ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 14021 TORRES-JEFFERY, MARTHA AMERICAN WATER 02/06/04 CULLEY FEIST KUPPART & TAY CLAYBORNE SABO & WAGNER 2 04WC 33160 JOHNSON, GREGORY ANGELICA TEXTILE SERVICES 05/29/04 KLAR, IZSAK, STENGER LLC KNAPP, OHL & GREEN 3 06WC 15178 GAETZ, JON TIMBERLINE CONSTRUCTION 12/06/05 LAW OFFICE OF JAMES PARROT GAROFALO SCHREIBER STORM 4 07WC 30075 19B SCHLEMER, KEN A EDWARDSVILLE SCHOOL DISTR 05/07/07 NELSON & NELSON KNAPP, OHL & GREEN 5 07WC 46405 SCHUHARDT, KENNY JAMES MINTON & W 09/01/05 BROWN & BROWN BECKER PAULSON & HOERNER PC 6 07WC 56092 19B BURRELL, COURTNEY CITY OF MADISON 09/14/07 BROWN & BROWN RUSIN MACIOROWSKI & FRIEDMAN 7 08WC 07493 19B DRUMMOND, JEANNE SERIOUS PIZZA INC @ W 01/18/08 BRANKEY & SMITH PC 8 08WC 18262 ROSENDOHL, ROBERT REDNOUR STEEL ERECTORS, I @ 05/20/05 CULLEY & WISSORE THOMAS MAMER & HAUGHEY 9 08WC 21504 19B LAUTNER, HEATHER DOMINOS PIZZA 11/25/05 BROWN & BROWN THOMAS MAMER & HAUGHEY 10 08WC 54468 SHANKS, JAMES DEAN DETERDING, IND & DBA W 10/12/07 BROWN & BROWN KEEFE & DEPAULI 11 09WC 18312 BROWN, MARY ELIZABETH STATE OF ILLINOIS @ 01/07/09 RICE LAW OFFICES LTD ELIZABETH LEAHY 12 09WC 21172 BURGAN, LARRY SPECTRULITE CONSORTIUM IN 07/20/03 BROWN & BROWN RODDY LAW LTD 13 09WC 38615 ELMORE, WILLIAM SPECTRULITE CONSORTIUM IN 04/21/99 DAVID JEROME 14 09WC 38849 MC FALLS, JASON SPECTRULITE CONSORTIUM IN 08/01/03 BROWN & BROWN 15 09WC 38970 KNOTH, GARY SR SPECTRULITE CONSORTIUM IN 07/31/03 BROWN & BROWN 16 09WC 39594 THOMA, DENNIS SPECTRULITE CONSORTIUM IN 05/01/01 BROWN & BROWN 17 09WC 42028 19B SCOTT, MICHAEL D SMX CORPORATION 08/10/09 MORMINO,VELLOFF,EDMONDS,SN RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 09WC 50456 NAIRN, KARL R JERSEYVILLE COMM UNIT 09/29/09 NELSON & NELSON HENNESSY & ROACH 19 10WC 11642 YORK, DONALD MIDCOAST AVIATION 08/20/07 BROWN & BROWN DEANNA LITZENBURG 10WC011644 -C 20 10WC 28676 VOEGELI, KENDALL CLINTON BUILT 12/02/08 MATTEA, BRUCE KEEFE & DEPAULI 21 10WC 32912 MORGAN, BRANDY ADVANTAGE SALES & MARKETI 10/20/09 WILLIAMS CAPONI & ASSOC ROUSE & CARY 22 10WC 41210 STUART, KIM ANDERON HOSPITAL 12/03/09 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 23 10WC 43245 GROTEFENDT, BRAD ILLINOIS DEPARTMENT @ 09/30/10 SCANLON, CHARLES R ASSISTANT ATTORNEY GENERAL 24 10WC 45494 CHRISTESON, JEREMY L KAMADULSKI EXCAVATING & 10/11/10 SL CHAPMAN LLC LAW OFFICE CRAIG A HANSEN 25 10WC 45775 BUECHLER, PAUL KRAFT/CAPRI SUN 05/22/10 RICH RICH COOKSEY PC WIEDNER & MCAULIFFE LTD 10WC045776 -C 26 10WC 46950 BUSH, JAMES COPE MARINE 01/19/01 KRETMAR BEATTY & SANDZA HOLTKAMP LIESE ET AL 27 11WC 00681 19B LANTER, STEVE CHARTER COMMUNICATIONS 11/30/10 GALANTI LAW OFFICES HENNESSY & ROACH, PC 28 11WC 03889 WILLIAMS, LUCAS P CELADON TRUCKING # 11/17/10 GLASS & KOREIN LLC KOPKA, PINKUS & DOLIN, PC 11WC003890 -C 29 11WC 05745 MOORE, ROBERT B METRO-EAST SANITARY DISTR 09/15/10 CROWDER & SCOGGINS LTD BECKER PAULSON & HOERNER PC 30 11WC 10443 SPENCER, CORA E (WIDOW) JERSEY COUNTY 01/10/11 MORMINO,VELLOFF,EDMONDS,SN BECKER PAULSON & HOERNER PC 12WC031305 -C 31 11WC 12040 MEYER, CHARLES U S STEEL 03/13/11 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 32 11WC 13271 HURTADO, TYLER GREEN MACHINE @ W 03/21/11 GALANTI LAW OFFICES 33 11WC 14998 ROBINSON, RANDY MORTON BUILDINGS INC 03/08/11 STANLEY GOODKIN KNELL LAW LLC 34 11WC 16722 OWENS, CHARLES SPECTRULITE CONSORTIUM, I 02/01/02 DAIVD JEROME

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 11WC 16725 HENDRIX, CHRISTOPHER SPECTRULITE CONSORTIUM, I 02/01/01 DAVID JEROME 36 11WC 16733 MEDLEY, DAVID SPECTRULITE CONSORTIUM, I 08/01/01 BROWN & BROWN 37 11WC 16814 SCHUETTE, NORMAN SPECTRULITE CONSORTIUM IN 06/01/92 BROWN & BROWN 38 11WC 18542 EDWARDS, JERRILL RALLYS RESTAURANT CHECKER 02/03/11 MCGLYNN & MCGLYNN KORTENHOF MCGLYNN 39 11WC 18768 MCQUAY, DAVID J SPECTRULITE CONSORTIUM IN 01/25/02 DAVID JEROME 40 11WC 23583 UHERCIK, DAVID SPECTRULITE CONSORTIUM, I 02/01/02 BROWN & BROWN 41 11WC 26778 GUNTER, GARRY BEELMAN TRUCK COMPANY 12/14/10 BECKER SCHROADER & CHAPMAN THOMAS & PORTELA 42 11WC 27208 SANDHEINRICH, CHRISTOPHER JT & ASSOCIATES 05/31/11 COOK YSURSA BARTHOLOMEW ET 43 11WC 27259 SANDHEINRICH, CHRISTOPHER JT & ASSOCIATES 05/30/11 COOK SHEVLIN YSURSA ET AL 44 11WC 34805 REMICE, JAMES KOSTELAC GREASE SERVICES 02/04/11 GLASS & KOREIN LLC MORROW WILLNAUER 45 11WC 39566 19B TRASK, KAREN GRANITE CITY SCHOOL DIST 03/17/11 GALANTI LAW OFFICES KNAPP, OHL & GREEN 46 11WC 44023 CORNELL, CHRISTOPHER SPECTRULITE CONSORTIUM IN 07/01/89 BROWN & BROWN 47 11WC 44038 19B BRITO, YOLANDA WAL MART * 10/08/11 STEVEN GIACOLETTO WIEDNER & MCAULIFFE LTD 48 11WC 46593 TURAY, AUTHUR AMERICAN STEEL 11/18/11 BECKER PAULSON & HOERNER P BOGGS AVELLINO 49 11WC 48234 RICE-BEY, TIMOTHY MASSMAN CONSTRUCTION CO 07/15/11 KATZMAN & ASSOCIATES MCANANY VANCLEVE & PHILLIPS 14WC024324 -C 14WC024325 -C TRAYLOR BROS, INC,DBA MASS 14WC024326 -C 14WC024327 -C ALBERICI CONSTRUCTORS INC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 12WC 00598 JOINER, PAUL PEABODY GATEWAY SERVICES 05/09/11 CULLEY & WISSORE KEEFE & DEPAULI 51 12WC 02281 SCHNEIDER, KEVIN D S.I.U.E. @ 01/08/10 PERICA LAW FIRM ASSISTANT ATTORNEY GENERAL 12WC024734 -C SIUE 52 12WC 10781 KIMBRELL, CLIFFORD B WOODS BASEMENT SYSTEM 10/04/11 BENJAMIN T STEPHENS EVANS & DIXON, LLC 53 12WC 12158 JACKSON, PATRICIA A ILLINOIS STATE POLICE @ 12/03/10 JAMES M RIDGE & ASSOC PC ILLINOIS ATTORNEY GENERAL 54 12WC 12921 FRIEDERICH, JENAME TINA ROBERT FRIEDERICH 05/07/10 STRELLIS FAULBAUM WALSH & 55 12WC 13840 DURGINS, DRAPHY Y CAHOKIA UNIT SCHOOL DIST 12/09/11 MORMINO,VELLOFF,EDMONDS,SN BECKER PAULSON & HOERNER PC 56 12WC 16434 GLASS, RENEE AMERISTAFF 04/16/12 BROWN & BROWN STONE & JOHNSON CHARTERED 57 12WC 18644 19B BACHELDOR, MARY PAT WAL MART 05/15/12 GALANTI LAW OFFICES GANAN & SHAPIRO 58 12WC 23796 DUNN, ROBERT DYNAMIC TRANSIT 08/07/11 GALANTI LAW OFFICES THOMAS & ASSOCIATES 59 12WC 25317 19B MYERS, SHARON WENDYS 06/06/12 BROWN & BROWN HENNESSY & ROACH PC 60 12WC 27424 KING, DIANA WALMART 09/27/11 LESKERA LAW FIRM GANAN & SHAPIRO 61 12WC 27863 PHILLIPS IV, VERN NICA CORP 02/22/12 SCHUCHAT, COOK & WERNER GANAN & SHAPIRO 15WC008532 -C 62 12WC 28114 BEAVIN, KEVIN RAND DIVERSIFIED MIDWEST 06/21/12 BROWN & BROWN PATRICIA M CARAGHER 63 12WC 28377 BROWN, FRANK JR CENTRAL TRANSPORT 07/11/12 BROWN & BROWN MCGRATH & MCGRATH 64 12WC 29165 FERGUSON, BARBARA UNITED STATES 12/06/11 KATZMAN & ASSOCIATES KEEFE & DEPAULI 65 12WC 29885 JERNIGAN, ARTHUR RAND DIVERSIFIED 06/20/12 BROWN & BROWN PATRICIA M CARAGHER 66 12WC 30138 BUEHLHORN, JOSHUA A URS CORPORATION 07/16/12 CHATHAM & BABKA HEYL ROYSTER VOELKER & ALLEN 67 12WC 30286 ROADY, LEIF JAMES G & S FOUNDRY 04/16/12 NELSON & NELSON THOMAS & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 68 12WC 32877 HARRISON, JIMMY AMERICAN STEEL FOUNDRIES 09/12/12 GALANTI LAW OFFICES BOGGS AVELLINO 69 12WC 33236 LOSAW, DAVID NELSON TREE SERVICE 08/23/12 BROWN & BROWN ADELSON TESTAN & BRUNDO 70 12WC 36669 CAMBELL, GARY PEABODY COAL CO 03/25/12 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 71 12WC 37286 ONOFREY, WILLIAM R CITY OF HIGHLAND 08/13/12 BONIFIELD & ROSENSTENGEL P BECKER PAULSON & HOERNER PC 72 12WC 39537 BELCHER, DARRELL GLOBAL BRASS 02/22/12 GALANTI LAW OFFICES KEEFE & DEPAULI 73 12WC 42333 LANGENHORST, JEROME AFFORDABLE ROOFING & EXTE 10/15/12 HUSTAVA, JOHN H KNELL LAW LLC 74 12WC 42403 BARNETT, SCOTT FEDERAL STEEL & 12/23/09 CULLEY FEIST KUPPART & TAY THOMAS & PORTELA 75 12WC 42551 BARBAROTTO, MICHAEL INTERSTATE'S BRANDS CORP, 11/04/12 SCROGGINS LAW OFFICE ADELSON TESTAN & BRUNDO 76 12WC 43735 BREWER, SCOTT STAMM TRUCKING 02/22/12 FISHER KERHOVER & WELGE BRADY, CONNOLLY & MASUDA, PC 77 12WC 43774 HUELSKAMP, LORI TERRACE ON THE PARK 11/13/12 JEROME LEFTON LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 78 12WC 44267 LANGENHORST, JEROME AFFORDABLE ROOFING 10/15/12 HUSTAVA, JOHN H 79 13WC 02305 PATTERSON, TERRY PATTERSON PROFESSIONAL 11/13/12 LAW OFFICE KEITH SHORT HENNESSY & ROACH, PC 80 13WC 02493 BIELONG, MARY JO ROBERT HALF 11/21/11 PETER BLASI LLC MCANANY VANCLEVE & PHILLIPS 81 13WC 03306 BAILEY, JAMES E SR GARDENSCAPE CONSTRACTORS 03/21/11 ROTH LAW OFFICES KEEFE & DEPAULI 82 13WC 03349 BURNS, JAMES E SODEXO 05/23/11 MORMINO,VELLOFF,EDMONDS,SN 83 13WC 04773 YARBER, DANIELLE GATEWAY REGIONAL MEDICAL 10/10/12 BROWN & BROWN WIEDNER & MCAULIFFE LTD 84 13WC 05567 BEERS, JUDITH OLD BEN COAL/SELF # 12/03/11 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 85 13WC 05729 HARTMANN, CRAIG MARTIN MARIETTA MATERIALS 04/25/08 CULLEY & WISSORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 86 13WC 05761 WALLACE, JAN YMCA OF EDWARDSVILLE IL 10/31/12 WILLIAMS CAPONI & ASSOC WIEDNER & MCAULIFFE LTD 87 13WC 06568 FANNING, EARL P MAGENESIUM ELEKTRON 02/17/12 EDWARD J FANNING THOMAS & ASSOCIATES 88 13WC 07662 HARTMAN, MIKE MAGNESIUM ELEKTRON 02/14/13 SAUTER, SULLIVAN & EVANS THOMAS & PORTELA 89 13WC 07691 DONALDSON, RICKY KRAFT FOODS GROUP INC 01/09/13 GALANTI LAW OFFICES GAROFALO SCHREIBER STORM 90 13WC 08618 MORDIS, MARY WAL MART 05/14/12 HUSTAVA, JOHN H WIEDNER & MCAULIFFE LTD 91 13WC 10366 BEASLEY, DAVID CALCOTT ROOFING 03/02/13 BROWN & BROWN HENNESSY & ROACH, PC 92 13WC 10950 BYRD, LESTER IL DEPT OF PUBLIC HEALTH @ 01/31/13 THE ROBBINS LAW FIRM ASSISTANT ATTORNEY GENERAL 93 13WC 10976 19B RADFORD, BRUCE JR SAFELITE AUTO GLASS 03/09/13 RICH RICH COOKSEY PC EVANS & DIXON, LLC 94 13WC 11205 BRINSON, LEO NIHLE, JR DUSTIN MC GEE DBA UNLIMIT @ W 05/04/12 MEYER LAW FIRM PC ASSISTANT ATTORNEY GENERAL 95 13WC 12962 GIOVANNI, LUIGI BRIAN WARLOCK 02/09/13 KEEFE & DEPAULI 96 13WC 13900 GAFFNER, ANTHONY CITY OF HIGHLAND 01/29/13 BECKER PAULSON & HOERNER PC 97 13WC 14145 SNYDER, KATHY ST OF IL DEPT OF @ 03/14/11 BECKER PAULSON & HOERNER P ASSISTANT ATTORNEY GENERAL 98 13WC 14285 RANKINS, LAGWANA MCDONALDS 11/05/12 JEROME L T LEFTON LLC BRADY, CONNOLLY & MASUDA, PC 99 13WC 14288 REPKA, ROBERT IL DEPT OF AGRICULTURE @ 03/25/10 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 100 13WC 15228 WECKER, BRIAN KCJ MANAGEMENT 03/23/13 DAVID J JEROME GANAN & SHAPIRO 101 13WC 19500 DABBS, ANDREA ADDUS HEALTHCARE 03/21/12 KOLKER LAW OFFICES ROUSE & CARY 102 13WC 21141 MAISEL, MICHAEL P I & I MOTOR EXPRESS 11/09/12 CULLEY FEIST KUPPART & TAY MCANANY VANCLEVE & PHILLIPS 103 13WC 22738 GOLLIDAY, REGINALD AMSTED RAIL/AMERICAN STEE 03/07/13 JOHNSON GRAY LLC BOGGS AVELLINO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 104 13WC 23034 KAISER, LORI FREEBURG COMMUNITY 03/06/08 FREEARK, HARVEY & MENDILLO ROUSE & CARY 105 13WC 23113 SPICER, EMILY HUBBELL WIEGMANN 05/03/13 JUNCKER, DANIEL K PC EVANS & DIXON, LLC 106 13WC 24567 MOORE, ERICA DIVERSIFIED MAINTENANCE 10/01/12 JOHNSTON LAW OFFICE 107 13WC 25662 CLEMONS, BYRON E SR ALTON MENTAL HEALTH CENTE @ 06/05/13 JOHN HOEFERT ASSISTANT ATTORNEY GENERAL 108 13WC 26173 CUMBERLAND, ROGER HENDERSON TRUCKING 02/17/13 SCHUCHAT, COOK & WERNER LEMP & ANTHONY, PC 109 13WC 26538 RATAY, FRANK S ENTERPRISE RENT-A-CAR 05/30/13 SCHUCHAT, COOK & WERNER LAW OFFICES OF JOHN D. WENDL 110 13WC 27269 BERGMAN, FRANK C VILLAGE OF CAHOKIA 10/22/10 WILLIAMS CAPONI & ASSOC DONOVAN ROSE NESTER, P C 111 13WC 27882 CONARD, WAYNE JR GATEWAY CO-PACKING 07/02/13 WOLFE & JACOBSON, LTD 112 13WC 28756 EARDLEY, LLOYD SIUE @ 03/22/12 BECKER SCHROADER & CHAPMAN ELIZABETH LEAHY 113 13WC 29466 WELLER, BARBARA CUNETTO'S AT THE GALAXY 02/02/13 ERIN M. PHILLIPS 114 13WC 30839 MITCHELL, SUSANNE GATEWAY REGIONAL MEDICAL 09/01/13 KOLKER LAW OFFICES WIEDNER & MCAULIFFE LTD 115 13WC 31088 OSTMAN, SCOTT J METRO EAST INDUSTRIES INC 01/23/13 THE ABERNATHY LAW FIRM KEEFE & DEPAULI 116 13WC 31284 ESCOBEDO, EMANUEL ESSENPREIS EDDIE 05/08/13 ROTH LAW OFFICES SCANLON, CHARLES R 117 13WC 34805 VETTER, DWAYNE ROXANNA SCHOOL DISTRICT # 05/16/12 GREGORY SHEVLIN KNAPP, OHL & GREEN 118 13WC 35523 CALHOON, JASON R CHAD M LITTLE 10/11/11 CLAY BARKLEY ST CLAIR 119 13WC 35533 VAUGHN, ROBERT NELSON TREE SERVICE 02/27/13 SMITH ALLEN MENDENHALL ET ROUSE & CARY 120 13WC 35628 RIPPY, PEGGY US STEEL 10/10/13 GALANTI LAW OFFICES KEEFE & DEPAULI 121 13WC 36472 MC NEALY, MARK AUTO ZONE 08/22/12 MATHIS MARIFIAN RICHTER ET QUINN JOHNSTON HENDERSON ETA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 13WC 37289 CARLILE, DENNIS D NATURE,SECOND CHANCE HAUL 06/11/13 DEDRA BROCK-MOORE LLC MCANANY VANCLEVE & PHILLIPS 123 13WC 37777 SIMMS-BELL, DACIA SELECT STAFFING 06/03/13 MEYER JENSEN PC 124 13WC 37873 CORNELL, PATRICIA EXTENDED STAY HOTELS 10/15/13 BROWN & BROWN RUSIN & MACIOROWSKI LTD 125 13WC 37982 ARNOLD, KELLY M UNIVERSITY OF ILLINOIS 09/12/13 MARK E MORELAND 126 13WC 38040 NICHOLS, WILLIAM E WALMART 10/27/13 BECKER SCHROADER & CHAPMAN WIEDNER & MCAULIFFE LTD 127 13WC 38278 HEUER, SHERRY CLASSIC AUTO BODY AND TOW 08/07/13 LAW OFFICE OF SUSAN GRAMME HEYL ROYSTER VOELKER & ALLEN 128 13WC 38915 KING, CHARLES UNIQUE PERSONNEL CONSULTA 10/30/13 DANIEL J. GAUTHIER POWER & CRONIN LTD 129 13WC 39397 YOKLEY, DONNA M STAFFMARK 11/25/12 JEROME LEFTON LAW OFFICE 130 13WC 40519 MARTIN, DALE BRAHMA GROUP 10/16/13 LAW OFFICE KEITH SHORT STONE & JOHNSON CHARTERED 131 13WC 40773 HARRISON, GERALD L ALTON TELEGRAPH 10/10/13 BECKER SCHROADER & CHAPMAN LAW OFFICES STEVEN PILAND 132 13WC 42330 QUINN, CHERYL LINETTE GREYHOUND LINES INC 12/10/13 GALANTI LAW OFFICES EVANS & DIXON, LLC 133 13WC 42353 WALLER, JASON CASINO QUEEN 11/14/13 BROWN & BROWN BECKER PAULSON & HOERNER PC 134 13WC 42575 FERGUSON, SHERRY US STEEL 10/16/13 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 135 13WC 42589 ALBERTERNST, JOHN ARROW SHEDS LLC 02/25/13 GLASS & KOREIN LLC ROUSE & CARY 136 13WC 42656 JOINER, BRENDA PEABODY GATEWAY SERVICES # 05/24/12 CULLEY & WISSORE KEEFE & DEPAULI 137 14WC 00622 LINDER, RACHEL N ASHLAND OIL, INC./DBA 11/08/13 STEVEN A TREFTS LAW OFFICE SPIEGEL & CAHILL, PC 138 14WC 00639 ELMENIWY, OMAR CASINO QUEEN 11/16/13 GALANTI LAW OFFICES BECKER PAULSON & HOERNER PC 139 14WC 01437 JOHNS, MICHELLE GOLDEN CORRAL 05/06/13 FREEARK, HARVEY & MENDILLO LAW OFFICES STEVEN PILAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 140 14WC 02770 RIMMER, RYAN QUICKWAY TRANSPORTATION 11/08/13 THE FLOYD LAW FIRM STEPHEN H LARSON LAW OFFICE 141 14WC 03245 BECKER, JOLENE ALTON MENTAL HEALTH @ 01/03/14 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 142 14WC 03740 LEVINGSTON, TAMMY SOUTHERN ILLINOIS UNIVERS 01/09/14 GALANTI LAW OFFICES 