ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 33160 JOHNSON, GREGORY ANGELICA TEXTILE SERVICES 05/29/04 KLAR, IZSAK, STENGER LLC KNAPP, OHL & GREEN 2 08WC 07493 19B DRUMMOND, JEANNE SERIOUS PIZZA INC @ W 01/18/08 BRANKEY & SMITH PC 3 08WC 54468 SHANKS, JAMES DEAN DETERDING, IND & DBA W 10/12/07 BROWN & BROWN KEEFE & DEPAULI 4 09WC 21172 BURGAN, LARRY SPECTRULITE CONSORTIUM IN 07/20/03 BROWN & BROWN EVANS & DIXON 5 09WC 38615 ELMORE, WILLIAM SPECTRULITE CONSORTIUM IN 04/21/99 DAVID JEROME 6 09WC 38849 MC FALLS, JASON SPECTRULITE CONSORTIUM IN 08/01/03 BROWN & BROWN 7 09WC 38970 KNOTH, GARY SR SPECTRULITE CONSORTIUM IN 07/31/03 BROWN & BROWN 8 09WC 39594 THOMA, DENNIS SPECTRULITE CONSORTIUM IN 05/01/01 BROWN & BROWN 9 10WC 32912 MORGAN, BRANDY ADVANTAGE SALES & MARKETI 10/20/09 WILLIAMS CAPONI & ASSOC ROUSE & CARY 10 11WC 12343 HUGHES, BOBBY E SOLVAY FLUORIDES INC 04/16/08 SCHUCHAT, COOK & WERNER GALLIANI DOELL & COZZI LTD 11 11WC 13271 HURTADO, TYLER GREEN MACHINE @ W 03/21/11 GALANTI LAW OFFICES 12 11WC 16722 OWENS, CHARLES SPECTRULITE CONSORTIUM, I 02/01/02 DAIVD JEROME 13 11WC 16725 HENDRIX, CHRISTOPHER SPECTRULITE CONSORTIUM, I 02/01/01 DAVID JEROME 14 11WC 16733 MEDLEY, DAVID SPECTRULITE CONSORTIUM, I 08/01/01 BROWN & BROWN 15 11WC 16814 SCHUETTE, NORMAN SPECTRULITE CONSORTIUM IN 06/01/92 BROWN & BROWN 16 11WC 18768 MCQUAY, DAVID J SPECTRULITE CONSORTIUM IN 01/25/02 DAVID JEROME 17 11WC 23583 UHERCIK, DAVID SPECTRULITE CONSORTIUM, I 02/01/02 BROWN & BROWN 18 11WC 44023 CORNELL, CHRISTOPHER SPECTRULITE CONSORTIUM IN 07/01/89 BROWN & BROWN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 19 11WC 44038 19B BRITO, YOLANDA WAL MART 10/08/11 STEVEN GIACOLETTO WIEDNER & MCAULIFFE LTD 20 11WC 46593 TURAY, ARTHUR AMERICAN STEEL 11/18/11 BISTATE INJURY LAW CENTER HENNESSY & ROACH, PC 21 12WC 25317 19B MYERS, SHARON WENDYS 06/06/12 JEROME LINDSAY SALMI LL HENNESSY & ROACH PC 22 12WC 29165 FERGUSON, BARBARA UNITED STATES 12/06/11 KATZMAN & ASSOCIATES KEEFE & DEPAULI 23 12WC 29885 JERNIGAN, ARTHUR RAND DIVERSIFIED 06/20/12 JEROME LINDSAY SALMI LL PATRICIA M CARAGHER 15WC008522 -C 24 12WC 31350 GROVES, ROY LOGAN'S ROADHOUSE 01/02/11 MATHIS MARIFIAN RICHTER ET WIEDNER & MCAULIFFE LTD 25 12WC 43774 HUELSKAMP, LORI TERRACE ON THE PARK 11/13/12 JEROME LEFTON LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 26 13WC 02493 BIELONG, MARY JO ROBERT HALF 11/21/11 PETER BLASI LLC MCANANY VANCLEVE & PHILLIPS 27 13WC 03306 BAILEY, JAMES E SR GARDENSCAPE CONSTRACTORS 03/21/11 ROTH LAW OFFICES KEEFE & DEPAULI 28 13WC 04773 YARBER, DANIELLE GATEWAY REGIONAL MEDICAL 10/10/12 JEROME LINDSAY SALMI LL WIEDNER & MCAULIFFE LTD 29 13WC 10366 BEASLEY, DAVID CALCOTT ROOFING 03/02/13 JEROME LINDSAY SALMI LL HENNESSY & ROACH, PC 30 13WC 11205 BRINSON, LEO NIHLE, JR DUSTIN MC GEE DBA UNLIMIT @ W 05/04/12 MEYER LAW FIRM PC ASSISTANT ATTORNEY GENERAL 31 13WC 14288 REPKA, ROBERT IL DEPT OF AGRICULTURE @ 03/25/10 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 32 13WC 18772 TODD, MORTON GRP MECHANICAL 05/14/13 LYNN D BARNETT HEYL ROYSTER VOELKER & ALLEN 33 13WC 22738 GOLLIDAY, REGINALD AMSTED RAIL/AMERICAN STEE 03/07/13 JOHNSON GRAY LLC WIEDNER & MCAULIFFE LTD 34 13WC 23113 SPICER, EMILY HUBBELL WIEGMANN 05/03/13 JUNCKER, DANIEL K PC EVANS & DIXON, LLC 35 13WC 24567 MOORE, ERICA DIVERSIFIED MAINTENANCE 10/01/12 JOHNSTON LAW OFFICE 36 13WC 26538 RATAY, FRANK S ENTERPRISE RENT-A-CAR 05/30/13 SCHUCHAT, COOK & WERNER LAW OFFICES OF JOHN D. WENDL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 37 13WC 27269 BERGMAN, FRANK C VILLAGE OF CAHOKIA 10/22/10 WILLIAMS CAPONI & ASSOC DONOVAN ROSE NESTER 38 13WC 35628 RIPPY, PEGGY US STEEL 10/10/13 GALANTI LAW OFFICES KEEFE & DEPAULI 39 13WC 37873 CORNELL, PATRICIA EXTENDED STAY HOTELS 10/15/13 JEROME LINDSAY SALMI LL RUSIN & MACIOROWSKI LTD 40 13WC 37982 ARNOLD, KELLY M UNIVERSITY OF ILLINOIS 09/12/13 MARK E MORELAND HEYL ROYSTER VOELKER & ALLEN 41 13WC 40773 19B HARRISON, GERALD L ALTON TELEGRAPH 10/04/13 BECKER SCHROADER & CHAPMAN LAW OFFICES STEVEN PILAND 42 13WC 42330 19B QUINN, CHERYL LINETTE GREYHOUND LINES INC 12/10/13 GALANTI LAW OFFICES EVANS & DIXON, LLC 43 14WC 00726 COPE, MICHEAL STEIN STEEL 04/19/12 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD 44 14WC 01437 JOHNS, MICHELLE GOLDEN CORRAL 05/06/13 WILLIAMS CAPONI & ASSOC LAW OFFICES STEVEN PILAND 45 14WC 05037 RAGLAND, BRANDON POWER MAINTENANCE CONSTRU 03/28/13 WOMICK LAW FIRM CHTD GAROFALO SCHREIBER STORM GRA 16WC019534 -C 46 14WC 06120 HOWARD, VIRGIE DHS-HOME SERVICES PROGRAM @ 01/04/14 SCHOEN WALTON TELKEN & FOS ELIZABETH LEAHY 14WC006225 -C 47 14WC 06878 19B JONES, TYRES AMERICAN STEEL FOUNDRIES 02/16/14 GALANTI LAW OFFICES HENNESSY & ROACH, PC 48 14WC 07161 19B WATTS, MICHELLE GLOBAL BRASS'S COPPER 02/04/14 O'LEARY SHELTON CORRIGAN KEEFE & DEPAULI 49 14WC 10805 ROBINSON, JEFFREY S SOUTHERN ILLINOIS UNIVERS @ 02/03/14 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 50 14WC 15492 HAGENE, JEREMY LEE ANN PIM AND JUSTIN PI W 03/12/12 BOYNE, KEVIN PC 14WC015500 -C 51 14WC 15995 GOODMAN, ROBERT MARATHON PETROLEUM COMPAN 10/17/13 BECKER SCHROADER & CHAPMAN 52 14WC 16366 MORRIS, TAMIKA SUPPORT SYSTEMS & SERVICE 08/30/13 MCGLYNN & MCGLYNN KEEFE CAMPBELL & ASSOC LLC 53 14WC 19722 NICOLAY, ANDREA MASSMAN TRAYLOR ALBERICI 11/13/12 SHORT AND DAUGHERTY THOMAS & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 54 14WC 21115 WALKER, HENRY BI-STATE DEVELOPMENT AGEN 02/02/14 HUSTAVA, JOHN H BROWN & JAMES, PC 55 14WC 21235 EL-AMIN, AMEENAH CASINO QUEEN INC 06/05/14 MATHIS MARIFIAN RICHTER ET DONOVAN ROSE NESTER 56 14WC 22650 GREER, JIMMIE HOLTGRAVE DISTRIBUTING IN W 06/10/13 NELSON & NELSON CLAYBORNE SABO & WAGNER 57 14WC 23863 CAIN, PHILLIP POWER MAINTENANCE & 04/26/13 MUELHAUSEN & STEFANI GAROFALO SCHREIBER STORM GRA 58 14WC 26502 MOORE, OCTAVIA D COMPREHENSIVE BEHAVIOR 06/26/14 BONIFIELD & ROSENSTENGEL P RIPES NELSON BAGGOT KALOBRAT 59 14WC 28198 WILLIAMS, MILTON IL OFFICIAL GRAIN INSPECT 02/01/14 JEROME LINDSAY SALMI LL ROUSE & CARY 60 14WC 31589 STEVENSON, KATHY BEVERLY FARM FOUNDATION 04/21/14 MEYER LAW FIRM PC HOLTKAMP LIESE ET AL 18WC024696 -C 61 14WC 33655 19B WILSON, E WAYNE DOLLAR GENERAL CORP 08/21/14 SAUTER, SULLIVAN & EVANS LEAHY EISENBERG & FRAENKEL 62 14WC 34189 GREER, JIMMIE HOLTGRAVE DISTRIBUTING IN 09/04/14 NELSON & NELSON DEFRANCO & BRADLEY 63 14WC 35407 EVERSGERD, MICHAEL P D.C.A. CONSTRUCTION 07/31/14 WILLIAMS CAPONI & ASSOC KNELL LAW LLC 64 14WC 35776 ALDRICH, SHANNA D CARING FIRST NURSING HOME 09/15/14 BONIFIELD & ROSENSTENGEL P BOGGS AVELLINO 65 14WC 36210 BROWN, CHERYL A CUTTERS BAR & GRILL 09/12/14 NELSON & NELSON RUSIN & MACIOROWSKI LTD 66 14WC 37194 ELY, HARRY OHL 09/17/14 GALANTI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 67 14WC 37947 CHARTRAND, CHARLES ROCK TENN 08/15/14 BROWN & BROWN GAROFALO SCHREIBER STORM GRA 68 14WC 40224 MENDOZA, ANGELA HOLTEN MEAT CO 04/21/14 JEROME LINDSAY SALMI LL LAW OFFICE CRAIG A HANSEN 16WC000419 -C 17WC015395 -C 69 14WC 40531 BALLHAUSEN, TERRY L SHOP N SAVE 10/01/14 SCHUCHAT, COOK & WERNER HOLTKAMP LIESE ET AL 70 14WC 40788 TAYLOR, MARY K EARL HENDERSON 07/28/14 LYNN D BARNETT LAW OFFICE CRAIG A HANSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 71 14WC 41056 DOUGHERTY, JEREMY METRO EAST INDUSTRIES INC 10/24/14 SCOTT P. HOLWITT KEEFE & DEPAULI 72 15WC 02727 MOORE, TINA MENARD AUTO SALES INC 05/06/13 NELSON & NELSON ROBERT L. SMITH 15WC002741 -C 15WC002748 -C 73 15WC 02958 FRANKLIN, RONALD E WIDMAN CONSTRUCTION, INC 12/19/14 DENNIS SHEVLIN JAMES M KELLY 74 15WC 03050 WIDER, HARLEY M BEELMAN TRUCK COMPANY 07/07/14 GABRIEL, MCCARTNEY & WAGNE MCANANY VANCLEVE & PHILLIPS 75 15WC 05352 19B BAUER, LAUREN MADISON POLICE DEPT 02/08/15 GALANTI LAW OFFICES KEEFE & DEPAULI 76 15WC 05924 19B LUPARDUS, RICHARD MENASHA 01/21/15 BUTLER & KEMPER HEYL ROYSTER VOELKER & ALLEN 77 15WC 06689 TAYLOR, CHARMAINE L GATEWAY REGIONAL MEDICAL 12/20/14 BUTLER & KEMPER POWER & CRONIN LTD 78 15WC 06913 DALEY, MICHAEL JONES MOTOR FREIGHT 01/23/15 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 79 15WC 06991 MC CALL, RITA R FIRST STUDENT MANAGEMENT 02/12/15 RICHARD LECINSKI WIEDNER & MCAULIFFE LTD 80 15WC 07224 ADAMS, PHIL AMERICAN STEEL FOUNDRIES 01/29/15 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 81 15WC 10568 GONZALEZ, ROSA EXTRA HELP 02/05/15 JEROME LINDSAY SALMI LL MCANANY VANCLEVE & PHILLIPS 82 15WC 12252 GRIMES, DONALD STEIN STEEL 02/15/15 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 83 15WC 12412 JOHNSON, WILLIE BEA SIUE HEAD START @ 03/16/15 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 84 15WC 12418 JOHNSON, WILLIE BEA SIUE HEAD START @ 01/31/13 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 85 15WC 14125 FLOWERS, ROSEMARY E KRAFT FOODS CAPRI SUN PLA 10/15/12 UNSELL, EDWARD W LAW OFFIC 86 15WC 14856 WILSON, PAMELA CAPRI SUN (KRAFT FOODS) 02/23/15 GARY L. BEMENT GAROFALO SCHREIBER STORM GRA 15WC027226 -C 16WC014192 -C 87 15WC 17167 HEMSATH, TERESA THE ROHO GROUP 12/22/14 WILLIAMS CAPONI & ASSOC LAW OFFICES STEVEN PILAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 88 15WC 17429 MARTIN, LINDA S DAVID'S BRIDAL 06/01/14 FREEARK, HARVEY & MENDILLO STEPHEN H LARSON LAW OFFICE 89 15WC 19549 FOSTER, NICHOLAS BULLSEYE PAINTING INC 07/13/13 SCHOEN WALTON TELKEN & FOS GANAN & SHAPIRO 90 15WC 20658 CEDILLO, MARTHA A MICASA SUB SHOP 05/13/15 NELSON & NELSON PATRICIA M CARAGHER 91 15WC 21431 19B TOCCO, LEONARD CARMA CONSTRUCTION 06/23/15 O'LEARY SHELTON CORRIGAN HOLTKAMP LIESE ET AL 92 15WC 22147 JARMAN, DANIEL GLOBAL BRASS 01/23/15 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 93 15WC 22262 RULE, TRAVIS BROOKLYN POLICE DEPARTMEN 07/14/13 NELSON & NELSON 94 15WC 23371 SAYLES, REBECCA ALTON STATE MENTAL HEALTH 06/11/15 BROWN & BROWN ASSISTANT ATTORNEY GENERAL 95 15WC 23516 MURPHY, DAVID KIENSTRA ILLINOIS, LLC 07/21/15 JEROME LINDSAY SALMI LL RUSIN & MACIOROWSKI LTD 96 15WC 24956 ANDERSON, BRADLEY KENT WOKER TRUCKING 07/13/15 GALANTI LAW OFFICES MORROW WILLNAUER 97 15WC 25894 BEAN, RONALD AMSTED INDUSTRIES INCORPO 03/19/15 CLAY BARKLEY ST CLAIR WIEDNER & MCAULIFFE LTD 98 15WC 27228 HUGHES, TIMOTHY GARY ROBERT HAMPTON 05/29/14 KOLKER LAW OFFICES ASSISTANT ATTORNEY GENERAL 99 15WC 27430 WEISSER, SCOTT TEAM INDUSTRIAL SVCS INC 07/25/15 JEROME LINDSAY SALMI LL STONE & JOHNSON CHARTERED 100 15WC 27500 COMPTON, ROBERT MID-WEST A INC 07/11/14 PETER BLASI LLC 101 15WC 27535 AUSTIN, LASHAWNDA COLUMBIA REHAB & NURSING 08/03/15 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 102 15WC 28711 BURROUGH, BILLY NEW MARKET CORP 08/21/14 COOK SHEVLIN YSURSA ET AL HENNESSY & ROACH, PC 103 15WC 28975 SUDHOLT, RITA/WIDOW OF MINTON OUTDOOR SERVICES I # 07/29/15 DAVID H. BONE LLC 104 15WC 30938 LEWIS, BRIAN J P&B INTERMODAL SERVICES 03/31/14 GOLDENBERG HELLER ANTOGNOL MCANANY VANCLEVE & PHILLIPS 105 15WC 31713 MUELLER, PAMELA CVS 04/21/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 106 15WC 32072 BRANDHORST, ANTHONY EXTRA HELP INC W 09/01/15 DWORKIN AND MACIARIELLO MCANANY VANCLEVE & PHILLIPS 107 15WC 33169 TIKKANEN, PAUL WAL-MART STORES, INC. 03/14/15 KATZMAN & ASSOCIATES GANAN & SHAPIRO 108 15WC 33797 TIKKANEN, PAUL WAL-MART STIORES, INC. 03/14/15 KATZMAN & ASSOCIATES GANAN & SHAPIRO 109 15WC 34086 COY, PHYLLIS COLLINSVILLE CUSD # 10 09/11/15 BEATTY & MOTIL 110 15WC 34585 KING, GWENDOLYN GLOBAL BRASS AND 01/13/14 MATHIS MARIFIAN RICHTER ET KEEFE & DEPAULI 111 15WC 35166 JOHNSON, BERRY ELITE STAFFING 06/30/15 LYNN D BARNETT 112 15WC 35207 MILEY, ROBERT BEELMAN TRUCK COMPANY 07/12/15 JEROME LINDSAY SALMI LL HARRIS DOWELL FISHER & HARRI 113 15WC 35417 BURTON, MELISSA BUNKER HILL CUSD #8 07/29/13 NELSON & NELSON BRYCE DOWNEY & LENKOV LLC 114 15WC 35739 BONDS, ALLEN WASHINGTON PARK POLICE DE 09/25/15 NELSON & NELSON GAROFALO SCHREIBER STORM GRA 115 15WC 35741 BORAWSKI, PAUL ACCO BRANDS 09/28/15 LIESER LAW FIRM HENNESSY & ROACH, PC 116 15WC 38262 STELL, JOSEPH ABSOPURE WATER COMPANY 05/20/14 STRELLIS FAULBAUM WALSH & 117 15WC 38335 PORTER, ROBERT OWENS & MINOR 02/03/15 WALTON TELKEN LLC 118 15WC 38789 ANDERSON, ANGELA J OILN BRASS CORP 08/05/15 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 119 15WC 38799 BREWER, JACOB KETTLER CASTING CO 10/11/15 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 120 15WC 38911 HILMES, BRIAN RJ CORMAN RAILROAD GROUP 10/26/15 BROWN & BROWN EVANS & DIXON, LLC 121 15WC 39280 GUTIERREZ, DAVID CENTURY BRASS WORK INC 04/21/15 WALTON TELKEN LLC HEYL ROYSTER VOELKER & ALLEN 122 15WC 41195 REITZ, DONNA SCHNUCKS 06/15/15 SANSONE & LAUBER LEMP & MURPHY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 123 16WC 00042 MITCHELAR, JOHN J. NELSON TREE SERVICE, INC. 11/02/15 SMITH ALLEN MENDENHALL ET RIPES NELSON BAGGOT KALOBRAT 124 16WC 00410 CARPENTER, JACQUELINE HOLTEN MEAT COMPANY 09/04/15 RICH RICH COOKSEY & CHAPPE LAW OFFICE CRAIG A HANSEN 008 16WC025675 -C 125 16WC 01296 SRONCE, JOHNNY DYNEGY MIDWEST GENERATION 06/12/13 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 126 16WC 02452 HOWARD, DENISE CASEY'S 03/06/15 GALANTI LAW OFFICES KEEFE & DEPAULI 127 16WC 04060 HAISLIP, ANTHONY FIVESTONE FOUNDATIONS 09/26/15 BROWN & BROWN KEEFE & DEPAULI 128 16WC 05243 MC ALLISTER, ELIZABETH FRESH THYME 12/10/15 BONIFIELD & ROSENSTENGEL P ROUSE & CARY 129 16WC 05336 LATHROM, TIM UNITED METHODIST VILLAGE 03/19/15 BROWN & BROWN WOLFE & JACOBSON, LTD 16WC005905 -C 130 16WC 05894 FOY, ROBERT SUNRISE TRANSPORT, LLC 01/11/16 GALANTI LAW OFFICES QUINN JOHNSTON HENDERSON ETA 131 16WC 06544 JOHNSON, DEANNA LABORATORY CORP OF AMERIC 10/12/15 HENNESSY & ROACH, PC 132 16WC 08577 FLYNN, WILLENE JEANETTE ALTON MENTAL HEALTH CENTE @ 02/22/16 