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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 01/07/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 11WC 44027 TORRES, PATRICIA FCA MANUFACTURING 11/01/11 EFTEKHARI LAW OFFICES LLC HOLECEK & ASSOCIATES 17 12WC 08643 19B EVANS, DENNIS HOSTESS BRANDS 01/30/12 ADELSON TESTAN BRUNDO 18 12WC 16611 ANDERTON, JOSHUA ILLINOIS STATE POLICE @ 11/22/11 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 19 12WC 26080 CALCITRAI, CAROL WIDOW OF LAKE WILDWOOD ASSOICATION # 12/22/09 HEYL ROYSTER VOELKER & ALLEN 20 12WC 31334 19B WAKEFIELD, DENISE PEORIA PUBLIC SCHOOL 08/15/12 STRONG LAW OFFICE STEPHEN P. KELLY 21 13WC 14217 LOHR, TROY G MATCOR METAL FABRICATION 04/20/12 JOHN LESAGANICH 22 13WC 15679 VAN DEHY, STEVEN M P I & I MOTOR EXPRESS 12/12/12 KINGERY DURREE WAKEMAN & R 23 13WC 28294 BREDEMAN, JERRY D COOK GROUP INCORPORATED 01/09/13 STEPHEN P. KELLY HOLECEK & ASSOCIATES 14WC026648 -C 14WC026649 -C 14WC026651 -C 24 13WC 36968 19B GRIFFITH, PENNY KROGER 08/08/13 STRONG LAW OFFICE STONE & JOHNSON CHARTERED 25 13WC 41073 HUFELD, RANDY ILLINOIS REFRIGERATED TRU @ W 11/27/13 STRONG LAW OFFICE HUFF LAW OFFICES 13WC041074 -C 26 14WC 02192 MARTIN, RICK THE KROGER CO 12/10/13 KINGERY DURREE WAKEMAN O'D GANAN & SHAPIRO 27 14WC 04584 DEET, ROBERTA P PARKER HANNIFIN CORP 12/04/13 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 28 14WC 06839 CARTER, JAMES L MORTON BUILDINGS INC 01/08/14 JOHN LESAGANICH PC KNELL LAW LLC 29 14WC 11297 MITCHELL, JOHN E RIDGE & DOWNES LLC 04/04/11 JOHN LESAGANICH EVANS & DIXON, LLC 30 14WC 16347 STOCKHAM, WESLEY ST OF ILL ILLINOIS @ 03/12/14 JOHN LESAGANICH 31 14WC 20268 DONALDSON, VICKIE CATERPILLAR INC 05/16/14 WINNE LAW OFFICE LLC DARCY GIBSON 32 14WC 25179 RATTON, BRENDA CATERPILLAR INC 07/16/12 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 01/07/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 14WC 28107 MURDOCK, JENNIFER M HGS USA LLC 06/19/14 JOHN LESAGANICH HOLECEK & ASSOCIATES 34 14WC 28955 VAUGHN, AARON CATERPILLAR, INC 08/19/14 WILSON LAW OFFICES LLC DARCY GIBSON 35 14WC 29599 CONNELLY, RONDA JF ELECTRIC INC # 02/25/14 KINGERY DURREE WAKEMAN & R 36 14WC 31129 DONALDSON, VICKIE CATERPILLAR INC 07/31/14 WINNE LAW OFFICE LLC DARCY GIBSON 37 14WC 31592 CUMMINGS, RENEE CATERPILLAR INC 07/31/12 DAMON YOUNG AMANDA WATSON 38 14WC 31822 TURNER, RENEE CATERPILLAR INC 02/07/14 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 39 14WC 31826 TURNER, RENEE CATERPILLAR INC 03/05/14 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 40 14WC 32257 HILST, BRENDA DORS 05/28/14 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 16WC035453 -C STATE OF IL DEPT OF 41 14WC 32504 DONALDSON, VICKIE CATERPILLAR, INC. 