143 14WC 04032 COCHRAN, STEVE CERRO FLOW PRODUCTS 01/10/12 BECKER SCHROADER & CHAPMAN RUSIN MACIOROWSKI & FRIEDMAN 14WC022236 -C 144 14WC 04582 HARREN, DELORES ARGOSY CASINO 11/24/13 LAW OFFICE KEITH SHORT 145 14WC 05037 RAGLAND, BRANDON POWER MAINTENANCE CONSTRU 03/28/13 WOMICK LAW FIRM CHTD GAROFALO SCHREIBER STORM 16WC019534 -C 146 14WC 06089 CONARD, WAYNE JR GATEWAY CO-PACKING 07/02/10 147 14WC 06093 JOERGENSEN, KIMBERLIE MODERN DAY CLIPPERS 05/01/11 WILLIAMS CAPONI & ASSOC 14WC006863 -C 148 14WC 06120 HOWARD, VIRGIE DHS-HOME SERVICES PROGRAM @ 01/04/14 SCHOEN WALTON TELKEN & FOS ELIZABETH LEAHY 14WC006225 -C 149 14WC 06776 HOWELL, BRIDGETTE EAST ST LOUIS SCHOOL DIST 02/04/14 HUSTAVA, JOHN H BECKER PAULSON & HOERNER PC 150 14WC 06878 JONES, TYRES AMERICAN STEEL FOUNDRIES 02/16/14 GALANTI LAW OFFICES BOGGS AVELLINO 151 14WC 06947 WILLIAMS, EARNEST SOLAR TRANSPORT 02/13/14 JOSEPH L SAMUELSON PC HENNESSY & ROACH, PC 152 14WC 09828 ROSENTHAL, TIMOTHY STEVE SCHMIDT, INC 02/13/14 KIRKPARTICK LAW OFFICES COZZI & GOGGIN-WARD 153 14WC 10338 HOLLOWAY, ALICE ROSEWOOD CARE CENTER 02/17/14 SCHUCHAT, COOK & WERNER GANAN & SHAPIRO 154 14WC 10805 ROBINSON, JEFFREY S SOUTHERN ILLINOIS UNIVERS @ 02/03/14 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 155 14WC 10867 ASHLCRAFT, WENDY MCDONALD'S 02/14/14 WALTON TELKEN FOSTER LLC GAROFALO SCHREIBER STORM 156 14WC 11405 DROEGE, JANET A DYNEGY MIDWEST GENERATION 06/24/13 GALANTI LAW OFFICES KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 14WC 11651 DAUPHIN, PAUL D BELLEVILLE SCHOOL DISTRIC 09/11/13 NELSON & NELSON INMAN & FITZGIBBONS 158 14WC 12789 FOLEY, CHARLES CITY OF MADISON 02/01/14 BUTLER & KEMPER KEEFE & DEPAULI 159 14WC 13261 GALBRAITH, RICHARD INFINITY GRANITE CITY LLC 04/29/11 ROTH LAW OFFICES 160 14WC 13998 LEAHY, THOMAS III ALLIANCE INTEGRATED SYSTE 07/05/12 SCANLON, CHARLES R POWER & CRONIN LTD 161 14WC 14389 STACKER, KENDALL AT&T 03/30/14 BONIFIELD & ROSENSTENGEL P STATES ATTORNEY OF COOK COUN 162 14WC 14505 SHOWALTER, BEVERLY GATEWAY REGIONAL MEDICAL 03/17/14 MATHIS MARIFIAN RICHTER ET 163 14WC 15036 PIEPER, SHANE GENCO DISTRIBUTION SYSTEM 11/08/11 ROTH LAW OFFICES 164 14WC 15492 HAGENE, JEREMY LEE ANN PIM AND JUSTIN PI W 03/12/12 BOYNE, KEVIN PC 165 14WC 15693 HOISHOUSER, WANDA ST OF IL @ 09/16/13 GOLDENHERSH & GOLDENHERSH ASSISTANT ATTORNEY GENERAL 166 14WC 15995 GOODMAN, ROBERT MARATHON PETROLEUM COMPAN 10/17/13 BECKER SCHROADER & CHAPMAN 167 14WC 16171 CONRAD, ALLEN JCC DEVELOPMENT 08/06/13 LYNN D BARNETT GANAN & SHAPIRO 168 14WC 16366 MORRIS, TAMIKA SUPPORT SYSTEMS & SERVICE 08/30/13 MCGLYNN & MCGLYNN 169 14WC 16703 STEPHENS, CHARLES U.S. STEEL 05/03/12 170 14WC 17488 19B TETTATON, JULIE VILLAGE OF CASEYVILLE 04/17/14 GALANTI LAW OFFICES KEEFE & DEPAULI 171 14WC 17731 HARRISON, LA DONNA STATE OF ILLINOIS @ 02/14/14 SCHOEN WALTON TELKEN & FOS ASSISTANT ATTORNEY GENERAL 172 14WC 17759 MORA, NIMARDO PSC METALS 12/06/13 BRIAN STOKES WIEDNER & MCAULIFFE LTD 173 14WC 18060 JONES, ROBERT III LABOR FORCE INC 06/09/12 LAW OFFICE OF THOMAS SCHOO 174 14WC 18492 JOHNSTON, JERRY GENERAL PARTS D/B/A 05/21/14 BOYNE, KEVIN PC GOLDBERG & SEGALLA LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 175 14WC 18881 PATTERSON, JOHNNA L GATEWAY REGIONAL 09/24/13 NELSON & NELSON WIEDNER & MCAULIFFE LTD 176 14WC 19000 DALTON, JEFFREY OLIN CORPORATION 01/24/14 ARMBRUSTER DRIPPS KEEFE & DEPAULI 177 14WC 19017 19B LUDGATE, WILLIAM IV OLIVER C JOSEPH 02/25/13 RICH RICH COOKSEY PC HOLTKAMP LIESE ET AL 178 14WC 19397 TURNER, AARON BELLEVILLE BOOT 08/09/13 EVANS & DIXON, LLC 179 14WC 19557 TAYLOR, MARILYN RED BUD REGIONAL HOSPITAL 04/22/14 JOHNSON GRAY LLC WIEDNER & MCAULIFFE LTD 180 14WC 19690 DUNAWAY, ROBERT LAPHAM HICKEY STEEL 09/18/12 PERICA LAW FIRM 181 14WC 19722 NICOLAY, ANDREA MASSMAN TRAYLOR ALBERICI 11/13/12 LAW OFFICE KEITH SHORT THOMAS & ASSOCIATES 182 14WC 19870 GORDON, LARRY LOWES HOME IMPROVEMENT 05/11/13 KEEFE CAMPBELL & ASSOC LLC 183 14WC 20026 JOHNSON, TOM CASINO QUEEN 07/22/11 HANAGAN & MCGOVERN PC BECKER PAULSON & HOERNER PC 184 14WC 20027 JOHNSON, TOM CASINO QUEEN 06/27/13 HANAGAN & MCGOVERN PC BECKER PAULSON & HOERNER PC 185 14WC 20110 HOLMAN, JULIA CITY OF VENICE 04/01/14 LYNN D BARNETT KEEFE & DEPAULI 186 14WC 20270 VOGELSBURG, MICHAEL AT&T AKA ILLINOIS BELL 12/12/11 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 14WC020271 -C 187 14WC 21697 WOODY, REX CUSTOM FLOORS & MORE INC 06/11/14 ROTH LAW OFFICES 188 14WC 21918 LEWIS, SHANA M LAW OFFICES OF KEITH SHOR 06/10/13 LAW OFFICES MICHAEL WESLEY 189 14WC 22008 PASQUALONE, JEFFREY AMERICAN MOTORS 06/02/14 CHATHAM & BABKA STEPHEN H LARSON LAW OFFICE 190 14WC 22650 GREER, JIMMIE HOLTGRAVE DISTRIBUTING IN W 06/10/13 NELSON & NELSON 191 14WC 23445 VAUGHN, RICHARD U.S. STEEL CORP 06/24/14 BEATTY & MOTIL KEEFE & DEPAULI 192 14WC 23863 CAIN, PHILLIP POWER MAINTENANCE & 04/26/13 MUELHAUSEN & STEFANI GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 193 14WC 23996 19B HANSON, THERESA A CARING FIRST NURSING HOME 12/03/13 NELSON & NELSON BOGGS AVELLINO 194 14WC 24062 TEPOLO, MELITON SALAS VAREL DAIRY, INC. 08/22/13 ILLINOIS INJURY LAWYERS 195 14WC 24780 MCKEE, DALE SCHANTZ MFG INC 02/22/14 SCROGGINS LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 196 14WC 25036 PRUITT, JUSTIN PEPSI CO 02/25/14 ARMBRUSTER DRIPPS ROBERT L. SMITH 197 14WC 25160 WESTERHEIDE, MICHAEL G ST OF IL DEPT OF @ 06/25/14 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 198 14WC 26283 YOUNGBLOOD, ZELMA SOUTHERN IL 07/23/13 DWORKIN AND MACIARIELLO CLAYBORNE SABO & WAGNER 199 14WC 26502 MOORE, OCTAVIA D COMPREHENSIVE BEHAVIOR 06/26/14 BONIFIELD & ROSENSTENGEL P RIPES NELSON BAGGOT KALOBRAT 200 14WC 26557 TIDWELL, TIMOTHY W THE MILLER GROUP 07/31/12 GABRIEL, MCCARTNEY & WAGNE 201 14WC 26630 INGOLD, STEVEN OLIN CORPORATION 06/19/14 KEEFE & DEPAULI 202 14WC 26743 CAREY, GLORIA GALLAGHER BASSETT 06/29/14 GALANTI LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 203 14WC 27669 19B RICE, DEON AEROTEK * 05/12/14 HUSTAVA, JOHN H HENNESSY & ROACH, PC 204 14WC 27693 MOONEY, DONNA J CAMBRIDGE HOUSE OF SWANSE 07/03/14 WILLIAMS CAPONI & ASSOC SLAVIN & SLAVIN 205 14WC 28112 BETTIS, MICHAEL ADVANCE STORES CO INC D/B 08/01/13 BOYNE, KEVIN PC GOLDBERG & SEGALLA LLP 206 14WC 28198 WILLIAMS, MILTON IL OFFICIAL GRAIN INSPECT 02/01/14 BROWN & BROWN ROUSE & CARY 207 14WC 28474 WINCHESTER, RANDALL AUTO XTREME COLLISION INC 07/14/14 BROWN & BROWN MORROW WILLNAUER 208 14WC 28669 KNICHEL, MICHAEL MIT LOGISTICS 08/04/14 209 14WC 29329 EVANS, MICHAEL A JR CERRO FLOW PRODUCTS, LLC 04/16/14 MATEYKA & ASSOCIATES RUSIN & MACIOROWSKI LTD 210 14WC 31273 SCHARFHEIDE, RICHARD DYNEGY 10/25/12 CULLEY FEIST KUPPART & TAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 211 14WC 31585 DUNN, ROBERT E AMERICAN STEEL 06/23/12 212 14WC 31589 STEVENSON, KATHY BEVERLY FARM FOUNDATION 04/21/14 MEYER LAW FIRM PC HOLTKAMP LIESE ET AL 213 14WC 31590 DUNN, ROBERT E AMERICAN STEEL 05/19/14 BUTLER & KEMPER 214 14WC 31644 STIEF, JAMES MCDONALDS 08/24/14 JOHNSTON LAW OFFICE 215 14WC 32072 PERRY, M BERTA DORS @ 10/30/13 JOSEPH E. HOEFERT ASSISTANT ATTORNEY GENERAL 216 14WC 32288 BISHOP, THOMAS BEELMAN TRUCK CO 02/17/14 BOYNE, KEVIN PC HARRIS DOWELL FISHER & HARRI 217 14WC 32294 HUMPHREY, NORA M ROSE ACRE FARMS INC 04/30/14 KOPIS LAW OFFICE THOMPSON & MCDONALD LAW OFFI 218 14WC 32619 FERGUSON, SHERRY US STEEL 08/07/14 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 219 14WC 32649 WALKER, ESTHER ARAMARK FACILITY SERVICES 07/25/14 ONDER SHELTON O'LEARY MORROW WILLNAUER 220 14WC 32713 TOMERLIN, WILLIAM EXTRA HELP 09/12/14 PERICA LAW FIRM MCANANY VANCLEVE & PHILLIPS 221 14WC 34189 GREER, JIMMIE HOLTGRAVE DISTRIBUTING IN 09/04/14 NELSON & NELSON 222 14WC 34313 CARTER, CRAIG G&S FOUNDRY & MANUFACTURI 10/22/13 BROWN & BROWN QUINTAIROS PRIETO WOOD & BOY 223 14WC 34418 MARLER, DEBRA AMSTED RAIL/AMERICAN STEE 05/29/14 LAW OFFICE OF THOMAS SCHOO BOGGS AVELLINO 224 14WC 34465 BETANCOURT, VICTOR MICHAEL PEDERSON 10/26/13 SCANLON, CHARLES R ERIN M. PHILLIPS 225 14WC 35380 WORS, NICHOLAS O LOWE'S HOME IMPROVEMENT 03/01/14 BLUNT & ASSOC KEEFE CAMPBELL & ASSOC LLC 14WC035423 -C 226 14WC 35407 EVERSGERD, MICHAEL P D.C.A. CONSTRUCTION 07/31/14 WILLIAMS CAPONI & ASSOC 227 14WC 35766 JONES, JOYCE WAL MART 06/03/14 NELSON & NELSON WIEDNER & MCAULIFFE LTD 228 14WC 35776 ALDRICH, SHANNA D CARING FIRST NURSING HOME 09/15/14 BONIFIELD & ROSENSTENGEL P BOGGS AVELLINO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 229 14WC 36210 BROWN, CHERYL A CUTTERS BAR & GRILL 09/12/14 NELSON & NELSON RUSIN & MACIOROWSKI LTD 230 14WC 36973 TURKINGTON, CHRISTOPHER TRAUBE TENT CO 10/01/14 DWORKIN AND MACIARIELLO 231 14WC 37001 ALLRED, JEFFREY WATCO 09/17/14 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH 232 14WC 37194 ELY, HARRY OHL 09/17/14 GALANTI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 233 14WC 37916 ROSENHOUSE, MATTHEW U.S. STEEL 09/10/14 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 234 14WC 37947 CHARTRAND, CHARLES ROCK TENN 08/15/14 BROWN & BROWN GAROFALO SCHREIBER STORM 235 14WC 38454 FRY, BLAKE ACE HARDWARE 10/16/14 MORMINO,VELLOFF,EDMONDS,SN WIEDNER & MCAULIFFE LTD 236 14WC 38464 PRENZEL, VANESSA STEAK N SHAKE 08/23/12 HEPLER BROOM LLC 237 14WC 38881 RISTOVSKI, MARJAN AMERICAN STEEL 09/19/14 BECKER SCHROADER & CHAPMAN BOGGS AVELLINO 238 14WC 39045 MC COLLUM, TABITHA DOMINO'S PIZZA 08/14/14 INMAN & FITZGIBBONS 239 14WC 39099 BESHEARS, MARILYN BARREL O FUN SNACK FOODS 09/14/13 CHATHAM & BARICEVIC WIEDNER & MCAULIFFE LTD 240 14WC 39998 HAMBURG, JOVON AMERICAN STEEL FOUNDARIES 09/30/14 GALANTI LAW OFFICES 241 14WC 40224 MENDOZA, ANGELA HOLTEN MEAT CO 04/21/14 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 242 14WC 40310 RUDD, DONNA E ANDERSON HOSPITAL 09/27/14 WALTON TELKEN FOSTER LLC NYHAN BAMBRICK KINZIE & LOWR 243 14WC 40531 BALLHAUSEN, TERRY L SHOP N SAVE 10/01/14 SCHUCHAT, COOK & WERNER HOLTKAMP LIESE ET AL 244 14WC 40663 PAGAN, ANDREA AMEREN 09/30/14 HOLTKAMP LIESE ET AL 245 14WC 40788 TAYLOR, MARY K EARL HENDERSON 07/28/14 LYNN D BARNETT LAW OFFICE CRAIG A HANSEN 246 14WC 41011 HICKMAN, SHARON M GATEWAY REGIONAL 09/17/14 GLASS & KOREIN POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 14WC 41056 DOUGHERTY, JEREMY METRO EAST INDUSTRIES INC 10/24/14 SCOTT P. HOLWITT KEEFE & DEPAULI 248 14WC 41488 HAGENE, KEVIN B & D MACHINE WORKS 07/16/14 MILLER, WILLIAM R LAW OFFI GANAN & SHAPIRO 249 14WC 41573 SMITH, GARY A ILLINOIS JACK LLC 04/17/14 THE GOGEL 250 14WC 42261 BATTON, MIKE OLIN/GLOBAL BRASS 12/02/14 LAW OFFICE KEITH SHORT 251 14WC 42575 PARKER, DAVID SOUTHWESTERN ILLINOIS COL 10/02/14 BEATTY & MOTIL BECKER PAULSON & HOERNER PC 252 14WC 42632 LAKES, SHERRIE L LIBERTY VILLAGE OF MARYVI 05/26/14 NELSON & NELSON GANAN & SHAPIRO 253 14WC 42766 HEMMER, JOE L FEDERAL STEEL & ERECTION 08/26/14 COOK SHEVLIN YSURSA ET AL HEYL ROYSTER VOELKER & ALLEN 254 14WC 42776 BOULWARE, LISA HUNT COMPANIES 01/31/14 JEROME LEFTON LAW OFFICE WIEDNER & MCAULIFFE LTD 255 14WC 43456 KUMEH, MOSES ASF-KEYSTONE INC 11/21/14 LAW OFFICES OF FRANK NIESE 256 14WC 43566 CLARK, RICKY A HAAG FOOD SERVICE INC 12/09/14 257 15WC 00565 RUSHTON, JAMES DUANE MURPHY MECHANICAL CONTRAC 07/07/14 UNSELL, EDWARD W LAW OFFIC HEYL ROYSTER VOELKER & ALLEN 258 15WC 00866 PABST, MELISSA PHILLIPS 66 08/01/13 LAW OFFICE KEITH SHORT HEYL ROYSTER VOELKER & ALLEN 259 15WC 00978 CUMBERLAND, WILLIAM III ALDRIDGE ELECTRIC 02/13/14 COOK SHEVLIN YSURSA ET AL STEPHEN H LARSON LAW OFFICE 260 15WC 01211 WATSON, SHAWN CUSTOM STAFFING 12/19/14 DWORKIN AND MACIARIELLO 261 15WC 02156 FRISON, LATOYA COMMUNITY CARE SYSTEMS IN 01/07/15 SCHOEN WALTON TELKEN & FOS BRYCE DOWNEY & LENKOV LLC 262 15WC 02464 SODAM, KIMBERLY R. COLLINSVILLE CCVS CONSOLI 04/05/12 NELSON & NELSON EVANS & DIXON, LLC 263 15WC 02647 MASON, JAMES GRAVER TANK CO 06/23/14 KIRKPARTICK LAW OFFICES LAW OFFICE PAUL LARIMORE 15WC012196 -C 264 15WC 02727 MOORE, TINA MENARD AUTO SALES INC 05/06/13 NELSON & NELSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 15WC 02819 THESSING, RICHARD AMERICAN COMPLETE ACCESS # 01/05/15 JUNCKER, DANIEL K PC STEPHEN H LARSON LAW OFFICE 266 15WC 02874 LOVSEY, CURTIS D EDWARDSVILLE SCHOOL DIST 07/09/12 NELSON & NELSON KNAPP, OHL & GREEN 267 15WC 02958 FRANKLIN, RONALD E WIDMAN CONSTRUCTION, INC 12/19/14 DENNIS SHEVLIN JAMES M KELLY 268 15WC 03050 WIDER, HARLEY M BEELMAN TRUCK COMPANY 07/07/14 GABRIEL, MCCARTNEY & WAGNE MCANANY VANCLEVE & PHILLIPS 269 15WC 03221 DAWSON, WILLIAM MIKES INC 11/10/14 WILKINS SCHNELLER LAW LLC 270 15WC 03280 COLE, LARON WALSH CONSTRUCTION 01/08/15 BROWN & CROUPPEN HINSHAW & CULBERTSON 15WC004549 -C 271 15WC 03593 HANKS, THOMAS METRO EAST INDUSTRIES 02/07/12 BROWN & CROUPPEN KEEFE & DEPAULI 272 15WC 03745 SANDERSON, LESLIE S O I C/O JOYCE DAVIS, TR @ 11/14/14 ASSISTANT ATTORNEY GENERAL 273 15WC 03925 19B SCHILLING, ANNE M RANDOLPH COUNTY CARE CENT 12/11/14 BUTLER & KEMPER BECKER PAULSON & HOERNER PC 274 15WC 03938 FERRELL, SHUAN D&J EXTERIORS AND BOBCAT 01/02/15 CHATHAM & BARICEVIC BRUCE WARREN 275 15WC 04355 CRIPE, SHELLI J BOND COUNTY C U S D NO: 2 09/17/14 CASSANO & ASSOCIATES 276 15WC 04511 CUTLER, NICOLE COMPREHENSIVE BEHAVIORAL 10/02/14 GOLDENHERSH & GOLDENHERSH THOMAS & ASSOCIATES 277 15WC 05242 HENRY, DONALD ALICE PREIS 01/20/15 LAW OFFICE KEITH SHORT SCHREMPF, BLAINE, KELLY & DA 278 15WC 05842 GRUBB, FREDRICK L III CARDINAL CATASTROPHE INC 08/29/14 WILLIAMSON WEBSTER ET AL 279 15WC 05870 FRENCH, TINA LOUISE EDWARDSVILLE NURSING 08/07/14 MEEHAN LAW FIRM 280 15WC 05924 19B LUPARDUS, RICHARD MENASHA 01/21/15 ROTH LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 281 15WC 06112 RODRIGUEZ, JOHN DARLING INGREDIENTS 01/09/15 KEEFE & GRIFFITHS PC MATHIS MARIFIAN RICHTER ET A 282 15WC 06394 HOFFMAN, MICHAEL EMPLOYER SOLUTIONS 01/31/15 BEATTY & MOTIL RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 15WC 06574 BOYD, ELVIN L FOUNTAINS AT FAIRVIEW LLC 09/01/14 LAW OFFICE GARY MACK ROUSE & CARY 284 15WC 06667 KING, BRIAR PAPA JOHN'S 01/28/15 LEMP & MURPHY 285 15WC 06689 TAYLOR, CHARMAINE L GATEWAY REGIONAL MEDICAL 12/20/14 BUTLER & KEMPER POWER & CRONIN LTD 286 15WC 06898 BARTLETT, DAVID E ILLINOIS DEPARTMENT @ 02/24/15 SCHUCHAT, COOK & WERNER ASSISTANT ATTORNEY GENERAL 287 15WC 06991 MC CALL, RITA R FIRST STUDENT MANAGEMENT 02/12/15 RICHARD LECINSKI WIEDNER & MCAULIFFE LTD 288 15WC 07224 ADAMS, PHIL AMERICAN STEEL FOUNDRIES 