LAW OFFICE OF SUSAN GRAMME ASSISTANT ATTORNEY GENERAL 133 16WC 09318 GABROVIC, EILEEN ST ELIZABETH'S HOSPITAL 04/12/14 GARY L. BEMENT MC ANDREWS & NORGLE LLC 134 16WC 09667 SHAH, OMID A MINOR, BY AN ZULFI, LLC D/B/A SUBWAY 09/24/15 STEPHEN H LARSON LAW OFFICE 135 16WC 09810 LINDLEY, ROBERT JR GENERAL PARTS, INC 09/25/13 UNSELL & SCHUMAN GOLDBERG SEGALLA LLC 136 16WC 10313 THOMPSON, JACK USF HOLLAND 02/19/16 FLOYD LAW FIRM HENNESSY & ROACH, PC 137 16WC 10736 19B SULLIVAN, JAMES M II EXPRESS SERVICES, INC 02/12/16 BOYNE, KEVIN PC MC ANDREWS & NORGLE LLC 138 16WC 10883 WARLICK, SHINZETTA ALTON MENTAL HEALTH CENTE @ 02/16/16 WALTON TELKEN LLC ASSISTANT ATTORNEY GENERAL 139 16WC 11123 CWIKLOWSKI, DOUG HAYES PMC 03/05/16 KEEFE & DEPAULI GAROFALO SCHREIBER STORM GRA 140 16WC 12047 THOMAS, LAMARCUS PARENTS & FRIENDS OF THE 03/26/16 BROWN & BROWN BOGGS AVELLINO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 141 16WC 12488 COPE, CARLA ALTON MEMORIAL HOSPITAL 01/23/16 MILLER, WILLIAM R LAW OFFI HOLTKAMP LIESE ET AL 142 16WC 13226 WHITE, JERVIS METRO EAST INDUSTRIES, IN 01/27/16 NELSON & NELSON KEEFE & DEPAULI 143 16WC 13520 STRICKLIN, SUZANNE AMERICAN LEGION POST 485 @ W 01/24/16 KATZMAN & ASSOCIATES TERRY PEEBLES 144 16WC 13968 EISKANT, KENNETH EARL JR PLOCHER CONSTRUCTION CO. 07/30/15 BECKER SCHROADER & CHAPMAN KNAPP, OHL & GREEN 145 16WC 14182 NICKLESS, LOWELL R&L CURRIERS 01/08/15 LYNN D BARNETT SLAVIN & SLAVIN 146 16WC 14299 LUNA, MIGUEL OLDCASTLE LAWN&GARDEN MID 01/04/16 SCHREMPF, BLAINE, KELLY & 147 16WC 17056 WILLIS, JOHN W. PLACE SMART AGENCY 04/06/16 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 17WC001162 -C 148 16WC 17886 USREY, JOHN AMERICAN STEEL FOUNDRIES 05/02/15 GALANTI LAW OFFICES HENNESSY & ROACH, PC 149 16WC 18435 CAWVEY, STACEY WATERLOO COMMUNITY 01/08/16 KEEFE & GRIFFITHS PC GANAN & SHAPIRO 150 16WC 19048 EZELL, ROY REDEMIX 08/24/15 FLOYD LAW FIRM EVANS & DIXON, LLC 151 16WC 19340 PLUNKETT, SAMUEL PRECICISION DESIGN AND W 05/18/16 UNSELL, EDWARD W LAW OFFIC 152 16WC 19351 CASSIDY, CHRIS DYNEGY MIDWEST GENERATION 05/16/16 GALANTI LAW OFFICES KEEFE & DEPAULI 153 16WC 20083 FORESHEE, MICHAEL SHOP-N-SAVE WAREHOUSE FOO 06/20/16 BUTLER & KEMPER 154 16WC 20191 CONWAY, LEVERT DB US HOLDING CORP 05/22/16 WALTON TELKEN LLC LAW OFFICE PAUL LARIMORE 155 16WC 20882 19B JACKSON, JIMMIE AMERICAN STEEL FOUNDRIES 06/23/16 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 156 16WC 21392 PIERCE, FREDERICK FEDERAL STEEL & ERECTION 12/09/15 BECKER SCHROADER & CHAPMAN HEYL ROYSTER VOELKER & ALLEN 157 16WC 22098 STEELE, KIM ABC ST LOUIS 10/19/14 KATZMAN & SUGDEN 158 16WC 23248 KECK, RYAN R. J. CORMAN RAILROAD GRO 07/19/16 RICH RICH COOKSEY & CHAPPE EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 16WC 23646 RENNIE, MICHELLE COLLINSVILLE COMMUNITY UN 03/22/16 NELSON & NELSON 160 16WC 23767 BRADLEY, MARVIN U S STEEL 01/04/16 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 161 16WC 24198 SOKALSKY, LINDA(WIDOW) WAGNER MOTOR CAR CO # 11/14/15 CULLEY & WISSORE 162 16WC 24432 JACKSON, WILLIS TRANSITIONAL HOME 07/29/16 JEROME LEFTON LAW OFFICE EVANS & DIXON, LLC 163 16WC 24579 WAHBY, VINCENT P MB THOMAS RV SALES INC 03/06/16 NELSON & NELSON BRADY, CONNOLLY & MASUDA, PC 164 16WC 24704 HAWTHORNE, TIMOTHY DMS CONTRACTING, INC. 12/08/15 LAW OFFICE OF JAMES PARROT BRADY, CONNOLLY & MASUDA, PC 165 16WC 25013 HUNTER, THOMAS KERRY INGREDIENTS & FLAVO 08/24/11 HENNESSEY LAW FIRM HARRIS DOWELL FISHER & HARRI 166 16WC 26494 WALL, TIMOTHY S. HOLTHAUS TRUCKING 06/28/16 WILLIAMS CAPONI & ASSOC JAMES M KELLY 167 16WC 26555 DEGONIA, RHONDA IL DEPT OF EMPLOYMENT SEC @ 11/16/15 168 16WC 26900 GRIMES, SANDRA SUE AMERICAN WATER 01/30/15 MILLER, WILLIAM R LAW OFFI CLAYBORNE SABO & WAGNER 169 16WC 27329 BRADLEY, MARVIN U.S. STEEL 08/09/16 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 170 16WC 28173 SCHULTZ, PAULA NEW OPPORTUNITIES, INC 04/26/16 RICH RICH COOKSEY & CHAPPE HOLTKAMP LIESE ET AL 171 16WC 28201 DUKES, MISTY CASEY'S GENERAL STORE 06/08/15 GALANTI LAW OFFICES KEEFE & DEPAULI 172 16WC 28469 TUGGLE, GEORGE OLIN WINCHESTER 11/13/13 KEEFE & DEPAULI 173 16WC 29437 MYERS, DAVID GMS MINE REPAIR & MAINT I 02/26/16 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 174 16WC 30345 BECCUE, BRADLEY E AMEREN 11/03/15 BONIFIELD & ROSENSTENGEL P HOLTKAMP LIESE ET AL 175 16WC 31039 LORTON, CAROL MAR-KA NURSING HOME 01/14/16 BROWN & BROWN WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 16WC 31073 MUFFLER, THOMAS CITY OF ALTON FIRE DEPT 08/28/16 EDMONDS LAW OFFICE SCHREMPF KELLY & NAPP 177 16WC 31613 ROBINSON, JIM GREY EAGLE DISTRIBUTORS 09/21/16 PRINCE LAW FIRM HOLTKAMP LIESE ET AL 17WC035756 -C 178 16WC 32035 GRISSAM JR., RICHARD HARDIN COLLISION & RESTOR 06/07/16 MILLER, WILLIAM R LAW OFFI HEYL ROYSTER VOELKER & ALLEN 179 16WC 32402 DIXON, LISA R SODEXO 08/23/16 BONIFIELD & ROSENSTENGEL P INMAN & FITZGIBBONS 180 16WC 32581 BOLEN, SUSAN ILLINOIS STATE POLICE @ 01/30/15 CHATHAM & BARICEVIC ASSISTANT ATTORNEY GENERAL 181 16WC 32875 HOLLIDAY, CONSTANCE L BRAVO HOLDING COMPANY INC 09/14/16 WOLFE & JACOBSON, LTD 182 16WC 33156 VOLKERS, BRIAN BREESE LAWN & GARDEN 09/01/16 MEYERS & FLOWERS LITCHFIELD CAVO 183 16WC 33258 RAUSCHER, JEROME L MAIN STREET BREWING 09/09/16 BONIFIELD & ROSENSTENGEL P MCANANY VANCLEVE & PHILLIPS 184 16WC 33616 PIERCE, ROBERT ALLEN UNION UNITED METHODIST CH 08/27/16 NELSON & NELSON GANAN & SHAPIRO 185 16WC 33769 CORNELISON, MARY (WIDOW) MACY'S INC 08/31/16 BOYNE, KEVIN PC BRYCE DOWNEY & LENKOV LLC 16WC036238 -C 186 16WC 34999 LILLEY, MELISSA CHEF SHOPPE 04/01/16 GALANTI LAW OFFICES THOMPSON & MCDONALD LAW OFFI 187 16WC 35117 FARMER, SHARON BRANDING IRON HOLDINGS 10/11/16 JEROME LINDSAY SALMI LL EVANS & DIXON, LLC 188 16WC 35190 FEARS, DARYL AMSTED INDUSTRIES INCORPO 06/21/15 CLAY BARKLEY ST CLAIR WIEDNER & MCAULIFFE LTD 189 16WC 35358 BARTON, JUSTIN AMERIGAS 07/05/16 JEROME LEFTON LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 190 16WC 35430 HILL, DELVIN E METRO DEVELOPMENT AGENCY 08/25/16 KEEFE & GRIFFITHS PC BROWN & JAMES, PC 191 16WC 35431 HILL, DELVIN L METRO DEVELOPMENT AGENCY 09/16/16 BROWN & JAMES, PC 192 16WC 35439 CATALDO, VINCENT L AT&T 10/03/16 SCOTT P. HOLWITT 193 16WC 35463 WILLIS, CECELIA RAILCREW XPRESS LLC 09/04/16 WIMMER & STIEHL ROUSE & CARY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 16WC 35485 STAWAR, MARION US STEEL CORP 06/16/15 BEATTY & MOTIL KEEFE & DEPAULI 195 16WC 35490 MOSS, CAROL JEAN BASLER ELECTRIC CO 06/15/16 NELSON & NELSON EVANS & DIXON, LLC 196 16WC 35841 MCMAHON, THOMAS CENTRAL TRANSPORT 10/24/16 KOLKER LAW OFFICES MCANANY VANCLEVE & PHILLIPS 197 16WC 35975 MARKOVIC, ERIC FOUR POINTS SHERATON 04/01/15 KOLKER LAW OFFICES COZZI & GOGGIN-WARD 198 16WC 36262 COLEMAN, TERRY W ST CLAIR COUNTY HOUSING A 05/31/16 NELSON & NELSON BOGGS AVELLINO 199 16WC 37122 RENFRO, ROSE M GREENVILLE REGIONAL HOSPI 01/06/15 FLOYD LAW FIRM GAROFALO SCHREIBER STORM GRA 200 16WC 37610 LUSTER, CHASITY WAL MART 06/28/16 MCGLYNN & MCGLYNN GANAN & SHAPIRO 201 16WC 37927 HALTER, KELLY J HAYES MECHANICAL 03/21/16 LAW OFFICE OF THOMAS SCHOO GAROFALO SCHREIBER STORM GRA 202 16WC 38036 DRYDEN, ANNA CASEY'S GENERAL STORE 11/16/16 DWORKIN AND MACIARIELLO 203 16WC 38080 REHKEMPER, MATT K & M CONSTRUCTION 07/29/15 MORROW WILLNAUER 204 16WC 38532 ASHCRAFT, WENDY (GUARD/PA CUSTOM STEEL PROCESSING # 07/29/16 WALTON TELKEN LLC STEPHEN H LARSON LAW OFFICE 205 16WC 38825 BABATUNDE, ADEYINKA STILLWATER SENIOR LIVING 12/19/16 MORROW WILLNAUER 206 16WC 39267 LOLESS, DAVID (DWIGHT) CITY OF WATERLOO POLICE D 11/21/16 JEROME LINDSAY SALMI LL SCHREMPF KELLY & NAPP 207 16WC 39293 ROSS, KIM DUBUQUE PAINT EQUIPMENT 09/12/16 ROBERTS,PERRYMAN,BOMKAMP,M ARCHER LASSA & MCHUGH 208 16WC 39447 SMITHSON, ERIC FASTENAL 02/05/16 JOHNSTON LAW OFFICE STEPHEN H LARSON LAW OFFICE 209 17WC 00051 BIGGS, KENNETH PEABODY GATEWAY SERVICES 05/12/16 CULLEY & WISSORE KEEFE & DEPAULI 210 17WC 00123 HARTMAN, BILLY SPEEDWAY SALVAGE, INC 08/10/15 HENNESSY & ROACH, PC 211 17WC 00466 DUNCAN, CORY N AMEREN ILLINOIS 12/21/16 NELSON & NELSON LEMP & MURPHY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 17WC 01540 JONES, GARY A, SR CITY OF FAIRVIEW HEIGHTS 05/18/16 JEFFREY GAULT INMAN & FITZGIBBONS 213 17WC 01837 KROEGER, BROC W MAINS TREE SVC 07/04/16 CHATHAM & BARICEVIC ROUSE & CARY 214 17WC 02042 KINNISON, PATRICIA A MIDWEST PETROLEUM CO 09/03/15 BONIFIELD & ROSENSTENGEL P HENNESSY & ROACH, PC 215 17WC 02815 BUCHANAN, CANDACE GATEWAY REGIONAL MEDICAL 12/19/16 BROWN & BROWN POWER & CRONIN LTD 17WC002832 -C 216 17WC 02829 HEIDRICH, JOSHUA GREY MEYER D/B/A ALL ABOU 08/24/16 BROWN & BROWN 217 17WC 02837 OWEN, NATHAN PJR AND ASSOCIATES 08/08/16 BROWN & CROUPPEN GANAN & SHAPIRO 218 17WC 02947 HOYLMAN, TRACY SCHALTENBRAND CONSTRUCTIO 12/28/16 JEROME LINDSAY SALMI LL HENNESSY & ROACH, PC 219 17WC 03155 MARTIN, KATHERINE SYMBRIA 01/11/16 SMITH ALLEN MENDENHALL ET GAROFALO SCHREIBER STORM GRA 220 17WC 03191 WATKINS, LADONNA ALTON MENTAL HEALTH CENTE @ 04/09/15 SMITH ALLEN MENDENHALL ET ASSISTANT ATTORNEY GENERAL 221 17WC 03386 GILCREASE, RALPH V COCA COLA ENTERPRISES 02/10/15 MCSWEENEY SLATER & MERZ 222 17WC 04084 DODSON, DWAYNE SPARTAN LIGHT METAL 07/09/16 NELSON & NELSON HENNESSY & ROACH, PC 223 17WC 04085 DODSON, DWAYNE SPARTAN LIGHT METALS 04/11/16 NELSON & NELSON HENNESSY & ROACH, PC 224 17WC 04137 KELLEY, WILLIAM S JACK COOPER TRANSPORT 11/28/16 225 17WC 04151 FAUCETT, ANGELA DOLLAR GENERAL #12409 03/22/16 KEEFE & DEPAULI LEAHY EISENBERG & FRAENKEL 17WC019713 -C 226 17WC 04711 JACKSON, PIERRE W.W. TRANSPORT, INC 01/06/17 MANDEL & MANDEL LLP HEYL ROYSTER VOELKER & ALLEN 227 17WC 05727 IRVIN, SHANE A GREENSCAPE LAWNCARE & 09/01/16 228 17WC 05879 JOHNSON, ALEX AMERICAN STEEL FOUNDRIES 02/14/17 GALANTI LAW OFFICES HENNESSY & ROACH, PC 229 17WC 06046 LILLY, DUSTIN UPS 01/11/16 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 17WC 06285 GAINES, JOHN N WALMART SUPERCENTER 12/07/16 WALTON TELKEN LLC EARLY & MIRANDA PC 231 17WC 06764 GARNER, JESICKA TDL GROUP, INC 12/01/16 SHORT AND DAUGHERTY BOGGS AVELLINO 232 17WC 07889 SUGG, KEITH US STEEL CORP 12/23/16 BEATTY & MOTIL KEEFE & DEPAULI 233 17WC 07963 EDMONDS, MARY A MONROE RANDOLPH TRANSIT 06/01/16 SCHUCHAT, COOK & WERNER 234 17WC 08137 LUSHER, RALPH F MAVERICK TRANSPORATION, L 03/26/14 LIESER LAW FIRM LEWIS RICE LLC 235 17WC 08426 FORGY, JAMES OTIS FOUR POINTS CONCRETE 09/19/16 WILLIAMSON WEBSTER ET AL 236 17WC 09249 19B CHITWOOD, SCOT USF HOLLAND 01/27/17 GALANTI LAW OFFICES HENNESSY & ROACH, PC 237 17WC 09566 MURRAY, MARION CARLISLE CONSTR MATERIALS 10/07/16 RICH RICH COOKSEY & CHAPPE KNAPP, OHL & GREEN 238 17WC 09617 SMITH, BRIAN CLYMER CONSTRUCTION 01/19/17 JOHNSTON LAW OFFICE 239 17WC 10077 BLAND, MICHAEL C AMEREN ILLINOIS 01/17/17 NELSON & NELSON LEMP & MURPHY 240 17WC 10306 CLEVELAND, DALLAS ST CLAIR COUNTY TRANSIT D 03/10/16 BROWN & BROWN ROUSE & CARY 241 17WC 10358 MCALPIN, THOMAS F II MADISON INDUSTRIAL SERVIC 03/15/17 THOMAS E HILDEBRAND HEYL ROYSTER VOELKER & ALLEN 242 17WC 10701 WILSON, GWENNETTE DD HOMES 09/27/16 GALANTI LAW OFFICES GANAN & SHAPIRO 243 17WC 10799 BLACK, JERRY METRO 09/13/16 BROWN & BROWN INGLIMO & HEALY 244 17WC 10931 STEPHENS, ANTHONY AMEREN IP 03/30/17 NELSON & NELSON CLAYBORNE SABO & WAGNER 245 17WC 11584 RING, SHERRY BELLEVILLE MEMORIAL HOSP 03/28/16 NELSON & NELSON MATHIS MARIFIAN RICHTER ET A 17WC011585 -C 18WC026033 -C MEMORIAL HOSPITAL 246 17WC 12147 WEGRZYN, WALTER KNIPP ROOFING, INC 08/09/16 MATHIS MARIFIAN RICHTER ET KNELL LAW LLC 247 17WC 12425 COPE, MICHELE AMAZON 03/26/17 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 17WC 12832 COLLINS, TAMMY GEODIS 03/17/17 GOLDBLATT + SINGER HARRIS DOWELL FISHER & HARRI 249 17WC 12948 NOTTER, GARY COLUMBIA QUARRY COMPANY 04/10/17 KNAPP, OHL & GREEN 250 17WC 13836 AROCA LOPEZ, OSCAR AROCA ROOFING 03/27/17 BRIAN STOKES PATRICK MCHUGH 251 17WC 14099 DUKE, MISTY CASEY'S GENERAL STORE 08/31/16 GALANTI LAW OFFICES KEEFE & DEPAULI 252 17WC 14245 HAWES, DARRELL AMERICAN STEEL FOUNDRIES 05/08/17 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 253 17WC 14446 STELL, JOSEPH ABSOPURE WATER COMPANY 06/01/15 STRELLIS FAULBAUM WALSH & 254 17WC 14740 ARNOLD, ALISA JR ONE ADVANTAGE, LLC 03/14/17 KATZMAN & ASSOCIATES 255 17WC 14857 RANDAZZO, PAULA FIRSTSOURCE/ONE ADVANTAGE 07/01/16 CARAWAY FISHER 256 17WC 15420 EILAND, WILLIAM HIRE LEVEL 03/23/17 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 17WC019497 -C 257 17WC 15430 WOODS, BRIAN PRO-LOGISTICS 04/18/17 PETER BLASI LLC NYHAN BAMBRICK KINZIE & LOWR 258 17WC 16265 MURRAY, MARION CARLISLE CONSTRUCTION MAT 10/07/16 RICH RICH COOKSEY & CHAPPE KNAPP, OHL & GREEN 259 17WC 16483 WHITE, LAURA MAE ILLINOIS DEPARTMENT OF @ 08/01/16 KING LAW FIRM ASSISTANT ATTORNEY GENERAL 260 17WC 16700 COLLMAN, AMBER SHOP N SAVE 05/05/17 MATHIS MARIFIAN RICHTER ET HEYL ROYSTER VOELKER & ALLEN 261 17WC 16813 BERGMAN, MARK STATE OF ILLINOIS, DEPT O @ 07/18/14 HOLLEY & ROSEN 262 17WC 16841 DENGLER, GARY A AT&T 12/14/15 SCOTT P. HOLWITT 263 17WC 17379 CURTIS, PAULETTE US STEEL 04/06/17 JEROME LEFTON LAW OFFICE KEEFE & DEPAULI 264 17WC 17528 CRUMP, CHARLES AMERICAN STEEL FOUNDRIES 05/19/17 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 265 17WC 17676 DAVIS, ANTHONY PEERLESS PREMIER APPLIANC 05/17/17 JEROME LINDSAY SALMI LL LAW OFFICES STEVEN PILAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 266 17WC 18735 ROACH, EDWARD API INC 05/23/17 LYNN D BARNETT LEAHY EISENBERG & FRAENKEL 267 17WC 19146 STARK, RANDY USF HOLLAND 08/25/16 GALANTI LAW OFFICES HENNESSY & ROACH, PC 268 17WC 19311 PETERS, ADAM ATTON MEMORIAL HOSPITAL 04/13/16 HOLTKAMP LIESE ET AL 269 17WC 19387 