12/16/09 WINNE LAW OFFICE LLC DARCY GIBSON 42 14WC 37190 19B HAMM, DALLAS PAR ELECTRIC 06/16/14 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 15WC019322 -C HENKELS & MCCOY/PAR ELECTR 15WC019323 -C 43 14WC 39526 FITSCHEN, ELIZABETH CATERPILLAR INC 06/03/13 LEE, MARK N LAW OFFICE CATERPILLAR 44 14WC 42645 BURDESS, LAURA HOERR NURSERY 09/15/14 BROWN & BROWN BRYCE DOWNEY & LENKOV LLC 15WC010422 -C 45 15WC 00609 ROBINSON, STACEY BELLA ELEVATOR 09/30/14 HOLECEK & ASSOCIATES 46 15WC 01865 LEDFORD, LAKODA M UNITED STATE INFRASTRUCTU 11/20/13 JOHN LESAGANICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 01/07/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 47 15WC 02558 19B WILLIAMS, CONTRINA PHD SERVICES 08/22/14 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 48 15WC 04414 NEVITT, NICHOLAS INTERNATIONAL SUPPLY CO 06/25/14 JAY H JANSSEN NYHAN BAMBRICK KINZIE & LOWR 15WC007587 -C 49 15WC 05335 WARD, CAMILLA MORTON TERRACE 12/07/14 STEPHENS FIDDES MCGILL ASS HEYL ROYSTER VOELKER & ALLEN 50 15WC 05787 MAXON, JANENE M APOSTOLIC CHRISTIAN HOME 01/25/15 JOHN LESAGANICH 51 15WC 07821 WISE, CONNIE MID STATE COAL CO # 09/09/14 CULLEY & WISSORE 52 15WC 08238 HAMMONS, NIGERIA M DUNKIN DONUTS/BASKIN ROBB 06/26/14 JOHN LESAGANICH 53 15WC 10797 HOLEMAN, KENNETH PEKIN PAPERBOARD 07/01/14 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 54 15WC 15145 BRANCHFIELD, JOHN T STATE OF IL @ 03/06/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 55 15WC 18763 RICHARDS, LINDA D PEORIA PUBLIC SCHOOLS DIS 09/23/14 KINGERY DURREE WAKEMAN O'D STEPHEN P. KELLY 56 15WC 19072 BRITTON, VICKIE L UNITYPOINT HEALTH - METHO 05/15/15 BENASSI & BENASSI STEPHEN P. KELLY 57 15WC 20748 ANDERSON, JENNIFER OSF ST FRANCIS MEDICAL CT 01/21/14 SCHWEICKERT & GANASSIN HINSHAW & CULBERTSON 16WC008761 -C 58 15WC 21443 CARPENTER, THORSTEN KOMATSU 08/20/14 DAMON YOUNG KNELL LAW LLC 59 15WC 21489 ERVIN, LOUIE D CATERPILLAR INC 05/04/15 ROCHFORD & ASSOC DARCY GIBSON 60 15WC 22299 GORDON, MICHAEL R TEMCO MACHINERY INC 10/10/12 JOHN LESAGANICH 61 15WC 23539 DUPAGE, JOSHUA M SCOTT BANDY D/B/A MCDONAL 07/13/15 JOHN LESAGANICH 62 15WC 25557 BROOKS, MICHAEL PEORIA FIRE DEPT 07/16/15 STEPHENS FIDDES MCGILL ASS HASSELBERG GREBE SNODGRASS 63 15WC 26792 ROBINSON, GLORIER PEORIA SCHOOL DISTRICT 15 01/05/15 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 01/07/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 64 15WC 27585 KRAFT, JESSICA CATERPILLAR 07/23/15 STEPHENS FIDDES MCGILL ASS DARCY GIBSON 65 15WC 27962 19B NATHAN-HUGHES, STACEY PEORIA COUNTY 06/20/15 GOLDFINE & BOWLES STEPHEN P. KELLY 15WC027963 -C 66 15WC 28635 NIGHSWANGER, EHRIN M LOWE'S COMPANIES INC 05/07/15 JOHN LESAGANICH KEEFE CAMPBELL & ASSOC LLC 67 15WC 29788 HYATT, CANDY