01/29/15 GALANTI LAW OFFICES BOGGS AVELLINO 289 15WC 07340 GRUBB, FREDRICK L III DARRELL SCHROEDER DBA ASA 08/29/14 WILLIAMSON WEBSTER ET AL 290 15WC 07349 19B SCHERLE, CLYDE PETERSON ENTERPRISES, INC 03/14/14 BECKER SCHROADER & CHAPMAN WIEDNER & MCAULIFFE LTD 291 15WC 07448 BALL, JACK AMERICAN STEEL FOUNDRIES 12/17/14 GALANTI LAW OFFICES 292 15WC 07823 HICKMAN-MAYS, GWENDOLYN J LELSIE BATES-DAVIS 12/09/14 SORRELL & TRAUBE 293 15WC 07931 BOYD, ELVIN L. LOTAWATA CREEK SOUTHERN G 09/01/14 LAW OFFICE GARY MACK 294 15WC 08329 HERNANDEZ, ANDRE THE COCA-COLA CO 12/02/14 LYNN D BARNETT BRADY, CONNOLLY & MASUDA, PC 295 15WC 08999 TODD, MICHAEL PEABODY GATEWAY SERVICES 01/30/15 CULLEY & WISSORE KEEFE & DEPAULI 296 15WC 09020 FORD, PENELOPE CAHOKIA SCHOOL DISTRICT 02/12/15 BROWN & CROUPPEN CLAYBORNE SABO & WAGNER 297 15WC 09344 MARTIN, KRISTOPHER R ALTON MENTAL HEALTH CENTE 12/23/14 LAW OFFICES JOHN HOEFERT 298 15WC 09442 KING, RUTHELMA ST ELIZABETHHOSPITAL 08/15/14 THOMAS W DUDA MICHAEL NESTER 299 15WC 09664 KENT, JUDY ST CLAIR COUNTY COURTHOUS 04/01/12 CHATHAM & BARICEVIC BECKER PAULSON & HOERNER PC 300 15WC 09699 HOETTE, GREGORY A METRO MOTORCYCLE ESCORTS 03/26/12 LAW OFFICES OF MARY CREAME MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 15WC 09878 WILSON, AJA ST CLAIR COUNTY 03/04/15 KEEFE & GRIFFITHS PC BECKER PAULSON & HOERNER PC 302 15WC 10164 REED, ANDREA CHIPOTLE MEXICAN GRILL 11/04/14 HENNESSY & ROACH, PC 303 15WC 10168 BRADLEY, TERESA CFA STAFFING 01/19/15 BROWN & BROWN THOMAS & ASSOCIATES 304 15WC 10384 KING, RUTHELMA SAINT ELIZABETH HOSPITAL 10/13/12 THOMAS W DUDA MICHAEL NESTER 305 15WC 10568 GONZALEZ, ROSA EXTRA HELP 02/05/15 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 306 15WC 10654 BOYAJIAN, CHRIS WEBER BELLEVILLE AREA SPECIAL S 08/15/14 GARY L. BEMENT WHITT LAW LLC 307 15WC 10864 MILLER, JAMES APPLIANCE RECYCLING CENTE 01/16/15 GLASS & KOREIN ROUSE & CARY 308 15WC 10926 MEINDERS, BLAKE, AS PAYLATER AUTO SALES @#W 12/12/14 GALANTI LAW OFFICES KEEFE & DEPAULI 309 15WC 11513 MAIER, JOHN OHL 03/17/15 GALANTI LAW OFFICES HARRIS DOWELL FISHER & HARRI 310 15WC 11813 LAVITE, SAM BROTCKE WELL AND PUMP INC 03/26/15 GALANTI LAW OFFICES COZZI & GOGGIN-WARD 311 15WC 11996 HAMBURG, JOVON AMERICAN STEEL 03/12/15 GALANTI LAW OFFICES 312 15WC 12233 KINWORTHY, RONALD MIDWEST RIO DIESEL PRODUC 02/20/15 GLASS & KOREIN COZZI & GOGGIN-WARD 313 15WC 12252 GRIMES, DONALD STEIN STEEL 02/15/15 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 314 15WC 12284 KELLEY, HAROLD AMK HEATING & COOLING 07/21/14 KEEFE & GRIFFITHS PC HEYL ROYSTER VOELKER & ALLEN 315 15WC 12412 JOHNSON, WILLIE BEA SIUE HEAD START @ 03/16/15 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 316 15WC 12418 JOHNSON, WILLIE BEA SIUE HEAD START @ 01/31/13 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 317 15WC 12505 LINDSAY, BRADLEY AMSTED RAIL AKA AMERICAN 03/23/15 318 15WC 13210 SCHULTE, HARRY ELITE STAFFING, INC 01/13/15 BROWN & BROWN GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 15WC 13427 UNTHANK, KEVIN AMERICAN HEARTLAND FISH 08/21/14 BUTLER & KEMPER THOMAS & ASSOCIATES 320 15WC 13866 JOHNSON, DUSTIN BRAND ENERGY SERVICES LLC 04/12/15 BRADY, CONNOLLY & MASUDA, PC 321 15WC 13978 MOORE, ROEVEINA ST CLAIR COUNTY 10/13/14 NELSON & NELSON BECKER PAULSON & HOERNER PC 322 15WC 14050 ZEMLA, ALEX PRAIRIE STATE GENERATING 05/05/14 RON D COFFEL & ASSOC EVANS & DIXON, LLC 323 15WC 14605 GAILIUS, NICHOLAS J CITY OF FAIRVIEW HEIGHTS 12/01/13 KEEFE & DEPAULI INMAN & FITZGIBBONS 324 15WC 14671 SCHAEFER, JASON GRANITE CITY POLICE 03/10/15 GALANTI LAW OFFICES KEEFE & DEPAULI 325 15WC 14856 WILSON, PAMELA CAPRI SUN (KRAFT FOODS) 02/23/15 GARY L. BEMENT GAROFALO SCHREIBER STORM 15WC027226 -C 16WC014192 -C 326 15WC 14976 RAINEY, TIMOTHY P CITY OF COLLINSVILLE 03/28/15 THOMAS W DUDA BECKER PAULSON & HOERNER PC 327 15WC 14978 RAINEY, TIMOTHY P CITY OF COLLINSVILLE 04/26/15 THOMAS W DUDA BECKER PAULSON & HOERNER PC 328 15WC 15021 CONLEY, TYRONE AMERICAN STEEL FOUNDRIES 11/20/14 GALANTI LAW OFFICES BOGGS AVELLINO 329 15WC 15050 BURRIS, MICHAEL WASTE MANAGEMENT 10/08/13 NELSON & NELSON GAROFALO SCHREIBER STORM 330 15WC 15429 GREGORY, AMBER BEELMAN TRUCK CO # 03/22/15 FREEARK, HARVEY & MENDILLO ROBERTS,PERRYMAN,BOMKAMP,MEI 331 15WC 15461 ALSUP, BUDDY EHRHARDT TOOL & MACHINE 09/25/14 LAW OFFICE DONNA CLARK FRA ROUSE & CARY 332 15WC 15746 HILLMAN, ELIZABETH L GATEWAY REGIONAL 10/27/14 LAW OFFICE OF THOMAS SCHOO POWER & CRONIN LTD 333 15WC 15821 ANDERSON, GEORGE PROLOGISTIX 02/17/15 LAW OFFICE KEITH SHORT NYHAN BAMBRICK KINZIE & LOWR 334 15WC 15842 WONDOLOWSKY, KATHRYN ILLINOIS CENTER FOR AUTIS 08/15/14 JUNCKER, DANIEL K PC WIEDNER & MCAULIFFE LTD 15WC022883 -C 15WC038677 -C 15WC038854 -C 335 15WC 16335 SAWYER, EDWARD T ATLANTIC PLANT SERVICES 04/30/15 SMITH ALLEN MENDENHALL ET

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 15WC 16345 GERMANN, JACOB CITY OF EDWARDSVILLE 04/15/15 BEATTY & MOTIL SCHREMPF, BLAINE, KELLY & DA 337 15WC 16348 REINIGER, RAYMOND SAM'S CLUB 04/05/15 BROWN & BROWN WIEDNER & MCAULIFFE LTD 338 15WC 16465 19B ALLEN, CORNELIUS AMERICAN STEEL FOUNDRIES 04/23/15 GALANTI LAW OFFICES BOGGS AVELLINO 339 15WC 17104 JACKSON, BETTY J J.W. BOYLE & CO., LTD 08/29/11 LAW OFFICES STEVEN PILAND 340 15WC 17167 HEMSATH, TERESA THE ROHO GROUP 12/22/14 WILLIAMS CAPONI & ASSOC LAW OFFICES STEVEN PILAND 341 15WC 17173 WILLIAMS, TERESA LIBERTY VILLAGE OF MARYVI 03/02/15 BROWN & BROWN GANAN & SHAPIRO 342 15WC 17266 CROSSEN, MICHAEL PTO SERVICES 04/28/14 BOYNE, KEVIN PC 343 15WC 17284 CROSSEN, MICHAEL PTO SERVICES 09/30/14 BOYNE, KEVIN PC 344 15WC 17331 BOICE, JAMES DISTRIBUTION NOW 04/23/15 KEEFE & GRIFFITHS PC MCANANY VANCLEVE & PHILLIPS 345 15WC 17394 SMITH, JAYSON E GENERAL WASTE 04/09/15 JOSEPH E. HOEFERT QUINTAIROS PRIETO WOOD & BOY 346 15WC 17423 DAILEY, RICK UNITED STATES 04/30/15 LAW OFFICE OF THOMAS SCHOO KEEFE & DEPAULI 347 15WC 17429 MARTIN, LINDA S DAVID'S BRIDAL 06/01/14 FREEARK, HARVEY & MENDILLO STEPHEN H LARSON LAW OFFICE 348 15WC 17456 THOMAS, MARK ALDI'S 11/05/12 HUSTAVA, JOHN H LYNN D BARNETT 349 15WC 17581 NICHOLS, JENNIFER M MAC'S CONVENIENCE STORES 01/09/14 CALLIS PAPA HALE & SZEWCZY KEEFE CAMPBELL & ASSOC LLC 350 15WC 17610 FRANKLIN, MICHAEL TED'S RECYCLING 06/09/12 HENNESSY & ROACH, PC 351 15WC 17710 SCHROEDER, DEBORAH CROSSROADS DELIVERIES 02/19/15 RICH RICH COOKSEY PC MORROW WILLNAUER 352 15WC 17781 NAGY, DENNIS W ST ANTHONY'S HOSPITAL 11/17/14 JOSEPH E. HOEFERT NYHAN BAMBRICK KINZIE & LOWR 15WC017782 -C 353 15WC 17924 WOODS, KENNETH GLOBAL BRASS 01/16/15 GALANTI LAW OFFICES KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 15WC 18150 BAHENA, ERNESTA STAFFING SYNERGIES, INC. 04/22/15 NELSON & NELSON PATRICIA M CARAGHER 355 15WC 18184 DILLON, RUSSELL MALLINKCRODT 05/07/15 CHATHAM & BARICEVIC HENNESSY & ROACH, PC 356 15WC 18312 LYLES, CANDICE VILLAGE OF WASHINGTON PAR 04/02/15 SCHOEN WALTON TELKEN & FOS 357 15WC 18673 PATTERSON, STEPHEN AMEREN ILLINOIS 05/20/15 SMITH ALLEN MENDENHALL ET LEMP & MURPHY 358 15WC 18841 ALBERT, RICKEY II CLYMER CONSTRUCTION 02/18/15 MICHAEL J BRUNTON LAW OFFI KNELL & O'CONNOR 359 15WC 18939 SPARROWK, WILLIAM SENIOR SERVICES PLUS 05/19/15 SMITH ALLEN MENDENHALL ET 360 15WC 19062 HARDGES, JOHNNY JR US STEEL CORP 02/08/15 BEATTY & MOTIL KEEFE & DEPAULI 361 15WC 19071 MUSIAL, STANLEY F US MINERALS 06/24/13 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 362 15WC 19402 HAMPSEY, STEVEN DAMCO PRODUCTS, INC. 02/03/15 CALLIS PAPA HALE & SZEWCZY STEPHEN H LARSON LAW OFFICE 363 15WC 19542 BOGENPOHL, AMANDA RED BUD REGIONAL HOSPITAL 03/28/15 GARY L. BEMENT POWER & CRONIN LTD 364 15WC 19549 FOSTER, NICHOLAS BULLSEYE PAINTING INC 07/13/13 SCHOEN WALTON TELKEN & FOS GANAN & SHAPIRO 365 15WC 19924 CARRAWAY, ANGELA DG RETAIL, LLC 05/20/14 KATZMAN & ASSOCIATES LEAHY EISENBERG & FRAENKEL 366 15WC 20639 COOK, JUSTIN A JF ELECTRIC INC 06/02/15 GOLDBERG WEISMAN & CAIRO L ROUSE & CARY 367 15WC 20658 CEDILLO, MARTHA A MICASA SUB SHOP 05/13/15 NELSON & NELSON PATRICIA M CARAGHER 368 15WC 21346 CLARK, RICKY L METRO EAST INDUSTRIES 08/04/14 GLASS & KOREIN LLC KEEFE & DEPAULI 369 15WC 21424 CAVINDER, LARRY PEABODY COAL CO 12/31/14 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 370 15WC 21431 TOCCO, LEONARD CARMA CONSTRUCTION 06/23/15 ONDER SHELTON O'LEARY HOLTKAMP LIESE ET AL 371 15WC 21486 MAIN, BOBBI CASEYS GENRAL STORE 05/16/15 BROWN & CROUPPEN 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 CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 15WC 22056 FREY, ROBERT HELP AT HOME 02/17/15 BROWN & BROWN ROUSE & CARY 373 15WC 22147 JARMAN, DANIEL GLOBAL BRASS 01/23/15 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 374 15WC 22262 RULE, TRAVIS BROOKLYN POLICE DEPARTMEN 07/14/13 NELSON & NELSON 375 15WC 22615 JOHNSON, TONYA DILLARD'S 06/18/15 NELSON & NELSON 376 15WC 22647 LUCKETT, GINA GLOBAL BRASS 04/02/15 PETER BLASI LLC KEEFE & DEPAULI 377 15WC 22661 KING, JAMES III SAVE-A-LOT WAREHOUSE 05/31/15 AMANDA MURPHY HOLTKAMP LIESE ET AL 378 15WC 22950 PERRIN, JOSEPH L KEELEY CONSTRUCTION 08/02/12 MILLER, WILLIAM R LAW OFFI STEPHEN H LARSON LAW OFFICE 379 15WC 23371 SAYLES, REBECCA ALTON STATE MENTAL HEALTH 06/11/15 BROWN & BROWN ASSISTANT ATTORNEY GENERAL 380 15WC 23516 MURPHY, DAVID KIENSTRA ILLINOIS, LLC 07/21/15 BROWN & BROWN RUSIN & MACIOROWSKI LTD 381 15WC 23538 THOMAS, MARY MEMORIAL HOSPITAL 01/06/15 SAUTER, SULLIVAN & EVANS MATHIS MARIFIAN RICHTER ET A 382 15WC 23558 TOWNES-MC COY, TRENA MIDWEST REHAB & CONSPIRAT 07/16/15 BECKER SCHROADER & CHAPMAN 383 15WC 23600 EWERT JR, WALTER ALAN MARCOS TAVERN ON MAIN INC 05/16/15 384 15WC 23776 JOHNSON, RONALD CITIZENS TELECOM OF ILLIN 06/29/15 SMITH ALLEN MENDENHALL ET LAW OFFICE PAUL LARIMORE 385 15WC 23895 WILSON, JENNIFER D&D MOTORS 05/28/15 BECKER SCHROADER & CHAPMAN BRUCE WARREN 386 15WC 24607 DAVIS, RANCE D EDWARDSVILLE PUBLISHING C 06/04/15 JAMES RUPPERT STEPHEN H LARSON LAW OFFICE 387 15WC 24771 GALVAN, ROBERT MADISON COUNTY GOVERNMENT 06/29/15 BECKER SCHROADER & CHAPMAN SCHREMPF, BLAINE, KELLY & DA 388 15WC 24956 ANDERSON, BRADLEY KENT WOKER TRUCKING 07/13/15 GALANTI LAW OFFICES 389 15WC 25528 RABBERMANN, KATHY EDWARD JONES 06/05/15 KIRKPARTICK LAW OFFICES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 390 15WC 25790 HORRELL, NICHOLAS IL DEPT OF TANSPORTATION @ 01/27/15 LESKERA LAW FIRM ELIZABETH LEAHY 391 15WC 25894 BEAN, RONALD AMSTED INDUSTRIES INCORPO 03/19/15 CLAY BARKLEY ST CLAIR BOGGS AVELLINO 392 15WC 26242 MARTINDALE, CHRISTINA RENT-A-CENTER 10/15/14 BROWN & BROWN KEEFE CAMPBELL & ASSOC LLC 393 15WC 26414 ZEISSET, CHARLES JR. BOEING COMPANY 03/17/15 BUTLER & KEMPER EVANS & DIXON, LLC 394 15WC 26564 PEACOCK, THOMAS BURKLUND DISTRIBUTORS, IN 04/12/13 BRIAN STOKES 395 15WC 27228 HUGHES, TIMOTHY GARY ROBERT HAMPTON 05/29/14 KOLKER LAW OFFICES ASSISTANT ATTORNEY GENERAL 396 15WC 27269 ELLIOTT, WILLIE E. ALTON HOUSING AUTHORITY 06/23/15 MELVIN J SMITH & ASSOC BOGGS AVELLINO 397 15WC 27379 TILLOTSON, JODI WALMART 05/01/15 398 15WC 27430 WEISSER, SCOTT TEAM INDUSTRIAL SVCS INC 07/25/15 BROWN & BROWN STONE & JOHNSON CHARTERED 399 15WC 27500 COMPTON, ROBERT MID-WEST A INC 07/11/14 PETER BLASI LLC 400 15WC 27535 AUSTIN, LASHAWNDA COLUMBIA REHAB & NURSING 08/03/15 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 401 15WC 27592 STICE, DYLAN CHARLES WILLINGHAM 05/04/15 KULLMAN KLEIN & DIONEDA HENNESSY & ROACH, PC 402 15WC 27726 ZAWACKI, BRETT GATEWAY GRIZZLIES CORP 07/11/15 SCHWEICKERT & GANASSIN 403 15WC 27769 19B HAYMER, GLORIA WAL-MART 08/16/14 RICH RICH COOKSEY PC QUINTAIROS PRIETO WOOD & BOY 404 15WC 28380 FARRELL, MICHAEL MIDWEST BIODIESEL PRODUCT 03/23/15 STEELE LAW OFFICE 405 15WC 28708 MURRAY, PHILIP LONGHORN STEAKHOUSE 08/15/15 BOYNE, KEVIN PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 15WC 28711 BURROUGH, BILLY NEW MARKET CORP 08/21/14 COOK SHEVLIN YSURSA ET AL 407 15WC 28737 SANDERS, BRENDA ALCO STORES, INC. 11/25/14 KATZMAN & SUGDEN WIEDNER & MCAULIFFE LTD 15WC028811 -C 408 15WC 28749 GUTH, TERESA JANE TVI, INC. DBA SAVERS, INC 08/23/14 WENDLER LAW PC KEEFE & DEPAULI 409 15WC 28975 SUDHOLT, RITA/WIDOW OF MINTON OUTDOOR SERVICES I # 07/29/15 DAVID H. BONE LLC 410 15WC 29169 WHITE, TOBY REPUBLIC SERVICES 07/16/15 LAW OFFICE KEITH SHORT MCBREARTY, BRIAN K 411 15WC 29390 NICHOLSON, BRENDA BELLEVILLE MEMORIAL HOSPI 04/23/15 BROWN & BROWN MATHIS MARIFIAN RICHTER ET A 412 15WC 29449 DEMOND, PAUL VEOLIA ENVIRONMENTAL SERV 06/27/14 BROWN & BROWN EVANS & DIXON, LLC 413 15WC 29460 HILFGENDORF, EUGENE METRO MOTORCYCLE ESCORTS, 07/21/15 HOLLORAN & SCHWARTZ 414 15WC 29629 HAVIS, STEPHANIE ST OF IL ALTON MENTAL @ 01/12/15 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 415 15WC 30866 WARD, TONYA COMMUNITY CARE SYSTEMS IN 08/27/15 KATZMAN & ASSOCIATES LIVINGSTONE MUELLER ET AL 416 15WC 30938 LEWIS, BRIAN J P&B INTERMODAL SERVICES 03/31/14 JOHN RAFFAELLE 417 15WC 31055 ALDRICH, SHANNA CARING FIRST NURSING HOME 09/02/15 BONIFIELD & ROSENSTENGEL P BOGGS AVELLINO 418 15WC 31072 WILLIAMS, ARTAGUS R JUVENILE TRANSITION CENTE 07/02/15 BONIFIELD & ROSENSTENGEL P RUSIN & MACIOROWSKI LTD 419 15WC 31206 MCADAMS, CHAD HAIER PLUMBING & HEATING 08/28/15 INMAN & FITZGIBBONS 420 15WC 31343 PATKUS, TODD U.S. STEEL 07/03/15 KOLKER LAW OFFICES KEEFE & DEPAULI 421 15WC 31485 LITTLE, NANCY P HUMAN SUPPORT SERVICES 04/23/14 CROWDER & SCOGGINS INMAN & FITZGIBBONS 422 15WC 31502 ROBERSON, CARRIE NATHAN HEALTH CARE 07/29/15 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 423 15WC 31713 MUELLER, PAMELA CVS 04/21/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 424 15WC 31744 DINTELMANN, ROBERT KLINGS DRYWALL & PAINTING 09/14/15 NELSON & NELSON 425 15WC 32072 BRANDHORST, ANTHONY EXTRA HELP INC 09/01/15 DWORKIN AND MACIARIELLO MCANANY VANCLEVE & PHILLIPS 426 15WC 32110 LOHMAN, JERRY D DYNEGY MIDWEST GENERATION 07/13/15 MATHIS MARIFIAN RICHTER ET KEEFE & DEPAULI 427 15WC 33127 WRIGHT, RONALD JR DB SCHENKER 07/09/15 SCHOEN WALTON TELKEN & FOS LAW OFFICE PAUL LARIMORE 428 15WC 33169 TIKKANEN, PAUL WAL-MART STORES, INC. 03/14/15 KATZMAN & ASSOCIATES GANAN & SHAPIRO 429 15WC 33296 GERAGOSIAN, MARK WILKE TRUCK SERVICE, INC. 08/21/15 NELSON & NELSON JAMES M KELLY 430 15WC 33387 ATKINS, KEARRA SYCAMORE VILLAGE 08/26/15 431 15WC 33514 GANCHEFF, JOHN US STEEL 08/01/14 GALANTI LAW OFFICES 432 15WC 33527 CARLSON, FREDERICK CONCRETE SUPPLY OF IL 05/29/15 SMITH ALLEN