SIMS, TERRELL DEAN FOODS 11/16/16 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 270 17WC 19449 APPLEBY, JEFF PEABODY MIDWEST MNGT SVS 12/31/14 CULLEY & WISSORE KEEFE & DEPAULI 271 17WC 19509 LANTER, DANNY HAAG FOODS 07/15/14 CARAWAY FISHER STEPHEN H LARSON LAW OFFICE 272 17WC 19555 HYDE, MONIQUE STAFFING SYNERGIES 06/21/17 BROWN & BROWN LAW OFFICES STEVEN PILAND 273 17WC 19743 NIEPERT, EARL JR. AIRGAS MID AMERICA 03/14/17 UNSELL & SCHUMAN MC ANDREWS & NORGLE LLC 274 17WC 20433 RIGGS, ROGER TOP AG COOPERATIVE, INC 11/10/16 STRONG LAW OFFICE EVANS & DIXON, LLC 275 17WC 20741 MORTON, DOUGLAS CUSTOMIZED DISTRIBUTION S 06/09/17 MICHAEL J BRUNTON LAW OFFI LAW OFFICES STEVEN PILAND 276 17WC 20836 FENSTERMAKER, MARK HIRE LEVEL 04/27/17 SMITH ALLEN MENDENHALL ET MCANANY VANCLEVE & PHILLIPS 277 17WC 21028 WILLIAMS, KIANA RANDSTAD 04/08/17 SWANEY, JEFFREY R 278 17WC 21105 YOUNG, JAMES GIL KLEIN TV & APPLIANCE 05/04/17 WALTON TELKEN LLC 279 17WC 21179 SIMS, TERRELL DEAN FOODS 11/01/16 JEROME LINDSAY SALMI LL BRADY, CONNOLLY & MASUDA, PC 280 17WC 21716 CRUMP, JOHNIE HEARTLAND HOSPICE 06/02/17 SHORT AND DAUGHERTY BRYCE DOWNEY & LENKOV LLC 281 17WC 22024 STEELE, RHONDA METRO LINK 07/15/17 GALANTI LAW OFFICES 282 17WC 22372 IVY, JOHN C MR BULT'S, INC 06/20/17 JEROME LINDSAY SALMI LL WIEDNER & MCAULIFFE LTD 283 17WC 22687 SPRUELL, MYIESHA S WALMART 06/03/17 BROWN & BROWN EARLY & MIRANDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 17WC 22747 WOLTERS, DIANE K SYMPHONY SYCAMORE DBA 07/04/17 CARAWAY FISHER NYHAN BAMBRICK KINZIE & LOWR 285 17WC 22950 ORTIZ, DEBRA KRAFT HEINZ COMPANY 03/02/17 RICH RICH COOKSEY & CHAPPE GAROFALO SCHREIBER STORM GRA 286 17WC 23513 OLSSON, GEORGE R EAST SIDE LUMBAR YARD SUP 08/14/14 RICE LAW OFFICES LTD MCANANY VANCLEVE & PHILLIPS 287 17WC 23784 EDWARDS, CINDY A AMERICAN WATER 03/10/17 MILLER, WILLIAM R LAW OFFI CLAYBORNE SABO & WAGNER 288 17WC 24185 19B WELCH, MICHELE DENNY'S 04/28/17 KEEFE & DEPAULI MCANANY VANCLEVE & PHILLIPS 289 17WC 24273 KIEFER, STEVEN CAMPBELL'S TREE SERVICE 06/16/17 290 17WC 24286 SMITH, JAN GMS MINE REPAIR # 06/15/17 CULLEY & WISSORE CRAIG & CRAIG 291 17WC 24352 BOWERS, ARTHUR SCOTT FEDEX SUPPLY CHAIN 08/03/17 BROWN & BROWN SPIEGEL & CAHILL, PC 292 17WC 24398 KING-RAWLINGS, BRITTANY HIGH FLYERS GRILLE 06/30/17 BROWN & BROWN 293 17WC 25129 GILLESPIE, MARIAN PETERSON HEALTHCARE 08/01/17 WALTON TELKEN LLC KNELL LAW LLC 294 17WC 25610 CRUMER, CARL B JR DONNEWALD DISTRIBUTING CO 02/01/16 SCHREMPF KELLY & NAPP CASSANO & ASSOCIATES 295 17WC 25974 JOHNSON, TAMMY FIRST STUDENT 04/24/17 SMITH ALLEN MENDENHALL ET 296 17WC 26122 PIERCE, ROBERT A UNION UNITED METHODIST CH 09/12/14 NELSON & NELSON GANAN & SHAPIRO 297 17WC 26480 EADS, BRIAN USF HOLLAND 07/24/17 FLOYD LAW FIRM HENNESSY & ROACH, PC 298 17WC 26800 DRENNAN, DANIEL U.S. STEEL CORP 06/25/16 BEATTY & MOTIL KEEFE & DEPAULI 299 17WC 26828 MANUS, ANNETTE UNITY HOSPICE LLC 06/05/17 BROWN & BROWN GOLDBERG & SEGALLA LLP 300 17WC 26930 BALDESSI, THOMAS SAK CONSTRUCTION 08/14/17 NELSON & NELSON MCANANY VANCLEVE & PHILLIPS 301 17WC 27071 PRATT, NANCY CAHOKIA NURSING & REHAB C 07/26/17 JEROME LINDSAY SALMI LL BOGGS AVELLINO LACH BOGGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 17WC 27246 STEPHENS, ALEKA S MVP TRANSPORTATION INC 08/18/17 BRIAN STOKES THOMAS MAMER & HAUGHEY 303 17WC 27861 SMITH, TAKEISHA FEDEX 07/30/17 KEEFE & GRIFFITHS PC 304 17WC 28001 KUEGLER, BRYAN J DAVID WHITE D/B/A W 07/22/17 WALTON TELKEN LLC 305 17WC 28322 MURPHY, RYAN PLUMBERS SUPPLY COMPANY 08/24/17 306 17WC 29359 CRAIGMILES, ANDREA D JEFFREY LAUTZ DDS 03/23/16 NYHAN BAMBRICK KINZIE & LOWR 307 17WC 29788 MIDDLETON, JEANNE SOUTH CENTRAL TRANSIT 09/18/17 BROWN & BROWN KEEFE & DEPAULI 308 17WC 29863 LUDGATE, MANDY PACE TRANSPORT 09/13/17 WALTON TELKEN FOSTER LLC 309 17WC 30046 WARLICK, VINCE CITY OF ALTON POLICE DEPT 06/08/17 GALANTI LAW OFFICES SCHREMPF KELLY & NAPP 310 17WC 30159 BROWN, SCOTT W AMEREN IP 07/18/17 NELSON & NELSON LEMP & MURPHY 311 17WC 30397 FISCHER, MATTHEW ALTON FIRE DEPT 09/16/17 HAXEL LAW OFFICE SCHREMPF KELLY & NAPP 312 17WC 30724 BRAZEL, RICK PERFORMANCE FOOD SERVICE 06/03/17 MICHAEL C. GOLDBERG INMAN & FITZGIBBONS 313 17WC 30750 LONG, JOSHUA PRAIRIE STATE GENERATING 04/11/17 O'LEARY SHELTON CORRIGAN EVANS & DIXON, LLC 314 17WC 30842 WURST, RANDALL R TMR/ MIDWEST TRANSPRTATIO 09/25/17 GLASS & KOREIN HARRIS DOWELL FISHER & HARRI 17WC032707 -C 315 17WC 30856 HOWLIET, ANDRE SR CITY OF EAST ST LOUIS 09/09/17 THOMAS W DUDA CLAYBORNE SABO & WAGNER 316 17WC 30905 THOMAS, KANEESHA M HOLTEN MEAT INC 08/29/17 BROWN & BROWN EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 317 17WC 32272 SIMS, ELROY JOHN FRANKLIN, INDIVIDUAL W 09/28/17 BROWN & BROWN 318 17WC 32477 RADCLIFF, MARK CHARTER SPECTRUM 01/14/17 BROWN & BROWN HENNESSY & ROACH, PC 17WC033650 -C 319 17WC 32515 MURPHY, RYAN PLUMBERS SUPPLY COMPANY 08/24/17 LIESER LAW FIRM 320 17WC 32628 ADAMS, RANDALL CITY OF GRANITE CITY 05/12/15 RANDALL K ADAMS KEEFE & DEPAULI 321 17WC 32680 VULLO, AMY ANDERSON HOSPITAL 01/14/17 GALANTI LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 322 17WC 32906 FLETCHER, TIMMY LOWE'S HOME IMPROVEMENT L 03/28/17 GREGORY M. SKINNER KEEFE CAMPBELL & ASSOC LLC 323 17WC 33195 BASS, DENNIS HAMEL SEED & FARM SUPPLY, 05/16/15 NELSON & NELSON DOWD & DOWD LTD 324 17WC 33514 OWEN, PAMELA ROMA PIZZA WORKS 10/04/17 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 325 17WC 33745 DENNIS, LATISHA ELITE STAFFING 04/01/17 BROWN & BROWN 326 17WC 33771 KESSINGER, TONY STATE OF ILLINOIS/ALTON @ 09/14/16 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 327 17WC 33984 COLLINS, MINDY MAXIM HEALTHCARE SERVICES 08/23/17 NELSON & NELSON RUSIN & MACIOROWSKI LTD 328 17WC 34003 DRAG, JOYCE DIERGERGS MARKETS 11/21/16 KEEFE & DEPAULI 329 17WC 35429 DAVIS, ERIC SR. METRO 07/28/17 MANDEL & MANDEL LLP 330 17WC 35941 COLE, JULIE AMAZON 08/18/17 WIEDNER & MCAULIFFE LTD 331 17WC 36122 GODAR, DOUGLAS J POOR BOY TREE SERVICE, IN 10/18/17 UNSELL & SCHUMAN 332 17WC 36471 TAYLOR, WILLIE PERMOBIL 12/19/16 BOSSLET & O'LEARY 333 17WC 36750 MOOREHEAD, SAMANTHA HIRELEVEL 11/10/17 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 334 17WC 37056 SAPP, ERICA S CASEY'S GENERAL STORES 11/12/17 BROWN & BROWN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 335 17WC 37064 HEWITT, ANDREW VILLAGE OF SWANSEA POLICE 02/13/16 CARAWAY FISHER INMAN & FITZGIBBONS 336 17WC 37071 WETZEL, LUCAS D ROTHMAN FURNITURE 08/09/16 MILLER, WILLIAM R LAW OFFI 337 17WC 37372 EVERSGERD, MICHAEL CDA CONSTRUCTION 06/18/17 WILLIAMS CAPONI & ASSOC KNELL LAW LLC 338 17WC 37737 JOHNSON, EMILY WENDY'S RESTAURANTS 08/31/17 NELSON & NELSON 339 17WC 37754 MC NAUGHTON, DONALD MADISON COUNTY SHERIFF'S 10/01/16 LIESER LAW FIRM SCHREMPF KELLY & NAPP 340 17WC 37982 PIEPER, ROBERT J JR. SPECTRULITE CONSORTIUM IN 08/01/02 BROWN & BROWN 341 17WC 38005 DAVIS, WILLIAM F JR NELSON TREE SERVICE, LLC 09/18/17 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 342 17WC 38070 KINSEY, JOSEPH STATE OF ILLINOIS @ 09/12/17 RICHARD LECINSKI CORI STEWART 343 18WC 00109 FUNDERBURK, SARAH CIRCLE K 12/30/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 344 18WC 00426 MOORE, STACEY M AMAZON.COM.DEDC, LLC 12/20/17 BRIAN STOKES WIEDNER & MCAULIFFE LTD 345 18WC 01177 HAYER, MICHAEL H PSC INDUSTRIAL OUTSOURCIN 03/17/16 BONIFIELD & ROSENSTENGEL P WOLFE & JACOBSON, LTD 346 18WC 01214 HOOCK, BRENDA L HARRISONVILLE TELEPHONE C 05/24/16 BONIFIELD & ROSENSTENGEL P QUINN JOHNSTON HENDERSON ETA 347 18WC 01758 WILLIAMS, STEVEN SADDLE CREEK LOGOSTICS 10/23/17 TOMMIE A. HARSLEY III 348 18WC 01838 BRYANT, STEPHANIE STELLAR MANUFACTURING 05/01/17 MARK E MORELAND MORROW WILLNAUER 349 18WC 01887 BAUMAN, RICHARD J GBW RAILCAR SERVICES 12/19/17 SCHREMPF KELLY & NAPP HENNESSY & ROACH 350 18WC 02057 ARMSTRONG, MATTHEW OLIN CORPORATION - WINCHE 09/15/17 MARK E MORELAND KEEFE & DEPAULI 351 18WC 02636 HAYES, ALONZO SADDLE CREEK LOGISTICS SE 01/02/18 BUTLER & KEMPER BRYCE DOWNEY & LENKOV LLC 352 18WC 02661 HICKS, JULIE PROLOGISTIX 10/23/17 LYNN D BARNETT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 353 18WC 02851 JAMISON, LORI B CARE MEDICAL SUPPLIES 02/16/17 SCHREMPF KELLY & NAPP WIEDNER & MCAULIFFE LTD 354 18WC 03016 RUSH, MONICA Y AMERICAN WATER 12/27/17 MILLER, WILLIAM R LAW OFFI CLAYBORNE SABO & WAGNER 355 18WC 03019 19B TIMPE, BRANDON M CROWN LINEN SERVICES INC 01/16/18 CLAY BARKLEY ST CLAIR HENNESSY & ROACH 356 18WC 03126 LINDER, ROBERT HOMER IV UNITED STATES STEEL- 08/31/15 SHORT AND DAUGHERTY KEEFE & DEPAULI 357 18WC 03159 WILSON, JEFF ITW DIAGRAPH 11/04/16 KEEFE & GRIFFITHS PC MCANANY VANCLEVE & PHILLIPS 358 18WC 03258 METCALF, CHRISTOPHER E JR MIDDENDORK &REUSS CONSTRU 12/29/17 FISHER KERHOVER & WELGE 359 18WC 03330 VANDAVEER, SANDRA RIVERBEND HEADSTART 09/06/17 RICH RICH COOKSEY & CHAPPE WIEDNER & MCAULIFFE LTD 360 18WC 03376 SIGLER, KAROLINE AMAZON.COM 05/03/17 DANNA MCKITRICK PC WIEDNER & MCAULIFFE LTD 361 18WC 03521 BONNEVILLE, HAROLD MARK HAYES MECHANICAL 10/10/17 WOMICK LAW FIRM CHTD GAROFALO SCHREIBER STORM GRA 362 18WC 03766 PORTER, LISA AMERICAN STEEL 12/08/16 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 363 18WC 03939 ELLIOT, DAN PONTOON BEACH 01/26/18 GALANTI LAW OFFICES RUSIN & MACIOROWSKI LTD 364 18WC 05104 GREENWOOD, JANET WISE COMPANY 01/15/18 RON D COFFEL & ASSOC CRAIG A HANSEN 365 18WC 05525 19B TOWNSEND, REBECCA ALTON PODIATRY CLINIC 02/07/18 SHORT AND DAUGHERTY BRUCE WARREN 366 18WC 05595 STORRS, JEFFREY ELITE STAFFING 03/15/17 PETER BLASI LLC GAROFALO SCHREIBER STORM GRA 367 18WC 05619 MERTENS, CHRISTOPHER QUALITY CARRIERS 01/02/18 ELLEN E MORGAN BRADY, CONNOLLY & MASUDA, PC 368 18WC 05797 BOWLIN, SAMUEL DOMINO'S 01/09/18 GALANTI LAW OFFICES 369 18WC 05999 DUNN, ANTHONY FEDEX-HERSHEY 09/30/16 BROWN & BROWN SPIEGEL & CAHILL, PC 370 18WC 06049 MEGGS, CHAD ITS SOLAR LLC 02/05/18 KIRKPARTICK LAW OFFICES HOLTKAMP LIESE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 371 18WC 06063 DAVIS, NORMA KRAFT-HEINZ 02/14/18 GALANTI LAW OFFICES GAROFALO SCHREIBER STORM GRA 372 18WC 06249 MILLER, TRACI MEMORIAL HOSPITAL EAST 07/06/16 JEROME LINDSAY SALMI LL MATHIS MARIFIAN RICHTER 373 18WC 06285 JOHNSON, MICHAEL MIDWEST TRANSPORTATION 06/09/17 NELSON & NELSON HARRIS DOWELL FISHER & HARRI 374 18WC 06344 MATHIS, LARONDA NO AMERICA CENTRAL SCHOOL 02/06/18 ELLEN E MORGAN MCANANY VANCLEVE & PHILLIPS 375 18WC 06607 MEYER, JEFFREY LINN MIKE'S INC 02/16/18 SUSAN GRAMMER GOLDSTEIN & PRICE LC 376 18WC 06680 KUDELKA, KIMBERLY PROLOGISTIX 11/05/17 377 18WC 06887 TILLMAN, KATHRYN MEMORIAL MEDICAL GROUP 06/18/17 JEROME LINDSAY SALMI LL MATHIS MARIFIAN RICHTER 378 18WC 06996 WORS, NICHOLAS O THE HOME DEPOT 04/28/15 MANDEL & MANDEL LLP ADELSON TESTAN BRUNDO 379 18WC 07292 SIMS, MELIKA BRANDING IRON 02/13/18 HENNESSEY LAW FIRM EVANS & DIXON, LLC 380 18WC 07356 REHFELDT, MICHAEL HUBBELL WIEGMANN, INC 12/14/17 JEROME LINDSAY SALMI LL ATWILL & MONTGOMERY 381 18WC 07598 WRIGHT, MATTHEW D AT&T/ILLINOIS BELL TELEPH 01/26/18 SCOTT P. HOLWITT 382 18WC 07660 PENCE, DON OLIN 01/25/18 LEE, MARK N LAW OFFICE KEEFE & DEPAULI 383 18WC 07807 EILERS, NICHOLAS E JAY HENGES ENTERPRISES 12/30/17 WALTON TELKEN LLC CLAYBORNE SABO & WAGNER 384 18WC 08069 DIKE, RANDY L CONCRETE SUPPLY OF ILLINO 10/25/17 SMITH ALLEN MENDENHALL ET HARRIS DOWELL FISHER & HARRI 385 18WC 08266 SMITH, ELIZABETH M AT&T/ILLINOIS BELL TELEPH 12/20/16 SCOTT P. HOLWITT 386 18WC 08272 SHOFFNER, CAROL REDBIRD CLEANING INC 02/14/18 FISHER KERHOVER COFFEY GANAN & SHAPIRO 387 18WC 08358 MCKINNIS, TAYLOR CULVER'S 02/21/18 GALANTI LAW OFFICES MORROW WILLNAUER 388 18WC 08369 ARMSTRONG, MICHAEL W CRESCENT 02/23/18 MORMINO,VELLOFF,EDMONDS,SN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 18WC 08512 MUERTZ, DEAN KEELEY & SONS 09/20/16 DENNIS SHEVLIN CLAYBORNE SABO & WAGNER 390 18WC 08522 ROWLAND, JENNIFER COLLINSVILLE SCHOOL DIST 02/22/18 NELSON & NELSON EVANS & DIXON, LLC 391 18WC 09384 CORTEZ, RAFAEL BECKER IRON & METAL 03/02/18 PETER BLASI LLC RUSIN & MACIOROWSKI LTD 392 18WC 09405 BROOKOS, TOMMIE J ALORTON CITY HALL 03/18/18 SHORT AND DAUGHERTY KEEFE & DEPAULI 393 18WC 09408 FREEMAN, KEVIN A AMSTED INDUSTRIES 02/09/18 CALLIS PAPA HALE & SZEWCZY WIEDNER & MCAULIFFE LTD 394 18WC 09534 WIEGAND, SANDRA TYSON FOODS INC 09/01/16 BOYNE, KEVIN PC BRADY, CONNOLLY & MASUDA, PC 395 18WC 09819 DEVINE, ANDRE AMERICAN STEEL FOUNDRIES 09/01/16 WIEDNER & MCAULIFFE LTD 396 18WC 09943 WILCOX, THERESA BEVERLY FARMS 12/07/17 SHORT AND DAUGHERTY HOLTKAMP LIESE ET AL 397 18WC 10062 TORTI, JAMES ILLINOIS DEPARTMENT OF TR @ 02/14/18 JOSEPH L SAMUELSON PC ASSISTANT ATTORNEY GENERAL 398 18WC 10356 ENGLISH, JOAN BELLEVILLE NEWS DEMOCRAT 05/08/17 WILLIAMS CAPONI & ASSOC 399 18WC 10497 BRUMLEY, KIRK BI STATE TRUCK REPAIR 06/06/17 GALANTI LAW OFFICES KOPKA, PINKUS DOLIN, PC 400 18WC 10676 VIVIANO, JOSEPH CHICK-FIL-A 11/04/16 NELSON & NELSON RUSIN & MACIOROWSKI LTD 401 18WC 10835 DUNN, RICO HH GREGG 04/30/16 DWORKIN AND MACIARIELLO 402 18WC 11168 HENSON, MARGARET WIEGMANN 11/21/17 BROWN & BROWN AT0WILL & MONTGOMERY 403 18WC 11368 BLACKORBY, LONA WILLIAM M BEDELL ARC 11/20/17 EDMONDS LAW OFFICE 404 18WC 11405 GILL, LORINDA ILLINOIS CENTER FOR AUTIS 03/27/17 JOHNSTON LAW OFFICE 405 18WC 11744 BRANCH, CHRISTOPHER CITY OF EAST ST LOUIS FIR 11/23/17 GLASS & KOREIN CLAYBORNE SABO & WAGNER 406 18WC 11764 RUTLEDGE, HARRY JR. AFTON CHEMICAL COMPANY 06/14/17 JEROME LINDSAY SALMI LL 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 NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 18WC 11820 ULMER, RACHEL E HIGHLAND HEALTHCARE, LLC 09/22/15 408 18WC 11828 WEMPE, BRENDA HOSPITAL SISTERS HEALTH S 01/02/18 BROCKMAN, LARRY O HEPLER BROOM