPHANIE NORTHGATE SMALL ANIMAL HO * 02/08/20 NELSON & NELSON 1002 20WC 14697 WILLIAMS, SEAN AMSTED INDUSTRIES, INC. * 01/21/20 GALANTI LAW OFFICES HENNESSY & ROACH, PC 1003 20WC 15069 COY, LEX STEPHEN ADECCO, INC * 08/28/19 NELSON & NELSON HENNESSY & ROACH, PC 1004 20WC 15075 LIPPERT, PATRICIA M EM WIEGMANN CO * 04/02/20 BONIFIELD & ROSENSTENGEL P MONTGOMERY & WULFF 1005 20WC 15085 EAKEN, DEBRAH HIRELEVEL HUMAN * 05/13/20 GALANTI LAW OFFICES 1006 20WC 15092 DIAL, RODNEY PEABODY GATEWAY SERVICES * 10/05/18 CULLEY & WISSORE KEEFE & DEPAULI 1007 20WC 15115 WHITE, LLOYD EMPIRE COMFORT SYSTEMS * 06/01/19 SAUTER, SULLIVAN & EVANS KEEFE & DEPAULI 1008 20WC 15135 DOVE, JONATHAN BUHL'S AUTO REPAIR, * 10/03/18 LESKERA LAW FIRM 1009 20WC 15154 NUTTER, JAMES KCI CONSTRUCTION * 02/28/19 BROWN & CROUPPEN 1010 20WC 15180 PHILLIPS, RYAN M JOSEPH BECKER BRICKLAYING * 05/07/20 FISHER KERHOVER COFFEY 1011 20WC 15542 CROWE, JULIE HOLTEN MEAT, INC. * 06/15/20 DWORKIN AND MACIARIELLO EVANS & DIXON, LLC 1012 20WC 15643 DOUGLAS, DANIEL TOTAL METAL RECYCLING * 04/02/20 ANDREW MARTY 1013 20WC 15802 LOPEZ MARTINEZ, MA DE LA NORTH BAY PRODUCE, INC * 06/08/20 EPSTEIN, JACK R LAW OFFICE JOSEPH MARCINIAK 1014 20WC 16077 GRIFFIN, TORRE FEDEX GROUND * 06/08/20 BOYNE, KEVIN PC MCANANY VANCLEVE & PHILLIPS 1015 20WC 16095 SIMS, KENNETH MAYCO * 02/28/20 BECKER SCHROADER & CHAPMAN 1016 20WC 16103 CLARK, ALARICE D MACY'S DEPARTMENT STORE * 03/27/18 CRAIG J. CONCANNON 1017 20WC 16138 MOSBY, TYLER ADECCO, INC * 03/14/20 MICHAEL J BRUNTON LAW OFFI HENNESSY & ROACH 1018 20WC 16145 GRAHAM, CHARLETTA HARMONY EMGE SD 175 * 06/22/17 CARAWAY FISHER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1019 20WC 16214 MERRY, TRACI MERCY REHAB & CARE CENTER * 04/05/20 SHORT AND DAUGHERTY 1020 20WC 16246 BENCH, MARVIN PRAIRIE STATE GENERATING * 06/12/20 RICH RICH COOKSEY & CHAPPE EVANS & DIXON, LLC 1021 20WC 16255 GADDY, GARY L HEARTLAND COCA COLA * 05/26/20 JOSEPH E. HOEFERT EVANS & DIXON, LLC 1022 20WC 16264 AMANN, KIM GARDEN PLACE SENIOR LIVIN * 03/27/20 LAW OFFICE OF JEROME SALMI WIEDNER & MCAULIFFE LTD 1023 20WC 16522 RAMIREZ, ONELIA HERSHEY * 06/27/20 DAVID W MARTAY 1024 20WC 16596 SMITH, ALEXANDER T RENT-A-CENTER * 06/18/20 BONIFIELD & ROSENSTENGEL P 1025 20WC 16671 BLANKINSHIP, MICHAEL SHAMROCK SERVICES * 07/11/20 DWORKIN AND MACIARIELLO GOLDBERG & SEGALLA LLP 1026 20WC 16788 STAFFORD, DAVID IDOT @ * 06/19/20 GALANTI LAW OFFICES 1027 20WC 16816 SMITH, HOWARD HIRELEVEL * 03/02/20 ARMBRUSTER DRIPPS 1028 20WC 16894 SHAWBACK, ROBIN R ALTON SCHOOL DISTRICT * 03/21/19 JOSEPH E. HOEFERT 1029 20WC 16918 GRIFFIN, TARALEI MNG 2005 DBA MR NICE GUY * 02/25/20 ERIN M. PHILLIPS 1030 20WC 16940 LUMBERG, JOSHUA ST CLAIR COUNTY ANIMAL CO * 09/13/19 KIRKPARTICK LAW OFFICES 1031 20WC 17101 EYSTER, RAYMOND ST JOHN'S METHODIST CHURC * 03/01/19 LASHLY & BAER PC BRYCE DOWNEY & LENKOV LLC 1032 20WC 17137 ERDIC, SEFIK FENCE & DECK DEPO, INC * 06/03/20 FRANK NIESEN JR WIEDNER & MCAULIFFE LTD 1033 20WC 17143 WOLFMEIER, JEREMY SPARTA TRUCK & AUTO SERVI * 03/03/20 KEEFE & GRIFFITHS PC 1034 20WC 17151 GHAFORI, FAHIN SEV-REND * 10/14/19 BROWN & CROUPPEN 1035 20WC 17163 WHALEY, MERANDA ITS SOLAR * 03/05/20 NELSON & NELSON 1036 20WC 17172 BLAKELY, KERRAN LANTER DISTRIBUTING, LLC * 08/03/19 KULLMAN KLEIN & DIONEDA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1037 20WC 17188 POWELL-JENKINS, SHEILA STEARNS NRSING & REHAB CT * 05/06/20 BECKER SCHROADER & CHAPMAN 1038 20WC 17254 MILLER, BELINDA HOSP SISTERS HLTH SYSTM ( * 06/09/18 DWORKIN AND MACIARIELLO HEPLER BROOM LLC 1039 20WC 17422 WILSON, WILLIAM SWIC * 03/24/20 CARAWAY FISHER 1040 20WC 17455 HIGHLEY, KEVIN MOSQUITO JOE * 07/02/20 GALANTI LAW OFFICES EVANS & DIXON 1041 20WC 17488 KOHLMILLER, ROBERT TRANSWOOD TRUCKING CO * 03/09/20 PADBERG CORRIGAN APPELBAUM HENNESSY & ROACH, PC 1042 20WC 17517 PHILLIPS, KATHYTESSA GREENVILLE NURSING & REHA * 04/01/07 BROWN & CROUPPEN 1043 20WC 17634 BRIDGES, TERRY SADDLE CREEK LOGISTICS SR * 05/01/20 GALANTI LAW OFFICES BRYCE DOWNEY & LENKOV LLC 1044 20WC 17641 DARRIS, MARICO SAVE A LOT * 03/20/19 MARK GEORGE NIESEN 1045 20WC 17782 HARMON, SANDRA UNITED PARCEL SERVICE * 06/15/20 ARMBRUSTER DRIPPS MCANANY VANCLEVE & PHILLIPS 1046 20WC 17788 CHEEK, ROBERT R SR HL VERNIER RACING * 04/27/20 BONIFIELD & ROSENSTENGEL P 1047 20WC 17797 TURMON, JACARLOS CARITAS FAMILY SOLUTIONS * 06/08/20 LAW OFFICE OF JEROME SALMI 1048 20WC 17815 MUNSON, JAYMIE UPS * 07/06/20 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 1049 20WC 17856 LAUX, RICHARD COLANNAFE SENIOR LIVING * 05/13/20 BROWN & CROUPPEN 1050 20WC 17909 JACKSON, MYISHA C METRO * 05/27/20 SORRELL & TRAUBE HARRIS DOWELL FISHER & HARRI 1051 20WC 17916 MALLORY, KEVIN BUCYRUS RAILCAR REPAIR * 06/10/20 MISSOURI INJURY LAW FIRM CRAIG A HANSEN 1052 20WC 17930 ADAMS, SHAMEKA FIRST STUDENT * 03/12/20 CROWDER & SCOGGINS LTD 1053 20WC 17942 SCHMIDT, SUPRINA WEST STAR AVIATION * 07/16/19 RICH RICH COOKSEY & CHAPPE QUINTAIROS PRIETO WOOD & BOY 1054 20WC 18057 DEERING, HEATHER HAHS ST JOSEPH'S HOSPITAL * 07/01/20 SHORT AND DAUGHERTY MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1055 20WC 18067 BROMLEY, DONNIE PEABODY GATEWAY SERVICES * 06/04/20 CULLEY & WISSORE KEEFE & DEPAULI 1056 20WC 18070 WARREN, FREDDIE LOWE'S HOME IMPROVEMENT * 07/04/20 BROWN & CROUPPEN 1057 20WC 18850 JOHNS, SCOTT L GLASS AMERICA * 03/30/20 UNSELL, EDWARD W LAW OFFIC 1058 20WC 18878 CARMEN, KAY ANN WEIR PARTS CENTER * 05/12/20 FISHER KERHOVER COFFEY 1059 20WC 18891 QUIRK, JOSEPH VELEX INC * 04/09/20 STRONG LAW OFFICE KNELL LAW LLC 1060 20WC 18905 BLOUNT, SYLVIA AMAZON DISTRIBUTION CTR * 06/02/20 BROWN & CROUPPEN 1061 20WC 18927 GEE, DANIEL AMSTED INDUSTRIES, INC * 07/15/20 GALANTI LAW OFFICES HENNESSY & ROACH, PC 1062 20WC 19172 FOSTER, KEVIN D A&H MECHANICAL CONTRACTIN * 02/21/19 MCANANY VANCLEVE & PHILLIPS 1063 20WC 19181 FOX, BRANDY WORDEN VOLUNTEER FIRE DEP * 02/12/19 BECKER SCHROADER & CHAPMAN 1064 20WC 19194 WILLIAMS, NIKITA MADISON COUNTY TRANSPORT * 04/28/20 RICH RICH COOKSEY & CHAPPE 1065 20WC 19198 BARNETT, ASHLEIGH EXPRESS EMPLYMNT PROFESSI * 05/18/20 