MENDENHALL ET 433 15WC 33654 MUSE, CLAUDE E AMERICAN STEEL/AMSTED RAI 08/29/15 JOHNSON GRAY LLC BOGGS AVELLINO 434 15WC 33698 MANION, SCOTT A SR WAL-MART 08/27/14 BECKER PAULSON & HOERNER P WIEDNER & MCAULIFFE LTD 435 15WC 33797 TIKKANEN, PAUL WAL-MART STIORES, INC. 03/14/15 KATZMAN & ASSOCIATES GANAN & SHAPIRO 436 15WC 34021 NIKOLAISEN, STEVE T AIR METHODS 02/20/15 BONIFIELD & ROSENSTENGEL P QUINN JOHNSTON HENDERSON ETA 437 15WC 34024 NIKOLAISEN, STEVE T AIR METHODS 07/09/15 BONIFIELD & ROSENSTENGEL P 438 15WC 34086 COY, PHYLLIS COLLINSVILLE CUSD # 10 09/11/15 BEATTY & MOTIL 439 15WC 34109 MURRY, JUANETTE BELLEVILLE MEMORIAL HOSPI 04/09/15 BROWN & BROWN MATHIS MARIFIAN RICHTER ET A 440 15WC 34454 MCCUTCHEN, JAMES YRC WORLDWIDE 02/03/15 GALANTI LAW OFFICES HENNESSY & ROACH, PC 441 15WC 34571 WHITE, GRANT THOMAS ST OF IL DEPT OF @ 05/26/15 RICH RICH COOKSEY PC ELIZABETH LEAHY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 442 15WC 34585 KING, GWENDOLYN GLOBAL BRASS AND 01/13/14 MATHIS MARIFIAN RICHTER ET KEEFE & DEPAULI 443 15WC 34839 OCHOA, JOSE KIENSTRA PRECAST L L C 03/25/15 WALTON TELKEN FOSTER LLC 444 15WC 34907 STOGNER, MARK GOLDEN STATE FOODS CORP. 01/17/14 NELSON & NELSON HENNESSY & ROACH, PC 445 15WC 35043 REINHEIMER, KENNETH SLAY TRANSPORTATION 09/23/15 SCHOEN WALTON TELKEN & FOS RODDY LAW LTD 446 15WC 35160 SMITH, FORD GMS MINE REPAIR 05/26/15 CULLEY & WISSORE CRAIG & CRAIG 447 15WC 35166 JOHNSON, BERRY ELITE STAFFING 06/30/15 LYNN D BARNETT 448 15WC 35204 DONLEY, DWIGHT SCOTT ROSS D/B/A ROSS 08/25/15 BOYNE, KEVIN PC MORROW WILLNAUER 449 15WC 35207 MILEY, ROBERT BEELMAN TRUCK COMPANY 07/12/15 BROWN & BROWN HARRIS DOWELL FISHER & HARRI 450 15WC 35220 BRENDEL, ELIZABETH ST ELIZABETH'S HOSPITAL 05/30/15 MARK S PEEBLES MICHAEL NESTER 451 15WC 35417 BURTON, MELISSA BUNKER HILL CUSD #8 07/29/13 NELSON & NELSON 452 15WC 35709 PARKER, DAVID US STEEL 09/29/15 BUTLER & KEMPER 453 15WC 35739 BONDS, ALLEN WASHINGTON PARK POLICE DE 09/25/15 NELSON & NELSON 454 15WC 35808 WRIGLEY, LISA COOPER B-LINE 10/14/15 ARMBRUSTER DRIPPS HENNESSY & ROACH, PC 455 15WC 35946 GREEN, CRYSTAL JAY-C RULER FOODS 07/03/15 NICHOLAS CARTER 456 15WC 36399 BENECKE, CHRIS K.B. LOGUE CONTRACTING IN 11/05/14 LAW OFFICE OF THOMAS SCHOO 457 15WC 36416 ELLIS, DORTHY FIRST STUDENT 10/01/15 GALANTI LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 458 15WC 36570 HARRELSON, DAVID CENTURY BRASS WORKS INC 05/15/15 HUSTAVA, JOHN H HEYL ROYSTER VOELKER & ALLEN 459 15WC 37420 MARKS, JOE US STEEL 11/01/15 HUSTAVA, JOHN H 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 CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 460 15WC 37695 RIVES, MICHAEL USF HOLLAND 05/22/15 THE GARTNER LAW FIRM HENNESSY & ROACH, PC 461 15WC 37790 SMITH, HALLIE HELP AT HOME, INC 10/10/15 LAW OFFICE KENNETH LEEDS 462 15WC 38005 DANCY, ROSA EXTRA HELP 10/09/15 BECKER SCHROADER & CHAPMAN 463 15WC 38262 STELL, JOSEPH ABSOPURE WATER COMPANY 05/20/14 STRELLIS FAULBAUM WALSH & 464 15WC 38295 OLSSON, MICHAEL VEE-JAY CEMENT CONTRACTIN 11/13/15 HUSTAVA, JOHN H LEMP & MURPHY 465 15WC 38335 PORTER, ROBERT OWENS & MINOR 02/03/15 SCHOEN WALTON TELKEN & FOS 466 15WC 38502 CROSSEN, KEITH GATEWAY FS 09/23/15 RICH RICH COOKSEY PC RUSIN & MACIOROWSKI LTD 467 15WC 38589 BINSBACHER, ROSS LINTKER ELECTRIC 09/28/15 BONIFIELD & ROSENSTENGEL P MORROW WILLNAUER 468 15WC 38679 GREEN, MICHAEL H. IDOT HIGHWAY DISTRICT #8 @ 03/21/14 MORMINO,VELLOFF,EDMONDS,SN ELIZABETH LEAHY 469 15WC 38789 ANDERSON, ANGELA J OILN BRASS CORP 08/05/15 STEELE LAW OFFICE KEEFE & DEPAULI 470 15WC 38869 GREER, TERRENCE GBW RAILCAR SVCS LLC 07/08/15 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH 471 15WC 38911 HILMES, BRIAN RJ CORMAN RAILROAD GROUP 10/26/15 BROWN & BROWN EVANS & DIXON, LLC 472 15WC 38953 WOODY, ROBERT BRANDING IRON/HOLTEN MEAT 05/17/15 GARY L. BEMENT LAW OFFICE CRAIG A HANSEN 473 15WC 39262 PORTER, GERALD ST CLAIR SERVICE COMPANY 03/20/15 BECKER SCHROADER & CHAPMAN HEYL ROYSTER VOELKER & ALLEN 474 15WC 39280 GUTIERREZ, DAVID CENTURY BRASS WORK INC 04/21/15 JUST B. MATTEA HEYL ROYSTER VOELKER & ALLEN 475 15WC 39540 RIVES, MICHAEL USF HOLLAND INC 06/10/15 LESKERA LAW FIRM HENNESSY & ROACH, PC 476 15WC 39580 MILLER, KATHIE CASINO QUEEN 06/20/13 BROWN & BROWN KRISTINE MCGEE MACK 477 15WC 39584 PACHECO, GERALD PRECOAT METALS 07/01/15 BROWN & BROWN LEMP & MURPHY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 478 15WC 39671 PIERSON, NATE SAFWAY SERVICES LLC 10/05/15 MCCARTHY ROWDEN & BAKER HEYL ROYSTER VOELKER & ALLEN 479 15WC 39875 VOLLMER, DARRELL BELLEVILLE NEWS DEMOCRAT 11/17/15 GALANTI LAW OFFICES LEWIS BRISBOIS BISGAARD SMIT 480 15WC 39896 KEMPFER, PAMELA G SCHNUCK MARKETS INC. 01/16/14 EDMONDS LAW OFFICE LEMP & MURPHY 481 15WC 41195 REITZ, DONNA SCHNUCKS 06/15/15 SANSONE & LAUBER 482 15WC 41319 REICHARDT, GEORGE ST CLAIR COUNTY 11/04/15 MANDEL & MANDEL LLP BECKER PAULSON & HOERNER PC 483 15WC 41354 BOONE, DAVID F. KRAFT FOODS 10/28/15 GAROFALO SCHREIBER STORM 484 15WC 41514 SCHLEGEL, ROBERT S IL SECY OF STATE @ 03/03/15 BONIFIELD & ROSENSTENGEL P 485 15WC 41535 HUSTEDT, GARY ROAD AND RAIL SVCS 10/22/15 GALANTI LAW OFFICES ROUSE & CARY 486 15WC 41672 SCALES, DAVID ELM CONSTRUCTION AND 10/20/15 NELSON & NELSON GANAN & SHAPIRO 487 15WC 41732 RHYNE, KELLY WALMART 11/15/15 CLAY BARKLEY ST CLAIR WIEDNER & MCAULIFFE LTD 488 15WC 41814 SPARLIN, CONNIE HIGHLAND SCHOOL DISTRICT 10/30/15 GALANTI LAW OFFICES RUSIN & MACIOROWSKI LTD 489 15WC 42116 MERRELL, JAMES LUNA'S PIZZA 11/16/15 BROWN & BROWN GANAN & SHAPIRO 490 15WC 42120 HOLTMAN, DENISE ST. JOSEPH'S HOSPITAL 12/01/14 HENNESSEY LAW FIRM MICHAEL NESTER 491 15WC 42169 REED, FELICIA A. BI-STATE DEVLOPMENT AGENC 11/16/15 NELSON & NELSON BROWN & JAMES, PC 492 15WC 42186 TOWNES-MCCOY, TRENA MIDWEST REHAB & RESPIRATO 11/25/15 BECKER SCHROADER & CHAPMAN NYHAN BAMBRICK KINZIE & LOWR 493 15WC 42625 HUBBS, JOHN AMEICAN STEEL FOUNDRIES 05/09/14 BECKER SCHROADER & CHAPMAN 494 15WC 42642 AVANT, JEFFREY U S STEEL 11/06/15 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 495 15WC 45483 PRATHER, KIRK REPUBLIC SERVICES 11/27/15 COOK SHEVLIN YSURSA ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 16WC 00042 MITCHELAR, JOHN J. NELSON TREE SERVICE, INC. 11/02/15 SMITH ALLEN MENDENHALL ET ADELSON TESTAN & BRUNDO 497 16WC 00258 SIMONS, SCOTT CHEMTRADE SOLUTIONS LLC 11/15/15 CHATHAM & BARICEVIC ROUSE & CARY 498 16WC 00389 CRUMER, GARRY JR AT&T 03/21/14 REED & BRUHN, PC HENNESSY & ROACH, PC 499 16WC 00410 CARPENTER, JACQUELINE HOLTEN MEAT COMPANY 09/04/15 THOMAS C RICH PC LAW OFFICE CRAIG A HANSEN 500 16WC 00659 SCHALLER, TODD CIRCLE K 12/21/15 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 501 16WC 00844 RANEY, STANLEY PEABODY GATEWAY SERVICES, 05/29/15 CULLEY & WISSORE KEEFE & DEPAULI 502 16WC 00924 NORMAN, ANTOINE ROBERT SANDERS WASTE MGMT 07/24/15 KEEFE & GRIFFITHS PC 503 16WC 00934 HARTMANN, JOHN BEALL MFG 10/15/15 GALANTI LAW OFFICES GANAN & SHAPIRO 504 16WC 01236 COOPER, MARIO AMERICAN STEEL FOUNDRIES 10/20/15 GALANTI LAW OFFICES 505 16WC 01243 KELLERMANN, KEITH HIGHLAND MACHINE 12/09/15 LEVENHAGEN LAW FIRM PC STEPHEN H LARSON LAW OFFICE 506 16WC 01296 SRONCE, JOHNNY DYNEGY MIDWEST GENERATION 06/12/13 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 507 16WC 01339 SCHMIDT, TAMMY LOGO IT! AND CASEY HAMBER 05/04/15 JOHN STOBBS HENNESSY & ROACH, PC 508 16WC 01432 HELTON, NANNETTE KRAFT FOODS 01/05/16 GALANTI LAW OFFICES 509 16WC 01521 COOPER, MARIO AMERICAN STEEL FOUNDRIES 11/14/15 GALANTI LAW OFFICES 510 16WC 02136 DIETRICH, PAUL A1 MED CAR 12/19/15 JUNCKER, DANIEL K PC 511 16WC 02253 PRATCHER, TAMIKA HUBBELL INC 11/04/15 JUNCKER, DANIEL K PC ROUSE & CARY 512 16WC 02262 19B MEYER, CHARLES E PAC FREIGHT 10/07/15 JOSEPH E. HOEFERT ROBERT L. SMITH 513 16WC 02444 SIMUNICH, RENEE A THEBEAU OUTDOOR SVC 04/15/15 NELSON & NELSON ROUSE & CARY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 16WC 02452 HOWARD, DENISE CASEY'S 03/06/15 GALANTI LAW OFFICES KEEFE & DEPAULI 515 16WC 02738 MCEWEN, STEVE INTERNATIONAL MULCH CO 12/18/15 SMITH ALLEN MENDENHALL ET LAW OFFICES STEVEN PILAND 516 16WC 02818 VOCKER, KIMBERLY HEALTHCARE SERVICES GROUP 12/27/15 LAW OFFICE KEITH SHORT BRADY, CONNOLLY & MASUDA, PC 517 16WC 02825 WALLACE, BILLY JOE JR US STEEL 12/26/15 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 518 16WC 02891 CANNON, BRIAUNA STATE OF IL ALTON MENTALH @ 10/28/15 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 519 16WC 03745 THOMAS, MARK ALDI'S 12/05/14 HUSTAVA, JOHN H LYNN D BARNETT 520 16WC 03754 THOMAS, MARK ALDI'S 03/21/13 HUSTAVA, JOHN H LYNN D BARNETT 521 16WC 04060 HAISLIP, ANTHONY FIVESTONE FOUNDATIONS 09/26/15 BROWN & BROWN KEEFE & DEPAULI 522 16WC 04223 HENDERSON,E BERT SCHNEIDER NATIONAL CARRIE 01/14/16 GALANTI LAW OFFICES POWER & CRONIN LTD 523 16WC 04280 CLOUATRE, KEVIN CITY OF ALTON 01/07/16 CONNOR LAW OFFICES SCHREMPF KELLY & NAPP 524 16WC 04422 KELLER, TRAVIS HILO MAINTENANCE INC 11/17/14 STELZMAN, RUTH JELLIFFE FERRELL DOERGE PHEL 525 16WC 04600 ANDERSON, LISA ILLINOIS DEPARTMENT @ 10/22/14 BROWN & BROWN ASSISTANT ATTORNEY GENERAL 526 16WC 05243 MC ALLISTER, ELIZABETH FRESH THYME 12/10/15 BONIFIELD & ROSENSTENGEL P ROUSE & CARY 527 16WC 05321 BRENT, BUSS ST CLAIR SERVICE COMPANY 12/04/15 NELSON & NELSON RUSIN & MACIOROWSKI LTD 528 16WC 05336 LATHROM, TIM UNITED METHODIST VILLAGE 03/19/15 BROWN & BROWN WOLFE & JACOBSON, LTD 529 16WC 05379 EHLERS, HARRIET EDEN VILLAGE 06/28/15 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 530 16WC 05464 ENDSLEY, DVANE USF HOLLAND 01/07/16 FLOYD LAW FIRM 531 16WC 05572 SCHNEIDER, EDWARD B O'REILLY AUTO PARTS 01/20/16 LIESER LAW FIRM HENNESSY & ROACH, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 16WC 05652 EVANS, LOVELESS T SADDLE CREEK LOGISTICS SV 11/24/15 WALTON TELKEN FOSTER LLC 533 16WC 05675 HESKER, JASON BOEHRINGER INELHEIM 11/10/15 MICHAEL MILES 534 16WC 05790 JARILLO, JOSE METRO CONTRACT SVCS 01/08/16 GALANTI LAW OFFICES RUSIN & MACIOROWSKI LTD 535 16WC 05886 ROBERTS, STEVEN UNITED PARCEL SERVICE 12/19/15 GLASS & KOREIN MCANANY VANCLEVE & PHILLIPS 536 16WC 05894 FOY, ROBERT SUNRISE TRANSPORT, LLC 01/11/16 MATHIS MARIFIAN RICHTER ET QUINN JOHNSTON HENDERSON ETA 537 16WC 05921 MORGAN, CHRISTIAN WAL-MART 01/16/16 LAW OFFICE KEITH SHORT WIEDNER & MCAULIFFE LTD 538 16WC 06544 JOHNSON, DEANNA LABORATORY CORP OF AMERIC 10/12/15 JOHNSTON LAW OFFICE HENNESSY & ROACH, PC 539 16WC 06556 BOWLES, MARY KRAFT FOODS 07/23/15 RICH RICH COOKSEY PC GAROFALO SCHREIBER STORM 540 16WC 06673 VAUGHN, RICHARD U.S. STEEL CORPORATION 01/12/15 BEATTY & MOTIL KEEFE & DEPAULI 541 16WC 06889 HILL, VALERIE G DAVID'S BRIDAL 04/17/14 LAW OFFICE RHONDA FISS MCANANY VANCLEVE & PHILLIPS 542 16WC 07128 BREWER, LINDA DOLLAR TREE 11/02/15 BROWN & BROWN EVANS & DIXON, LLC 543 16WC 07162 HOUSTON, HERBERT ELITE STAFFING 02/03/16 KULLMAN KLEIN & DIONEDA 544 16WC 07234 HUNT, DEVAN WASTE MANAGEMENT, INC. 12/26/15 SAUTER, SULLIVAN & EVANS 16WC007248 -C 545 16WC 07304 RUCKS, MICHAEL BEVERLY FARM FOUNDATION 01/25/16 WALTON TELKEN FOSTER LLC 546 16WC 07322 RUKAVINA, JON CITY OF COLLINSVILLE 11/04/15 WALTON TELKEN FOSTER LLC BECKER PAULSON & HOERNER PC 547 16WC 07393 HANKS, THOMAS METRO EAST INDUSTRIES 01/28/14 BROWN & CROUPPEN KEEFE & DEPAULI 548 16WC 07543 HOFFMAN, WILLIAM SAM'S WHOLESALE CLUB 11/21/15 NELSON & NELSON EARLY & MIRANDA PC 549 16WC 07859 LEONARD, AMY CITY OF EDWARDSVILLE 01/11/16 BECKER SCHROADER & CHAPMAN SCHREMPF, BLAINE, KELLY & DA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 16WC 07870 NEWMAN, RICHARD CITY OF ALTON 02/01/16 CONNOR LAW OFFICES SCHREMPF, BLAINE, KELLY & DA 551 16WC 08040 SLAUGHTER, STACY KRAFT FOODS 09/06/13 RICH RICH COOKSEY PC GAROFALO SCHREIBER STORM 552 16WC 08053 RODGERS, MINNIE LESSIE BATES DAVIS 01/08/15 KOLKER LAW OFFICES BRADY CONNOLLY & MASUDA PC 16WC008057 -C 16WC022868 -C 553 16WC 08209 SHEA, CHRISTINE BEVERLY FARMS 02/29/16 LAW OFFICE KEITH SHORT HOLTKAMP LIESE ET AL 554 16WC 08240 SORENSON, LARRY U S STEEL 10/31/15 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 555 16WC 08358 COAKLEY, ROBBIE MORRISON HEALTHCARE FOOD 02/23/16 BROWN & BROWN GANAN & SHAPIRO 556 16WC 08395 TOTZELL, HAROLD T DYNEGY MIDWEST GENERATION 02/01/16 ERIN M. PHILLIPS KEEFE & DEPAULI 557 16WC 08577 FLYNN, WILLENE JEANETTE ALTON MENTAL HEALTH CENTE @ 02/22/16 LAW OFFICE OF SUSAN GRAMME ASSISTANT ATTORNEY GENERAL 558 16WC 08987 SHANE, JAMES PEABODY COAL CO 01/29/16 CULLEY FEIST KUPPART & TAY EVANS & DIXON, LLC 559 16WC 09009 NESIMOVIC, RAZIJA SCHNUCKS 01/01/16 DENNIS SHEVLIN LEMP & MURPHY 560 16WC 09037 SCHRAGE, BRIAN LEWIS & CLARK COMMUNITY 10/19/15 SMITH ALLEN MENDENHALL ET LAW OFFICES STEVEN PILAND 561 16WC 09114 COWELL, HAROLD ABC ST LOUIS 01/14/13 CROWDER & SCOGGINS LTD 562 16WC 09318 GABROVIC, EILEEN ST ELIZABETH'S HOSPITAL 04/12/14 GARY L. BEMENT MICHAEL NESTER 563 16WC 09423 MERCER, CYNTHIA BRAUN'S TERRACE 08/04/15 NELSON & NELSON BOGGS AVELLINO 564 16WC 09524 LOTT, BRANDON DEBORAH L BEAVER @ W 02/19/16 BROWN & BROWN KEEFE & DEPAULI 565 16WC 09667 SHAH, OMID A MINOR, BY AN ZULFI, LLC D/B/A SUBWAY 09/24/15 SCANLON, CHARLES R STEPHEN H LARSON LAW OFFICE 566 16WC 09810 LINDLEY, ROBERT JR GENERAL PARTS, INC 09/25/13 UNSELL & SCHUMAN GOLDBERG SEGALLA LLC 567 16WC 09934 MCCLENDON, LEON CASINO QUEEN 01/27/16 BROWN & BROWN BECKER PAULSON & HOERNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 568 16WC 09961 HARGROVE, RON GBW RAILCAR SERVICES 01/25/16 GALANTI LAW OFFICES HENNESSY & ROACH 569 16WC 09967 GILLIAM, ARNETTA HOLTEN MEAT, INC 01/19/16 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 570 16WC 09979 FITE, TERESA K MILLSTADT CCSD #160 08/28/14 MATHIS MARIFIAN RICHTER ET WIEDNER & MCAULIFFE LTD 571 16WC 10186 FOGLE, BRYAN S BUCHHEIT'S 04/28/15 FISHER KERHOVER & WELGE COZZI & GOGGIN-WARD 572 16WC 10292 VANICEK, FRANCIS PRAIRIE STATE GENERATING 09/23/15 DWORKIN AND MACIARIELLO 573 16WC 10313 THOMPSON, JACK USF HOLLAND 02/19/16 FLOYD LAW FIRM HENNESSY & ROACH, PC 574 16WC 10733 MILCIC, MARY IL DEPT OF TRANSPORTATION @ 01/29/16 LAW OFFICE KEITH SHORT ASSISTANT ATTORNEY GENERAL 575 16WC 10737 RIGGINS, HOLLIS III EAST ST LOUIS POLICE DEPT 03/16/16 BONIFIELD & ROSENSTENGEL P CLAYBORNE SABO & WAGNER 576 16WC 10827 FULSOM, ALTORIC C JONES WRECKING & TRUCKI 04/11/13 PETER BLASI LLC 577 16WC 10883 WARLICK, SHINZETTA ALTON MENTAL HEALTH CENTE @ 02/16/16 WALTON TELKEN FOSTER LLC ASSISTANT ATTORNEY GENERAL 