LLC 409 18WC 11900 O'DONNELL, DAVE SCHALTENBRAND CONSTRUCTIO 04/09/18 JOSEPH L SAMUELSON PC QUINN JOHNSTON HENDERSON ETA 410 18WC 11994 PAYNE, DANIELLE AMEDISYS HOME HEALTH 02/22/18 BROWN & BROWN GAROFALO SCHREIBER STORM GRA 411 18WC 12495 BAUCHMAN, THOMAS SR. BORAL USA 02/09/18 RICH RICH COOKSEY & CHAPPE ROUSE & CARY 412 18WC 12537 ADCOCK, LYNDEL W GREY EAGLE DISTRIBUTORS 03/26/18 COOK SHEVLIN YSURSA ET AL HOLTKAMP LIESE ET AL 413 18WC 12763 COOK, MATTHEW FRUTH CONSTRUCTION INC @ 04/09/18 NELSON & NELSON 414 18WC 13396 ALLEN, MICHAEL T FISHCER LUMBER COMPANY 05/17/17 BROWN & BROWN HOLTKAMP LIESE 415 18WC 13764 HOWARD, MICHAEL USF HOLLAND 09/07/17 BOYNE, KEVIN PC HENNESSY & ROACH, PC 416 18WC 14040 SINGLETON, DENNIS ONE SOURCE EQUIPMENT RENT 07/21/17 GALANTI LAW OFFICES EVANS & DIXON 417 18WC 14066 SALTO, MARIA HOLTEN MEATS 05/11/17 MANDEL & MANDEL LLP EVANS & DIXON, LLC 418 18WC 14307 CARTHY, JAMES CASEY'S GENERAL STORE 12/02/17 JEROME LEFTON LAW OFFICE 419 18WC 14369 CARROLL, TAMMY STATE OF ILLINOIS - IDHS @ 12/29/17 CALLIS PAPA HALE & SZEWCZY CORI STEWART 420 18WC 14636 AYERS, ANTWOINETTE CAHOKIA SCHOOL DISTRICT # 01/08/18 NELSON & NELSON 421 18WC 14814 THOMAS, SCALISE KRAFT FOODS 03/19/18 RICH RICH COOKSEY & CHAPPE GAROFALO SCHREIBER STORM GRA 422 18WC 14830 SIELING, KENNETH KURT'S COLLISION CENTER, 01/01/18 HUSTAVA, JOHN H MORROW WILLNAUER 423 18WC 14889 BRIAGAS, JOSE AMAZON 12/08/17 NELSON & NELSON WIEDNER & MCAULIFFE LTD 424 18WC 14897 WEIDNER, SCOTT 111 SALVAGE 12/11/17 NELSON & NELSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 18WC 14900 TRIPLETT SR, ALLEN S ROSECH, INC 12/13/17 STEVEN A. TREFTS WIEDNER & MCAULIFFE LTD 426 18WC 15148 DANLEY, FREDRICK METRO 04/06/18 NELSON & NELSON BROWN & JAMES, PC 427 18WC 15249 VIRGINIA, LOLA RAILCREW XPRESS LLC 03/20/18 BUTLER & KEMPER ROUSE & CARY 428 18WC 15410 BECKER, RANDAL BECKER FLOOR COVERING 06/04/16 CHATHAM & BARICEVIC 429 18WC 15616 JOHNSON, LASHONDA EMPIRE COMFORT SYSTEMS 05/04/18 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 430 18WC 15856 OCEQUERA, DAVID USF HOLLAND 05/20/18 GALANTI LAW OFFICES HENNESSY & ROACH, PC 431 18WC 15900 HOWARD, LANCE MAYER LANDSCAPING 03/30/18 GALANTI LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 432 18WC 16527 CARNAHAN, JAMES JR SLAB MASTERS DBA SOIL INS 05/18/18 BECKER SCHROADER & CHAPMAN ROUSE & CARY 433 18WC 16717 MUNDY, ERIKA K AMAZON 01/31/18 MORMINO,VELLOFF,EDMONDS,SN 434 18WC 16874 MUNDY, ERIKA K AMAZON 02/23/18 MORMINO,VELLOFF,EDMONDS,SN 435 18WC 16875 MUNDY, ERIKA K AMAZON 01/31/18 MORMINO,VELLOFF,EDMONDS,SN 436 18WC 17065 BEAN, PORTIA PARENTS & FRIENDS OF THE 04/22/18 CELESTINE DOTSON 437 18WC 17129 HAYES, NEAL CONOCO PHILLIPS 02/24/17 JOHNSTON LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 438 18WC 17260 MCGUIRE, AMY MAXIM HEALTHCARE 10/28/17 DEER & STONE PC 439 18WC 17406 HARDIMON, SHAUN FABRICATION SPECIALISTS 11/10/17 LEONARD LAW GROUP LLC 440 18WC 17649 VANDERKOOI, KANDY EATON B-LINE 05/22/18 MILLER, WILLIAM R LAW OFFI LEAHY EISENBERG & FRAENKEL 441 18WC 17651 ZOROM, MALIK AMSTEAD RAI 03/28/18 SCHUCHAT, COOK & WERNER HENNESSY & ROACH, PC 442 18WC 17653 BOYER, BERNARD MADISON SCHOOL DISTRICT # 10/17/17 RICH RICH COOKSEY & CHAPPE MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 18WC 17669 VAQUES, DENNIS J ALTON STEEL, INC 04/27/18 MILLER, WILLIAM R LAW OFFI KEEFE CAMPBELL BIERY & ASSOC 444 18WC 17970 KERNEY, FREDERICK SCHENKER, INC 06/26/17 KATZMAN & SUGDEN PAUL LARIMORE 445 18WC 18315 FRIERDICH, ASHLEY SUN BASKET 05/28/18 BROWN & BROWN LUCY T. UNGER 446 18WC 18323 ROBERTSON, KATHRYN ARAMARK CAMPUS LLC 06/08/18 BUTLER & KEMPER EVANS & DIXON, LLC 447 18WC 18353 HARRIEL, DEMARCUS BELLEVILLE BOOT COMPANY 04/03/18 SHORT AND DAUGHERTY BRADY, CONNOLLY & MASUDA, PC 448 18WC 18360 COOPER, DOXANDRA ROYAL LIVING CENTER, INC 05/12/18 STEVEN A. TREFTS 449 18WC 18369 MILLENBINE, SCOTT BONNIE PINES INC 05/03/18 LIPKIN & HIGGINS LAW OFFIC GAROFALO SCHREIBER STORM GRA 450 18WC 18858 PENN, JOSEPH 1818 CHOPHOUSE 06/09/18 DWORKIN AND MACIARIELLO MATHIS MARIFIAN RICHTER 451 18WC 19273 SMAY, GALE PHILLIPS 66 05/30/18 ARMBRUSTER DRIPPS HEYL ROYSTER VOELKER & ALLEN 452 18WC 19313 FRAZIER, KARRIE K.M. HEALTH SERVICES CORP 06/08/18 BRAD L BADGLEY PC HEPLER BROOM LLC 453 18WC 19499 COLLEY, JUSTIN WEST SHORE GROUP, INC 05/31/18 BROWN & CROUPPEN RUSIN & MACIOROWSKI LTD 454 18WC 19703 RICHARDS, CHAD JERSEY CUSD #100 10/20/17 SMITH ALLEN MENDENHALL ET INMAN & FITZGIBBONS 455 18WC 19727 HUBER, REBBECCA (ON BEHAL CONCRETE SUPPLY INC # 08/21/17 BECKER SCHROADER & CHAPMAN HARRIS DOWELL FISHER & HARRI 456 18WC 19733 WALTER, CRAIG UNITED PARCEL SERVICE 03/30/18 WALTON TELKEN LLC MCANANY VANCLEVE & PHILLIPS 457 18WC 19757 PELLAZARI, MARVIN A GRANITE CITY SCHOOL DIST 05/29/18 MILLER, WILLIAM R LAW OFFI 458 18WC 19823 MCCARTHY, MARION BROOKLYN USD #188 - 05/01/18 BROWN & BROWN BRYCE DOWNEY & LENKOV LLC 459 18WC 19825 WOODS, ANITA M BI-STATE DEVELOPMENT AGEN 05/18/18 NELSON & NELSON KORTENHOF MCGLYNN 460 18WC 20091 WARCHOL, DIANE BJC MEMORIAL HOSPITAL 05/15/18 NELSON & NELSON MATHIS MARIFIAN RICHTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 18WC 20134 STELLA, DIANE ELITE STAFFING 06/28/18 MEEHAN LAW FIRM 462 18WC 20291 KEELY, ANTHONY USF HOLLAND INC 06/26/18 LESKERA LAW FIRM HENNESSY & ROACH, PC 463 18WC 20360 ROJAS, RICARDO TOTAL METAL RECYCLING 04/04/18 GALANTI LAW OFFICES HARRIS DOWELL FISHER & HARRI 464 18WC 20408 MULLINS, GARY LINCARE 05/29/18 BRIAN K. ZIRKELBACH STEPHEN H LARSON LAW OFFICE 465 18WC 20759 CROSBY, ALFRED TYSON FOODS 12/27/17 BROWN & BROWN 466 18WC 20765 WHITE, ABDUL L TRANSITIONAL CENTER, INC 06/21/18 SHORT AND DAUGHERTY RUSIN & MACIOROWSKI LTD 467 18WC 20832 HARTMAN, MIRANDA WAL-MART 05/28/18 JASON GOING EARLY & MIRANDA PC 468 18WC 20879 PRICE, PERMESSA EDEN VILLAGE RETIREMENT C 06/03/18 LESKERA LAW FIRM 469 18WC 20881 DASENBROCK, ROBERT CARLISLE CONSTRUCTION 11/13/17 LESKERA LAW FIRM KNAPP, OHL & GREEN 470 18WC 20902 STELLHORN, WILLIAM LIESE LUMBER COMPANY, INC 04/22/15 COOK SHEVLIN YSURSA ET AL GANAN & SHAPIRO 471 18WC 20949 PEAK, DWIGHT GEODIS 02/01/18 JEROME LEFTON LAW OFFICE HARRIS DOWELL FISHER & HARRI 472 18WC 21029 WESSEL, DON LKQ METRO INC 10/20/17 KEEFE & GRIFFITHS PC INMAN & FITZGIBBONS 473 18WC 21118 THOLE, STEPHEN RIECHMANN BROS LLC 10/23/17 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 474 18WC 21152 PYLE, SUSAN HAMPTON INN 06/19/18 GALANTI LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 475 18WC 21505 TRAMMELL, RUSTY WENNEMAN'S MEAT MARKET 12/29/17 NELSON & NELSON 476 18WC 21617 HERNANDEZ, ROGELIO CROWN LINEN 03/21/18 FRANK J. CARRETERO HENNESSY & ROACH 477 18WC 21716 NEWMAN, DICK HIGHLAND COMMUNITY UNIT S 06/14/18 NELSON & NELSON 478 18WC 21725 ADAMS, LAMONT LOWE'S 02/09/18 NELSON & NELSON KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 18WC 21754 OTH, ROBERT MIDWEST SANITARY SERVICES 01/05/18 FLOYD LAW FIRM QUINTAIROS PRIETO WOOD & BOY 480 18WC 21824 KORBESMEYER, GLENN SCHNUCK MARKETS, INC 10/14/14 LIESER LAW FIRM 481 18WC 22330 FLORES, ROMEIRA CEDARHURST OF SHILOH 07/24/18 RICH RICH COOKSEY & CHAPPE INMAN & FITZGIBBONS 482 18WC 22598 BYRD, ANTIONETTE TRANSITIONAL CENTER 12/18/17 NELSON & NELSON MCANANY VANCLEVE & PHILLIPS 483 18WC 22677 PORTELL, AUGUST QUANTA UTILITY ENGINEERIN 05/31/18 THOMAS SCHOOLEY MCANANY VANCLEVE & PHILLIPS 484 18WC 22740 FLOWERS MCCORMACK BARON SALAZAR @ 06/21/18 HENNESSEY LAW FIRM 485 18WC 22766 HOLTHAUS, EDWIN SPECTRULITE CONSORTIUM, I 05/01/02 BROWN & BROWN 486 18WC 22864 BAER, CHELSEY REGIONS BANK 10/13/16 JEROME LINDSAY SALMI LL MCANANY VANCLEVE & PHILLIPS 487 18WC 22899 PARMLEY, LAURIE CATHOLIC CHILDREN'S HOME 05/08/17 SMITH ALLEN MENDENHALL ET 488 18WC 23271 MYERS, PAUL LANTZ HOMES, INC 02/26/18 ERIN M. PHILLIPS GANAN & SHAPIRO 489 18WC 23490 PICKETT, CARA DYNEGY MIDWEST GENERATION 06/27/17 CARAWAY FISHER KEEFE & DEPAULI 490 18WC 23657 WALLER, TERRANCE US STEEL CORP 07/28/18 BROWN & BROWN KEEFE & DEPAULI 491 18WC 23663 ALLEN, DEREK DB SCHENKER 11/08/17 BROWN & BROWN PAUL LARIMORE 492 18WC 24395 BOUILLON, JODY GLOBAL BRASS 07/10/18 ARMBRUSTER DRIPPS KEEFE & DEPAULI 493 18WC 24443 HUSTEDT, RICHARD LOWE'S HOME IMPROVEMENT 08/19/15 BEATTY & MOTIL KEEFE CAMPBELL BIERY & ASSOC 494 18WC 24448 KUDELKA, KIMBERLY QPSI 11/05/17 495 18WC 24491 GOLLIDAY, JIMMY J D BELL TREE SVC 04/11/18 ALVIN WOLFF JR 496 18WC 24504 LANHAM, ROBERT VON ALST OPERATING, LLC 10/04/16 KEEFE & DEPAULI LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 497 18WC 24543 SANDERS, MICHAEL ILLINOIS EPA 07/18/18 GALANTI LAW OFFICES CORI STEWART 498 18WC 24566 BYRD, ANTIONETTE TRANSITIONAL CTR 08/02/18 NELSON & NELSON 499 18WC 24847 DAVIS, RUSTY SCI ENGINEERING, INC 06/27/18 JOSEPH L SAMUELSON PC LAWRENCE COZZI - LAW OFFICE 500 18WC 24903 DRYDEN, ANNA CASEY'S GENERAL STORE 05/22/18 DWORKIN AND MACIARIELLO 501 18WC 25053 MILLER, CLINTON BOEING 11/30/17 ARMBRUSTER DRIPPS WIEDNER & MCAULIFFE LTD 502 18WC 25070 BUSH, MARION AMAZON 05/14/18 KEEFE & GRIFFITHS PC 503 18WC 25146 MICNHEIMER, AMANDA LEE MBR CORP 05/18/18 JEROME LINDSAY SALMI LL HENNESSY & ROACH 504 18WC 25163 GIBSON, KEVIN BRANDING IRON HOLDINGS, I 08/03/18 NELSON & NELSON EVANS & DIXON, LLC 505 18WC 25258 VOYLES, MARY J SIGNET JEWELERS DBA KAY 08/13/18 WENDLER LAW PC 506 18WC 25358 KERNEY, MICHAEL L CIT OF EAST ST LOUIS 02/13/18 THOMAS W DUDA CHATHAM & BARICEVIC 507 18WC 25498 RICHARDSON, SHERYL HOLTEN MEATS 03/06/17 EVANS & DIXON, LLC 508 18WC 25785 LOEZA, JOSEPH TEQUILA OF COLUMBIA INC @ 06/21/18 MCGLYNN & MCGLYNN 509 18WC 26521 PRANGE, LANCE R GEORGE WEIS CO 08/03/18 FRANK NIESEN JR 510 18WC 27071 DAVIS, MARSHA D CATHOLIC CHILDREN'S HOME 08/27/18 SMITH ALLEN MENDENHALL ET 511 18WC 27164 FIELDS, JERRY TRI-TOWNSHIP PARK DISTRIC 01/19/18 CARAWAY FISHER 512 18WC 27330 KLAAS, LAETHA WAL-MART, INC 01/28/18 EDMONDS LAW OFFICE EARLY & MIRANDA PC 513 18WC 27699 FRANKLIN, DEANGELO EAST ST LOUIS 08/06/18 RICH RICH COOKSEY & CHAPPE CHATHAM & BARICEVIC 514 18WC 28444 HOLLIS, AUDREY HIRELEVEL POWERED BY 08/22/18 BOYNE, KEVIN PC MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 515 18WC 28618 SPRAGGS, CANDY INTERNATIONAL MULCH CO, I 08/24/18 SMITH ALLEN MENDENHALL ET ROUSE & CARY 516 18WC 28758 PULLEY, CAROL SIU EDWARDSVILLE @ 09/27/17 BECKER SCHROADER & CHAPMAN 517 18WC 28785 ROESCH, JOSEPH D AFTON CHEMICAL 08/23/18 BONIFIELD & ROSENSTENGEL P WIEDNER & MCAULIFFE LTD 518 18WC 28928 SELLERS, IVANIA R INTEGRITY HEALTHCARE OF 09/02/18 BROWN & BROWN 519 18WC 28939 WADE, ERICA ALTON MENTAL HEALTH CENTE @ 09/01/18 ARMBRUSTER DRIPPS ASSISTANT ATTORNEY GENERAL 520 18WC 28952 SUCHMAN, RANDY ADVANCED TECHNOLOGY SRVCS 07/11/18 JASON GOING EVANS & DIXON, LLC 521 18WC 28970 HARRIS, QUIANA BEHAVIORAL HEALTH SERVICE 07/11/18 CANTOR & BURGER 522 18WC 29214 HUGHES, LEONDRA AMSTED RAIL ASF 04/01/16 CARAWAY FISHER HENNESSY & ROACH, PC 523 18WC 29244 BLEDSOE, VICTORIA CASEY'S GENERAL STORES 08/08/18 BROWN & BROWN 524 18WC 29343 ALBERSON, COREY ILLINOIS STATE TROOPERS @ 01/16/16 HENNESSEY LAW FIRM 525 18WC 29376 HAMLETT, JASON VILLAGE OF BETHALTO 05/16/16 SMITH ALLEN MENDENHALL ET KEEFE & DEPAULI 526 18WC 29445 KING, ROSCOE INDUSTRIAL TRADING INC 03/26/18 SMITH ALLEN MENDENHALL ET STEPHEN H LARSON LAW OFFICE 527 18WC 29494 WOMACK, DAMON OLIN CORPORATION D/B/A 07/28/17 REED & BRUHN, PC KEEFE & DEPAULI 528 18WC 29618 GOODWIN, SAMMIE DB SCHENKER 07/09/18 KEITH SHORT PAUL LARIMORE 529 18WC 29641 ODUNLEYE, CAROL WAL-MART 06/22/18 DENNIS SHEVLIN QUINTAIROS PRIETO WOOD & BOY 530 18WC 29934 NELSON, BRANDON M.C. METRO PCS 09/20/18 BRAD L BADGLEY PC 531 18WC 30002 LUSTER, LUCINDA U.S. STEEL CORPORATION 08/18/18 BEATTY & MOTIL KEEFE & DEPAULI 532 18WC 30586 TAYLOR, DAVID CUSTOMIZE DISTRIBUTION 08/29/18 WILLIAMS CAPONI & ASSOC LUCY T. UNGER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 533 18WC 30618 DEPPE, SHARON FIRST STUDENT BUS COMPANY 08/24/18 NELSON & NELSON WIEDNER & MCAULIFFE LTD 534 18WC 30957 STEWART, MARK USF HOLLAND 08/28/18 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 535 18WC 30989 COMPTON, SANDRA INTEGRITY HEALTHCARE 12/25/17 MORMINO,VELLOFF & SNIDER 536 18WC 31027 CLUCK, DORETTA RESIDENTIAL DEVELOPERS 12/06/17 CARAWAY FISHER GANAN & SHAPIRO 537 18WC 31125 SCHULTZ, WILLIAM RONALD BRUNS 07/19/18 538 18WC 31280 STAFFORD, DAVID J ILLINOIS DEPT OF TRANSPOR @ 09/14/18 MILLER, WILLIAM R LAW OFFI CORI STEWART 539 18WC 31296 BARNHART, JOE SHOP N SAVE 10/19/15 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 540 18WC 31381 MILFORD, MARY ALTON MEMORIAL HOSPITAL 04/29/17 BECKER SCHROADER & CHAPMAN HOLTKAMP LIESE 541 18WC 31410 JOHNSON, LASHONDA EMPIRE COMFORT SYSTEMS 04/05/18 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 542 18WC 31416 GREEN, SHARON ALTON MENTAL HEALTH CENTE @ 09/01/18 ARMBRUSTER DRIPPS CORI STEWART 543 18WC 31465 BROWN, LUKE W PETROFF TRUCKING CO 08/12/18 MILLER, WILLIAM R LAW OFFI 544 18WC 31612 HOSFORD, JOHN MCCANN CONCRETE PRODUCTS 09/13/18 BECKER SCHROADER & CHAPMAN 545 18WC 31715 WALKER, DONNA M STAFF QUICK 05/26/18 BRASHER, WILLIAM A LEMP & MURPHY 546 18WC 31940 BRIGGS, JOSHUA EATON B-LINE 07/01/18 MILLER, WILLIAM R LAW OFFI LEAHY EISENBERG & FRAENKEL 547 18WC 31948 WEISHAUPT, PAUL A AMEREN ILLINOIS 04/16/17 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE 548 18WC 32224 PERKINS, JOHN FEDEX GROUND PKG SYSTEM I 09/26/18 GLASS & KOREIN 549 18WC 32276 SMITH, SANDRA CAHOKIA UNIT SCHOOL 09/10/18 JEROME LEFTON LAW OFFICE 550 18WC 32322 NORDMEYER, CLARENCE SPARTAN LIGHT METALS PROD 09/14/18 RICH RICH COOKSEY & CHAPPE HENNESSY & ROACH, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 18WC 32445 RICHARDSON, SHERYL HOLTEN MEAT, INC 10/09/18 JEROME LINDSAY SALMI LL EVANS & DIXON, LLC 552 