FARM & FLEET 03/13/15 MEYERS & FLOWERS WOLFE & JACOBSON, LTD 68 15WC 31442 BUTLER, SHAUN R TRIPLETT LAWN & LANDSCAPI 08/03/15 BACH, ROBERT W QUINN JOHNSTON HENDERSON ETA 69 15WC 31983 HAVENS, FRANKLIN DAVID VAUGHN & BUSHNEEL MFG 07/15/15 GOLDFINE & BOWLES HEYL ROYSTER VOELKER & ALLEN 70 15WC 38290 ESSEX, ANGELA PILLAR HOTELS D/B/A 09/11/15 JOHN LESAGANICH LAW OFFICES FRANCESCA LARSEN 71 16WC 01815 VARGAS, VERONICA MCDONALDS CLARK 01/20/13 INMAN & FITZGIBBONS 72 16WC 03629 WOLLACK, DALE CATERPILLAR INC 01/26/15 MEYERS & FLOWERS AMANDA WATSON 73 16WC 03691 FORD, KENNETH GROWMARK DBA SUNRISE 07/09/15 JAY H JANSSEN 74 16WC 05138 BRYSON, SHIRLEY HAWKINS MINE CONSTRUCTION # 04/17/14 CULLEY & WISSORE 75 16WC 05353 CROOKS, SEAN FREEMONS TREE & LOG SERVI W 06/15/15 KRISTINA D DION 76 16WC 05570 BROWN, DALE CATERPILLAR INC 04/11/15 AMANDA WATSON 77 16WC 06690 BARBSON, JEFFERY A KEYSTONE STEEL & WIRE CO 06/24/15 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 78 16WC 07436 STONE, DONALD HEINZ BROTHERS TRUCKING 08/20/15 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 79 16WC 07724 SHARKEY, THEODORE PNG, INC 02/09/16 WARREN E DANZ, PC SCOPELITIS GARVIN LIGHT 80 16WC 11776 STAHL, LYNN M BOYD GAMING D/B/A PAR-A-D 04/01/16 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 81 16WC 13697 DIXON, RICCO T GREATER PEORIA MASS TRANS 04/08/16 HARVEY & STUCKEL QUINN JOHNSTON HENDERSON ETA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 01/07/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 82 16WC 13930 DAVIS, MARCUS GOLDEN CORRAL 03/03/16 83 16WC 13947 ROBINSON, GLEN CATERPILLAR, INC. 03/31/16 JOHN LESAGANICH CATERPILLAR 84 16WC 17820 WEAVER, SEAN CATERPILLAR, INC 05/23/16 JOHN LESAGANICH AMANDA WATSON 85 16WC 18024 MC QUAID, TAMMIE S. CATERPILLAR INC. 06/02/16 WINNE LAW OFFICE LLC CATERPILLAR, INC. 86 16WC 20902 MILROY, TIMOTHY D STAET OF IL CMS @ 03/08/16 JOHN LESAGANICH KRISTINA D DION 87 16WC 20962 JOHNSON, RICKY EDDIE FREEMON JR & EDDIE W 05/18/16 WARREN E DANZ, PC LAW OFFICE OF CHRIS DOSCOTCH 88 16WC 22040 LLOYD, BRYAN CATERPILLAR, INC. 02/21/14 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR, INC. 89 16WC 22245 INOCENCIO, ALFONSO JR INTERNATIONAL UNION OF 04/07/16 LAW OFFICE DAVID HUNT LAW OFFICES STEVEN PILAND 18WC033713 -C 90 16WC 22747 ORR, SARA M CATERPILLAR, INC 07/24/13 WINNE LAW OFFICE LLC CATERPILLAR 91 16WC 23759 STOVALL, JESSIE H DUST PATROL INC 06/24/16 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 92 16WC 26221 BAILEY, BRETT ROAD SAFE 02/12/16 CUSACK FLEMING GILFILLAN E CRAIG A HANSEN 93 16WC 27175 19B MUDD, CHARLES GRIMM EXPRESS DELIVERY 02/01/16 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 026 16WC017489 -C 94 16WC 27323 BUYSSE, NINA M OSF ST FRANCIS MED CTR 45 