578 16WC 10949 HAYNES, MARVIN EAST ST LOUIS FIRE DEPT. 01/28/16 BROWN & BROWN CLAYBORNE SABO & WAGNER 579 16WC 11035 MOORE, TRACEY GRANITE CITY SCHOOL DISTR 03/30/16 GALANTI LAW OFFICES KNAPP, OHL & GREEN 580 16WC 11045 WILLIAMS, TRACY INTEGRITY HEALTHCARE 10/15/15 RICH RICH COOKSEY PC NYHAN BAMBRICK KINZIE & LOWR 16WC030912 -C CHESTER MENTAL HEALTH STAT 16WC030913 -C 581 16WC 11054 NESIMOVIC, RAZIJA SCHNUCKS 03/30/16 DENNIS SHEVLIN LEMP & MURPHY 582 16WC 11123 CWIKLOWSKI, DOUG HAYES PMC 03/05/16 KEEFE & DEPAULI GAROFALO SCHREIBER STORM 583 16WC 11290 TURNER, TROY IL DEPT OF TRANSPORTATION @ 01/11/16 JULIAN GORI & ASSOC ASSISTANT ATTORNEY GENERAL 584 16WC 11424 MAYHALL, SUSAN ANN MCDONALD'S RESTAURANT 08/19/14 LAW OFFICE OF SUSAN GRAMME HENNESSY & ROACH, PC 585 16WC 11436 RENNER, JARED CASEYVILLE TWP SEWER 02/18/16 BONIFIELD & ROSENSTENGEL P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 586 16WC 11562 MANGUM, MARK STATE OF ILLINOIS @ 03/29/16 LAW OFFICE KEITH SHORT ASSISTANT ATTORNEY GENERAL 587 16WC 11645 JENKINS, LOTTIE UNIQUE PERSONNEL CONSULTA 03/17/16 BROWN & BROWN STEPHEN H LARSON LAW OFFICE 588 16WC 11743 HOWARD, ROBERT BREWSTER EXCAVATING & 03/22/16 JULIAN GORI & ASSOC BRYCE DOWNEY & LENKOV LLC 589 16WC 12005 TRAVIS, MONTY L SCHENKER LOGISTICS 03/23/16 BROWN & BROWN LAW OFFICE PAUL LARIMORE 590 16WC 12018 MOORE, CYNTHIA R COLLINSVILLE UNIT 10 SCHO 01/13/16 NELSON & NELSON 591 16WC 12040 TRUXALL, STEVEN KWIK DRY CARPET CARE LLC 03/19/16 BROWN & BROWN MATHIS MARIFIAN RICHTER ET A 592 16WC 12047 THOMAS, LAMARCUS PARENTS & FRIENDS OF THE 03/26/16 BROWN & BROWN BOGGS AVELLINO 593 16WC 12478 DAVIS, DANIELLE SAS RETIAL SERVICES 01/07/16 WENDLER LAW PC STEPHEN H LARSON LAW OFFICE 16WC012494 -C TPG STAFFING, LLC 16WC027680 -C SCHNUCKS 594 16WC 12488 COPE, CARLA ALTON MEMORIAL HOSPITAL 01/23/16 MILLER, WILLIAM R LAW OFFI HOLTKAMP LIESE ET AL 595 16WC 12501 BOWDEN, MICHELLE STEARNS NURSING & REHAB C 03/10/16 WILLIAMS CAPONI & ASSOC BRADY, CONNOLLY & MASUDA, PC 596 16WC 12889 DRUEKE, GABRIEL DYNEGY 11/02/15 RICH RICH COOKSEY PC KEEFE & DEPAULI 597 16WC 12905 HROBOWSKI, KIMBERLY UNITED STATES STEEL CORP 01/19/16 PETER BLASI LLC 598 16WC 12995 CONLEY, TONI AMERICAN STEEL FOUNDRIES 04/07/16 GALANTI LAW OFFICES BOGGS AVELLINO 599 16WC 13035 ALTEVOGT, JOSEPH HIGHLAND MACHINE & SCREW 02/25/16 RICH RICH COOKSEY PC STEPHEN H LARSON LAW OFFICE 16WC013036 -C 16WC013234 -C 600 16WC 13205 SHARP, RICHARD T E ST LOUIS POLICE DEPT. 02/21/16 STERLING AND DOWLING CLAYBORNE SABO & WAGNER 601 16WC 13215 CRAWFORD, MILDRED WALMART 03/09/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 602 16WC 13226 WHITE, JERVIS METRO EAST INDUSTRIES, IN 01/27/16 NELSON & NELSON KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 16WC 13361 DITTER, AMOR ST OF IL DEPT OF @ 03/15/16 BROWN & BROWN ILLINOIS ATTORNEY GENERAL 604 16WC 13520 STRICKLIN, SUZANNE AMERICAN LEGION POST 485 @ W 01/24/16 KATZMAN & ASSOCIATES TERRY PEEBLES 605 16WC 13690 FETTER, SETH K THE STEEL WORKS LLC 03/30/16 LAW OFFICES JOHN HOEFERT STEPHEN H LARSON LAW OFFICE 606 16WC 13704 LARKIN, AARON D J D DISTRIBUTION 04/15/16 SCHREMPF, BLAINE, KELLY & 607 16WC 13834 BECKER, RONALD BECKER, RONALD 08/22/14 BEATTY & MOTIL 608 16WC 13905 MCDERMOTT, SCOTT AHERENS CONTRACTING INC 12/13/15 KATZMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 609 16WC 13963 CONNOR, KIRSTEN ALTON MEMORIAL HOSPITAL 04/01/16 THOMAS W DUDA HOLTKAMP LIESE ET AL 610 16WC 14014 ALVIS, PHILLIP L HAYES MECHANIC 03/22/16 LAW OFFICE OF THOMAS SCHOO GAROFALO SCHREIBER STORM 611 16WC 14182 NICKLESS, LOWELL R&L CURRIERS 01/08/15 LYNN D BARNETT SLAVIN & SLAVIN 612 16WC 14271 HAND, CAROL ADVANCED PIERRE FOODS 04/21/15 KIRKPARTICK LAW OFFICES 613 16WC 14299 LUNA, MIGUEL OLDCASTLE LAWN&GARDEN MID 01/04/16 SCHREMPF, BLAINE, KELLY & 614 16WC 14391 WELLMAKER, ANTONIO AMERICAN STEEL FOUNDRIES 04/11/16 GALANTI LAW OFFICES BOGGS AVELLINO 615 16WC 14617 JONES, ROBERT SPECTRULITE CONSORTIUM IN 08/21/02 BROWN & BROWN 616 16WC 14677 EMMONS, JOHN T. ERVIN CABLE CONSTRUCTION 04/01/16 SCHREMPF, BLAINE, KELLY & MCANANY VANCLEVE & PHILLIPS 617 16WC 14778 BEASLEY, SHAQUTIA BEVERLY FARM FOUNDATION 04/04/16 KEEFE & DEPAULI HOLTKAMP LIESE ET AL 618 16WC 14782 DEMERY, MIKE AMERICAN STEEL FOUNDRIES 05/04/16 GALANTI LAW OFFICES 619 16WC 15259 JOHNSON, GARY W IMEL PEST CONTROL 04/12/16 WENDLER LAW PC WIEDNER & MCAULIFFE LTD 620 16WC 15385 RAUB, ERIC OLIN/WINCHESTER 01/28/16 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 621 16WC 15392 WHITE, SHAQUILLE AMSTED RAIL 03/25/16 SAUTER, SULLIVAN & EVANS 622 16WC 15399 BREWSTER, BRIDGET WALMART 11/02/15 NELSON & NELSON GANAN & SHAPIRO 623 16WC 15438 WRIGHT, STACY CHILDRENS HOME AND AID 11/18/15 JOHNSTON LAW OFFICE INMAN & FITZGIBBONS 624 16WC 15533 MOSELY, DELANO HARBOR FREIGHT TOOLS 11/16/15 BROWN & BROWN HENNESSY & ROACH, PC 625 16WC 15545 PRUITT, STEVEN T SENIOR SEVICES PLUS 04/11/16 WALTON TELKEN FOSTER LLC 626 16WC 15566 SIMMONS, JEFFREY SR MATTINGLY LUMBER & MILLWO * 07/23/15 MELVIN J SMITH & ASSOC 627 16WC 15598 HOFFMANN, JAMIE FAR OAKS GOLF CLUB, LLC 09/26/15 BROWN & BROWN GANAN & SHAPIRO 628 16WC 15608 COURTOISE, BRIAN KORTE & LUITJOHAN 07/18/14 GALANTI LAW OFFICES KEEFE & DEPAULI 629 16WC 15976 JORDAN, STEPHEN SEQUA CORPORATION/PRECOAT 01/08/13 SHAPIRO SPAETH & SAUER LLC LEMP & MURPHY 630 16WC 15978 JORDAN, STEPHEN SEQUA CORPORATION 08/17/14 SHAPIRO SPAETH & SAUER LLC 631 16WC 16069 ANDERSON, FRANK JR. BRYNE & JONES CONST. CO. 05/06/16 ARMBRUSTER DRIPPS HARRIS DOWELL FISHER & HARRI 632 16WC 16167 PEREIRA, TAMMY HAIRLOOM BOUTIQUE 03/08/16 HUSTAVA, JOHN H LAW OFFICES STEVEN PILAND 633 16WC 16182 YATES, GRADIE KRAFT FOODS 01/26/16 GALANTI LAW OFFICES GAROFALO SCHREIBER STORM 634 16WC 16236 EATON, JOSEPH US STEEL CORPORATION 05/12/16 BEATTY & MOTIL KEEFE & DEPAULI 635 16WC 16300 MASON, MICHAEL DARLING INGREDIENTS, INC. 04/08/16 GALANTI LAW OFFICES MATHIS MARIFIAN RICHTER ET A 636 16WC 16339 DONA, BEN WOOD RIVER TOWNSHIP 05/06/16 GALANTI LAW OFFICES JAMES M KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 637 16WC 16827 ARNOLD, JAMES JR SM BUSH ENTERPRISES INC 11/12/15 ONDER SHELTON O'LEARY ROUSE & CARY 638 16WC 17056 WILLIS, JOHN W. PLACE SMART AGENCY 04/06/16 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 17WC001162 -C 639 16WC 17079 DORIS MASTERS, MOTHER OF COWORX STAFF SERVICES LLC 04/13/16 BECKER SCHROADER & CHAPMAN BRADY, CONNOLLY & MASUDA, PC 640 16WC 17126 FORD, MARGARET GATEWAY REGION YMCA 04/15/16 LAW OFFICE KEITH SHORT BRUCE WARREN 641 16WC 17656 BRIGHT, KORYL. OLIN CORPORATION 03/10/16 THOMAS W TUOHY & ASSOCIATE KEEFE & DEPAULI 642 16WC 17684 BREWER, DENNIS IBM 05/29/12 LIESER LAW FIRM ROUSE & CARY 643 16WC 17830 TIEMANN, TARA BELLEVILLE WEST HIGH SCHO 03/02/15 DENNIS SHEVLIN 644 16WC 17886 USREY, JOHN AMERICAN STEEL FOUNDRIES 05/02/15 GALANTI LAW OFFICES 645 16WC 17894 BYRNE, JAMES USF HOLLAND 05/19/16 FLOYD LAW FIRM HENNESSY & ROACH, PC 646 16WC 18050 LAWSON, CAROLINE OLIN 07/03/15 HUSTAVA, JOHN H KEEFE & DEPAULI 647 16WC 18109 LAWRENCE, VERDIA R LABOR READY 05/26/16 GOLDENHERSH & GOLDENHERSH BRADY, CONNOLLY & MASUDA, PC 648 16WC 18207 PARKER, ELIZABETH AEROTEK 05/13/16 GALANTI LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 649 16WC 18235 MEYER, LINDSAYA MCDONALD'S 05/06/16 SMITH ALLEN MENDENHALL ET 650 16WC 18348 MOORE, TINA MENARD AUTO SALES INC 01/11/16 NELSON & NELSON 651 16WC 18362 STACK, RANDALL L. CHELTENHAM CONSTRUCTION 11/17/15 SCHREMPF, BLAINE, KELLY & KNELL & O'CONNOR 652 16WC 18435 CAWVEY, STACEY WATERLOO COMMUNITY 01/08/16 KEEFE & GRIFFITHS PC GANAN & SHAPIRO 653 16WC 18511 RUSHTON, JOHN URS CORPORATION 05/25/16 GALANTI LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 654 16WC 18530 SCHRADER, EDWARD GENCO DISTRIBUTION SYSTEM 06/01/16 NELSON & NELSON SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 655 16WC 18703 MOSLEY, KARINA GOODWILL INDUSTRIES 04/14/16 MARK S PEEBLES 656 16WC 18707 MIFFIN, DEANNA AGENCY COMMUNITY TRANSIT 05/04/16 GALANTI LAW OFFICES KEEFE & DEPAULI 657 16WC 19048 EZELL, ROY REDEMIX 08/24/15 FLOYD LAW FIRM EVANS & DIXON, LLC 658 16WC 19072 MILLER, KAREN WALGREENS 04/13/14 BECKER SCHROADER & CHAPMAN EVANS & DIXON, LLC 659 16WC 19340 PLUNKETT, SAMUEL PRECICISION DESIGN AND 05/18/16 UNSELL, EDWARD W LAW OFFIC 660 16WC 19351 CASSIDY, CHRIS DYNEGY MIDWEST GENERATION 05/16/16 GALANTI LAW OFFICES KEEFE & DEPAULI 661 16WC 19358 BARKER, BRANDON STRATA MINE SERVICES, LLC 05/31/16 HOWERTON, DORRIS & STONE LAW OFFICE CRAIG A HANSEN 662 16WC 19407 GAINES, TORAINO GENCO DISTRIBUTION SYSTEM 03/28/16 NELSON & NELSON ROUSE & CARY 663 16WC 19412 MC GINNIS, SUNNY R D MC GINNIS INDUSTRIES 04/22/15 JOSEPH L SAMUELSON PC HOLTKAMP LIESE ET AL 664 16WC 19437 ANDERSON, TONY CITY OF MADISON 06/10/16 GALANTI LAW OFFICES 665 16WC 19547 DRESSLER, CHERYL A O'FALLON SCHOOL DISTRICT 02/01/16 CALLIS PAPA HALE & SZEWCZY COZZI & GOGGIN-WARD 666 16WC 19549 WHORTON, RICKY DEFINITIVE HOME DESIGN 05/06/16 FLOYD LAW FIRM GANAN & SHAPIRO 667 16WC 19554 STEPHENS, LINDA S AGENCY FOR COMMUNITY TRAN 09/25/15 NELSON & NELSON RUSIN & MACIOROWSKI LTD 668 16WC 19569 JOHNSON, JAMES J&K STAFFING SRVCS, INC 01/04/16 SMITH ALLEN MENDENHALL ET 669 16WC 19709 FAIRLESS, TERRY J FREER AUTO BODY 03/07/16 UNSELL, EDWARD W LAW OFFIC 670 16WC 19932 WINDOM, LAKESHA WENDY'S 06/15/16 KEEFE & DEPAULI 671 16WC 20012 TOURVILLE, JOYCE ANN BASLER ELECTRIC 02/24/16 NELSON & NELSON EVANS & DIXON, LLC 672 16WC 20083 FORESHEE, MICHAEL SHOP-N-SAVE WAREHOUSE FOO 06/20/16 ROTH LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 673 16WC 20119 WELLS, BRIAN WAL-MART STORES INC#1071 06/01/16 MORMINO,VELLOFF,EDMONDS,SN WIEDNER & MCAULIFFE LTD 674 16WC 20191 CONWAY, LEVERT DB US HOLDING CORP 05/22/16 WALTON TELKEN FOSTER LLC LAW OFFICE PAUL LARIMORE 675 16WC 20238 KRUGER, MARY DENISE REGIONS BANK 03/21/16 LAW OFFICE KEITH SHORT EVANS & DIXON, LLC 676 16WC 20393 GLOVER, QUIANA HOYELTON YOUTH & FAMILY S 04/16/16 KEEFE & GRIFFITHS PC LITCHFIELD CAVO 677 16WC 20697 RACIC, MEHO AMERICAN STEEL 04/16/16 BECKER SCHROADER & CHAPMAN 678 16WC 20780 DAVIDSON, PATRICIA M SAM'S CLUB 4878 06/11/16 MATEYKA & ASSOCIATES 679 16WC 20856 MARCUSON, DALE TLG (THE LARSON GROUP) 05/09/16 GOLDBLATT + SINGER STEPHEN H LARSON LAW OFFICE 680 16WC 20882 JACKSON, JIMMY AMERICAN STEEL FOUNDRIES 06/23/16 GALANTI LAW OFFICES BOGGS AVELLINO 681 16WC 21206 BOHNENSTIEHL, ERIC FOSCHIATTI CONSTRUCTION 01/27/16 BECKER SCHROADER & CHAPMAN QUINN JOHNSTON HENDERSON ETA 682 16WC 21268 CLEMENTS, CHRIS FOUR POINTS CONCRETE 07/01/16 MILLER, WILLIAM R LAW OFFI 683 16WC 21300 SULENTIC, LINDA SEARD HOETOWN & OUTLET ST 05/24/16 LAW OFFICE KEITH SHORT 684 16WC 21392 PIERCE, FREDERICK FEDERAL STEEL & ERECTION 12/09/15 BECKER SCHROADER & CHAPMAN HEYL ROYSTER VOELKER & ALLEN 685 16WC 21768 RODRIGUEZ, JOHN DARLING INGREDIENTS INC 07/10/15 GALANTI LAW OFFICES MATHIS MARIFIAN RICHTER ET A 686 16WC 21954 SYKES, MARLON ABM INDUSTRIES INC 06/17/16 BROWN & BROWN 687 16WC 21984 MAGUIRE, ROBERT DOMINO'S PIZZA 04/14/16 DAVID H. BONE LLC HARRIS DOWELL FISHER & HARRI 688 16WC 21995 HANNON, JERRY GATEWAY VOLVO TRUCKS INC 05/31/16 BROWN & BROWN 689 16WC 22008 CHURCH, LARRY BRANDING IRON HOLDINGS 10/21/15 KATZ FRIEDMAN EAGLE ET AL LAW OFFICE CRAIG A HANSEN 690 16WC 22030 KLEIN, RICHARD PRAXAIR DISTRIBUTION, INC 04/26/15 FREEARK HARVEY MENDILLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 691 16WC 22098 STEELE, KIM ABC ST LOUIS 10/19/14 KATZMAN & SUGDEN 692 16WC 22138 JONES, TIFFANI DO DROP INN 03/26/15 GALANTI LAW OFFICES GANAN & SHAPIRO 693 16WC 22170 BARBOUR, JANICE E. BELLEVILLE MEMORIAL HOSPI 04/11/16 BECKER PAULSON & HOERNER P MATHIS MARIFIAN RICHTER ET A 694 16WC 22230 MORGAN, JOE VILLAGE OF CAHOKIA 05/02/16 STRELLIS FAULBAUM WALSH & DONOVAN ROSE NESTER 695 16WC 22465 LILIENSIEK, DANIEL L. CITY OF EDWARDSVILLE 04/07/15 THOMAS W DUDA KEEFE & DEPAULI 696 16WC 22478 SINGLETARY, LAWANDA CASINO QUEEN 07/08/16 GOLDBLATT + SINGER BECKER PAULSON & HOERNER PC 697 16WC 22563 KINDLE, RICHARD LAURA BUICK, GMC 04/30/16 GALANTI LAW OFFICES KEEFE & DEPAULI 698 16WC 22843 DAVIS, OZELL SUPPORT SYSTEMS & SERVICE 12/28/15 HRANT NORSIGIAN 699 16WC 22878 SKILES, STEPHEN MIDWEST SAW INC 10/24/15 KATZMAN & ASSOCIATES STEPHEN H LARSON LAW OFFICE 700 16WC 22971 MADEWELL, CASEY STEAK N SHAKE 07/04/14 MATTEA, BRUCE HEPLER BROOM LLC 701 16WC 23248 KECK, RYAN R. J. CORMAN RAILROAD GRO 07/19/16 KEEFE & DEPAULI EVANS & DIXON, LLC 702 16WC 23347 CARTER, MATTHEW METRO EAST INDUSTRIES 05/05/16 GALANTI LAW OFFICES KEEFE & DEPAULI 703 16WC 23351 POZSGAY, PAUL ST CLAIR COUNTY SHERIFF D 05/09/16 NELSON & NELSON BECKER PAULSON & HOERNER PC 704 16WC 23519 CUNNINGHAM, REGAN MEMORIAL HOSPITAL 09/28/15 BOYNE, KEVIN PC MATHIS MARIFIAN RICHTER ET A 705 16WC 23533 RUSSELL, LINDA LABOR READY 06/29/16 BROWN & BROWN 706 16WC 23589 CAMPBELL, JUSTIN KELLY SERVICES 06/22/16 BROWN & BROWN BRADY, CONNOLLY & MASUDA, PC 707 16WC 23646 RENNIE, MICHELLE COLLINSVILLE COMMUNITY UN 03/22/16 NELSON & NELSON 708 16WC 23671 BLACK, DIANNE COMMERCE BANK 05/27/16 NELSON & NELSON LAW OFFICE CRAIG A HANSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 709 16WC 23767 BRADLEY, MARVIN U S STEEL 01/04/16 BECKER SCHROADER & CHAPMAN 710 16WC 23799 OTIS, JOSEPH P ANDY'S AUTO BODY 07/10/16 WALTON TELKEN FOSTER LLC GANAN & SHAPIRO 711 16WC 24027 STURNIOLO, DEREK IL QUARTER HORSE RACE ASS 06/28/16 MATTEA, BRUCE COZZI & GOGGIN-WARD 712 16WC 24114 JENKINS, SCOTT HENKELS & MC COY 10/27/14 FRANCIS J DISCIPIO LAW OFF HEYL ROYSTER VOELKER & ALLEN 713 16WC 24198 SOKALSKY, LINDA(WIDOW) WAGNER MOTOR CAR CO # 11/14/15 CULLEY & WISSORE 714 16WC 24432 JACKSON, WILLIS TRANSITIONAL HOME 07/29/16 JEROME LEFTON LAW OFFICE EVANS & DIXON, LLC 715 16WC 24579 WAHBY, VINCENT P MB THOMAS RV SALES INC 03/06/16 NELSON & NELSON BRADY, CONNOLLY & MASUDA, PC 716 16WC 24689 DIEGO, JAVIER DIXIE J HARR THOROUGHBRED 05/20/16 DEPAOLO ZADEIKIS GORE 717 16WC 24704 HAWTHORNE, TIMOTHY DMS CONTRACTING, INC. 12/08/15 LAW OFFICE OF JAMES PARROT 718 16WC 24772 CLINES, SHERRIE AMERICAN RED CROSS 09/15/15 DWORKIN AND MACIARIELLO 719 16WC 24980 SMITH, HOWARD A STAFFING SYNERGIES, INC 06/21/16 ARMBRUSTER DRIPPS LAW OFFICES STEVEN PILAND 720 16WC 25003 FOILES, JANICE SECRETARY OF STATE,STATE @ 09/29/15 SMITH ALLEN MENDENHALL ET 721 16WC 25013 HUNTER, THOMAS KERRY INGREDIENTS & FLAVO 08/24/11 HENNESSEY LAW FIRM HARRIS DOWELL FISHER & HARRI 722 16WC 25031 PEARSON, ANGELA