SHORT AND DAUGHERTY 1066 20WC 19210 MEYERS, MATTHEW ASPLUNDH TREE EXPERT CO * 02/25/20 LAW OFFICE OF JEROME SALMI 1067 20WC 19581 HELFRICH, GREG A HAYES MECHANICAL * 08/01/19 1068 20WC 19591 DE WERFF, ARRON BROCK ENERGY SERVICE * 06/19/20 BUTLER & KEMPER 1069 20WC 19603 SICKA, KEVIN R UPS * 07/10/20 BONIFIELD & ROSENSTENGEL P 1070 20WC 19607 REDD, QUINTIN ALTON SPORTS TAP * 06/09/20 BROWN & BROWN 1071 20WC 19663 MYERS, DAVID H MARYAN MINING * 07/08/19 KANOSKI BRESNEY 1072 20WC 19675 MEHMETI, EDON MESILLA VALLEY TRANSPORTA * 07/02/20 HOLLAND INJURY LAW LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1073 20WC 19703 WOLKER, WILLIAM BJC MEMORIAL HOSPITAL * 08/17/17 SHORT AND DAUGHERTY 1074 20WC 19806 ERVIN, CHAD HARTMAN REALTY/PROPERTY M * 06/03/20 ROGER D RUDICH LTD 1075 20WC 19809 KAHLE, NICHOLE DELI STAR CORPORATION * 07/06/20 ROGER D RUDICH LTD GANAN & SHAPIRO 1076 20WC 19915 NOEL, SCOTT USF HOLLAND * 02/18/20 HAMMOND AND SHINNERS PC 1077 20WC 19920 PHILLIPS, TED PRAIRIRE STATE GENERATING * 03/03/20 RICH RICH COOKSEY & CHAPPE 1078 20WC 19925 WISCOMBE, JAMES AMSTED INDUSTRIES, INC * 05/05/20 GALANTI LAW OFFICES 1079 20WC 19939 DENSON, MATTHEW RAY LAFORE TRUCK SERVICE, * 06/24/20 THOMAS SCHOOLEY 1080 20WC 19969 TANKSLEY, RODNY CHECKER CAB * 07/29/20 BUTLER & KEMPER COZZI & ZAPF LAW OFFICE 1081 20WC 19974 HAYES, RICHARD KIENSTRA * 06/11/20 BECKER SCHROADER & CHAPMAN 1082 20WC 19987 WESTWATER, BRENT KRAFT HEINZ * 07/23/20 SHORT AND DAUGHERTY 1083 20WC 20046 FRENCH, TERRANCE BADGER DAYLIGHTER * 05/17/19 CHATHAM & BARICEVIC 1084 20WC 20065 SCOTT, RUTH GRANITE CITY SCHOOL DIST * 03/20/18 SCROGGINS LAW OFFICE 1085 20WC 20094 MILTON, BRETT CITY OF EDWARDSVILLE * 03/18/20 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 1086 20WC 20115 CHRISTISEN, JOSHUA UNITED PETROLEUM SERVICES * 08/19/19 BROWN & CROUPPEN 1087 20WC 20174 WOMACK, ROGER ROSELEIN & ASSOC, INC. * 07/16/20 SEIDMAN MARGULIS & FAIRMAN 1088 20WC 20482 GANT, PATRICK P ELITE STAFFING * 03/31/20 DELANO LAW OFFICES LLC 1089 20WC 20589 ABEJA, EUSTORJIO E11EVEN TRUCKING, INC * 07/22/20 BARRY E BURKE 1090 20WC 20838 ORTEGA, MARIE EXPRESS EMPLYMNT PROFESSI * 08/26/20 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M AUBUCHON, JEANNE 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 10/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1091 20WC 21277 RICE, EARL R JR. U.S. STEEL CORPORATION * 05/07/19 KEEFE & DEPAULI 1092 20WC 21311 GRAHAM, JAMES OMAHA TRACK * 11/21/17 RUBENS KRESS MULHOLLAND 1093 20WC 21346 STRICKER, SHANE PRAIRIE STATE ENERGY CAMP * 08/26/20 DWORKIN AND MACIARIELLO 1094 20WC 21399 FANN, RONALD K ROLFINGSMEYER REMODELING * 08/05/19 GANAN & SHAPIRO 1095 20WC 21637 GOLDSMITH, REVELLE HUMAN SUPPORT SERVICES * 09/19/19 RICH RICH COOKSEY & CHAPPE 1096 20WC 21644 MOSLEY, SHAKELA PROLOGISTIX * 01/31/20 MICHAEL J BRUNTON LAW OFFI 1097 20WC 21670 CHILLERS, GARY LAZER-SPOT * 07/03/20 JEFFREY GAULT 1098 20WC 21697 TUCKER, BRYAN GARDENS OF GRACE * 07/28/20 BOYNE, KEVIN PC

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