04/18/16 JOHN LESAGANICH HINSHAW & CULBERTSON 95 16WC 29922 GRAY, DANIEL STATE OF IL, IDOC IL RIVE @ 10/06/15 REHN LAW LLC KRISTINA D DION 96 16WC 30342 SIEGEL, VICTOR L RAGLAND COMPANIES INC. 10/17/13 JOHN LESAGANICH 97 16WC 30657 CULBERSON, BERNICE FAYETTE COMPANIES HUMAN @ 09/22/16 WINNE LAW OFFICE LLC STEPHEN P. KELLY 98 16WC 31729 SPANI, MICHAEL JOHN AS AD CATERPILLAR INC 12/13/10 STEPHEN P. KELLY CATERPILLAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 01/07/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 99 16WC 32294 VILLARREAL, JASON PEORIA AWNING CO 12/18/14 100 16WC 32770 BERLIN, BRYAN CITY OF PRINCETON 11/02/14 RUSIN & MACIOROWSKI LTD 16WC032776 -C 101 16WC 33876 VIGNASSI, TERRY ST OF IL/ DEPT OF PUBLIC @ 07/11/16 CUSACK FLEMING GILFILLAN E KRISTINA D DION 102 16WC 37360 HENRICKS, RONALD THE ARCHER DANIELS MIDLAN 11/10/15 LEFANTE LAW OFFICES FEATHERSTUN GAUMER POSTLEWAI 103 16WC 37403 MALINOWSKI, GARY COX TRANSFER 11/30/16 STEPHEN P. KELLY GANAN & SHAPIRO 104 16WC 37803 BOCKLER, DEBRA AMERICAN AIRLINES 12/05/16 GOLDFINE & BOWLES GAROFALO SCHREIBER STORM GRA 16WC039183 -C 105 17WC 02819 BOKESCH-PARSONS, CHARLENE PEORIA SCHOOL DISTRICT 15 @ 10/07/16 KANOSKI BRESNEY STEPHEN P. KELLY 106 17WC 03009 VONDERHEIDE, BRETT CITY OF PEORIA 09/19/14 STEPHEN P. KELLY 107 17WC 05035 ROMESBURG, GREGORY L RILEY'S TRUCKING 03/03/14 DOC HALLIDAY 108 17WC 05067 RANDLE, BARBARA UNITED GROUND EXPRESS INC 12/19/16 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 109 17WC 06664 VONDERHEIDE, APRIL HOPEDALE MEDICAL COMPLEX 11/16/16 LAW OFFICE OF CHRIS DOSCOT SLAVIN & SLAVIN 110 17WC 07635 DYNES, STEVEN R NEAL AUTO PARTS INC 02/02/17 DAMON YOUNG EVANS & DIXON 111 17WC 08140 SHIPLA, JOHN M GLOBAL SECURITY SERVICES 02/18/17 KELLY LAW 112 17WC 08803 19B HAUN, KEITH ALTORFER INC 10/31/16 DAVID HUNT HENNESSY & ROACH 113 17WC 09020 BOSECKER, GINA MASSAGE ENVY 12/20/16 LAW OFFICE DAVID HUNT 114 17WC 09339 POLNITZ, EVESTER LONG JOHN SILVER'S 01/05/17 STRONG LAW OFFICE CAPUANI & SCHNEIDER 115 17WC 09548 KIRBY, TERI CATERPILLAR 02/17/17 STEPHENS FIDDES MCGILL ASS CATERPILLAR 116 17WC 10238 SANDLIN, MELISSA BRADLEY UNIVERSITY 05/25/16 STEPHENS FIDDES MCGILL ASS HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 01/07/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 17WC 10420 RILEY, KARLA BIG DADDY CAB 02/24/17 DAMON YOUNG 118 17WC 11273 PRINCE, LARRY HAYES MECHANICAL, LLC 03/28/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 119 17WC 12233 LOBELLO, KATHY CATERPILLAR 11/03/16 GOLDFINE & BOWLES AMANDA WATSON 120 17WC 12422 MYRICK, DAVID CATERPILLAR, INC 04/09/17 JAY H JANSSEN AMANDA WATSON 121 17WC 12745 MANN, MELISSA KROGER 03/30/17 STRONG LAW OFFICE STONE & JOHNSON CHARTERED 122 17WC 14128 BRISTOL, ASHLEY