M. BRANDING IRON HOLDINGS, I 07/27/16 BROWN & BROWN EVANS & DIXON, LLC 723 16WC 25099 CARAWAY, KEITH PRAIRIE STATE GENERATING 08/10/15 KEEFE & DEPAULI EVANS & DIXON, LLC 724 16WC 25454 BARROW, MARK TYLER PAINTING COMPANY, I 06/04/15 EVANS & DIXON, LLC 725 16WC 25756 MOORE, LAZEAL MILLER GROUP 08/17/16 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 726 16WC 25775 DAVIS, TOMMIE ACE GREASE SERVICES 07/07/16 CHRISTOPHER OETZEN HARRIS DOWELL FISHER & HARRI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 727 16WC 25794 SCHEMPP, HAROLD KETTLER CASTING COMPANY 05/31/16 BROWN & CROUPPEN 728 16WC 25830 SOTO, ROBERT UNIVERSITY NURSING & REHA 06/08/16 MILLER, WILLIAM R LAW OFFI WIEDNER & MCAULIFFE LTD 729 16WC 25926 ARBOUR, ROBERTA COOPERATIVE HOME CARE, IN 05/12/16 WALTON TELKEN FOSTER LLC NYHAN BAMBRICK KINZIE & LOWR 730 16WC 26136 HAVIS, STEPAHNIE SOI-ALTON MENTAL @ 09/13/14 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 731 16WC 26377 RULISON, DIANE AMERICAN WATER WORKS 07/11/16 BROWN & CROUPPEN CLAYBORNE SABO & WAGNER 732 16WC 26396 MAYO, AARON PRAIRIE STATE 01/06/16 KEEFE & DEPAULI EVANS & DIXON, LLC 733 16WC 26416 GREEN, MICHAEL H IDOT HIGHWAY DISTRICT #8 @ 03/24/16 MORMINO,VELLOFF,EDMONDS,SN ELIZABETH LEAHY 734 16WC 26446 MYNCH, ALEX METRO EAST INDUSTRIES, IN 06/09/16 GOLDBERG LAW FIRM, LLC KEEFE & DEPAULI 735 16WC 26496 THOMAS, KIMBERLY MORRISON FOODS 05/09/16 HUSTAVA, JOHN H GANAN & SHAPIRO 736 16WC 26555 DEGONIA, RHONDA` IL DEPT OF EMPLOYMENT SEC @ 11/16/15 HUSTAVA, JOHN H 737 16WC 26821 WHITE, ANDREW L.E. BERGSCHNEIDER * 01/25/16 JUNCKER, DANIEL K PC MORROW WILLNAUER 738 16WC 26900 GRIMES, SANDRA SUE AMERICAN WATER 01/30/15 MILLER, WILLIAM R LAW OFFI CLAYBORNE SABO & WAGNER 739 16WC 27118 CWIKLOWSKI, ASHLEY TEXAS ROADHOUSE 04/15/16 JOHNSTON LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 16WC027119 -C 740 16WC 27326 DIETRICH, PAUL A-1 MED CAR 08/05/16 JUNCKER, DANIEL K PC 741 16WC 27329 BRADLEY, MARVIN U.S. STEEL 08/09/16 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 742 16WC 27356 HOHE, MARSHA G MEMORIAL HOSPITAL 08/06/13 MCGLYNN & MCGLYNN MATHIS MARIFIAN RICHTER ET A 743 16WC 27553 GULLEY, PAMELA BI-STATE DEVELOPMENT AGEN 07/12/16 JUNCKER, DANIEL K PC BROWN & JAMES, PC 744 16WC 27660 FELTMAN, DAVID METRO EAST INDUSTRIES 07/01/16 KOLKER LAW OFFICES KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 745 16WC 27799 STEELE, TOBY POWER HOUSE RETAIL SERVIC 08/15/16 ONDER SHELTON O'LEARY LAW OFFICE PAUL LARIMORE 746 16WC 27924 NEELY, SAVANNAH WHITE CASTLES 08/29/16 LAW OFFICE OF CELESTINE DO SPIEGEL & CAHILL, PC 747 16WC 28016 SHEARRER, KYLE RENT A CENTER SERVICE 04/04/16 BROWN & BROWN EVANS & DIXON, LLC 748 16WC 28038 WHITE, SHEILA COLLINSVILLE REHABILITATI 08/31/16 WALTON TELKEN FOSTER LLC KNELL LAW LLC 749 16WC 28089 LOPEZ, JERRY LARRY FLYNT'S 05/02/16 GALANTI LAW OFFICES KNELL & O'CONNOR 750 16WC 28173 SCHULTZ, PAULA NEW OPPORTUNITIES, INC 04/26/16 RICH RICH COOKSEY PC HOLTKAMP LIESE ET AL 751 16WC 28201 DUKES, MISTY CASEY'S GENERAL STORE 06/08/15 GALANTI LAW OFFICES 752 16WC 28220 PETTIT, TODD COLLINSVILLE SCHOOL DISTR 08/30/16 GALANTI LAW OFFICES 753 16WC 28253 LALIS, JULIE AMATEUR TRAPSHOOTING ASSO 07/21/16 WILLIAMS CAPONI & ASSOC QUINN JOHNSTON HENDERSON ETA 754 16WC 28363 KILLINGSWORTH, SHIRLEY ST PAUL'S HOME 08/28/16 BOYNE, KEVIN PC MORROW WILLNAUER 755 16WC 28469 TUGGLE, GEORGE OLIN WINCHESTER 11/13/13 ARMBRUSTER DRIPPS KEEFE & DEPAULI 756 16WC 28569 ALLEN, ANDREA BJC 07/25/15 GALANTI LAW OFFICES HOLTKAMP LIESE ET AL 757 16WC 28664 ROBBINS, DUSTIN J FEDERAL STEEL 09/19/15 UNSELL, EDWARD W LAW OFFIC 758 16WC 28681 POWELL-JENKINS, SHEILA COLUMBIA REHABILITATION & 04/24/16 BECKER SCHROADER & CHAPMAN 759 16WC 28783 MELL, EDWARD JLP HOMES LLC 05/09/16 BOYNE, KEVIN PC 760 16WC 29164 CROWDER, CHARLES PREMIER INSULATION 10/01/14 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 761 16WC 29183 SCOGGINS, MICHAEL H & B HAM COMPANY 08/13/16 BROWN & BROWN 762 16WC 29244 COOK, MICHAEL ST LOUIS PRESTRESS, INC 09/01/16 GALANTI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 763 16WC 29398 DUDENBOSTEL, MARK BAXMEYER CONSTRUCTION, IN 08/24/15 COOK SHEVLIN YSURSA ET AL INMAN & FITZGIBBONS 764 16WC 29437 MYERS, DAVID GMS MINE REPAIR & MAINT I 02/26/16 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 765 16WC 29620 KOZONASKY, JOHN THE TELEGRAPH 07/20/16 SMITH ALLEN MENDENHALL ET 766 16WC 29723 HARRISON, MARVIN AMERICAN STEEL FOUNDRIES 08/29/16 GALANTI LAW OFFICES 767 16WC 29737 MANGUM, JANE E JACK IN THE BOX 09/16/16 JOSEPH E. HOEFERT HENNESSY & ROACH, PC 768 16WC 29747 BUCKINGHAM, TABITHA M SAM'S CLUB #4878 08/17/16 MATEYKA & ASSOCIATES 769 16WC 30338 PERRUZZA, RAYMOND EDIBLE ARRANGEMENTS 07/07/16 NELSON & NELSON MORROW WILLNAUER 770 16WC 30345 BECCUE, BRADLEY E AMEREN 11/03/15 BONIFIELD & ROSENSTENGEL P HOLTKAMP LIESE ET AL 771 16WC 30388 FELTMAN, DAVID METRO EAST INDUSTRIES 08/17/16 KOLKER LAW OFFICES KEEFE & DEPAULI 772 16WC 30429 PEDEN, MICHELLE R ALTON MEMORIAL HOSPITAL 09/20/16 ARMBRUSTER DRIPPS HOLTKAMP LIESE ET AL 773 16WC 30445 CAIN, BETTINA COMFORT SUITES 05/17/15 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 774 16WC 30562 TAYLOR, MARK PEERLESS PREMIER APPLICAN 08/08/16 BADGLEY, BRAD L LAW OFFICES STEVEN PILAND 775 16WC 30646 HOFFMANN, JAMIE FAR OAKS GOLF CLUB, LLC 08/31/16 BROWN & BROWN GANAN & SHAPIRO 776 16WC 30652 RYAN, CHARLIE IDOT @ 03/29/16 GALANTI LAW OFFICES ELIZABETH LEAHY 777 16WC 30671 DAHM, ANDREW VILLAGE OF ALORTON 07/30/16 BONIFIELD & ROSENSTENGEL P 778 16WC 31039 LORTON, CAROL MAR-KA NURSING HOME 01/14/16 BROWN & BROWN 779 16WC 31073 MUFFLER, THOMAS CITY OF ALTON FIRE DEPT 08/28/16 EDMONDS LAW OFFICE SCHREMPF KELLY & NAPP 780 16WC 31440 HIRSCH, ANASTACIA LIBERTY CUSTARD LLC 06/23/16 MUCHNICK & HABER PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 781 16WC 31452 KATZ, MICHAEL ARCHVIEW METAL SYSTEMS 09/30/16 GLASS & KOREIN JELLIFFE FERRELL DOERGE PHEL 782 16WC 31481 MC INTYRE, CLIFFORD AMERICAN STEEL FOUNDRIES 08/15/16 GALANTI LAW OFFICES BOGGS AVELLINO 783 16WC 31606 MILLER, KENNETH TDS TRANSPORT 09/07/16 DRUMMOND LAW OFFICE 784 16WC 31613 ROBINSON, JIM GREY EAGLE DISTRIBUTORS 09/21/16 BROWN & BROWN HOLTKAMP LIESE ET AL 785 16WC 31699 TUCKER, JAMES M DETAIL MASTERS AUTO PAINT 04/20/15 MILLER, WILLIAM R LAW OFFI THOMPSON & MCDONALD LAW OFFI 786 16WC 31738 HARRELSON, DAVID CENTURY BRASS WORKS, INC. 09/01/16 HUSTAVA, JOHN H HEYL ROYSTER VOELKER & ALLEN 787 16WC 31807 RILL JR, ROBERT REPUBLIC SERVICES 06/23/16 COOK SHEVLIN YSURSA ET AL 788 16WC 31829 STEVENS-MITCHELL, LYNN M MEMORIAL HOSPITAL 08/18/16 NELSON & NELSON MATHIS MARIFIAN RICHTER ET A 789 16WC 31929 JONES, KENYTON REPUBLIC SVC - ALLIED WAS 09/12/16 BROWN & BROWN LITCHFIELD CAVO 790 16WC 31964 SIEGMAN, JOHN FAITH COUNTRYSIDE HOMES 02/01/16 KOLKER LAW OFFICES BRUCE WARREN 791 16WC 32035 GRISSAM JR., RICHARD HARDIN COLLISION & RESTOR 06/07/16 SCHULTZ & MYERS LLC HEYL ROYSTER VOELKER & ALLEN 792 16WC 32205 BAKER, LEE US STEEL COPORATION 01/27/16 BEATTY & MOTIL KEEFE & DEPAULI 793 16WC 32362 JONES, PAULINE ST ELIZABETHS HOSPITAL 05/17/16 NELSON & NELSON MICHAEL NESTER 794 16WC 32402 DIXON, LISA R SODEXO 08/23/16 BONIFIELD & ROSENSTENGEL P INMAN & FITZGIBBONS 795 16WC 32462 BROSHOW, JAMES AMERICAN STEEL 09/02/16 BECKER SCHROADER & CHAPMAN 796 16WC 32468 BOLDEN, JAUWAYLLYN T AT&T 06/22/16 BONIFIELD & ROSENSTENGEL P 797 16WC 32472 GILLIAM JR, LEE W DB SCHENKER 09/06/16 MORMINO,VELLOFF,EDMONDS,SN LAW OFFICE PAUL LARIMORE 798 16WC 32581 BOLEN, SUSAN ILLINOIS STATE POLICE @ 01/30/15 CHATHAM & BARICEVIC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 799 16WC 32672 FUENTES, PATRICIA SHOP N SAVE 08/03/16 BROWN & BROWN HOLTKAMP LIESE ET AL 800 16WC 32813 MUMPHARD, APRIL BRIA OF BELLEVILLE 08/18/16 MANDEL & MANDEL LLP BRADY, CONNOLLY & MASUDA, PC 801 16WC 32864 BEAN, ANTHONY AMERICAN STEEL FOUNDRIES 10/20/16 GALANTI LAW OFFICES 802 16WC 32875 HOLLIDAY, CONSTANCE L BRAVO HOLDING COMPANY INC 09/14/16 SMITH ALLEN MENDENHALL ET 803 16WC 32895 TITUS, SAMUEL C HERTER EXCAVATING 08/24/16 MORMINO,VELLOFF,EDMONDS,SN RUSIN & MACIOROWSKI LTD 804 16WC 33091 LARSEN, KERRY CITY OF GRANITE CITY 10/17/16 GALANTI LAW OFFICES KEEFE & DEPAULI 805 16WC 33100 RICHARDSON, BARRY M MENARDS 07/15/16 BADGLEY, BRAD L 806 16WC 33149 MEHIC, SEDALIJA CUSTOM STEEL PROCESSING 06/11/16 MARK GEORGE NIESEN 807 16WC 33156 VOLKERS, BRIAN BREESE LAWN & GARDEN 09/01/16 MEYERS & FLOWERS LITCHFIELD CAVO 808 16WC 33258 RAUSCHER, JEROME L MAIN STREET BREWING 09/09/16 BONIFIELD & ROSENSTENGEL P MCANANY VANCLEVE & PHILLIPS 809 16WC 33381 MIMBES, PENNY D FEDEX GROUND PACKAGE SYST 09/22/16 WALTON TELKEN FOSTER LLC SCOPELITIS GARVIN LIGHT 810 16WC 33401 HEUCHERT, CORY EDWARDSVILLE FIRE DEPT 06/17/16 GALANTI LAW OFFICES SCHREMPF KELLY & NAPP 811 16WC 33448 CHILLERS, MICHAEL CERRO FLOW PRODUCTS 10/19/16 SCHREMPF KELLY & NAPP RUSIN & MACIOROWSKI LTD 812 16WC 33497 LEWIS, ELEIKUM O ILLINI ENVIRONMENTAL 07/15/16 WALTON TELKEN FOSTER LLC 813 16WC 33616 PIERCE, ROBERT ALLEN UNION UNITED METHODIST CH 08/27/16 NELSON & NELSON 814 16WC 33654 HARRIS, KELTON W-T SVCS, INC * 08/22/16 FRANK J. CARRETERO GAROFALO SCHREIBER STORM 815 16WC 33669 MCKENZIE, SHERINA BRANDING IRON HOLDINGS IN 12/03/15 NELSON & NELSON LAW OFFICE CRAIG A HANSEN 816 16WC 33769 CORNELISON, WILLIAM MACY'S INC 08/31/16 BOYNE, KEVIN PC BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 817 16WC 33862 PEREZ, ESTEBAN GLOBAL BRASS & COPPER 05/29/16 MATEYKA & ASSOCIATES KEEFE & DEPAULI 818 16WC 33886 ADAY, NICHOLAS QEM FIRE PROTECTION DISTR 05/17/16 LAW OFFICE KEITH SHORT STEPHEN H LARSON LAW OFFICE 819 16WC 34237 BLOEMKER, GARY OLIN 10/27/16 BECKER SCHROADER & CHAPMAN 820 16WC 34262 WILSON, SHANSHA M MORNINGSIDE OF GODFREY 11/01/16 BECKER SCHROADER & CHAPMAN MCANANY VANCLEVE & PHILLIPS 821 16WC 34478 DUBLO, LEO FRED SOUTHWESTERN ELECTRIC 04/23/15 LAW OFFICE OF SUSAN GRAMME LAW OFFICE CRAIG A HANSEN 822 16WC 34999 LILLEY, MELISSA CHEF SHOPPE 04/01/16 GALANTI LAW OFFICES THOMPSON & MCDONALD LAW OFFI 823 16WC 35117 FARMER, SHARON BRANDING IRON HOLDINGS 10/11/16 BROWN & BROWN EVANS & DIXON, LLC 824 16WC 35190 FEARS, DARYL AMSTED INDUSTRIES INCORPO 06/21/15 CLAY BARKLEY ST CLAIR 825 16WC 35205 WARREN, GEORGE RURAL KING INC 10/07/16 GARY L. BEMENT 826 16WC 35249 FLOYD, KIMBERLYN F ST PAUL HOME FOR THE AGED 09/10/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 827 16WC 35350 WILLIAMS, STEVE PEABODY COAL 05/20/16 CULLEY FEIST KUPPART & TAY 828 16WC 35358 BARTON, JUSTIN AMERIGAS 07/05/16 JEROME LEFTON LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 829 16WC 35408 RAY, KELLY SYBERG'S 10/14/16 KOLKER LAW OFFICES 830 16WC 35428 MATTHEWS, TERRA R ILLINOIS DOT @ 09/07/16 BONIFIELD & ROSENSTENGEL P ELIZABETH LEAHY 831 16WC 35431 HILL, DELVIN L METRO DEVELOPMENT AGENCY 09/16/16 KEEFE & GRIFFITHS PC BROWN & JAMES, PC 832 16WC 35439 CATALDO, VINCENT L AT&T 10/03/16 SCOTT P. HOLWITT 833 16WC 35463 WILLIS, CECELIA RAILCREW XPRESS LLC 09/04/16 WIMMER & STIEHL ROUSE & CARY 834 16WC 35473 BOZE, NICOLE T BELLEVILLE SCHOOL DIST 11 09/22/16 BONIFIELD & ROSENSTENGEL P INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 835 16WC 35485 STAWAR, MARION US STEEL CORP 06/16/15 BEATTY & MOTIL KEEFE & DEPAULI 836 16WC 35490 MOSS, CAROL JEAN BASLER ELECTRIC CO 06/15/16 NELSON & NELSON EVANS & DIXON, LLC 837 16WC 35576 PRATT, DEBORAH J SOUTHWESTERN III 09/22/16 BONIFIELD & ROSENSTENGEL P LAW OFFICE PAUL LARIMORE 838 16WC 35614 MCMURRAY, FELECIA DYNEGY MIDWEST GENERATION 10/19/15 KEEFE & DEPAULI 839 16WC 35734 LARUE, CANDAICE CEDARHURT OF SHILOH 11/09/16 GALANTI LAW OFFICES 840 16WC 35841 MCMAHON, THOMAS CENTRAL TRANSPORT 10/24/16 KOLKER LAW OFFICES MCANANY VANCLEVE & PHILLIPS 841 16WC 35844 WOODALL, WENDELL US STEEL CORP 10/06/16 BROWN & BROWN KEEFE & DEPAULI 842 16WC 35865 PRICKETT, MELISSA PHILLIPS SERVICE COMPANY 07/28/16 GALANTI LAW OFFICES WOLFE & JACOBSON, LTD 843 16WC 35940 MCCALL, VINCE FW TRUCKING 11/08/16 SAUTER, SULLIVAN & EVANS 844 16WC 35975 MARKOVIC, ERIC FOUR POINTS SHERATON 04/01/15 KOLKER LAW OFFICES COZZI & GOGGIN-WARD 845 16WC 35985 HILL-MARTIN, HARRIET EAST ST LOUIS 07/20/14 REED & BRUHN, PC RIPES NELSON BAGGOT KALOBRAT 846 16WC 36201 GISH, NANCY DELTA AIR LINES INC 05/01/15 DELANO LAW OFFICES LLC 847 16WC 36216 DOLLAR, SUSAN E SIEMENS MFG 08/10/16 BONIFIELD & ROSENSTENGEL P 848 16WC 36219 HEWITT, ANTHONY ENVIROTECH INC 01/28/16 LYNN D BARNETT RUSIN & MACIOROWSKI LTD 849 16WC 36227 OBERNUEFEMANN, CRAIG GEISSLER ROOFING CO, INC 10/08/16 BROWN & BROWN P. MICHAEL READ LAW OFFICE 850 16WC 36262 COLEMAN, TERRY W ST CLAIR COUNTY HOUSING A 05/31/16 NELSON & NELSON BOGGS AVELLINO 851 16WC 36406 WOODS, RACHAEL STEAK N SHAKE 01/20/15 BECKER SCHROADER & CHAPMAN HEPLER BROOM LLC 852 16WC 36637 CHATMAN, JANIECE TOUCHETTE REGIONAL HOSPIT 08/17/16 BROWN & CROUPPEN CLAYBORNE SABO & WAGNER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 853 16WC 36747 KENNEDY, JOHN H DYNERGY MIDWEST GENERATIO 10/12/14 CARAWAY FISHER KEEFE & DEPAULI 854 16WC 36916 TRIPLETT, LELA THE MASCHHOFFS LLC 10/05/16 BOYNE, KEVIN PC LAW OFFICE CRAIG A HANSEN 855 16WC 37024 BODEWES, MICHAEL ST CLAIR SERIVES 07/29/16 KOLKER LAW OFFICES RUSIN & MACIOROWSKI LTD 16WC039129 -C 856 16WC 37045 LLOYD, WESLEY ABF FREIGHT 08/04/16 HAMMOND SHINNERS TURCOTTE 857 16WC 37122 RENFRO, ROSE M GREENVILLE REGIONAL HOSPI 01/06/15 FLOYD LAW FIRM 858 16WC 37174 KEMPER, CRAIG CITY OF EDWARDSVILLE 02/19/16 RICH RICH COOKSEY PC SCHREMPF KELLY & NAPP 859 16WC 37284 MULLINS, PAULA CATHOLIC & COMMUNITY CU 10/01/15 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 860 16WC 37610 LUSTER, CHASITY WAL MART 06/28/16 MCGLYNN & MCGLYNN GANAN & SHAPIRO 861 16WC 37619 HORNE SR, MELVIN CAVALLO BUS LINE, INC 10/03/16 WIMMER & STIEHL MCANANY VANCLEVE & PHILLIPS 862 16WC 37789 PICKENS, TIANUNTA SOLVAY FLUORIDES, INC 07/11/16 GALANTI LAW OFFICES 863 16WC 37812 CARROLL, LEE MARVIN STELLAR MANUFACTURING CO 09/07/16 PETER BLASI LLC KNELL LAW LLC 864 16WC 37855 DELP, SARAH SUPER 8 MOTEL 12/03/16 ARMBRUSTER DRIPPS RUSIN & MACIOROWSKI LTD 865 16WC 37927 HALTER, KELLY J HAYES MECHANICAL 03/21/16 LAW OFFICE OF THOMAS SCHOO GAROFALO SCHREIBER STORM 866 16WC 38036 DRYDEN, ANNA CASEY'S GENERAL STORE 11/16/16 DWORKIN AND MACIARIELLO 867 16WC 38080 REHKEMPER, MATT K & M CONSTRUCTION 07/29/15 MORROW WILLNAUER 868 16WC 38245 WRIGHT, LAGARDO METRO EAST INDUSTRIES, IN 05/28/14 HUSTAVA, JOHN H KEEFE & DEPAULI 