18WC 32495 BRUCE, ANTONIO EMPIRE COMFORT SYSTEMS 08/09/17 COOK SHEVLIN YSURSA ET AL KEEFE & DEPAULI 553 18WC 32706 WESTFALL, MATTHEW L CUSTOMIZED DISTRIBUTION S 07/10/18 SMITH ALLEN MENDENHALL ET LUCY T. UNGER 554 18WC 32745 HAYES, JONATHAN GRANITE CITY FIRE DEPARTM 10/18/18 GALANTI LAW OFFICES KEEFE & DEPAULI 555 18WC 32972 BROWN, GREGORY S CHERRY HILLS PROPERTIES, 10/26/17 NELSON & NELSON BRADY, CONNOLLY & MASUDA, PC 556 18WC 32983 SMITH JR, ROY A BI-STATE DEVELOPMENT AGEN 03/18/18 LEVENHAGEN LAW FIRM PC EVANS & DIXON, LLC 557 18WC 33176 NOYES, ANDREA AMAZON 06/19/18 JOHNSTON LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 558 18WC 33184 STRAM, GREGORY GLOBAL BRASS & COPPER 10/22/18 GALANTI LAW OFFICES KEEFE & DEPAULI 559 18WC 33227 BLUE, LISA R IYC-PERE MARQUETTE @ 10/19/18 BECKER SCHROADER & CHAPMAN CORI STEWART 560 18WC 33919 OLIVER, NATHAN ACME FIREPROOFING 05/21/18 RIDGE & DOWNES 561 18WC 34018 WESLEY, KAREN IMPERIAL MANUFACTURING GR 10/17/18 LESKERA LAW FIRM EVANS & DIXON, LLC 562 18WC 34753 LEMOINS, DEREK GROENDE TRANSPORT, INC 09/19/18 KOLKER & GERMEROTH HEYL ROYSTER VOELKER & ALLEN 563 18WC 34802 ARCHIBEQUE, MICHAEL SUN BASKET INC 08/16/18 NELSON & NELSON LUCY T. UNGER 564 18WC 34898 MONTGOMERY, SHANDEL RED CHEETAH MOVING COMPAN 10/09/18 BROWN & CROUPPEN 565 18WC 34910 BASILE, VINCENT IL DEPT OF TRANSPORTATION @ 11/09/17 WEIL MUENSTER & WIGGINTON ASSISTANT ATTORNEY GENERAL 566 18WC 34936 CURLOVIC, ANDREA ALTON MENTAL HEALTH CENTE 09/29/18 ARMBRUSTER DRIPPS 567 18WC 35144 RICH, KATHRYN THE SPECIALIZED LIVING CE 08/28/18 TOMMIE A. HARSLEY III 568 18WC 35202 CAMPBELL, DOUGLAS SCHUETTE SUPER VALUE 06/01/18 JOHNSTON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 569 18WC 35477 AUSTIN, LAKEISHA CHURCH'S CHICKEN 06/21/18 DWORKIN AND MACIARIELLO HOLTKAMP LIESE 570 18WC 35578 HENRY, ALEXIS N RED BUD ILLINOIS HOSPITAL 10/11/18 CLAY BARKLEY ST CLAIR 571 18WC 35598 CREEKPAUM, JAMES CON GLOBAL INDUSTRIAL 10/26/18 MILLER, WILLIAM R LAW OFFI BRYCE DOWNEY & LENKOV LLC 572 18WC 35634 SCHMIEDEKE, TIMOTHY MBS LLC 07/26/18 JEROME LINDSAY SALMI LL NYHAN BAMBRICK KINZIE & LOWR 573 18WC 35660 SCHRAGE, RON RED-E-MIX 10/30/18 GALANTI LAW OFFICES EVANS & DIXON, LLC 574 18WC 35921 LEACH, ALISON M WALMART STORES INC 10/30/17 EARLY & MIRANDA PC 575 18WC 36046 NUNEZ, VERONICA AMAZON 10/05/18 BUTLER & KEMPER 576 18WC 36080 LAW, COREY GRP MECHANICAL CO. 04/01/18 SHORT AND DAUGHERTY HEYL ROYSTER VOELKER & ALLEN 577 18WC 36181 HOLMES, KAREN MACY'S 12/19/16 SCHUCHAT, COOK & WERNER BRYCE DOWNEY & LENKOV LLC 578 18WC 36200 TURNER, DEBORAH L CATHOLIC CHILDRENS HOME 06/04/18 RICH RICH COOKSEY & CHAPPE HARRIS DOWELL FISHER & HARRI 19WC017994 -C 19WC017995 -C 19WC021840 -C 579 18WC 36274 BOARMAN, JOE GRAFTON HARBOR MARINA 03/24/18 KEEFE & GRIFFITHS PC 580 18WC 36282 JACKSON, BRANDON KRAFT HEINZ 01/08/18 RICH RICH COOKSEY & CHAPPE 581 18WC 36294 DAVIS, DOUGLAS D WW TRANSPORT, INC 07/26/18 PADBERG CORRIGAN APPELBAUM HEYL ROYSTER VOELKER & ALLEN 582 18WC 36417 WEBER, CARRIE TRIAD C.U.S.D 2 06/11/18 HUSTAVA, JOHN H 583 18WC 36467 MORRIS, JEREMY OLIN 11/17/16 SHORT AND DAUGHERTY KEEFE & DEPAULI 584 18WC 36487 WHITE, AMBER STELLAR CLEANING SERVICES 11/09/18 585 18WC 36569 BINDER, KATHY HOLTEN MEATS INC 10/11/18 BROWN & BROWN EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 586 18WC 36592 COLES, CHRISTINE ROXANA CUSD #1 09/17/18 NELSON & NELSON WIEDNER & MCAULIFFE LTD 587 18WC 36682 HINTON-PROCTOR, TOI ALTON MENTAL HEALTH CENTE @ 09/29/18 ARMBRUSTER DRIPPS ASSISTANT ATTORNEY GENERAL 588 18WC 36705 PARKER, ANTERES DARLING INDUSTRIES 10/08/18 DWORKIN AND MACIARIELLO QUINN JOHNSTON HENDERSON ETA 589 18WC 36883 SMITH, TAKEISHA DB SCHENKER LOGISTICS 10/26/18 KEEFE & GRIFFITHS PC PAUL LARIMORE 590 18WC 36905 PRIBBLE, LINDA WAYNE THOMAS WALKER INC 02/21/18 HENNESSY & ROACH 591 18WC 36914 THOMAS, STEPHANIE CARLYLE HEALTHCARE CENTER 11/01/18 JEROME LINDSAY SALMI LL GOLDBERG & SEGALLA LLP 19WC010086 -C 592 18WC 36935 BANDY, LONNIE KNIGHT HAWK COAL 08/01/18 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 593 18WC 36957 KIDD, DEWIGHT CROTHALL HEALTH CARE 11/07/18 MILLER, WILLIAM R LAW OFFI 594 18WC 36988 WILKINS, MICHAEL DCA CONSTRUCTION 04/11/17 DENNIS ATTEBERRY 595 18WC 37028 NELSON, JOSEPH W COWAN INTERMODAL GROUP 03/09/18 NELSON & NELSON BRADY CONNOLLY & MASUDA PC 596 18WC 37034 STEPHENS, RYAN EDWARDS STEEL, INC. 11/16/18 KIRKPARTICK LAW OFFICES GANAN & SHAPIRO 597 18WC 37037 USELTON, HELEN LOUISE FOUR FOUNTAINS NURSING HO 06/20/18 TERRY PEEBLES 598 18WC 37049 NELSON, JOSEPH W COWAN INTERMODAL GROUP 09/18/17 NELSON & NELSON BRADY CONNOLLY & MASUDA PC 599 18WC 37067 CRAFTON, JAMES BOYD HEALTHCARE SERVICES 07/13/18 NELSON & NELSON NYHAN BAMBRICK KINZIE & LOWR 600 18WC 37192 MORROW, HORCELIA SOUTH LAWN SHELTERED CARE 11/23/18 SHORT AND DAUGHERTY MORROW WILLNAUER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 601 18WC 37254 DRAGICH, ROBERT US STEEL 11/18/18 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 602 18WC 37416 RAINES, JOSEPH CROWN ROOFING & EXTERIORS 11/14/18 JEROME LINDSAY SALMI LL KNELL LAW LLC 18WC037417 -C 603 18WC 37435 BOLLE, RANDY C VILLAGE OF DUPO 07/02/18 BONIFIELD & ROSENSTENGEL P KEEFE & DEPAULI 604 18WC 37446 SLATER, LAWANA LASHON ALTON MENTAL HEALTH @ 09/28/18 UNSELL & SCHUMAN 605 18WC 37461 FRANKLIN, YVETTE CASINO QUEEN 01/01/17 LYNN D BARNETT DONOVAN ROSE NESTER 606 18WC 37491 TALBOTT, RUSSELL ILLINOIS DEPARTMENT @ 11/26/18 GORI JULIAN & ASSOC ASSISTANT ATTORNEY GENERAL 607 18WC 37726 WILLIAMS, ROMEL CONTAINER DISTRIBUTORS 11/12/18 CARAWAY FISHER LAWRENCE COZZI - LAW OFFICE 608 18WC 37743 WARREN, PAMELA TANDEM PROFESSIONAL EMPLO 09/13/18 GLASS & KOREIN INMAN & FITZGIBBONS 609 18WC 38022 ALLISON, BRIAN MATTINGLY LUMBER & MILLWO 10/18/18 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 610 18WC 38044 JARVIS, ANTHONY K JR HUDSON TREE SERVICE 11/08/18 GREGORY M. SKINNER 611 18WC 38051 LA MOTTE, RANDAL YRC WORLDWIDE 08/05/16 HOLLORAN SCHWARTZ GAERTNER 612 18WC 38075 MUMPER, KENNY JR HUBBELL WIEGMANN 11/15/18 LESKERA LAW FIRM ATWILL & MONTGOMERY 613 18WC 38122 CARPENTER, THOMAS AMSTED RAIL 11/06/18 NELSON & NELSON HENNESSY & ROACH, PC 614 18WC 38484 ELLISON, ETHEL GLOBAL BRASS 10/31/18 ARMBRUSTER DRIPPS KEEFE & DEPAULI 615 19WC 00069 LANDI, CHRISTOPHER BORAL USA 01/18/16 CRAIG A HANSEN 616 19WC 00313 MORROW, HORCELIA L JUDY RULL 11/23/18 NO ATTORNEY MORROW WILLNAUER 617 19WC 00429 COAKLEY, ROBBIE DB SCHENKER 11/14/18 JEROME LINDSAY SALMI LL PAUL LARIMORE 618 19WC 00436 SCHIPKE, ANDREW STATE OF IL/EAST ST LOUIS @ 12/02/18 RICH RICH COOKSEY & CHAPPE CORI STEWART

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 619 19WC 00478 JACKSON, THERESA M COMMUNITY CARE SYSTEM INC 12/03/18 BROWN & BROWN LIVINGSTONE MUELLER ET AL 620 19WC 00552 ACKER, RANDY MARKS PLUMBING PARTS 11/05/15 KRETMAR BEATTY SANDZA STEPHEN H LARSON LAW OFFICE 621 19WC 00575 CHILDS, DAWONDA AMAZON 10/18/18 THOMAS SCHOOLEY WIEDNER & MCAULIFFE LTD 622 19WC 00605 CHILDS, DAWONDA AMAZON 03/17/18 THOMAS SCHOOLEY WIEDNER & MCAULIFFE LTD 623 19WC 01007 HEBERER, ERIC IL STATE POLICE 01/08/19 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 624 19WC 01124 LATINETTE, MICHAEL KEELEY & SONS INC 06/07/17 BOYNE, KEVIN PC WIEDNER & MCAULIFFE LTD 625 19WC 01140 ROBERTS, STEVEN DN TANKS 06/08/18 BECKER SCHROADER & CHAPMAN CRAIG A HANSEN 626 19WC 01625 HILL, DEINETA S METRO/BISTATE DEVELOPMENT 12/16/18 NELSON & NELSON KORTENHOF MCGLYNN 627 19WC 01659 HENSHAW, JIMMY J JR. SHANNON CONSTRUCTION 12/12/18 NELSON & NELSON 628 19WC 01674 FENNEWALD, BRIAN GBW RAILCAR SERVICES 05/29/18 GALANTI LAW OFFICES HENNESSY & ROACH 629 19WC 01688 MILLER, CHARLES M RHP PROPERTIES INC 11/07/18 MORMINO,VELLOFF & SNIDER 630 19WC 01694 HURLEY, AARON EATON 11/26/18 MILLER, WILLIAM R LAW OFFI LEAHY EISENBERG & FRAENKEL 631 19WC 01708 MAYS, SHANELL D STEARNS NURSING & REHAB C 11/15/18 SHORT AND DAUGHERTY BRADY, CONNOLLY & MASUDA, PC 632 19WC 01722 KWIATKOWSKI, DAVID SUPPLIED INDUSTRIAL SOLUT 06/22/18 SAUTER, SULLIVAN & EVANS BRADY, CONNOLLY & MASUDA, PC 633 19WC 01973 MANGUM, MARK SIUE @ 12/11/18 SHORT AND DAUGHERTY CORI STEWART 634 19WC 02051 RADOSEVICH, ROBERT J CITY OF TROY 12/18/18 CALLIS PAPA HALE & SZEWCZY INMAN & FITZGIBBONS 635 19WC 02066 BARNES, JAMIE WEIR CHEVROLET BUICK GMC 02/01/18 BISTATE INJURY LAW CENTER RIPES NELSON BAGGOT KALOBRAT 636 19WC 02069 GRAHAM, KAREN HELP INC 08/09/18 SHORT AND DAUGHERTY LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 637 19WC 02128 HALDEMAN, JAMIE FIRST STUDENT 09/24/18 WALTON TELKEN LLC 638 19WC 02165 OLLER, CLINTON IDOT @ 09/19/18 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 639 19WC 02201 BUFFINGTON, RODERICK BANCROFT & SONS TRANSPORT 06/18/18 KEEFE & DEPAULI 640 19WC 02251 BASDEN, SONCERI PEOPLE READY 11/28/18 GERALD CONNOR SALAH LAW OFFICES PC 641 19WC 02309 MCCORMICK, CANDACE ALTON INTERNAL MEDICINE 09/28/18 BUTLER & KEMPER HOLTKAMP LIESE 642 19WC 02318 CARLIN, LUIS AS PROFESSIONAL ROOFING 08/10/18 CARAWAY FISHER 643 19WC 02680 SCHADEGG, BARRY DONNEWALD DISTRIBUTING CO 11/10/17 BROWN & CROUPPEN MCANANY VANCLEVE & PHILLIPS 644 19WC 02968 FOX, TANYA COLONADE SENIOR LIVING 12/22/18 GALANTI LAW OFFICES 645 19WC 03130 JABLONSKI, DENNIS KURTS CARSTAR DBA CARSTAR 09/04/18 GLASS & KOREIN GANAN & SHAPIRO 646 19WC 03144 HARRIS, GAYLON US STEEL 11/08/18 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 647 19WC 03168 JACKSON, ANDREA MADISON COUNTY TRANSIT 12/15/18 JOSEPH L SAMUELSON PC KEEFE & DEPAULI 648 19WC 03177 CISTRUNK, ANTHONY MCLANE COMPANY INC 12/02/18 DAVID H. BONE LLC KEEFE CAMPBELL BIERY & ASSOC 649 19WC 03191 CARTER, ANTONIO PRAIRIE FARMS DAIRY 01/13/18 BECKER SCHROADER & CHAPMAN KNAPP, OHL & GREEN 650 19WC 03249 MEJIAI, ROEANDO TOTAL METAL RECYCLING 12/11/18 PETER BLASI LLC 651 19WC 03296 MILLER, VICTORIA L HSHS HOLY FAMILY HOSPITAL 12/05/18 MORMINO,VELLOFF & SNIDER HEPLER BROOM LLC 652 19WC 03364 PRATER, HAROLD ISSAC MELLIERE FARM 12/14/18 WILLIAM L. WIMMER 653 19WC 03370 THORNSBURY, MATTHEW CASSIDY CONSTRUCTION 01/03/19 SMITH ALLEN MENDENHALL ET MACIOROWSKI SACKMANN & ULRIC 654 19WC 03430 ADAIR, JAMES C JR. JERSEY COMMUNITY HOSPITAL 01/02/19 JOSEPH E. HOEFERT GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 655 19WC 03499 GARNER, MATT MW TRUCKING 10/31/18 GALANTI LAW OFFICES 656 19WC 03535 SAINE, BARBARA PARENTS & FRIENDS OF THE 01/14/19 JEFFREY GAULT 657 19WC 03725 ROGERS, JOHN F HIRE LEVEL 09/18/18 658 19WC 03736 JONES, TUESDI OSF ST ANTHONY'S 01/07/19 GALANTI LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 659 19WC 03890 PATTERSON, DOUG SHILOH POLICE DEPT 10/14/18 WOODRUFF JOHNSON 660 19WC 04063 PRUITT, HOLLY BELLEVILLE TWP HSD #201 12/18/18 BOYNE, KEVIN PC RUSIN & MACIOROWSKI LTD 661 19WC 04100 SUDBRING, NANCY FAITH COUNTRYSIDE HOMES 01/04/19 PETER BLASI LLC QUINN JOHNSTON HENDERSON ETA 662 19WC 04116 BAUMANN, KEVIN STAFF QUICK 09/19/18 STRONG LAW OFFICE LEMP & MURPHY 663 19WC 04134 HOFFEE, JENNA L GOODWILL OF THE COASTAL E 02/02/17 MANDEL & MANDEL LLP 664 19WC 04290 HILL, WILLIAM DAVIS MAIL SERVICES INC 10/27/18 LEONARD LAW GROUP LLC GOLDBERG SEGALLA LLC 665 19WC 05216 RUZICKA-HOWLETT, TORIN D VALVOLINE INSTANT OIL CHA 01/16/19 SAUTER, SULLIVAN & EVANS WIEDNER & MCAULIFFE LTD 666 19WC 05331 FORSYTHE, SYNTHIA ALTON MEMORIAL 01/11/19 GALANTI LAW OFFICES HOLTKAMP LIESE 667 19WC 05363 HOLMAN, KENJVAN L HIRE LEVEL 01/08/19 SHORT AND DAUGHERTY MCANANY VANCLEVE & PHILLIPS 668 19WC 05430 FERGUSON, KRISTOFER ILLINOIS YOUTH CENTER @ 02/02/19 SGRO HANRAHAN DURR CORI STEWART 669 19WC 05434 HEINDRICKS, LORENA HSHS ST ELIZABETH'S HOSPI 02/08/19 GALANTI LAW OFFICES MC ANDREWS & NORGLE LLC 670 19WC 05536 SIMS, JOHN GLOBAL BRASS AND COPPER 05/08/18 KEEFE & DEPAULI 671 19WC 05669 CLARK, RICHARD D CPC LOGISTICS INC 01/05/19 JAMES RUPPERT LEAHY WRIGHT & ASSOC 672 19WC 05698 LEWIS, JOSEPH ST JOSEPH'S HOSPITAL 02/05/19 BROWN & CROUPPEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 673 19WC 06024 MILAM, KEVIN HUBBELL WIEGMANN 04/16/18 LESKERA LAW FIRM ATWILL & MONTGOMERY 674 19WC 06039 LAEL, GREGORY S MICHELS CORPORATION 01/21/19 BOSHARDY LAW OFFICE PC ROSARIO CIBELLA 675 19WC 06110 PISTOLIS, LOUIS G JF ELECTRIC 10/10/18 SCHUCHAT, COOK & WERNER STEPHEN H LARSON LAW OFFICE 676 19WC 06165 TUCKER, MICHAEL MISTER BULTS, INC. 08/22/18 JOHNSTON LAW OFFICE 677 19WC 06275 RANDLE, DANIEL THE BOEING COMPANY 05/08/18 WIEDNER & MCAULIFFE LTD 678 19WC 06351 GETTIS, EARL IDOT @ 01/12/19 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 679 19WC 06368 YURCISIN, EVA LYNN FOUNTAIN VIEW MEMORY CARE 06/18/18 BROWN & CROUPPEN 680 19WC 06412 SCHMIDT, TRACY CENTRAL IL CARE SRVS 08/30/18 CHATHAM & BARICEVIC 681 19WC 06547 BULARD, DESHAY L KRAFT-HEINZ 02/03/19 SMITH ALLEN MENDENHALL ET GAROFALO SCHREIBER STORM GRA 682 19WC 06562 SHEARD, SHEILA WESTROCK 02/11/19 EDMONDS LAW OFFICE HENNESSY & ROACH PC 683 19WC 06653 HENSON, CODY PREMIER AIR CENTER D/B/A 08/19/18 RUSIN & MACIOROWSKI LTD 684 19WC 06693 EHLERS-JOHNS, CAROLIN BRAINS & BRAUN, INC. DBA 09/11/17 BONIFIELD & ROSENSTENGEL P 685 19WC 06722 KREHER, ANDREW COLUMBIA QUARRY 08/09/16 KEEFE & DEPAULI 686 19WC 06829 GRAVITT, JAMES E CONTINENTAL COMMUNITIES D 10/31/18 BONIFIELD & ROSENSTENGEL P RUSIN & MACIOROWSKI LTD 687 19WC 06842 DAVIS, ANGELA V CEDAR RIDGE HEALTH 08/01/18 HRANT NORSIGIAN 688 19WC 06932 KYLES, TARYL L DOLLAR GENERAL #01067 09/18/18 MORMINO,VELLOFF & SNIDER LEAHY EISENBERG & FRAENKEL 689 19WC 06950 BEYER, DAN MILLER WASTE MILLS INC. 01/24/19 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 690 19WC 06957 LITTEKEN, MARY ST JOSEPH HOSPITAL 11/28/16 WILLIAMS CAPONI & ASSOC MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 691 19WC 07091 GOODWIN, MICHAEL