BARTLETT MANAGEMENT DBA K 03/07/17 STRONG LAW OFFICE 123 17WC 14264 LEACH, PAULA J OLIVE GARDEN USA 03/05/16 STEVEN P GLANCY WIEDNER & MCAULIFFE LTD 124 17WC 14378 PARKS, CINDY L UNITY POINT HEALTH METHOD 12/16/16 JOHN LESAGANICH STEPHEN P. KELLY 125 17WC 14893 LEMON-ELLIS, SHAMEIKA BICKFORD COTTAGE 04/01/17 STEPHENS FIDDES MCGILL ASS 126 17WC 15005 FERRIS, MICHAEL HY-VEE 05/03/17 GOLDFINE & BOWLES QUINN JOHNSTON HENDERSON ETA 127 17WC 17272 MAYES, DANNY PEORIA SCHOOL DISTRICT 15 04/03/17 CUSACK GILFILLAN & O'DAY STEPHEN P. KELLY 128 17WC 17893 MORELAND, KEVIN HALVERSON CONSTRUCTION CO 07/06/07 WILLIAMS & SWEE 129 17WC 17955 HELD, MICHAEL CATERPILLAR INC 08/25/16 AMANDA WATSON 130 17WC 18334 MCKENRICK, JOSH CLASSY GRASS 05/26/17 131 17WC 20434 BROWN, DARRELL BIG LOTS 06/12/17 STRONG LAW OFFICE LITCHFIELD CAVO 132 17WC 21420 SCOTT, SHERMAN CATEPILLAR 03/16/17 STRONG LAW OFFICE AMANDA WATSON 17WC024158 -C CATERPILLAR 133 17WC 21671 HARRIS, RONNIE HAYES MECHANICAL LLC 06/21/17 JOHN LESAGANICH GAROFALO SCHREIBER STORM GRA 134 17WC 24066 HENDERSON, MARK MCDONALDS 05/28/17 DAMON YOUNG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 01/07/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 135 17WC 24184 WALLIN, RAYMOND C YETTER MANUFACTURING COMP 10/07/14 KANOSKI BRESNEY LIVINGSTONE MUELLER ET AL 136 17WC 26115 WYDAJEWSKI, LEONARD CATERPILLAR, INC 12/14/15 LAW OFFICE DAVID HUNT CATERPILLAR, INC. 137 17WC 26954 ANDERSON, CHRISTOPH M NTN-BOWER CORPORATION 11/22/16 WIEDNER & MCAULIFFE 138 17WC 27034 WELLER, TROY PRAIRIE FARMS DAIRY INC 07/21/17 LAW OFFICE DAVID HUNT KNAPP, OHL & GREEN 139 17WC 27679 JACKSON, RICHARD PEORIA PARK DISTRICT 08/22/17 KANOSKI BRESNEY HENNESSY & ROACH PC 140 17WC 28317 JOHNSON, VERNON DELTA GLOBAL STAFFING 02/23/17 STRONG LAW OFFICE KNELL LAW LLC 141 17WC 28363 GOOD, NATHAN BEAUMONT SMALL ANIMAL CLI 07/05/17 LEFANTE LAW OFFICES LAW OFFICE OF PAUL O WATKISS 142 17WC 29154 YEAGER, DAVID CITY OF PEORIA 01/11/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 143 17WC 29871 BUGOS, TADD SPOON RIVER COLLEGE DIST 09/22/17 JOHN LESAGANICH GANAN & SHAPIRO 144 17WC 30018 DONALDSON, VICKIE CATERPILLAR INC 04/14/15 WINNE LAW OFFICE LLC AMANDA WATSON 145 17WC 30101 BUSS, ANDREA V UNITY POINT URGENT CARE P 04/03/17 SGRO HANRAHAN DURR RABIN STEPHEN P. KELLY 146 17WC 30147 UPP, THERESA CORNERSTONE FAMILY RESTAU 05/16/17 ESSIG LAW OFFICES 147 17WC 30746 PHILLIPS, WILMA DCX-CHOL ENTERPRISES, INC 03/08/17 LAW OFFICE MARK WERTZ HOLECEK & ASSOCIATES 148 17WC 30827 MALONEY, SANDRA OSF ST FRANCIS 06/20/17 JAY H JANSSEN HINSHAW & CULBERTSON 149 17WC 31442 FARGHER, SHEA UNITY POINT - PROCTOR 10/09/17 STRONG LAW OFFICE STEPHEN P. KELLY 150 17WC 32116 LACEY, DANILLE MASON DISTRICT HOSPITAL 09/01/17 