869 16WC 38357 REHG, DEBORAH A BELLEVILLE SCHOOL DISTRIC 03/26/15 NELSON & NELSON INMAN & FITZGIBBONS 870 16WC 38371 WISCOMBE, JIM AMERICAN STEEL FOUNDRIES 09/27/16 GALANTI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 871 16WC 38396 ANDERSON, TIFFANY L OTO DEVELOPMENT, LLC 10/10/16 NELSON & NELSON 872 16WC 38532 ASHCRAFT, WENDY (GUARD/PA CUSTOM STEEL PROCESSING # 07/29/16 WALTON TELKEN FOSTER LLC STEPHEN H LARSON LAW OFFICE 873 16WC 38583 RUSHING, TONI ILLINOIS CENTER FOR AUTIS 05/12/16 JOHNSTON LAW OFFICE WIEDNER & MCAULIFFE LTD 874 16WC 38593 PERRY, ROBERT AMERICAN STEEL FOUNDRIES 09/12/16 GALANTI LAW OFFICES 875 16WC 38622 STEPHENS, TERESA MARISSA SCHOOL DISTRICT 4 07/13/16 BROWN & CROUPPEN 876 16WC 38649 STORTZUM, DONNA COLLINSVILLE UNIT 10 SCHO 07/25/16 JOHNSTON LAW OFFICE 877 16WC 38760 HEMMER, ELMER F WEIR CHEVROLET, INC 03/03/16 GREGORY M. SKINNER INMAN & FITZGIBBONS 878 16WC 38820 THURSTON, PATRICIA SDS STORES INC 12/13/16 DWORKIN AND MACIARIELLO 879 16WC 38825 BABATUNDE, ADEYINKA STILLWATER SENIOR LIVING 12/19/16 DWORKIN AND MACIARIELLO 880 16WC 38990 RISTON, CAMILLIA GAMMA HEALTHCARE, INC 05/27/16 SAM C MITCHELL & ASSOCIATE ROUSE & CARY 881 16WC 39100 WILSON, CAROLYN ADVANCED PIERRE FOODS, IN 11/21/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 882 16WC 39117 ADAMS, PATRICIA AMAZON DISTRIBUTION CENTE 12/08/16 WALTON TELKEN FOSTER LLC WIEDNER & MCAULIFFE LTD 883 16WC 39147 SMITH, DALE EE-JAY MOTOR TRANSPORT, I 11/10/16 KEEFE & GRIFFITHS PC EVANS & DIXON, LLC 884 16WC 39165 GREEN, ANDREW ABBOTT 05/28/15 GALANTI LAW OFFICES ARNETT LAW GROUP 885 16WC 39267 LOLESS, DAVID (DWIGHT) CITY OF WATERLOO POLICE D 11/21/16 BROWN & BROWN SCHREMPF KELLY & NAPP 886 16WC 39282 KRUMMRICH, AARON LOWES 04/01/16 KOLKER LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 887 16WC 39293 ROSS, KIM DUBUQUE PAINT EQUIPMENT 09/12/16 ROBERTS,PERRYMAN,BOMKAMP,M ARCHER LASSA & MCHUGH 888 16WC 39373 HENDRICKS, RHONDA ILLINOIS STATE POLICE @ 11/07/16 CORNFIELD & FELDMAN ELIZABETH LEAHY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 889 16WC 39447 SMITHSON, ERIC FASTENAL 02/05/16 JOHNSTON LAW OFFICE 890 16WC 39457 STEELE, ALLEN L OLIN WINCHESTER 06/29/16 ARMBRUSTER DRIPPS KEEFE & DEPAULI 891 17WC 00051 BIGGS, KENNETH PEABODY GATEWAY SERVICES 05/12/16 CULLEY & WISSORE KEEFE & DEPAULI 892 17WC 00090 NEWSOME, YASMIN LAJAE SAD PARENT & FRIENDS OF 11/28/16 WALTON TELKEN FOSTER LLC 893 17WC 00123 HARTMAN, BILLY SPEEDWAY SALVAGE, INC 08/10/15 HENNESSY & ROACH, PC 894 17WC 00185 POWELL, JEMAUGH VEE JAY CEMENT CONTRACTIN 09/13/16 COOK SHEVLIN YSURSA ET AL LEMP & MURPHY 895 17WC 00212 CLAYPOOL, KELLY MEDSTAR AMBULANCE 12/03/16 RICH RICH COOKSEY PC RODDY LAW LTD 896 17WC 00229 COMBS, THOMAS EATON CORP/EATON ELECTRIC 12/19/14 MICHAEL J BRUNTON LAW OFFI GANAN & SHAPIRO 897 17WC 00388 JOHNSON, TINISHA STEARNS NURSING HOMES 07/01/16 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 898 17WC 00466 DUNCAN, CORY N AMEREN ILLINOIS 12/21/16 NELSON & NELSON LEMP & MURPHY 899 17WC 00523 REED, FELICITY L AMAZON 11/22/16 MILLER, WILLIAM R LAW OFFI WIEDNER & MCAULIFFE LTD 900 17WC 00668 HUMMERT, DONNA EMPIRE COMFORT SYSTEMS 08/08/15 WILLIAMS CAPONI & ASSOC KEEFE & DEPAULI 901 17WC 00721 CRAWCFORD, SHERKEITHA DAVITA DIALYSIS 12/01/16 JOHNSTON LAW OFFICE 902 17WC 00878 REESE, SHARON A ST CLAIR ASSISTED VOC ENT 09/27/16 BADGLEY, BRAD L 903 17WC 00899 LUSALA, PEMBA DILLARDS, INC 09/17/16 MATHIS MARIFIAN RICHTER ET MCANANY VANCLEVE & PHILLIPS 904 17WC 00916 THOMPSON, CAROL MEMORIAL HOSPITAL 11/14/16 RICH RICH COOKSEY PC MATHIS MARIFIAN RICHTER ET A 905 17WC 00970 COOPER, TROY AT&T 09/14/16 JOSEPH L SAMUELSON PC INMAN & FITZGIBBONS 906 17WC 00973 SMITH, ELMER EXPRESS SERVICES INC 11/09/16 CROWDER & SCOGGINS MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 907 17WC 01108 DUSHANE, SEAN EASTMAN CHEMICALS 06/11/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 908 17WC 01139 KASPER, RANDY VILAGE OF FREEBURG 11/04/16 RICH RICH COOKSEY PC KEEFE & DEPAULI 909 17WC 01153 JOHNSON, CHERYL ILLINOIS-AMERICAN WATER C 03/11/16 BROWN & BROWN CLAYBORNE SABO & WAGNER 910 17WC 01156 PATRICK, CASSANDRA WALMART SUPERCENTER 12/07/16 RICH RICH COOKSEY PC GANAN & SHAPIRO 911 17WC 01161 REINHART, JODIE AMEREN IP 09/28/16 NELSON & NELSON CLAYBORNE SABO & WAGNER 912 17WC 01209 CASPER, SHARON JANE WIDOW PARAGON SYSTEMS INC # 08/20/16 BOSHARDY LAW OFFICE PC HENNESSY & ROACH PC 913 17WC 01219 CASSIDY, MARK C A-1 MED CAR 12/24/16 SMITH ALLEN MENDENHALL ET GAROFALO SCHREIBER STORM 914 17WC 01536 WILLS, FAYE FEDEX EXPRESS 02/15/16 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 915 17WC 01540 JONES, GARY A, SR CITY OF FAIRVIEW HEIGHTS 05/18/16 JEFFREY GAULT INMAN & FITZGIBBONS 916 17WC 01561 SHIVLEY, ROBERT TITUS TRANSPORTATION 11/15/16 WALTON TELKEN FOSTER LLC WIEDNER & MCAULIFFE LTD 917 17WC 01572 FORREST, JOHN ALDI'S 07/19/16 GALANTI LAW OFFICES LYNN D BARNETT 918 17WC 01646 KROENIG, MATTHEW CITY OF BELLEVILLE P D 12/04/16 GARY L. BEMENT 919 17WC 01666 BROWN, NAHSHON ST OF IL DEPT OF IDOT @ 05/08/14 BADGLEY, BRAD L ELIZABETH LEAHY 920 17WC 01688 WARREN, FREDDIE AMSTED RAIL 11/12/16 BUTLER & KEMPER 921 17WC 01837 KROEGER, BROC W MAINS TREE SVC 07/04/16 CHATHAM & BARICEVIC ROUSE & CARY 922 17WC 01909 SAUCIER, JOE SR. AMERICA CENTRAL PORT 12/22/16 HUSTAVA, JOHN H GANAN & SHAPIRO 923 17WC 01965 NIEWOEHNER, SHELLEY STEAK 'N SHAKE 05/08/16 HANAGAN & MCGOVERN PC HEPLER BROOM LLC 924 17WC 02042 KINNISON, PATRICIA A MIDWEST PETROLEUM CO 09/03/15 P. MICHAEL READ LAW OFFICE HENNESSY & ROACH, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 925 17WC 02070 DAVIS, ROBERT C BEELMAN TRUCK CO 12/16/15 HASSAKIS & HASSAKIS PC 926 17WC 02073 NORTH, CHRISTINE IMG USA INC/IMPERIAL MFG 11/16/16 LAW OFFICE DONNA CLARK FRA MCANANY VANCLEVE & PHILLIPS 927 17WC 02097 THOMAS, VERNON TANK TRAILER CLEANING 01/13/17 WALTON TELKEN FOSTER LLC 928 17WC 02304 WILLIAMS, STEVE PEABODY COAL 05/20/16 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 929 17WC 02308 SMITH, NICHOLAS HAMEL SEED & FARM SUPPLY 04/01/16 WALTON TELKEN FOSTER LLC 930 17WC 02375 WILBURN, YVONNE BRADFORD PLACE GROUP LLC 05/30/16 GLASS & KOREIN COZZI & GOGGIN-WARD 931 17WC 02549 MOORE, JIMMY D HANSEN TRUCKING 12/14/16 PETER BLASI LLC WIEDNER & MCAULIFFE LTD 932 17WC 02689 NEAL, STEPHEN D URS CORP 10/12/14 BADGLEY, BRAD L HEYL ROYSTER VOELKER & ALLEN 933 17WC 02730 MURRAY, PHILIP LONGHORN STEAKHOUSE 01/17/17 BOYNE, KEVIN PC HENNESSY & ROACH, PC 934 17WC 02772 BELL, CHERRY AUTOMOBILE CLUB OF SOUTHE 09/11/15 CHATHAM & BARICEVIC NYHAN BAMBRICK KINZIE & LOWR 935 17WC 02815 BUCHANAN, CANDACE GATEWAY REGIONAL MEDICAL 12/19/16 BROWN & BROWN POWER & CRONIN LTD 936 17WC 02829 HEIDRICH, JOSHUA GREY MEYER D/B/A ALL ABOU 08/24/16 BROWN & BROWN 937 17WC 02837 OWEN, NATHAN PJR AND ASSOCIATES 08/08/16 BROWN & CROUPPEN KNELL & O'CONNOR 938 17WC 02947 HOYLMAN, TRACY SCHALTENBRAND CONSTRUCTIO 12/28/16 BROWN & BROWN 939 17WC 03047 RUFFIN, WANDA SPEE-DEE DELIVERY SERVICE 12/17/16 LAW OFFICES OF ELLEN E MOR BRADY, CONNOLLY & MASUDA, PC 940 17WC 03067 HARGARVE, JASON OLIN 08/01/16 LAW OFFICE KEITH SHORT KEEFE & DEPAULI 941 17WC 03097 GILLIAM, ARNETTA HOLTEN MEAT, INC 12/20/16 BROWN & BROWN EVANS & DIXON, LLC 942 17WC 03155 MARTIN, KATHERINE SYMBRIA 01/11/16 SMITH ALLEN MENDENHALL ET GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 943 17WC 03191 WATKINS, LADONNA ALTON MENTAL HEALTH CENTE @ 04/15/15 LAW OFFICE OF SUSAN GRAMME 944 17WC 03386 GILCREASE, RALPH V COCA COLA ENTERPRISES 02/10/15 MCSWEENEY SLATER & MERZ 945 17WC 03506 MERRIWEATHER, MARILYN MACY'S 04/04/15 KEEFE & DEPAULI ROBERT L. SMITH 946 17WC 03640 DAVIS, JEREMY AT&T 01/05/17 GALANTI LAW OFFICES HENNESSY & ROACH, PC 947 17WC 03763 HODGES, MELVA AMAZON 12/01/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 948 17WC 03995 DURHAM, STACY SR EAST COUNTY TRANSPORT INC 10/07/16 THE FISCHER LAW FIRM LLC 949 17WC 04001 ROBERTS, VANESSA SPARTA SCHOOL DISTRICT #1 01/12/17 RICH RICH COOKSEY PC GANAN & SHAPIRO 950 17WC 04007 STAPLES, EDWARD IL DEPT OF TRANSPORTATION @ 08/24/16 BECKER SCHROADER & CHAPMAN ELIZABETH LEAHY 951 17WC 04084 DODSON, DWAYNE SPARTAN LIGHT METAL 07/09/16 NELSON & NELSON 952 17WC 04088 JOHNSON, RUTH EMPLOYBRIDGE HOLDING CO 12/30/16 NELSON & NELSON LEAHY EISENBERG & FRAENKEL 953 17WC 04096 WILSON, DEBRA EAST ST. LOUIS SCHOOL DIS 01/12/17 HUSTAVA, JOHN H BECKER PAULSON & HOERNER PC 954 17WC 04100 HARRISON, WILLIAM J GELLY EXACAVATING 12/06/16 JOSEPH E. HOEFERT HEYL ROYSTER VOELKER & ALLEN 955 17WC 04120 WYSINGER, MARK AMAZON 10/01/16 THE ROBBINS LAW FIRM WIEDNER & MCAULIFFE LTD 956 17WC 04125 SUTTON, KENNETH BOCO CONSTRUCTION 12/15/15 JOHNSTON LAW OFFICE 957 17WC 04128 MOSLEY, CAROLYN SAM'S CLUB 01/20/17 LASHLY & BAER PC WIEDNER & MCAULIFFE LTD 958 17WC 04151 FAUCETT, ANGELA DOLLAR GENERAL #12409 03/22/16 KEEFE & DEPAULI WIEDNER & MCAULIFFE LTD 959 17WC 04245 WALKER, SOMMER LYNN AMAZON 09/28/16 WALTON TELKEN FOSTER LLC WIEDNER & MCAULIFFE LTD 960 17WC 04456 WEBER, LARRY G JR JGH HOLDINGS 05/13/16 BONIFIELD & ROSENSTENGEL P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 961 17WC 04466 WENTZEL, PERRY ACCURATE MECHANICAL 12/23/15 KHOURI LAW FIRM 962 17WC 04711 JACKSON, PIERRE W.W. TRANSPORT, INC 01/06/17 MANDEL & MANDEL LLP 963 17WC 04731 STARKS, ROGER WEST STAR AVIATION 09/20/16 BROWN & BROWN QUINTAIROS PRIETO WOOD & BOY 964 17WC 04829 SANDERS, LAVISE YMCA OF SOUTHWEST ILLINOI 11/26/16 SAUTER, SULLIVAN & EVANS 965 17WC 04837 KLEIN, CHARLES EMPIRE COMFORT SYSTEMS IN 07/27/16 BROWN & CROUPPEN KEEFE & DEPAULI 966 17WC 04891 MACKE, LORI SURGICAL CARE ASSOCIATES 10/14/16 RICH RICH COOKSEY PC LAW OFFICES STEVEN PILAND 967 17WC 04896 CAMPBELL, IRA E WASTE MANAGEMENT 02/13/17 BADGLEY, BRAD L GAROFALO SCHREIBER STORM 968 17WC 04913 MERRIWEATHER, MARILYN MACY'S 10/20/16 KEEFE & DEPAULI ROBERT L. SMITH 969 17WC 04923 BERRY, TARA ON BEHALF OF MADISON COUNTY GOVERNMENT # 12/16/16 BECKER SCHROADER & CHAPMAN SCHREMPF KELLY & NAPP 970 17WC 05055 MADISON, MATTHEW NOTS LOGISTICS LLC 11/10/16 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 971 17WC 05088 PHILLIPS, BRIAN SAUGET POLICE DEPARTMENT 10/02/16 ARMBRUSTER DRIPPS 972 17WC 05094 ANDREWS, SUZANNE R DOLLAR TREE STORES, INC 04/06/16 SCHREMPF KELLY & NAPP 973 17WC 05191 HAMOR, ALLAN R ILMO PRODUCTS CO 08/31/16 WENDLER LAW PC 974 17WC 05604 DIXON, JEWEL CASINO QUEEN 11/11/16 BROWN & BROWN 975 17WC 05727 IRVIN, SHANE A GREENSCAPE LAWNCARE & 09/01/16 WENDLER LAW PC 976 17WC 05875 VARBLE, LEO MARCAL ROPE & RIGGING 11/05/15 WILLIAMS CAPONI & ASSOC 977 17WC 05879 JOHNSON, ALEX AMERICAN STEEL FOUNDRIES 02/14/17 GALANTI LAW OFFICES BOGGS AVELLINO 978 17WC 05906 DELEON, NAOMI MILITARY DELI & BAKERY 12/28/16 BOYNE, KEVIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 979 17WC 05914 BROWN, JOHN TARLTON CORP INC 06/30/16 FISHER KERHOVER & WELGE WIEDNER & MCAULIFFE LTD 980 17WC 06021 WILLIAMS, TERRY D METRO CONTRACT SERVICES, 10/27/16 CROWDER & SCOGGINS 981 17WC 06046 LILLY, DUSTIN UPS 01/11/16 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 982 17WC 06067 THOMAS, TERESA N WALMART 09/20/16 SAUTER, SULLIVAN & EVANS EARLY & MIRANDA PC 983 17WC 06199 BANKS, RONALD CHARTER COMMUNICATIONS 01/05/17 JOHNSTON LAW OFFICE 984 17WC 06285 GAINES, JOHN N WALMART SUPERCENTER 12/07/16 WALTON TELKEN FOSTER LLC EARLY & MIRANDA PC 985 17WC 06362 RICE, CHAD HOME CITY ICE COMPANY 08/23/16 BROWN & CROUPPEN 986 17WC 06371 JOHNSON, MARY WAL-MART * 01/14/17 NELSON & NELSON 987 17WC 06389 GRAELISH, IDELLA BELLEVILLE EAST LAUNDROMA * 01/24/17 BROWN & BROWN MORROW WILLNAUER 988 17WC 06396 ROBINSON, ANTRANESHIA MEDLINE 01/13/17 WALTON TELKEN FOSTER LLC GAROFALO SCHREIBER STORM 989 17WC 06590 FLORCZYK, MARTIN D JIMS FORMAL WEAR 01/05/16 GREGORY M. SKINNER 990 17WC 06764 GARNER, JESICKA TDL GROUP, INC 12/01/16 LAW OFFICE KEITH SHORT 991 17WC 06938 LASSEN, HAROLD U.S. STEEL * 04/10/15 ROTH LAW OFFICES 992 17WC 07139 PHILLIPS, MATTHEW MCDONALD'S 02/24/17 JUNCKER, DANIEL K PC 993 17WC 07153 JEFFERIES, TERRANCE SYNCREON HOLDINGS, INC 02/08/17 RICH RICH COOKSEY PC SMITH AMUNDSEN LLC 994 17WC 07275 WAGNER, MARK A SUIZA DAIRT GROUP 01/20/16 SCHUCHAT, COOK & WERNER BRADY, CONNOLLY & MASUDA, PC 995 17WC 07339 HARRIS, THOMAS EMPLOYER SOLUTIONS STAFFI 01/11/17 NELSON & NELSON WIEDNER & MCAULIFFE LTD 996 17WC 07394 BURTON, NANCY SHOP 'N SAVE/SUPERVALU, I 05/20/15 BOYNE, KEVIN PC HOLTKAMP LIESE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 997 17WC 07401 STRASSER, KENT STEVE SCHMIDT CHEVROLET 01/27/17 KEEFE & GRIFFITHS PC WOLFE & JACOBSON, LTD 998 17WC 07413 CALDWELL, DANYAIL AMAZON 12/03/16 WALTON TELKEN FOSTER LLC 999 17WC 07518 POWER, ROBERT S STATE OF IL/IL STATE POLI @ 02/08/17 BADGLEY, BRAD L ASSISTANT ATTORNEY GENERAL 1000 17WC 07610 KAMPMANN, KAYLEE EDWARDSVILLE NURSING & RE 02/02/17 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 1001 17WC 07624 WESLEY, RONNIE AMAZON 02/05/17 BECKER SCHROADER & CHAPMAN WIEDNER & MCAULIFFE LTD 1002 17WC 07645 DAVIS, ANDREW CARGILL 12/05/16 CARAWAY FISHER RANDOLPH GREUNE LAW OFFICE 1003 17WC 07786 BRUNCIC, MARK US STEEL CORPORATION 02/23/17 BEATTY & MOTIL KEEFE & DEPAULI 1004 17WC 07797 KAMPMANN, KRISTINA EDWARDSVILLE NURSING & RE 01/21/17 GALANTI LAW OFFICES 1005 17WC 07841 BOLAND, CHRISTOPHER PROLOGISTIX 02/19/17 RICH RICH COOKSEY PC LEAHY EISENBERG & FRAENKEL 1006 17WC 07849 GRINDSTAFF, JOHN VILLAGE OF MARINE 10/03/16 JOHNSTON LAW OFFICE KEEFE & DEPAULI 1007 17WC 07889 SUGG, KEITH US STEEL CORP 02/28/17 BEATTY & MOTIL KEEFE & DEPAULI 1008 17WC 07960 STEELE, KATHY DOLLAR GENERAL 11/16/15 WILLIAMS CAPONI & ASSOC LEAHY EISENBERG & FRAENKEL 1009 17WC 07963 EDMONDS, MARY A MONROE RANDOLPH TRANSIT 06/01/16 SCHUCHAT, COOK & WERNER 1010 17WC 07980 WHITAKER, JON MCCARTY'S CONTEMPORARY 02/16/17 LAW OFFICE JASON GOING 1011 17WC 08037 KENNEDY, WILLIAM AVIATION PERSONNEL, LLC 08/24/16 ROTH LAW OFFICES 1012 17WC 08137 LUSHER, RALPH F MAVERICK TRANSPORATION, L * 03/26/14 LIESER LAW FIRM LEWIS RICE LLC 1013 17WC 08295 YOUNGBLOOD, BRIEN EMPIRE COMFORT SYSTEMS * 02/01/17 JOSEPH L SAMUELSON PC KEEFE & DEPAULI 1014 17WC 08300 EMMONS, GARY C HIGHMONT SCHOOL DIST 116 * 12/29/16 THE JONES LAW FIRM PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1015 17WC 08318 WASHINGTON, CHARLES M CFA STAFFING * 02/10/17 SORRELL & TRAUBE 1016 17WC 08426 FORGY, JAMES OTIS FOUR POINTS CONCRETE * 09/19/16 WILLIAMSON WEBSTER ET AL 1017 17WC 08447 ALEXANDER, WILLIE