L LIFETOUCH, INC DBA LIFETO 05/24/18 NYHAN BAMBRICK KINZIE & LOWR 692 19WC 07168 STREET, DARREN MATRIX NORTH AMERICAN 08/21/18 ROSARIO CIBELLA 693 19WC 07336 MUNDY, DAVID SUNSET HILLS COUNTRY CLUB 02/08/19 GORI JULIAN & ASSOC GANAN & SHAPIRO 694 19WC 07344 SERRANO, FELIPE CHIP & CHAN, INC 07/20/18 BUTLER & KEMPER SCHREMPF KELLY & NAPP 695 19WC 07369 MORRIS, DAVID VISTRA ENERGY CORPORATION 12/08/18 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 696 19WC 07457 HARRIS, MATTIE PROLOGISTIX 11/20/18 SHORT AND DAUGHERTY 697 19WC 07512 MELNEK, ROBERT U.S. STEEL 10/25/18 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 698 19WC 07629 STOBIE, DAVID VLD ACCESS INC. 05/16/18 HENNESSEY LAW FIRM HEYL ROYSTER VOELKER & ALLEN 699 19WC 08025 ROGERS, THEODORE AMSTED INDUSTRIES, INC 02/13/19 BECKER SCHROADER & CHAPMAN 700 19WC 08031 SEGER, KYLE STATE OF ILLINOIS @ 02/08/19 GORI JULIAN & ASSOC CORI STEWART 701 19WC 08048 THOMAS, DEBRA HIRE LEVEL 11/03/18 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 702 19WC 08055 SPELLS, GAYLORD CASINO QUEEN HOLDING COMP 02/10/19 NELSON & NELSON 703 19WC 08082 SEYMOUR, PATRICK ROBERTS ENVIRONMENTAL DRI 09/20/18 HOLTKAMP LIESE 704 19WC 08138 THOMAS, DEBRA HIRE LEVEL 12/01/18 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 705 19WC 08168 WALKER, JOHN MADISON COUNTY GOVT 09/11/18 JUSTIN B MATTEA SCHREMPF KELLY & NAPP 706 19WC 08195 SWANK, JACOB GRL CONTRACTING & LIGHTIN 01/07/19 GALANTI LAW OFFICES 707 19WC 08450 COLE, CHARLOTTE SPARTAN LIGHT METAL PRODU 05/12/16 RICH RICH COOKSEY & CHAPPE HENNESSY & ROACH, PC 19WC008451 -C 708 19WC 08500 NEIBER JR, THOMAS ZURCHER TIRE INC 01/17/19 JOHNSTON LAW OFFICE HOLTKAMP LIESE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 709 19WC 08522 WHELAN, BRADLEY M CITY OF WATERLOO 10/23/17 KEEFE & DEPAULI 710 19WC 08577 DANLEY, FREDRICK METRO 02/14/19 NELSON & NELSON BROWN & JAMES, PC 711 19WC 08648 FICOR, WILLIAM TERRA SOURCE GLOBAL 02/14/19 JASON GOING EARLY & MIRANDA PC 712 19WC 08676 PERRY, DELARION ILLINOIS DEPT OF TRANSPOR @ 01/09/19 JOSEPH L SAMUELSON PC ASSISTANT ATTORNEY GENERAL 713 19WC 08683 BARNES, ROCHELLA SENIOR SERVICES PLUS 01/07/19 BUTLER & KEMPER 714 19WC 08693 COUNTERMAN, CHAD CUSTOM STAFFING 02/01/19 WALTON TELKEN LLC 715 19WC 08699 BROWN, DAWSON SCHNUCKS 03/03/19 SHORT AND DAUGHERTY LEMP & MURPHY 716 19WC 08747 GIORGI, MARTIN USF HOLLAND 06/12/17 HENNESSY & ROACH, PC 717 19WC 08837 WYATT, TAMRA C KUJAWSKI & ASSOCIATES 05/26/16 SCANLON, CHARLES R 718 19WC 08886 PAYTON, JOY JB HUNT TRANSPORT, INC 10/09/18 BROWN & CROUPPEN 719 19WC 09106 LEEZY, RAYMOND WALMART 12/28/18 WENDLER LAW PC EARLY & MIRANDA PC 720 19WC 09117 WALLACE, RONALD GREEN EARTH GREENHOUSE 01/17/19 ERIN M. PHILLIPS QUINTAIROS PRIETO WOOD & BOY 721 19WC 09122 RILEY-GILLIAM, JACQUELINE CITY OF EAST ST LOUIS 06/05/18 JAMES PARROT CHATHAM & BARICEVIC 722 19WC 09180 MCDUFFEY, CHRISTINE DOLLAR GENERAL 01/12/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 723 19WC 09270 SPENCER, JIMMIE METRO D/B/A BI-STATE 11/30/18 JASON GOING EVANS & DIXON, LLC 724 19WC 09284 RICHARDSON, DONNA WHELAN SECURITY 02/24/16 JEROME LINDSAY SALMI LL 725 19WC 09306 GRACE, LARRY E WERNER ENTERPRISE INC & 02/24/19 NELSON & NELSON SMITH AMUNDSEN LLC 726 19WC 09311 BUHS, BRIAN BETHALTO FIRE DEPT 03/05/19 GALANTI LAW OFFICES KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 727 19WC 09322 NICOLSON, TERRY BELLEVILLE SCHOOL DIST #2 02/18/19 NELSON & NELSON 728 19WC 09393 GRIFFIN, LUCIUS MAYCO 11/20/17 BECKER SCHROADER & CHAPMAN 729 19WC 09425 JONES, MARK PLACESMART AGENCY 02/07/19 CARAWAY FISHER WANGLER, GARY LAW FIRM 730 19WC 09450 ZARATE, GARY USF HOLLAND 03/15/18 FLOYD LAW FIRM 731 19WC 09488 JACKSON, KIMBERLY COLLINSVILLE UNIT 02/11/19 GORI JULIAN & ASSOC 732 19WC 09605 THOLE, MATTHEW D AVISTON LUMBER COMPANY 01/21/19 BRAD L BADGLEY PC BRADY, CONNOLLY & MASUDA, PC 733 19WC 09768 DONAHUE, JAMES III MIDWEST TRANSIT EQUIPMENT 01/29/19 WILLIAMS CAPONI & ASSOC 734 19WC 09776 STUBY, MATT G.D. LAESING OF INDIANA, 03/17/19 NELSON & NELSON QUINTAIROS PRIETO WOOD & BOY 735 19WC 09903 WHITE, WESELY VILLAGE OF ALORTON 03/05/19 GARY MACK KEEFE & DEPAULI 736 19WC 09953 RUSH, GLORIA PAPA JOHN'S INTERNATIONAL 12/28/18 THOMAS SCHOOLEY HENNESSY & ROACH 737 19WC 10015 STAMPLEY, MACEO GEODIS LOGISTICS 03/26/19 DAVID W MARTAY HARRIS DOWELL FISHER & HARRI 738 19WC 10055 PRICE, JONATHAN C NEWMAN CARRIERS, INC 03/18/19 GABRIEL, MCCARTNEY & WAGNE WIEDNER & MCAULIFFE LTD 739 19WC 10088 GUYTON, KEVIN D STELLAR MANUFACTURING 03/26/19 SAUTER, SULLIVAN & EVANS MORROW WILLNAUER 740 19WC 10099 POWERS-JAMES, DONNA BI-STATE DEVELOPMENT AGEN 01/29/19 BOYNE, KEVIN PC KORTENHOF MCGLYNN 741 19WC 10389 AGUIAR, LOUIS TIGER PLUMBING 01/30/19 SCHUCHAT, COOK & WERNER 742 19WC 10512 COUNTERMAN, CHAD CUSTOM STAFFING 02/11/19 WALTON TELKEN LLC 743 19WC 10522 WOODS, LUTHER CITY OF EAST ST LOUIS 03/04/19 RICH RICH COOKSEY & CHAPPE CHATHAM & BARICEVIC 744 19WC 10783 FLOYD, KATHY EDEN VILLAGE RETIREMENT C 02/27/19 DAVID HUNT HOLTKAMP LIESE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 745 19WC 10804 BRAWLEY, DALYCE A1 MED CAR SERVICES 11/02/18 WILLIAMSON WEBSTER ET AL 746 19WC 10930 VENTRESS, SHAWN C DB SCHENKER 12/22/18 BUTLER & KEMPER PAUL LARIMORE 747 19WC 11055 DAVIS, ANTIONE SR TITUS TRANSPORT HOLDINGS, 03/22/19 DANIEL J. GAUTHIER 748 19WC 11060 CRUME, STEPHEN REBEL, INC 02/12/19 BROWN & CROUPPEN 749 19WC 11065 THOMAS, WILLIAM GROENDYKE TRANSPORT 03/14/19 GOLDBLATT + SINGER HEYL ROYSTER VOELKER & ALLEN 750 19WC 11336 WALKER, ROBERT H JERSEYVILLE POLICE DEPART 08/18/18 SMITH ALLEN MENDENHALL ET 751 19WC 11360 JOHNSON, DONALD EDWARDS OTR 03/15/19 STEPHEN P. KELLY LEAHY EISENBERG & FRAENKEL 752 19WC 11770 CLARK, BETHANIE DOLLAR GENERAL 04/08/19 GALANTI LAW OFFICES LEAHY EISENBERG & FRAENKEL 753 19WC 11779 DUNN, JONATHON KRAFT FOODS 03/22/19 RICH RICH COOKSEY & CHAPPE GAROFALO SCHREIBER STORM GRA 754 19WC 11817 GOETTEN, MARK KIENSTRA PRECAST LLC 01/01/18 NORBERT GOETTEN GANAN & SHAPIRO 755 19WC 11842 HERMAN, DOUGLAS VISTRA ENERGY/DYNERGY 01/30/19 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 756 19WC 11880 FUENTES, JOSE HIRELEVEL 03/11/19 BOYNE, KEVIN PC MCANANY VANCLEVE & PHILLIPS 757 19WC 11925 TITLEY, RENEE MANPOWER US, INC. 03/29/19 SAUTER, SULLIVAN & EVANS HENNESSY & ROACH, PC 758 19WC 12088 JONES, RODERICK ZADE TRUCKING, LLC 11/01/18 SHORT AND DAUGHERTY HEYL ROYSTER VOELKER & ALLEN 759 19WC 12100 STULLER, MIRANDA NEXT STEP FOOT & ANKLE CE 01/11/19 SHORT AND DAUGHERTY STEPHEN H LARSON LAW OFFICE 760 19WC 12153 SLIFKA, DAVID TLC COMPANIES 12/14/18 ALVIN WOLFF JR MCANANY VANCLEVE & PHILLIPS 761 19WC 12184 WILLIAMS, EUGENE DB SCHENKER LOGISTICS 04/16/19 DANIEL J. GAUTHIER 762 19WC 12326 SINSKEY, DENNIS CRAFTON CONSTRUCTION 02/12/19 GALANTI LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 763 19WC 12350 GARMAN, TIMOTHY J DOHRN TRANSFER 07/10/18 HARVEY & STUCKEL 764 19WC 12771 LEPES, AUSTIN J GOULD FLOORING SERVICES, 04/05/19 GREGORY M. SKINNER 765 19WC 13102 TOPPINGS, APRIL WALGREENS 06/08/17 TERRY PEEBLES 766 19WC 13152 HEIL, JANE CC FOOD MART 07/22/17 THE FISCHER LAW FIRM LLC 767 19WC 13169 POWELL, CAMILLE AMAZON 12/06/18 SHORT AND DAUGHERTY WIEDNER & MCAULIFFE LTD 768 19WC 13389 TIPTON, JOSHUA MARSHALL'S TREE SERVICE W 04/12/19 CARAWAY FISHER 769 19WC 13416 LARUE, JENNIFER HOSPITAL SISTERS HEALTH S 10/01/18 NELSON & NELSON MC ANDREWS & NORGLE LLC 770 19WC 13462 RANKIN, VICKY STAPLES 07/21/15 HUSTAVA, JOHN H HENNESSY & ROACH PC 771 19WC 13852 PERRY, MILTON PEABODY GATEWAY NORTH MIN 01/10/19 NELSON & NELSON KEEFE & DEPAULI 772 19WC 13868 COX, LAWANDA INTERNATIONAL MULCH COMPA 08/22/18 BROWN & BROWN 773 19WC 13927 WARD, LAVONNE RED LOBSTER 02/15/19 MILLER, WILLIAM R LAW OFFI BRYCE DOWNEY & LENKOV LLC 774 19WC 13957 REEVES, MICKEL WATCO COMPANIES CO 03/08/19 RICH RICH COOKSEY & CHAPPE HENNESSY & ROACH 775 19WC 14162 STEELE, RHONDA METRO LINK 04/16/19 GALANTI LAW OFFICES EVANS & DIXON, LLC 776 19WC 14188 SHULTZ, SCOTT CITIGROUP GLOBAL MARKETS 03/15/19 SWANEY, JEFFREY R 777 19WC 14193 KALBFELL, CHARLES BOEING 06/01/18 ARMBRUSTER DRIPPS WIEDNER & MCAULIFFE LTD 778 19WC 14284 SHAW, ASHLIE CHALLENGE UNLIMITED, INC 05/06/19 DWORKIN AND MACIARIELLO 779 19WC 14336 SCHOOP, DANIEL BI STATE DEVELOPMENTAL AG 06/01/18 BROWN & BROWN BROWN & JAMES, PC 780 19WC 14378 WILLIAMS, ANTHONY EAST ST LOUIS 07/26/18 HUSTAVA, JOHN H

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 781 19WC 14444 WARREN, CANDY SCHNUCK'S MARKET 03/27/19 JOSHUA KARMEL LEMP & MURPHY 782 19WC 14598 HALL, ERICK L SUPPLIED INDUSTRIAL SOLUT 04/02/19 SCHREMPF KELLY & NAPP WOLFE & JACOBSON, LTD 783 19WC 14638 SCHREIBER, DOUG MADISON COUNTY SHERIFF'S 02/01/19 GALANTI LAW OFFICES SCHREMPF KELLY & NAPP 784 19WC 14644 RIGGS, PHILLIP G AT&T 02/06/19 SCOTT P. HOLWITT 785 19WC 14746 BASLER, LINDA D PEPSI MID AMERICA 01/09/19 ONDER LAW LLC 786 19WC 14819 SCHNEIDER, THERESA CASEY'S GENERAL STORES 04/09/18 PERICA LAW FIRM 787 19WC 14837 BELL, DWIGHT RAILCREW XPRESS, LLC 11/16/18 BOYNE, KEVIN PC ROUSE & CARY 788 19WC 14934 HANNA, CHRIS BASLER ELECTRIC 02/15/19 HUSTAVA, JOHN H 789 19WC 14950 GRIFFIN, JUSTIN AG WASH CORP./DENT WIZARD 04/08/19 JEROME LINDSAY SALMI LL 790 19WC 14954 JOINER, DIAPHIA K D.B. SCHENKER 11/07/18 EDWARD J. KOZEL 791 19WC 15119 KISH, NANCY ST. ELIZABETH'S HOSPITAL 09/09/13 NELSON & NELSON 792 19WC 15145 SANDERS, DIEDRA IMPERIAL MANUFACTURING GR 02/19/19 ARMBRUSTER DRIPPS EVANS & DIXON, LLC 793 19WC 15184 RAGLIN, RODNEY ALTON MENTAL HEALTH @ 01/18/19 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 794 19WC 15277 ELLENBERGER, FARY TYLER JACK COOPER TRANSPORT 07/05/17 WENDLER LAW PC EVANS & DIXON, LLC 795 19WC 15367 LINDSEY, DENNIS US STEEL 04/10/19 SHORT AND DAUGHERTY KEEFE & DEPAULI 796 19WC 15381 JEFFERSON, JON FENCE & DECK DEPOT 01/05/19 GOLDBLATT + SINGER BRADY, CONNOLLY & MASUDA, PC 797 19WC 15411 RICKE, MICHAEL WALMART 09/26/18 JEROME LINDSAY SALMI LL 798 19WC 15539 SCHNEIDER, MARY ILLINOIS DEPT OF PUBLIC H @ 03/25/19 BECKER SCHROADER & CHAPMAN CORI STEWART

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 799 19WC 15941 PATTON, EBONI DURHAM SCHOOL SERVICES 04/30/19 ANGELINI & ORI LLC 800 19WC 15980 KRAMER, RICHARD SCF LEWIS & CLARK TERMINA 06/10/18 MATTEA, BRUCE KEEFE CAMPBELL BIERY & ASSOC 801 19WC 16003 HAYNES, MARVIN EAST ST LOUIS FIRE DEPART 05/09/19 JEROME LINDSAY SALMI LL CHATHAM & BARICEVIC 802 19WC 16044 JOHNSON, CHRIS PAVLICH INC 11/13/18 JEROME LINDSAY SALMI LL LEAHY EISENBERG & FRAENKEL 803 19WC 16090 HACKMAN, MARIAH GOODWILL INDUSTRIES 03/05/19 CARAWAY FISHER 804 19WC 16323 WELTY, KATHLEEN SELECT REHABILITATION INC 11/27/17 BROWN & CROUPPEN STEPHEN H LARSON LAW OFFICE 805 19WC 16453 SCHREIBER, KYLE MADISON COUNTY SHERIFF'S 04/07/19 GALANTI LAW OFFICES SCHREMPF KELLY & NAPP 806 19WC 16479 CASE, BONNIE CAPRI IGA 09/03/19 JOSHUA KARMEL GANAN & SHAPIRO 807 19WC 16558 ALBERS, JACOB POPEYE'S CHOP HOUSE 02/01/19 THE WILBERS LAW FIRM FEIRICH MAGER GREEN & RYAN 808 19WC 16562 RICKMANN, BRIAN GIRTON LLL TRANSPORT 01/10/19 BROWN & BROWN WIEDNER & MCAULIFFE LTD 809 19WC 16580 BREWER, LINDA DOLLAR TREE 03/19/19 KEEFE & GRIFFITHS PC 810 19WC 16588 PERDUN, TRACEY MCDONALDS 05/02/19 GALANTI LAW OFFICES GANAN & SHAPIRO 811 19WC 16611 FOHNE, MARILYN PERMOBIL, INC 01/21/19 JEROME LINDSAY SALMI LL LUCY T. UNGER 812 19WC 16675 HUBBARD, MICHAEL USF HOLLAND 04/05/19 BECKER SCHROADER & CHAPMAN 813 19WC 16774 WALLEN, JACOB KUNA FOOD SERVICES 03/07/19 THOMAS SCHOOLEY BRYCE DOWNEY & LENKOV LLC 814 19WC 16927 ROGERS, ALEXIA AEROTEK 06/07/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH, PC 815 19WC 17027 NELSON, CHARLOTTE MEMORIAL HOSPITAL/BJC 07/28/16 JUNCKER, DANIEL K PC MATHIS MARIFIAN RICHTER 816 19WC 17077 MAGGART, BRYAN MBR MANAGEMENT D/B/A 05/27/19 SHORT AND DAUGHERTY PATRICK MCHUGH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 817 19WC 17207 BEASTON, DEBORAH DAVID NORMAN, MD 06/20/17 JASON GOING RUSIN & MACIOROWSKI LTD 818 19WC 17229 GOULD, DONALD AAA PARTNERS, INC D/B/A 04/22/19 JOSEPH L SAMUELSON PC CLAYBORNE SABO & WAGNER 819 19WC 17240 SHARP, RICHARD E ST LOUIS POLICE DEPT 05/26/19 BONIFIELD & ROSENSTENGEL P CHATHAM & BARICEVIC 820 19WC 17251 HULTQUIST, TOM ICON MECHANICAL 05/15/19 GALANTI LAW OFFICES HENNESSY & ROACH, PC 821 19WC 17266 SMITH, SCOTT SECURAMERICA LLC 08/30/18 BOYNE, KEVIN PC 822 19WC 17269 WHITEHEAD, DAVID STAFF QUICK 04/29/19 LEMP & MURPHY 823 19WC 17282 GILLESPIE, LEON II FRESH THYME MARKET 01/13/19 BROWN & BROWN 824 19WC 17289 SANDERS, LURETHA ALTON MENTAL HEALTH CENTE @ 02/19/18 SMITH ALLEN MENDENHALL ET CORI STEWART 825 19WC 17292 SANDERS, LURETHA ALTON MENTAL HEALTH CENTE @ 05/10/19 SMITH ALLEN MENDENHALL ET CORI STEWART 826 19WC 17373 MORGAN, BRANDON OLIN WINCHESTER 05/09/19 GALANTI LAW OFFICES 827 19WC 17387 HELFER, BRANDON J METRO EAST INDUSTRIES 12/02/16 NELSON & NELSON KEEFE & DEPAULI 828 19WC 17392 WUEST-MOORE, BARBARA N ST. PAUL'S SENIOR COMMUNI 09/22/18 NELSON & NELSON WIEDNER & MCAULIFFE LTD 829 19WC 17395 THURMAN, CALEB SPECTRUM 01/16/19 LESKERA LAW FIRM EVANS & DIXON, LLC 830 19WC 17413 REISA, KELLY SCHNUCK MARKETS 05/25/19 RICH RICH COOKSEY & CHAPPE LEMP & MURPHY 831 19WC 17437 STAMPER, JACOB I RIVER CITY CONSTRUCTION 05/29/19 SMITH ALLEN MENDENHALL ET 832 19WC 17700 KASSING, GINA PRAIRIETOWN FEED SERVICES 03/20/19 BROWN & CROUPPEN WIEDNER & MCAULIFFE LTD 833 19WC 17984 ANTROBUS, HOWARD CITY OF ALTON 10/08/18 ARMBRUSTER DRIPPS SCHREMPF KELLY & NAPP 834 19WC 17990 SWIFT, JOHN M & M SALES AND RENTALS 05/20/19 GREGORY M. SKINNER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 835 19WC 18085 SPILLER, LAVERNE PHILLIPS 66 COMPANY 02/16/19 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 