STRONG LAW OFFICE STEPHEN P. KELLY 18WC036229 -C 151 17WC 32281 HARMON, SHELLY KROGER 06/25/17 GOLDFINE & BOWLES STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 01/07/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 152 17WC 32694 BARCALY, DAVID HAGERTY STEEL & ALUMINUM 08/25/17 STEPHEN P. KELLY POULOS & DIBENEDETTO LAW 153 17WC 33496 KIESER, SANDRA METHODIST HOME CARE 08/19/17 STRONG LAW OFFICE STEPHEN P. KELLY 18WC015396 -C 154 17WC 33985 19B AESCHLIMAN, TIM CHARLES RIVER LABORATORIE 06/26/16 LAW OFFICE DAVID HUNT RUSIN & MACIOROWSKI LTD 155 17WC 34042 EVANS, TYRON IDOT 04/23/17 LAW OFFICE OF CHRIS DOSCOT ASSISTANT ATTORNEY GENERAL 156 17WC 34677 PORTER, CHRISTINE SHARON HEALTHCARE-PINES 10/24/17 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 157 17WC 35640 SIMMONS, HAROLD WAYNE KEYSTONE STEEL & WIRE CO 09/14/17 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 158 17WC 35964 MCCLANAHAN, RONNIE KEYSTONE STEEL & WIRE 11/14/17 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 159 17WC 37971 WHITMAN, CASSANDRA J.D. BYRIDER 09/01/17 WARREN E DANZ, PC 160 18WC 00171 BRIDSON, DONALD STATE OF IL @ 12/05/17 RIDGE & DOWNES ASSISTANT AT0TORNEY GENERAL 161 18WC 00704 HARDWICK, JENNIFER WAL-MART #5157 12/15/17 JOHN LESAGANICH GANAN & SHAPIRO 18WC031047 -C 162 18WC 02166 BAKER, TERESA MASSAGE ENVY 01/08/18 LAW OFFICE DAVID HUNT WIEDNER & MCAULIFFE LTD 163 18WC 02642 SMITH, MATTHEW RMH FOODS 01/11/18 STRONG LAW OFFICE EVANS & DIXON 164 18WC 02806 DIMMITT, MARY JO MCDONOUGH DISTRICT HOSPIT 09/09/17 LAW OFFICE DAVID HUNT INMAN & FITZGIBBONS 165 18WC 03273 FRANK, GLENDA OSF HOME CARE SERVICES 11/06/17 GOLDFINE & BOWLES HINSHAW & CULBERTSON 166 18WC 03466 HOLSTED, STEVEN DOUGLAS NAUVOO-COLUSA COMMUNITY U @ 08/31/15 LOGAN LAW 167 18WC 03775 KIRKBRIDE, SHARON CATERPILLAR, INC. 10/27/17 DAMON YOUNG AMANDA WATSON 168 18WC 04251 NAVA, SHAWN GREATWIDE TRUCKLOAD MANAG 02/16/15 MEYER CAPEL, PC BRADY CONNOLLY & MASUDA PC 169 18WC 04430 LARSON, HANK NTN BOWER CORPORATION 12/01/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 01/07/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 170 18WC 04602 WRIGHT, MELISSA OSF ST FRANCIS 01/15/18 HINSHAW & CULBERTSON 171 18WC 04692 GALLION, OLA PEORIA PUBLIC SCHOOL 12/13/17 CUSACK FLEMING GILFILLAN E STEPHEN P. KELLY 172 18WC 05806 JONES, DAVID ROANOKE CONCRETE PRODUCTS 11/14/17 JOHN LESAGANICH EVANS & DIXON 173 18WC 05837 MORRIS, BOBBY D CATERPILLAR, INC 06/16/16 HASSELBERG GREBE SNODGRASS AMANDA WAT0SON 174 18WC 05846 LOFTON, KYLER THE SEDONA GROUP D/B/A 01/31/18 QUINN JOHNSTON HENDERSON ETA 175 18WC 05849 FARSON, CODY CATERPILLAR INC 12/12/17 JOHN LESAGANICH AMANDA WATSON 176 18WC 05992 SKINNER, RITA HELP AT HOME 02/14/18 STRONG LAW OFFICE INMAN & FITZGIBBONS