CURRIE MOTORS * 11/18/16 JASINSKI, GEORGE J 1018 17WC 08620 GORDON, QUINCY AMSTED RAIL CO, INC * 12/08/16 ALVIN WOLFF JR BOGGS AVELLINO 1019 17WC 08754 ZEISSET JR, CHARLES BOEING COMPANY * 10/17/16 BUTLER & KEMPER 1020 17WC 09014 ELLIOTT, VALARIE TONKA CLIPPERS INC DBA * 01/07/16 KIRKPARTICK LAW OFFICES STEPHEN H LARSON LAW OFFICE 1021 17WC 09030 SINE, TODD IDOT @ * 10/26/16 BECKER SCHROADER & CHAPMAN 1022 17WC 09130 WALLACE, ARNOLD L MIDDENDORF, INC * 03/14/17 BONIFIELD & ROSENSTENGEL P HENNESSY & ROACH 1023 17WC 09249 CHITWOOD, SCOT USF HOLLAND * 01/27/17 GALANTI LAW OFFICES HENNESSY & ROACH, PC 1024 17WC 09257 GALE, AMOLLIE M&K AUTO SALES * 02/07/17 BROWN & BROWN 1025 17WC 09263 FOSTER, SHANE DUPO FIRE DISTRICT * 07/10/15 1026 17WC 09336 JOHNSON, MARLAS GEODIS * 03/09/17 NELSON & NELSON HARRIS DOWELL FISHER & HARRI 1027 17WC 09394 JONES, REJEANA AT&T * 01/12/16 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH, PC 1028 17WC 09458 HILL, TINA GATEWAY PACKAGING * 03/15/17 BROWN & CROUPPEN 1029 17WC 09524 DERHAKE, JEREMIAH PRECISION INDUSTRIAL MAIN * 03/14/17 BECKER SCHROADER & CHAPMAN 1030 17WC 09545 WILLIS, TERRAESHA HOLTEN MEAT INC * 12/05/16 BROWN & BROWN EVANS & DIXON, LLC 1031 17WC 09566 MURRAY, MARION CARLISLE CONSTR MATERIALS * 10/07/16 BROWN & BROWN KNAPP, OHL & GREEN 1032 17WC 09571 JONES, FLOYD MIDWEST WATER AND CONCRET * 02/15/16 CARAWAY FISHER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1033 17WC 09575 SIMPSON, SHELLEY COLLINSVILLE UNIT SD 10 * 11/20/14 HRANT NORSIGIAN 1034 17WC 09617 SMITH, BRIAN CLYMER CONSTRUCTION * 01/19/17 JOHNSTON LAW OFFICE 1035 17WC 09785 ELLIS, ANNETTE ALTON REHABILITATION & * 02/11/16 JEROME LEFTON LAW OFFICE 1036 17WC 10058 PARSONS, MICHAEL L CITY OF ALTON * 12/06/16 JOSEPH E. HOEFERT SCHREMPF KELLY & NAPP 1037 17WC 10062 HAYWOOD, JAMES COMMONFIELDS OF CAHOKIA * 05/24/16 DENNIS SHEVLIN STEPHEN H LARSON LAW OFFICE 1038 17WC 10077 BLAND, MICHAEL C AMEREN ILLINOIS * 01/17/17 NELSON & NELSON LEMP & MURPHY 1039 17WC 10192 WAGNER, LENICE CAHOKIA NURSING HOME & RE * 12/19/16 WALTON TELKEN FOSTER LLC 1040 17WC 10214 ALMOS, SHAWN DB SCHENKER * 05/10/16 ROTH LAW OFFICES LAW OFFICE PAUL LARIMORE 1041 17WC 10242 CARAWAY, KEITH PRAIRIE STATE COAL * 03/18/16 CULLEY FEIST KUPPART & TAY EVANS & DIXON, LLC 1042 17WC 10250 SURAUD, MARTIN ARAMARK * 12/19/16 ONDER SHELTON O'LEARY EVANS & DIXON, LLC 1043 17WC 10254 LAMBERT, DAVID CLARK TOWER SERVICES * 03/02/17 BROWN & CROUPPEN 1044 17WC 10291 HUTCHINSON, ROBERT CUSTOM STEEL PROCESSING I * 02/20/17 WALTON TELKEN FOSTER LLC STEPHEN H LARSON LAW OFFICE 1045 17WC 10306 CLEVELAND, DALLAS ST CLAIR COUNTY TRANSIT D * 03/10/16 BROWN & BROWN ROUSE & CARY 1046 17WC 10320 CARPENTER, WYVONIA INTEGRITY STAFFING SOLUTI * 01/04/17 KATZMAN & ASSOCIATES SLAVIN & SLAVIN 1047 17WC 10358 MCALPIN, THOMAS F II MADISON INDUSTRIAL SERVIC * 03/15/17 THOMAS E HILDEBRAND HEYL ROYSTER VOELKER & ALLEN 1048 17WC 10430 ODUM, LYNDA GRANITE CITY FIRE DEPT * 03/01/17 BROWN & BROWN KEEFE & DEPAULI 1049 17WC 10470 SMITH, MARCO NATIONAL DCP * 09/08/16 HARRIS DOWELL FISHER & HARRI 1050 17WC 10597 MEDINA, KELLEE THE BUCKLE, INC * 08/15/14 ROTH LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1051 17WC 10701 WILSON, GWENNETTE DD HOMES * 09/27/16 GALANTI LAW OFFICES 1052 17WC 10705 NARUP, DANIEL JR. SEARS HOLDING CORPORATION * 02/08/17 BECKER SCHROADER & CHAPMAN 1053 17WC 10717 CRUTCHER, JILL HOSKINS SAM'S CLUB * 03/20/17 BROWN & BROWN QUINTAIROS PRIETO WOOD & BOY 1054 17WC 10737 COLEMAN, CARLOS S CITY OF EAST ST LOUIS * 03/14/17 BONIFIELD & ROSENSTENGEL P CLAYBORNE SABO & WAGNER 1055 17WC 10741 TERRELL, GREGORY AMAZON STL * 02/26/17 ARMBRUSTER DRIPPS WIEDNER & MCAULIFFE LTD 1056 17WC 10799 BLACK, JERRY METRO * 09/13/16 BROWN & BROWN INGLIMO & HEALY 1057 17WC 10810 DANSBERRY, LATOYA E SUPPORT SYSTEMS & SERVICE * 02/26/17 WALTON TELKEN FOSTER LLC 1058 17WC 10850 STAHLHUT, TIMOTHY S GBW RAILCAR SVCS, LLC * 01/28/17 MORMINO,VELLOFF,EDMONDS,SN 1059 17WC 10931 STEPHENS, ANTHONY AMEREN IP * 03/30/17 NELSON & NELSON CLAYBORNE SABO & WAGNER 1060 17WC 10937 BRANDMEYER, JEFFREY REHKEMPER & SONS, INC. * 01/15/16 KATZMAN & SUGDEN 1061 17WC 10978 BEVERLY, PHILISIA THE COLONNADE SENIOR LIVI * 03/02/17 NELSON & NELSON NYHAN BAMBRICK KINZIE & LOWR 1062 17WC 11072 MYINT, JAMES AMAZON - STL 4 * 02/28/17 KEEFE & DEPAULI WIEDNER & MCAULIFFE LTD 1063 17WC 11161 COFFMAN, EDDIE SCHNUCKS MARKETS, INC. * 03/20/17 LIESER LAW FIRM 1064 17WC 11348 KECK SR., EDWARD MCKAY AUTO PARTS, INC * 04/10/17 RICH RICH COOKSEY PC RIPES NELSON BAGGOT KALOBRAT 1065 17WC 11405 DARR, BEVERLY S SEARS HOLDINGS CORPORATIO * 02/13/17 LAW OFFICES JOHN HOEFERT 1066 17WC 11467 JARVIS, DIANE M ILLINOIS CENTRAL SCHOOL B * 01/03/17 DENNIS SHEVLIN MCANANY VANCLEVE & PHILLIPS 1067 17WC 11568 TUCKER, JAMES M WOODMAN COLLISION * 04/20/15 MILLER, WILLIAM R LAW OFFI 1068 17WC 11584 RING, SHERRY BELLEVILLE MEMORIAL HOSP * 03/28/16 RICH RICH COOKSEY PC MATHIS MARIFIAN RICHTER ET A

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1069 17WC 11607 MOORE, PHILLIP HARBOUR FREIGHT * 10/17/16 MATTEA, BRUCE 1070 17WC 11627 NOLAN, JOSEPH FIRST LOOK OPTICAL LAB * 04/03/17 MILLER, WILLIAM R LAW OFFI 1071 17WC 11659 NOLAN, JOSEPH STAFF QUICK * 04/03/17 MILLER, WILLIAM R LAW OFFI 1072 17WC 12123 BEAN, JOSEPH SCHENKER INC * 03/14/17 KULLMAN KLEIN & DIONEDA LAW OFFICE PAUL LARIMORE 1073 17WC 12147 WEGRZYN, WALTER KNIPP ROOFING, INC * 08/09/16 MATHIS MARIFIAN RICHTER ET 1074 17WC 12197 MAURER, DALE KOSTELAC GREASE SERVICE * 01/12/17 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 1075 17WC 12229 FIELDS, ADRIENNE C THE WISE COMPANY * 01/20/17 WILLIAMS CAPONI & ASSOC 1076 17WC 12253 TEETER, SETH ZOIE, LLC * 05/02/16 CARAWAY FISHER DANNA MCKITRICK PC 1077 17WC 12298 NIEMEYER, AARON METRO EAST INDUSTRIES * 11/04/16 DENNIS SHEVLIN KEEFE & DEPAULI 1078 17WC 12375 OCHILTREE, KAYLA ST CLAIR COUNTRY CLUB * 11/29/16 ALVIN C PAULSON 1079 17WC 12425 COPE, MICHELE AMAZON * 03/26/17 GALANTI LAW OFFICES 1080 17WC 12432 HAGEN, DELMAR REPUBLIC SVCS * 06/06/16 COOK SHEVLIN YSURSA ET AL LITCHFIELD CAVO 1081 17WC 12486 PARKER, NEIL A CUSTOM STAFFING * 12/15/16 NELSON & NELSON 1082 17WC 12500 MOORE, JOAN BEVERLY FARM FOUNDATION * 12/16/15 SMITH ALLEN MENDENHALL ET 1083 17WC 12724 BUTLER, MONIQUE FED EX GROUND * 12/01/16 DWORKIN AND MACIARIELLO 1084 17WC 12747 MOORE, JEREMY GATEWAY REGION YOUNG MEN' * 12/17/16 WALTON TELKEN FOSTER LLC 1085 17WC 12780 BRAND, TAUNA HEC, INC * 09/29/16 FISHER KERHOVER & WELGE 1086 17WC 12832 COLLINS, TAMMY GEODIS * 03/17/17 GOLDBLATT + SINGER HARRIS DOWELL FISHER & HARRI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1087 17WC 12948 NOTTER, GARY COLUMBIA QUARRY COMPANY * 04/10/17 KEEFE & DEPAULI KNAPP, OHL & GREEN 1088 17WC 12993 ALTEVOGT, JOSEPH HIGHLAND MACHINE & SCREW * 04/17/17 RICH RICH COOKSEY PC 1089 17WC 13000 YEAGER, JERRY L JR STEVEN D. BOVINET D/B/A * 06/20/16 MAAG LAW FIRM LLC 1090 17WC 13063 WALDRIP, BEN GATEWAY BASEBALL, LLC * 04/27/16 RUSIN & MACIOROWSKI LTD 1091 17WC 13185 GARCIA-HINOJOSA, TERESSA ELITE STAFFING * 11/23/16 BROWN & CROUPPEN 1092 17WC 13276 STEBERNAK, MARJAN US STEEL * 01/11/17 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 1093 17WC 13354 BAUDINO, LARRY DIERBERGS MARKETS, INC * 05/23/16 HEPLER BROOM LLC 1094 17WC 13484 HAYES, ADRENNA F EAST ST LOUIS CUSD #189 * 08/25/16 JAMES RUPPERT 1095 17WC 13519 THOMURE, JEFFERY FENIX CONSTRUCTION * 04/06/16 KEEFE & GRIFFITHS PC 1096 17WC 13547 MAYFIELD, ADRIENNE L BI-STATE DEVELOPMENT AGEN * 12/05/16 GLASS & KOREIN BROWN & JAMES, PC 1097 17WC 13588 WAGNER, ROBERT PEOPLEASE CORPORATION/ * 04/07/16 FEIRICH MAGER GREEN & RYAN 1098 17WC 13599 THERIAULT, JOHN A TURBINEPROS * 04/20/17 BECKER SCHROADER & CHAPMAN 1099 17WC 13682 HINES, DEXTER SYNOVOS * 12/19/16 BROWN & CROUPPEN 1100 17WC 13795 CAREY II, MICHAEL A INSPECTOR PLUMBER * 04/20/17 SCHREMPF KELLY & NAPP KEEFE & DEPAULI 1101 17WC 13799 ZIEGLER, MICHAEL MHOONDRIED, INC * 04/10/17 MORMINO,VELLOFF,EDMONDS,SN HOLTKAMP LIESE ET AL 1102 17WC 13803 ALLEN, RHONDA BELLEVILLE MEMORIAL HOSPI * 09/26/16 FISHER KERHOVER & WELGE 1103 17WC 13836 AROCA LOPEZ, OSCAR AROCA ROOFING * 03/27/17 BRIAN STOKES 1104 17WC 13842 DODD, VON ERIC AMAZON DISTRIBUTION CENTE * 03/17/17 BROWN & BROWN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1105 17WC 13867 DAVIS, LEAMEAL DYNEGY MIDWEST GENERATION * 02/10/16 LESKERA LAW FIRM 1106 17WC 13940 SCHMITT, JOHN ERIC BEN HUR CONSTRUCTION COMP * 03/18/16 RICH RICH COOKSEY PC LAW OFFICES STEVEN PILAND 1107 17WC 14077 LEWIS, JOSEPH GLAENZER ELECTRIC * 06/13/16 KEEFE & DEPAULI 1108 17WC 14109 KENDALL, CORY CITY OF GRANITE CITY * 04/27/17 GALANTI LAW OFFICES 1109 17WC 14116 HULL, BRANDON AMAZON * 04/27/17 GALANTI LAW OFFICES 1110 17WC 14150 BEESLEY, JENNIFER E DO DROP INN * 04/26/17 SCHREMPF KELLY & NAPP GANAN & SHAPIRO 1111 17WC 14238 WEST, ELLA SEARS HOLDINGS CORP * 12/02/16 REED & BRUHN, PC 1112 17WC 14245 HAWES, DARRELL AMERICAN STEEL FOUNDRIES * 05/08/17 GALANTI LAW OFFICES 1113 17WC 14368 SCHILTZ, LINDA A FIRST STUDENT * 03/23/17 BECKER SCHROADER & CHAPMAN 1114 17WC 14446 STELL, JOSEPH ABSOPURE WATER COMPANY * 06/01/15 STRELLIS FAULBAUM WALSH & 1115 17WC 14649 SKELT, JULIE GREENVILLE LUMBER & LANDS * 01/11/17 GALANTI LAW OFFICES 1116 17WC 14665 WILSON, DONOVAN GATEWAY MINE NORTH * 01/12/17 KEEFE & DEPAULI 1117 17WC 14673 MCNEALY, JEREMY AXCESS STAFFING SERVICES * 04/24/17 NELSON & NELSON BRADY, CONNOLLY & MASUDA, PC 1118 17WC 14740 ARNOLD, ALISA JR ONE ADVANTAGE, LLC * 03/14/17 KATZMAN & ASSOCIATES 1119 17WC 14748 USSELMANN, RANDALL SCHNUCK MARKETS, INC * 04/18/17 STRELLIS FAULBAUM WALSH & 1120 17WC 14806 SCHRAGE, ERIC COLLINSVILLE FIRE DEPARTM * 05/07/17 GALANTI LAW OFFICES 1121 17WC 14812 ROSS, DARLENE BASSC * 09/26/16 CARAWAY FISHER 1122 17WC 14822 AMBRUSO, ROBERT R&L CARRIERS * 04/14/17 NELSON & NELSON SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1123 17WC 14857 RANDAZZO, PAULA FIRSTSOURCE/ONE ADVANTAGE * 07/01/16 CARAWAY FISHER 1124 17WC 14875 BELL-GAROFOLO, MELISSA PRAIRIE STATE ENERGY * 10/04/16 SAM C MITCHELL & ASSOCIATE 1125 17WC 15024 MEYER, SCOTT VILLAGE OF BROOKLYN * 01/28/17 SCROGGINS LAW OFFICE GAROFALO SCHREIBER STORM 1126 17WC 15051 GARCIA-HINOJOSA, TERESSA ELITE STAFFING * 04/17/17 BROWN & CROUPPEN 1127 17WC 15185 BLUMHORST, BREANNE FAVORITES HEALTHCARE STAF * 04/22/17 HUSTAVA, JOHN H 1128 17WC 15189 RAUB, RODGER A US STEEL CORPORATION * 06/28/16 BEATTY & MOTIL 1129 17WC 15383 SMITH, RODGER ST ELIZABETH'S HOSPITAL * 05/03/16 DONOVAN ROSE NESTER 1130 17WC 15396 CALDWELL, RUTH AGENCY FOR COMM TRANSIT * 03/10/17 RICH RICH COOKSEY PC 1131 17WC 15416 DUNSE, JUSTIN UNITED PARCEL SERVICE * 04/28/17 ARMBRUSTER DRIPPS MCANANY VANCLEVE & PHILLIPS 1132 17WC 15420 EILAND, WILLIAM HIRE LEVEL * 03/23/17 BROWN & BROWN 1133 17WC 15430 WOODS, BRIAN PRO-LOGISTICS * 04/18/17 PETER BLASI LLC 1134 17WC 15449 BREWSTER, DEMARCUS BAILY INTERNATIONAL, INC * 05/08/17 BROWN & BROWN 1135 17WC 15501 COLLINS, MORGAN JIMMY JOHN'S 1171 NORTH G * 04/18/17 WILLIAMSON WEBSTER ET AL 1136 17WC 15650 PARKER, BOBBY MAGNESIUM ELKETRON NORTH * 10/07/16 WOLF LAW LTD 1137 17WC 15683 WILLIAMS, GORDON WOODS BASEMENT SYSTEMS * 05/17/17 DWORKIN AND MACIARIELLO 1138 17WC 15717 SIMON, AHMANDE C METRO BI-STATE * 04/28/17 NELSON & NELSON EVANS & DIXON, LLC 1139 17WC 15735 SMITH, KEVIN PIZZA HUT * 05/05/17 WALTON TELKEN FOSTER LLC 1140 17WC 15842 PANNIER, RICHARD JAMES JUELFS * 11/30/16 BROWN & CROUPPEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 65 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1141 17WC 15924 POST, BLANCA R BANFIELD PET HOSPITAL * 02/12/16 BONIFIELD & ROSENSTENGEL P MC ANDREWS & NORGLE LLC 1142 17WC 15986 OSELAND, TAMMY HORTICA INSURANCE * 09/22/15 COZZI & GOGGIN-WARD 1143 17WC 16018 VORUZ, MARTIN BEL-O SALES & SERVICE CO, * 07/14/15 GLASS & KOREIN 1144 17WC 16138 MOORE, DANIELLE VALVOLINE * 02/18/17 SCHREMPF KELLY & NAPP 1145 17WC 16214 FINESHRIBER, MICHAEL S US STEEL * 04/22/17 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 1146 17WC 16234 WILLIS, LATOSHA HOYLETON MINISTRIES * 04/27/17 RICH RICH COOKSEY PC 1147 17WC 16265 MURRAY, MARION CARLISLE CONSTRUCTION MAT * 10/07/16 BROWN & BROWN 1148 17WC 16317 BURNS, MATTHEW JAMES C BARNES * 02/07/17 HENNESSY & ROACH, PC 1149 17WC 16453 COX, JUNE MICHELLE ILLINOIS CENTER OR AUTISM @ * 05/23/17 HENNESSEY LAW FIRM 1150 17WC 16461 GREEN, MICHAEL BOEING @ * 06/20/16 ARMBRUSTER DRIPPS 1151 17WC 16483 WHITE, LAURA MAE ILLINOIS DEPARTMENT OF @ * 08/01/16 KING LAW FIRM 1152 17WC 16624 MASON, MICHAEL DAR-PRO * 05/15/17 GALANTI LAW OFFICES 1153 17WC 16700 COLLMAN, AMBER SHOP N SAVE * 05/05/17 MATHIS MARIFIAN RICHTER ET HEYL ROYSTER VOELKER & ALLEN 1154 17WC 16773 BLACK, RONALD K BEELMAN TRUCK CO * 09/19/14 HUGHES LAW FIRM 1155 17WC 16780 PAYNE, KRISTIN HOLY FAMILY HOSPITAL * 01/08/17 UNSELL & SCHUMAN 1156 17WC 16801 HENDERSON, GARY STOCK TRANSPORT * 11/28/16 JUNCKER, DANIEL K PC 1157 17WC 16807 RIGGS, PHILLIP G AT&T * 05/24/17 SCOTT P. HOLWITT 1158 17WC 16813 BERGMAN, MARK STATE OF ILLINOIS, DEPT O @ * 07/18/14 HOLLEY & ROSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 66 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 07/17/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1159 17WC 16841 DENGLER, GARY A AT&T * 12/14/15 SCOTT P. HOLWITT 1160 17WC 16895 AUSTIN, ANTHONY THE EGG & I * 11/01/16 CARAWAY FISHER 1161 17WC 17003 SHAW, DARRELL EDWARDSVILLE COMMUNITY UN * 12/29/15 WALTON TELKEN FOSTER LLC 1162 17WC 17041 LONG, KYLE E METRO EAST INDUSTRIES * 02/21/17 SCHREMPF KELLY & NAPP 1163 17WC 17092 WOBBE, ERIC M ATMOSPHERIC RESEARCH & * 04/17/15 LAW OFFICES STEVEN PILAND 1164 17WC 17295 MCFARLAND, BRANT WIDMAN CONSTRUCTION * 02/24/17 GALANTI LAW OFFICES 1165 17WC 17353 JOHNSON, DAVID PRAIRIE STATE * 05/19/17 HART & HART 1166 17WC 17374 COX, NATHANIEL JERSEYVILLE GAS SVC, INC * 06/23/16 WILLIAMSON WEBSTER ET AL HOLECEK & ASSOCIATES 1167 17WC 17379 CURTIS, PAULETTE US STEEL * 04/06/17 JEROME LEFTON LAW OFFICE 1168 17WC 17416 BISHER, MICHAEL SCF LEWIS & CLARK TERMINA * 12/10/16 MICHAEL J BRUNTON LAW OFFI 1169 17WC 17528 CRUMP, CHARLES AMERICAN STEEL FOUNDRIES * 05/19/17 GALANTI LAW OFFICES 1170 17WC 17611 HARBISON, TOM TERRASOURCE * 09/23/16 JUNCKER, DANIEL K PC 1171 17WC 17676 DAVIS, ANTHONY PEERLESS PREMIER APPLIANC * 05/01/17 BROWN & BROWN 1172 17WC 17755 ALBERS, CLINT MW COLE CONSTRUCTION LLC * 07/05/16 BRADY, CONNOLLY & MASUDA, PC