836 19WC 18099 YOUNG, KATHY WALGREEN CO. 02/27/19 RICH RICH COOKSEY & CHAPPE EVANS & DIXON, LLC 837 19WC 18145 JOHNSON, ANTWOIN CULLIGAN 03/05/19 DWORKIN AND MACIARIELLO 838 19WC 18161 KOLSTER, PAM DOLLAR GENERAL 04/12/19 GALANTI LAW OFFICES LEAHY EISENBERG & FRAENKEL 839 19WC 18391 HEAETON, KENNETH EUGENE OLIN CORPORATION 04/27/19 THE DONOHOO LAW FIRM KEEFE & DEPAULI 840 19WC 18482 HOOD, SAM USF HOLLAND, INC 06/05/19 LESKERA LAW FIRM HENNESSY & ROACH, PC 841 19WC 18489 SCERRI, VALNOR DOLLAR TREE 04/24/19 SCHREMPF KELLY & NAPP NYHAN BAMBRICK KINZIE & LOWR 842 19WC 18541 PIASECKI, GREG OAK TREE MANAGEMENT 05/12/19 HUSTAVA, JOHN H 843 19WC 18616 POWELL, DWAYNE FEDERAL EXPRESS GROUND 06/07/19 BUTLER & KEMPER 844 19WC 18637 DIUGUID, JANE GLOBAL BRASS & COPPER, IN 10/08/18 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 845 19WC 18652 HEARTY, JOHNNIE JR. LUHR BROS., INC. 04/10/19 NELSON & NELSON MORROW WILLNAUER 846 19WC 18760 WIDEL, JAMES LAFORE TRUCK SERVICE 01/05/19 CHATHAM & BARICEVIC 847 19WC 18771 BAUSILY, CHRISTIAN WALMART 06/15/19 SHORT AND DAUGHERTY WIEDNER & MCAULIFFE LTD 848 19WC 18777 HESS, STEVE HESS SEPTIC & PORTABLE TO 01/14/17 WINTERS BREWSTER CROSBY SC 849 19WC 18783 MILAM, KEVIN HUBELL WIEGMANN 05/16/19 NO ATTORNEY ATWILL & MONTGOMERY 850 19WC 18799 PEIPERT, ADAM J IL YOUTH CENTER PERE MARQ @ 01/30/19 SGRO HANRAHAN DURR 851 19WC 19066 WARREN, DAYMAN WALMART, INC 06/02/19 MATHIS MARIFIAN RICHTER EARLY & MIRANDA PC 852 19WC 19078 HARRISON, ROSE J PRAIRIE FARMS DAIRY 05/22/18 BROWN & BROWN KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 853 19WC 19186 CROWE, JOHN DYNEGY, INC 05/04/18 KIRKPARTICK LAW OFFICES KEEFE & DEPAULI 854 19WC 19203 WARE, DARLENE SCIOTO SERVICES 05/22/19 NELSON & NELSON QUINTAIROS PRIETO WOOD & BOY 855 19WC 19427 NUCKOLLS, MICHAEL JET PRECAST, INC 05/24/19 BROCKMAN, LARRY O 856 19WC 19646 WEATHERBY, BRITTANY J HOYLETON YOUTH & FAMILY S 05/16/19 BROWN & BROWN LITCHFIELD CAVO 857 19WC 19655 HINKLE, AMANDA MALLINCKRODT SPECIALTY 03/11/19 JEROME LINDSAY SALMI LL MCANANY VANCLEVE & PHILLIPS 858 19WC 19728 GRIFFIN, OMEGA R KNOLLWOOD ST CLAIR 05/13/19 SHORT AND DAUGHERTY ROSARIO CIBELLA 859 19WC 19730 HALL, STANLEY EASTMAN CHEMICAL 03/05/19 HOLLORAN SCHWARTZ GAERTNER 860 19WC 19750 PACE, KIMBERLY DEPT OF HUMAN SERVICES @ 06/05/19 HUSTAVA, JOHN H CORI STEWART 861 19WC 19783 WILHELM, ROBERT TYSON FOODS 04/23/19 BROWN & BROWN 862 19WC 19796 WARE, EUREKA WESTROCK 05/01/19 KEEFE & GRIFFITHS PC HENNESSY & ROACH PC 863 19WC 20114 MEADERS, EBONY AXCESS STAFFING 05/30/19 ARMBRUSTER DRIPPS BRADY CONNOLLY & MASUDA PC 864 19WC 20122 KESSLER, DAVID GRANITE CITY SCHOOL DISTR 06/19/18 HUSTAVA, JOHN H EVANS & DIXON, LLC 865 19WC 20133 MCFALLS, GARY U.S. STEEL CORPORATION 01/22/17 GORI JULIAN & ASSOC 866 19WC 20148 MORRIS, CHARNEICE ROYAL LIVING CENTER 05/16/19 BROWN & BROWN ROUSE & CARY 867 19WC 20176 WEST, BARBARA S HEALTHCARE SERVICES 03/01/18 SCHREMPF KELLY & NAPP HENNESSY & ROACH, PC 868 19WC 20368 CARTER, JACOB S STRATA WORLDWIDE HOLDINGS 12/21/17 JAMES RUPPERT CRAIG A HANSEN 869 19WC 20400 DEERING, HEATHER HSHS ST JOSEPHS HOSPITAL 10/06/18 SHORT AND DAUGHERTY MC ANDREWS & NORGLE LLC 870 19WC 20411 GROSS, LOIS SCHNUCKS MARKETS, INC. 06/05/19 JEROME LEFTON LAW OFFICE LEMP & MURPHY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 871 19WC 20660 SISSOM, TODD T CITY OF ALTON 08/02/16 THOMAS W DUDA 872 19WC 21039 LIGIBEL, BARB COLTON STEAKHOUSE 07/14/19 DWORKIN AND MACIARIELLO LUCY T. UNGER 873 19WC 21168 SWEETEN, DAREN JACK COOPER TRANSPORT CO 12/08/17 HAMMOND AND SHINNERS PC WALLACE SAUNDERS 874 19WC 21176 HUBBARD, JOE WATCO MECHANICAL SERVICES 07/10/19 GALANTI LAW OFFICES 875 19WC 21186 BROWN, JALEN CARITAS FAMILY SOLUTIONS 05/11/19 JEROME LINDSAY SALMI LL 876 19WC 21268 GRIFFIN, JAMEY OLIN 12/22/18 GALANTI LAW OFFICES KEEFE & DEPAULI 877 19WC 21360 SCOTT, KEVIN PRAIRIE FARMS DIARY 08/26/16 THE WILBERS LAW FIRM KNAPP, OHL & GREEN 878 19WC 21493 BROWN, DWAUN DEAN FOODS 05/01/19 BECKER SCHROADER & CHAPMAN ORENSTEIN & ASSOCIATES 879 19WC 21506 BATES, NICKOLAS CHARTER COMMUNICATIONS 12/28/17 BROWN & BROWN GANAN & SHAPIRO 880 19WC 21515 STOCLERT, BRITTANI CEDARHURST LIVING, LLC 05/20/19 WALTON TELKEN LLC 881 19WC 21526 FOX, MATTHEW KREITNER CONSTRUCTION COM 06/20/19 HUSTAVA, JOHN H 882 19WC 21626 JONES, TRACY A MEMORIAL HOSPITAL BELLEVI 06/01/19 BRAD L BADGLEY PC MATHIS MARIFIAN RICHTER 883 19WC 21657 CHENAULT, SCOTT US STEEL 07/03/19 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 884 19WC 21675 MOSLEY, ROSHANDRA AMAZON 09/19/18 GALANTI LAW OFFICES 885 19WC 21764 GUERRERO, VIDAL AMERICAN STEEL/AMSTED RAI 06/27/19 RICH RICH COOKSEY & CHAPPE HENNESSY & ROACH, PC 886 19WC 21767 MORROW, HORCELIA HELP AT HOME 05/13/19 SHORT AND DAUGHERTY ROSARIO CIBELLA 887 19WC 21845 GORDON, RICKY DB SCHENKER 07/03/19 KLAR, IZSAK, STENGER LLC 888 19WC 21855 YOUNGBAUER, MELISSA AMAZON 05/20/19 WILLIAMSON WEBSTER ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 889 19WC 21871 OSORIO ARREOLA, GERMAN LMS INDUSTRIES 11/09/18 BRAD L BADGLEY PC RUSIN & MACIOROWSKI LTD 890 19WC 21984 SMITH, JOEY DEAN CUSTOMIZED DISTRIBUTION S 02/16/19 GOLDBLATT + SINGER 891 19WC 22165 PARENT, KRIS ARNETTE PATTERN 02/04/19 HUSTAVA, JOHN H 892 19WC 22195 GLASS, KI'JUAN USF HOLLAND 05/09/19 KATZMAN & SUGDEN 893 19WC 22215 ROBERTS, CHRISTOPHER CGB ENTERPRISES, INC 07/01/19 KENNETH LEEDS MCDONALD & BOGDAN 894 19WC 22372 TINDALL, JOHN RURAL KING 01/30/18 DWORKIN AND MACIARIELLO RURAL KING 895 19WC 22485 LUSK, ARLANDO CARDINAL PUMP 07/09/19 GALANTI LAW OFFICES 896 19WC 22498 ROBERTS, KIMBERLY K SHOP-N-SAVE 09/22/18 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE 897 19WC 22555 BURTON, DREW NELSON TREE SERVICE 07/05/19 JEROME LINDSAY SALMI LL 898 19WC 22636 PARKS, FREIDA AXCESS STAFFING SERVICE 05/28/19 THE HESTER GROUP LLC BRADY CONNOLLY & MASUDA PC 899 19WC 22834 DIETZ, RICHARD JOHN JR. CROSSROADS CONSTRUCTION 07/26/19 DENNIS SHEVLIN ORENSTEIN & ASSOCIATES 900 19WC 22839 TALLIE, LISA ATRIUM HLTH CARE & REHAB 11/23/18 BONIFIELD & ROSENSTENGEL P 901 19WC 22903 WHITE, ANDREW RELATED 08/01/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH, PC 902 19WC 22968 RIVES, BRENDA BELLEVILLE SHOE 05/03/19 JASON GOING WOLFE & JACOBSON, LTD 903 19WC 22973 SPANGENBERG, CHRISTY LUTHERAN SENIOR SERVICES 01/04/19 JOHNSTON LAW OFFICE BRINKER & DOYNELLP 904 19WC 23021 MCCOTTRELL, MARSHA A SCHNUCKS 06/20/19 DAVID H. BONE LLC LEMP & MURPHY 905 19WC 23052 CLIFTON, ANN SIUE 07/22/19 JULIAN GORI & ASSOC 906 19WC 23558 CORDES, SARAH UPS 06/25/19 KEEFE & DEPAULI MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 907 19WC 23628 SANCHEZ, YULISSA CROWN LINEN SERVICE 12/12/18 BUTLER & KEMPER 908 19WC 23633 CASH, RAY PERMOBIL 05/30/19 BROWN & CROUPPEN 909 19WC 23744 CAMERON, DEVELYN STUTZ EXCAVATING INC 07/24/19 MILLER, WILLIAM R LAW OFFI 910 19WC 23851 DENHAM, TAMMY ST CLAIR SUPPORTIVE LIVIN 06/14/19 LESKERA LAW FIRM ROSARIO CIBELLA 911 19WC 23911 WHITE, JEAN WILLIAM M BEDELL ACHIEVEM 07/15/19 ERIN M. PHILLIPS 912 19WC 23939 ELLIS, JAMES R ONGWEOWEH SCS ST LOUIS LL 12/03/18 BECKER SCHROADER & CHAPMAN 913 19WC 23954 WILSON, DENISE AMAZON 06/12/17 PERICA LAW FIRM 914 19WC 23962 JONES, CLAUDINE HOLTEN MEATS 12/01/17 EVANS & DIXON, LLC 915 19WC 24047 HARRIS, SCOTTIE PRAIRIE STATE COAL 10/28/16 CULLEY FEIST KUPPART & JOR EVANS & DIXON, LLC 916 19WC 24077 MOODY, DOUG EDWARDSVILLE FIRE DEPT 07/12/19 GALANTI LAW OFFICES 917 19WC 24129 GRANT, JESSICA AEROTEK 07/25/19 SHORT AND DAUGHERTY 918 19WC 24132 WATSON, TERRENCE JR. METRO EAST INDUSTRIES 07/01/14 LYNN D BARNETT KEEFE & DEPAULI 919 19WC 24220 RANDOLPH, ALISON MADISON COUNTY GOVERNMENT 01/08/19 SMITH ALLEN MENDENHALL ET SCHREMPF KELLY & NAPP 920 19WC 24437 RICHEY, GEOFFREY LOWES, INC. 06/20/19 WALTON TELKEN LLC 921 19WC 24444 BLACKBURN, STEPHANIE ESSENDANT CO 02/11/19 KATZMAN & SUGDEN 922 19WC 24454 HAMILTON, SCOTT MARTIN BROWER 06/29/19 DAVID H. BONE LLC 923 19WC 24686 REDMAN, MICHAEL BATCHELOR REAL ESTATE 09/23/16 WILLIAMSON WEBSTER ET AL 924 19WC 24691 WEBER, KIRK AMAZON FULFILLMENT CENTER 09/07/17 NELSON & NELSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 925 19WC 24713 KETTLER, TARA S WASTEQUIP 05/24/19 BRAD L BADGLEY PC STEPHEN H LARSON LAW OFFICE 926 19WC 24736 REEVES, TAMI CEO SCHOOL 11/05/18 GALANTI LAW OFFICES SCHREMPF KELLY & NAPP 927 19WC 24760 HANKS, ALLISON ALTON MEMORIAL HOSPITAL 12/26/18 BECKER SCHROADER & CHAPMAN HOLTKAMP LIESE 928 19WC 24808 HANKS, ALLISON ALTON MEMORIAL HOSPITAL 02/21/19 BECKER SCHROADER & CHAPMAN HOLTKAMP LIESE 929 19WC 24826 KNIGHT, JODIE USF HOLLAND 02/14/19 FLOYD LAW FIRM 930 19WC 24879 HEMANN, MARK D&D TIRE SERVICES 07/22/19 JUSTIN MASON LLC BRADY, CONNOLLY & MASUDA, PC 931 19WC 24891 HAHNE, MICHAEL JR. CENTRAL STATES THERMO KIN 05/13/19 KULLMAN KLEIN & DIONEDA STEPHEN H LARSON LAW OFFICE 932 19WC 24901 BOCKEWITZ, CHAD UPS 06/27/19 KEEFE & DEPAULI MCANANY VANCLEVE & PHILLIPS 933 19WC 25137 OTOOLE, JOSHUA R.J.'S CARRYOUT & CATERIN 08/18/19 DWORKIN AND MACIARIELLO 934 19WC 25259 BRASKET, KRISTINA ALTON MENTAL HEALTH 06/02/19 HUSTAVA, JOHN H 935 19WC 25268 FRENCH, MICHAEL LF & SON CONSTRUCTION, LL 04/27/18 KEEFE & DEPAULI 936 19WC 25274 HOPKINS, MICHAEL DOBBS TIRE 11/07/18 MANDEL & MANDEL LLP 937 19WC 25285 FISHER, EBONY ST OF ILLINOIS-ALTON MENT @ 06/17/19 MARK E MORELAND 938 19WC 25391 HATCH, JERRIE GEODIS 08/12/19 GALANTI LAW OFFICES HARRIS DOWELL FISHER & HARRI 939 19WC 25399 SAXTON, BARRY MANPOWER 07/22/19 BROWN & BROWN HENNESSY & ROACH, PC 940 19WC 25413 EVERDING, CURTIS JR MILLSTADT RENDERING 08/12/19 FISHER KERHOVER COFFEY RUSIN & MACIOROWSKI LTD 941 19WC 25430 LITTLE, LISA TOUCHETTE REGIONAL HOSPIT 06/19/19 KEEFE & DEPAULI CLAYBORNE SABO & WAGNER 942 19WC 25584 PARKER, KODY CUSTOMIZED DISTRIBUTION S 04/29/19 BROWN & CROUPPEN LUCY T. UNGER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 943 19WC 25592 MCELROY, DIONNE LEWIS & CLARK COMMUNTY CO 05/23/19 ARMBRUSTER DRIPPS 944 19WC 25606 DIETRICH, CHRISTOPHER D.B. SCHENKER 06/30/19 JEROME LEFTON LAW OFFICE 945 19WC 25860 GIVENS, SHAWONDA AMAZON 08/02/19 KEEFE & GRIFFITHS PC 946 19WC 25965 KELLY, HELEN EARL HENDERSON TRUCKING 07/29/19 RUBENS KRESS MULHOLLAND WOLFE & JACOBSON, LTD 947 19WC 26024 STOCKERT, BRITTANI CEDARHURT 05/20/19 JOHNSTON LAW OFFICE 948 19WC 26036 MORAN, VICTOR CR HOLLAND COMMERCIAL REA 11/27/17 BECKER SCHROADER & CHAPMAN 949 19WC 26045 ROSE, KIMBRUEL AGENCY FOR COMMUNITY TRAN 06/16/16 GALANTI LAW OFFICES RUSIN & MACIOROWSKI LTD 950 19WC 26061 DENKLER, SCOTT TRAVEL CENTERS OF AMERICA 08/14/19 GALANTI LAW OFFICES HENNESSY & ROACH, PC 951 19WC 26078 BRADTKE, MARK ST CLAIR SERVICE CO 09/08/17 KEVIN J. KUBITSCHEK 952 19WC 26133 AUTOCUNAS, PAULINE WAL-MART 05/11/19 MILLER, WILLIAM R LAW OFFI WIEDNER & MCAULIFFE LTD 953 19WC 26138 BEARD, KEVIN IL DEPT OF TRANSPORTATION @ 04/23/19 LESKERA LAW FIRM 954 19WC 26180 WARLICK, LINDA ALTON MENTAL HEALTH CTR @ 08/16/19 SHORT AND DAUGHERTY CORI STEWART 955 19WC 26263 MOORE-WILSON, TISHA AGENCY FOR COMMUNITY TRAN 10/01/17 KENNETH LEEDS KEEFE & DEPAULI 956 19WC 26387 NESBIT, ROB SOUTHWESTERN ELECTRIC COO 01/14/19 MUELHAUSEN & STEFANI CRAIG A HANSEN 957 19WC 26692 STUNKEL, STEVEN A MARK STUNKEL TRUCKING, IN 05/29/18 JAMES M KELLY 958 19WC 26827 DAVIS, CALVIN J WATCO MECHANICAL SERVICES 04/23/19 JAMES RUPPERT HENNESSY & ROACH 959 19WC 26853 DECKER, SUZANNE M BASLER ELECTRIC 04/22/19 WENDLER LAW PC 960 19WC 27097 MOORE, KEVIN R UNITED STATES STEEL CORP 04/08/19 KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 961 19WC 27125 ALLSHOUSE, RUSSELL E ST LOUIS REGIONAL AIRPORT 05/14/19 ROOSEVELT LAW OFFICE KEEFE & DEPAULI 962 19WC 27147 CROOK, KEVIN J BURRIS ENTERPRISES, LLC 05/25/19 CLAY BARKLEY ST CLAIR 963 19WC 27151 BROWN, FONTARIUS VILLAGE OF CAHOKIA 05/28/19 RICH RICH COOKSEY & CHAPPE DONOVAN ROSE NESTER 964 19WC 27163 NELSON, KELNESHA ST. PAUL'S HOME FOR THE A 08/20/19 HUSTAVA, JOHN H WIEDNER & MCAULIFFE LTD 965 19WC 27186 MILLER, TAMMIE LIFETIME DENTAL CARE OF I 11/20/18 WALTON TELKEN LLC STEPHEN H LARSON LAW OFFICE 966 19WC 27216 KINNARD, DMITRIY INTEGRITY STAFFING SOLUTI 08/21/19 BUTLER & KEMPER SLAVIN & SLAVIN 967 19WC 27245 COX, RICHARD DOHRN TRANSFER, INC 11/02/17 HARVEY & STUCKEL GANAN & SHAPIRO 968 19WC 27350 GARNER, VIVIAN J MEMORIAL HOSPITAL BELLEVI 08/01/19 RICHARD LECINSKI MATHIS MARIFIAN RICHTER 969 19WC 27381 SIMON, SCOTT FENIX CONSTRUCTION 07/26/19 COOK SHEVLIN YSURSA ET AL STEPHEN H LARSON LAW OFFICE 970 19WC 27406 RIGOR, JAMES A GARELLA PEST SERVICES 05/26/17 WIEDNER & MCAULIFFE LTD 971 19WC 27937 COURDIN, PATRICIA MS. KITTY'S * 05/20/19 BECKER SCHROADER & CHAPMAN 972 19WC 28051 DRAG, DAVID US STEEL * 09/05/19 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 973 19WC 28073 CRUZ, JOEY E CITY OF EDWARDSVILLE * 08/17/19 WALTON TELKEN LLC 974 19WC 28080 SCHIPKE, ANDREW EAST ST LOUIS PAROLE OFFI @ * 11/26/17 RICH RICH COOKSEY & CHAPPE 975 19WC 28084 GUFFEY, ERIC KLINGS DRYWALL & PAINTIGN * 08/09/19 SHORT AND DAUGHERTY BRADY, CONNOLLY & MASUDA, PC 976 19WC 28118 SUTTON, TAMMY FREESECORP INC D/B/A CERT * 07/12/19 GOLDENBERG HELLER ANTOGNOL GAROFALO SCHREIBER STORM GRA 977 19WC 28157 CROWELL JR, EMMETT AMERICA'S AUTO AUCTION * 09/06/19 DANIEL J. GAUTHIER LAWRENCE COZZI - LAW OFFICE 978 19WC 28181 RISKOVSKY, JAMES GRANITE CITY SCHOOL DIST * 04/17/19 HUSTAVA, JOHN H

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 979 19WC 28189 WILSON, STEPHEN GRANITE CITY PUBLIC WORKS * 09/06/19 GALANTI LAW OFFICES 980 19WC 28195 NEAL, JERRY SUN BASKET * 06/27/19 JEROME LINDSAY SALMI LL 981 19WC 28239 MUELLNER, DEREK JLP HOMES * 06/07/19 BROWN & BROWN 982 19WC 28243 SEEHAUSEN, THOMAS J FEED PRODUCTS * 09/11/19 UNSELL, EDWARD W LAW OFFIC RUSIN & MACIOROWSKI LTD 983 19WC 28254 WELLMAKER, JAMES KRAFT FOODS * 08/23/19 ARMBRUSTER DRIPPS WIEDNER & MCAULIFFE LTD 984 19WC 28257 SCANLAN, MOLLY O'FALLON PUBLIC LIBRARY- * 05/08/19 JEROME LINDSAY SALMI LL KEEFE & DEPAULI 985 19WC 28260 SMITH, STEPHEN TEAM INDUSTRIAL SERVICES * 09/04/19 GORI JULIAN & ASSOC 986 19WC 28267 JOHNSON, KRISTOPHER A WORLD WIDE TECHNOLOGY * 05/01/19 JOHNSON GRAY LLC 987 19WC 28271 WILCOX, JACK E AGENCY FOR COMMUNITY TRAN * 09/10/19 JOSEPH E. HOEFERT 988 19WC 28295 MAES, PHILIP TERRASOURCE GLOBAL COURT * 09/12/19 FISHER KERHOVER COFFEY EARLY & MIRANDA PC 989 19WC 28302 HEIMANN, TYLER BREESE JOURNAL * 09/25/19 DWORKIN AND MACIARIELLO 990 19WC 28332 DILL, TIMOTHY PRAIRIE FARMS * 06/19/19 BECKER SCHROADER & CHAPMAN KNAPP, OHL & GREEN 991 19WC 28356 WISELY, TIMOTHY A BELLEVILLE AREA SPECIAL S * 08/15/19 ALVIN WOLFF JR WIEDNER & MCAULIFFE LTD 992 19WC 28432 MOUSHEY, MICHAEL J DB SCHENKER INC * 06/12/19 NELSON & NELSON 993 19WC 28453 MANCILLAS, KAREN ROESCH INC * 08/28/19 BROWN & BROWN KEEFE CAMPBELL BIERY & ASSOC 994 19WC 28594 RODRIGUEZ MARTINEZ, MANUE N.G. HEIMOS GREENHOUSES I * 07/24/19 FRANK J. CARRETERO 995 19WC 28626 CAMPBELL, KEITH KRAFT HEINZ FOODS * 06/28/19 BROWN & BROWN GAROFALO SCHREIBER STORM GRA 996 19WC 28868 CIOLA, MARIANNE MAC MEDICAL INC * 07/11/19 BECKER SCHROADER & CHAPMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 997 19WC 28879 PARKER, ANGELA BELLEVILLE AREA SPECI * 06/24/19 RICH RICH COOKSEY & CHAPPE WIEDNER & MCAULIFFE LTD 998 19WC 29108 EDGAR, HEATH BANK OF EDWARDSVILLE * 09/19/18 KEEFE & GRIFFITHS PC HENNESSY & ROACH, PC 999 19WC 29116 SNYDER, TOM AZCON METALS * 12/16/18 GALANTI LAW OFFICES 1000 19WC 29138 CLENDENEN, CORY WATCO MECHANICAL * 08/27/19 SMITH ALLEN MENDENHALL ET HENNESSY & ROACH 1001 19WC 29146 BITTRICH, MARC TIGER PLUMBING SERVICES * 01/10/19 GALANTI LAW OFFICES STEPHEN P. KELLY 1002 19WC 29168 WILKEN, STEPHANIE NORTHGATE ANIMAL HOSPITAL * 06/24/19 NELSON & NELSON 1003 19WC 29175 JAMES, DONALD US STEEL CORPORATION * 12/07/17 GORI JULIAN & ASSOC KEEFE & DEPAULI 1004 19WC 29187 PRUITT, STEVEN A SAVVY EMPLOYMENT SOLUTI * 09/11/19 WILLIAMSON WEBSTER ET AL 1005 19WC 29212 BRUCE, RICHARD HEIDTMAN STEEL * 11/16/18 BUTLER & KEMPER 1006 19WC 29253 BLACKBURN, LINDA MEMORIAL HOSPITAL BELLEVI * 08/09/19 DWORKIN AND MACIARIELLO 1007 19WC 29287 TURMON, JACARLOS CARITAS FAMILY SOLUTIONS * 09/08/19 JEROME LINDSAY SALMI LL WOLFE & JACOBSON, LTD 1008 19WC 29307 LEHMANN, CHRIS A AIR PRODUCTS & CHEMICALS * 02/20/19 BECKER SCHROADER & CHAPMAN 1009 19WC 29500 SHAMBLE, DERRICK TIGER PLUMBING, HEATING, * 05/10/19 SGRO HANRAHAN DURR RABIN 1010 19WC 29616 COOPER, ALVIN RAILCREW XPRESS LLC * 09/11/19 SAUTER, SULLIVAN & EVANS ROUSE & CARY 1011 19WC 29625 GARCIA, LYNN AMERICAN CENTRAL TRANSPOR * 09/05/19 BROWN & CROUPPEN 1012 19WC 29703 BUCKLEY, ARETHA KFC AMPEX BRAND * 06/30/18 MANDEL & MANDEL LLP 1013 19WC 29717 PINKLEY, DONALD HARGET RENTAL & REMODELIN * 06/07/19 JEROME LINDSAY SALMI LL FEIRICH MAGER GREEN & RYAN 1014 19WC 29721 PORTER, SAMUEL TRU GREEN * 06/25/19 BROWN & BROWN RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1015 19WC 29751 KEARNS, ANGELA WISE COMPANY * 02/12/19 RICH RICH COOKSEY & CHAPPE HOLTKAMP LIESE 1016 19WC 29762 WOOLBRIDGE, BRANDI CASEY'S * 05/07/19 SHORT AND DAUGHERTY 1017 19WC 29824 MELTON, ANGEL L WATERLOO FOODS, INC. * 09/20/19 BRAD L BADGLEY PC 1018 19WC 29832 MARSHALL, ROBERT AMSTED INDUSTRIES, INC. * 09/30/19 GALANTI LAW OFFICES 1019 19WC 29841 ERIN, MITCHELL DUPO DUSD 196 * 04/01/17 CARAWAY FISHER WIEDNER & MCAULIFFE LTD 1020 19WC 29846 FERGUSON, MARLOW CARITAS FAMILY SOLUTIONS * 08/07/19 JEROME LINDSAY SALMI LL 1021 19WC 29862 FENOGLIO, TONI ALTON STATE MENTAL HOSPIT @ * 01/12/18 ERIN M. PHILLIPS 1022 19WC 30040 GRAHAM, NICHOLAS ALTON SPORTS TAB * 04/17/19 DWORKIN AND MACIARIELLO 1023 19WC 30135 KELLEY, DONNA GATEWAY REGION YMCA * 08/24/19 STRELLIS FAULBAUM WALSH & HARRIS DOWELL FISHER & HARRI 1024 19WC 30143 FORD, JERRY SUN BASKET * 06/25/19 SHORT AND DAUGHERTY LUCY T. UNGER 1025 19WC 30160 HOLLAND, RYAN J FOSTERBURG FIRE PROTECTIO * 10/01/18 THOMAS W DUDA 1026 19WC 30294 BELZ, MARY ANDERSON HOSPITAL * 09/23/19 CHATHAM & BARICEVIC NYHAN BAMBRICK KINZIE & LOWR 1027 19WC 30353 MEZA, FANNY UNIVERSAL AIR FILTER * 08/05/19 FRANK J. CARRETERO 1028 19WC 30380 MITES, MELISSA AMAZON * 04/10/18 SHORT AND DAUGHERTY 1029 19WC 30404 SUGG, MARGARET AGENCY FOR COMMUNITY TRAN * 01/10/19 NELSON & NELSON RUSIN & MACIOROWSKI LTD 1030 19WC 30408 HOSFORD, RYAN OLIN * 05/30/18 SHORT AND DAUGHERTY KEEFE & DEPAULI 1031 19WC 30421 NELSON, DARREN B&D MACHINE WORKS, INC * 01/23/19 RICH RICH COOKSEY & CHAPPE 1032 19WC 30667 LYONS, ARIEL AMSTED RAIL * 07/07/19 SCROGGINS LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1033 19WC 30824 MCLAIN, CARRIE MEMORIAL HOSPITAL * 10/09/19 HUSTAVA, JOHN H HOLTKAMP LIESE 1034 19WC 31033 REID, JERMAINE AMSTED INDUSTRIES, INC * 09/11/19 GALANTI LAW OFFICES 1035 19WC 31070 JONES, SABRINA KAY GATEWAY MEDICAL GROUP * 10/03/19 BROWN & BROWN 1036 19WC 31092 CUMMINES, HEATHER ALTON MEMORIAL HOSPITAL * 03/08/19 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE 1037 19WC 31135 TEAGUE, STEPHANIE D IMPERIAL MANUFACTURING * 09/28/19 JOSEPH E. HOEFERT EVANS & DIXON, LLC 1038 19WC 31183 FRANCIS, ROBERT A ILLINOIS DEPARTMENT * 04/20/19 JOSEPH L SAMUELSON PC CORI STEWART 1039 19WC 31210 STIVERSON, STEWART BEELMAN READY MIX INC * 10/29/18 JOHNSTON LAW OFFICE 1040 19WC 31261 BUCH, WENDY SUNRISE RESTAURANTS LLC * 12/19/18 BISTATE INJURY LAW CENTER 1041 19WC 31416 SAPP, ERICA S LEBANON TERRACE NURSING H * 09/19/19 SANDIFER PURCHASE 1042 19WC 31488 TRIPLO, DAVID P PHILLIPS 66 * 06/25/19 JOSEPH E. HOEFERT HEYL ROYSTER VOELKER & ALLEN 1043 19WC 31509 TOMPKINS, RODNEY NATIONAL MAINTENANCE & * 04/02/19 BECKER SCHROADER & CHAPMAN 1044 19WC 31571 MULLIGAN, IAN P F-M EXTERIORS * 08/14/19 BUTLER & KEMPER 1045 19WC 31649 ELLIS, TOM M HAWKINS INC. * 06/27/19 BROWN & BROWN 1046 19WC 31673 MEYER, SHEILA THE ATRIUM OF BELLEVILLE * 08/03/19 NELSON & NELSON 1047 19WC 31691 KUPER, MICHAEL AMAZON * 08/29/19 HUSTAVA, JOHN H 1048 19WC 31709 REED, LEANNE SYCAMORE VILLAGE * 10/09/19 KATZMAN & SUGDEN LLC NYHAN BAMBRICK KINZIE & LOWR 1049 19WC 31722 CASEY, CYNTHIA C DEMOULIN BROTHERS & COMPA * 05/18/18 HARVEY & STUCKEL 1050 19WC 31747 FLEIGLE, MARK GENE'S HEATING & COOLING * 10/17/18 BROWN & BROWN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1051 19WC 31813 HENKEL, KENT CARLISLE CONSTRUCTION * 08/01/18 BROWN & BROWN 1052 19WC 31844 DAVIS, PAULA CITI TRENDS * 09/16/19 BROWN & BROWN 1053 19WC 31880 WIENEKE, DENISE KRAFT HEINZ * 04/16/19 RICH RICH COOKSEY & CHAPPE GAROFALO SCHREIBER STORM GRA 1054 19WC 31889 MC CRARY, JIMMIE KEITH PREMIER AIR CENTER, LLC * 08/15/18 MILLER, WILLIAM R LAW OFFI 1055 19WC 31893 LATINETTE, JOHN KETTLER CASTING COMPANY, * 09/20/19 JUNCKER, DANIEL K PC 1056 19WC 31907 HAYWOOD, TARA EAST ST LOUIS SCHL DIST 1 * 10/23/19 HUSTAVA, JOHN H 1057 19WC 31910 FLANAGAN, JACQUELINE BJC MEMORIAL HOSPITAL * 07/12/19 CARAWAY FISHER MATHIS MARIFIAN RICHTER 1058 19WC 32028 BEYER, JOSEPH HARRISONVILLE TELEPHONE C * 09/10/19 MCCARTHY ROWDEN 1059 19WC 32652 FAULKNER HENRICK, ADELL WALGREENS * 03/31/19 DWORKIN AND MACIARIELLO 1060 19WC 32974 SHOENBAUM, FRANK ARDENT MILLS * 09/26/19 THE DONOHOO LAW FIRM WIEDNER & MCAULIFFE LTD 1061 19WC 33067 COMPTON, STEVEN CARLISLE COMPANIES, INC. * 09/11/19 JOHNSTON LAW OFFICE KNAPP, OHL & GREEN 1062 19WC 33089 RENKEN, DAVID N CITY OF EDWARDSVILLE * 07/10/17 KEEFE & DEPAULI 1063 19WC 33133 JOHNSON, DESHALL INTEGRITY HEALTH CARE * 10/15/19 JOSEPH E. HOEFERT HENNESSY & ROACH, PC 1064 19WC 33151 MC CANDREW, SHELBI ALTON MENTAL HEALTH @ * 03/26/19 RICH RICH COOKSEY & CHAPPE 1065 19WC 33157 MADISON, RUBY ILLINOIS CENTRAL SCHL BUS * 10/16/19 SMITH ALLEN MENDENHALL ET 1066 19WC 33171 PAYNE, STEPHEN CRESTLINE HOTELS & RESORT * 02/17/19 MICHAEL J BRUNTON LAW OFFI 1067 19WC 33181 WILKEN, JOSEPH V TDK CONSULTING INC * 05/14/19 BECKER SCHROADER & CHAPMAN BRADY, CONNOLLY & MASUDA, PC 1068 19WC 33394 SCHMIDT, ALLEN O'FALLON HIGH SCHOOL DIST * 04/12/19 JUNCKER, DANIEL K PC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1069 19WC 33415 WHITFIELD, NORMA J WALMART #4695 * 07/11/19 MORMINO,VELLOFF & SNIDER EARLY & MIRANDA PC 1070 19WC 33425 MCKINNEY, SHIRLEY AFTON CHEMICAL * 10/15/19 BROWN & CROUPPEN 1071 19WC 33428 CHATHAM, CONNOR IDAHO STEELHEADS * 03/20/18 CHATHAM & BARICEVIC 1072 19WC 33440 HEMINGS, LISA VETOQUINOL * 10/07/19 RICH RICH COOKSEY & CHAPPE 1073 19WC 33495 DEVER, TRENT METRO SUPPLY * 02/01/19 BUTLER & KEMPER 1074 19WC 33551 LYNES, DANIELLE DB SCHENKER * 07/01/19 JOHNSTON LAW OFFICE 1075 19WC 33587 SHAW, DELORIS LESSIE BATES * 09/23/19 BROWN & BROWN 1076 19WC 33606 DANIELS, BRIAN R ADP TOTALSOURCE INC * 10/26/18 WIEDNER & MCAULIFFE LTD 1077 19WC 33694 BUGG, THOMAS CERRO FLOW PRODUCTS LLC * 10/19/18 COOK SHEVLIN YSURSA ET AL RUSIN & MACIOROWSKI LTD 1078 19WC 33772 FREEMAN, DAIJAH WAFFLE HOUSE * 08/14/19 KEEFE & GRIFFITHS PC EVANS & DIXON, LLC 1079 19WC 33798 RAY, KATHY MACOUPIN COUNTY PUBLIC * 06/11/19 GALANTI LAW OFFICES INMAN & FITZGIBBONS 1080 19WC 33871 CLAYPOOLE, NATHAN PRETEC DIRECTIONAL * 05/20/19 ANKIN LAW OFFICE 1081 19WC 33921 GUARDIAN, HECTOR BI STATE CONSTRUCTON SVCE * 10/10/18 THOMAS MAMER LLP 1082 19WC 34006 CAROTHERS, CINDY SOUTHWESTERN IL C.C. @ * 10/16/19 RICH RICH COOKSEY & CHAPPE 1083 19WC 34037 WASHINGTON, CHERYL SIUE HEADSTART @ * 08/26/19 HUSTAVA, JOHN H 1084 19WC 34055 BENAK, MARY BELLEVILLE SHOE MANUFACTN * 04/29/19 BUTLER & KEMPER WOLFE & JACOBSON, LTD 1085 19WC 34215 ORMESHER, JAMES T STOCK TRANSPORT * 10/29/19 SCOTT P. HOLWITT 1086 19WC 34242 HANNAH, BEVERLY CARITAS FAMILY SOLUTIONS * 09/04/19 BOYNE, KEVIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1087 19WC 34277 DESETT, NATHAN GRP MECHANICAL CO, INC * 09/25/19 GORI JULIAN & ASSOC HEYL ROYSTER VOELKER & ALLEN 1088 19WC 34288 FULLER, AISHA CHRISTIAN BROTHERS SVCS * 10/15/19 SHORT AND DAUGHERTY 1089 19WC 34326 BRAND, JEROME RELIABLE SANITATION SRVIC * 01/22/19 ROSARIO CIBELLA 1090 19WC 34655 HOOPER, TRAVIS STELLAR MANUFACTURING CO * 01/02/19 NYHAN BAMBRICK KINZIE & LOWR 1091 19WC 34707 GUSEWELLE, STEVEN CRAWFORD, MURPHY & TILLY, * 06/06/19 GOLDENHERSH & GOLDENHERSH 1092 19WC 34723 FORD, ANGELA USF HOLLAND, INC * 07/23/19 LESKERA LAW FIRM HENNESSY & ROACH, PC 1093 19WC 34745 SIMBURGER, ROY JOSEPH CASEYS GENERAL STORE #163 * 10/03/19 FREEARK HARVEY MENDILLO 1094 19WC 34780 RIDDLESPRIGER, RONICA SWAGAT HOSPITALITY, LLC * 11/04/19 BUTLER & KEMPER 1095 19WC 34833 BALL, SCOTT D.B. SCHENKER * 07/30/19 BROWN & BROWN 1096 19WC 34850 WOLFE, PAIGE ROBINGS MANOR * 10/31/19 ARMBRUSTER DRIPPS STEPHEN P. KELLY 1097 19WC 34949 LANE, FRANCYN M ST ELIZABETH CATHOLIC SCH * 10/28/19 BECKER SCHROADER & CHAPMAN MC ANDREWS & NORGLE LLC 1098 19WC 34967 BROOKINS, DARRELL MENARDS * 05/04/19 DWORKIN AND MACIARIELLO 1099 19WC 35053 KILLINGSWORTH, LOKESHA AMAZON.COM, INC * 09/30/19 KULLMAN KLEIN & DIONEDA 1100 19WC 35144 FINK, MICHAEL DEAN FOODS COMPANY * 06/04/19 COOK SHEVLIN YSURSA ET AL 1101 19WC 35198 ROSEN, JASON CROSS AUTO BODY TOWING * 11/13/19 GALANTI LAW OFFICES 1102 19WC 35313 JACKSON, TEARON RESERVE NETWORK * 09/17/19 STEVEN J MALMAN & ASSOCIAT WIEDNER & MCAULIFFE LTD 1103 19WC 35365 LUSTER, KENTRIC AMSTED INDUSTRIES, INC * 04/12/19 HENNESSY & ROACH, PC 1104 19WC 35392 MCCASKEY, DENVER ST ELIZABETH'S HOSPITAL * 02/26/18 HENNESSEY LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1105 19WC 35396 PHILLIPS, DAVID WIELAND * 11/13/19 ARMBRUSTER DRIPPS 1106 19WC 35436 FREEHILL, ANDREW H&H TRANSIT INC * 07/22/19 MILLERKING LLC 1107 19WC 35443 BOND, PATRICIA AMAZON.COM, INC * 10/10/19 BECKER SCHROADER & CHAPMAN 1108 19WC 35474 LIDDELL, JESSICA ALLIED UNIVERSAL * 11/22/19 GALANTI LAW OFFICES 1109 19WC 35482 RAKERS, KATHLEEN SOUTHERN ILLINOIS LIVING * 10/19/19 HOLTKAMP LIESE 1110 19WC 35550 KEELING, ERIC EDWARDS STEELE * 05/15/19 KIRKPARTICK LAW OFFICES 1111 19WC 35578 WHITE, KIMBERLY HELPING HANDS * 08/30/18 REED & BRUHN, PC 1112 19WC 35762 FOSTER, TAMELA DIERBERG'S MARKETS * 11/08/16 RICE LAW OFFICES LTD 1113 19WC 35781 BILLOPS-MARTIN, KENNA DISTRICT 201 * 06/26/19 COOK SHEVLIN YSURSA ET AL 1114 19WC 35812 PHILLIPS, DAWN BELLEVILLE SHOE MANIFACTU * 09/01/17 BRADY, CONNOLLY & MASUDA, PC 1115 19WC 35859 CONKLIN, JAMES INTERNATIONAL MULCH COMPA * 09/06/19 BROWN & BROWN 1116 19WC 35910 CHISM, KELVIN ARDENT MILLS * 12/20/17 GALANTI LAW OFFICES 1117 19WC 35968 KINZEL, KENNETH USIC * 10/27/19 KEEFE & DEPAULI INMAN & FITZGIBBONS 1118 19WC 36061 LOVINS, RYAN WEST STAR AVIATION * 08/15/19 DWORKIN AND MACIARIELLO 1119 19WC 36257 ZEIGLER, JAMES SUNCOKE * 05/30/19 BECKER SCHROADER & CHAPMAN 1120 19WC 36267 DUKE, DERRICK JB HUNT * 12/06/19 DWORKIN AND MACIARIELLO 1121 19WC 36285 STRAUB, JULIE MERCY REHAB AND CARE CENT * 11/29/19 HUSTAVA, JOHN H 1122 19WC 36293 TAYLOR, FRANKLIN AMSTED INDUSTRIES, INC * 03/22/18 BECKER SCHROADER & CHAPMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR COLLINSVILLE 53001 ON 01/21/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1123 19WC 36348 STUBBAN, MICHAEL WIELAND * 11/26/19 GALANTI LAW OFFICES 1124 19WC 36369 HEYEN, SUSAN ANDY'S AUTO SALES DBA * 04/15/19 SMITH ALLEN MENDENHALL ET 1125 19WC 36452 CAMPBELL, DOUGLAS SCHUETTE STORES INC * 06/01/18 HOLTKAMP LIESE 1126 19WC 36488 SANDERS, LURETHA ALTON MENTAL HEALTH CENTE @ * 11/24/19 SMITH ALLEN MENDENHALL ET 1127 19WC 36496 SHOWMAKER, WILLIAM AT&T * 03/29/19 DENNIS SHEVLIN 1128 19WC 36571 RATCLIFF, DONNA AMAZON * 11/10/19 BROWN & BROWN 1129 19WC 36633 MILLER, MICHAEL MATRIX MAC * 10/17/19 BRAD L BADGLEY PC 1130 19WC 36646 KING, MICHELLE HIGHLAND COMMUNITY UNIT * 10/03/19 NELSON & NELSON