ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 05WC 31501 CARDINAL, VICTORIA CADBURY ADAMS 04/22/05 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 2 07WC 44057 EICKHORST, SALLY ST OF IL DEPARTMENT OF @ 05/02/06 BLACK & JONES ASSISTANT ATTORNEY GENERAL 3 07WC 55626 NOVAK, JENNY FCA US LLC 09/25/07 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 4 08WC 51717 MURRAY, DANNA STREANWOOD BEHAVORAL HEAL 08/05/08 BLACK & JONES RIPES, NELSON, BAGGOT & 5 09WC 08213 19B DAHL, JAY D HIGHLAND CHEMICAL INC 10/23/08 GREG TUITE & ASSOC CAPUANI, FRANK S 6 09WC 37829 DEWEY, DANIEL IL DEPT OF TRANSPORTATION @ 05/27/09 BLACK & JONES ASSISTANT ATTORNEY GENERAL 7 10WC 19643 VIENS, MARONDA J CHRYSLER GROUP LLC 09/03/08 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 10WC019644 -C 10WC019645 -C 12WC031226 -C 12WC031227 -C 8 10WC 39505 BROWN, MARLEAN WINNEBAGO COUNTY 06/28/10 DWORKIN AND MACIARIELLO WILLIAMS MCCARTHY LLP 9 10WC 48895 WILLIAMS, TAMMY OFS ST ANTHONY HOSPITAL 09/24/10 BLACK & JONES HINSHAW & CULBERTSON 10 11WC 18514 JONES, GREGORY O NISSON FORKLIFT CORP 11/05/10 ALEXANDER, PETER LTD. WIEDNER & MCAULIFFE LTD 11WC018515 -C 11 11WC 19946 LANGERUD, MARY J FAIRHAVEN CHRISTIAN HOME 12/14/10 GREG TUITE & ASSOC PERRY GENTILE 12 11WC 47641 BROWN, EDITH TESTORS CORP 08/01/11 BLACK & JONES 13 12WC 01307 LYNDE, CHARLES CITY OF LOVES PARK POLICE 08/15/08 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 12WC 11779 ORTIZ, JOSEPH SYNCREON 02/16/12 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 14WC004881 -C 14WC004882 -C 14WC008163 -C 15 12WC 16966 FLORENTINE, FRANK WIRTZ BEVERAGE IL 08/01/11 SHELDON I MINKOW & ASSOCIA NYHAN BAMBRICK KINZIE & LOWR 12WC016967 -C 12WC016968 -C 13WC001652 -C 13WC017108 -C 16 12WC 33843 FALZONE, JOHN A DOUG'S PLOWING & GROUNDS W 06/22/12 ALEXANDER, PETER LTD. 17 12WC 36518 SAUNDERS, PAULETTE ROCKFORD BOARD OF EDUCATI 06/04/12 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 18 12WC 37527 HUEY, SARAH ON BEHALF OF ST OF IL DEPT OF SINGER 10/03/11 BLACK & JONES ASSISTANT ATTORNEY GENERAL 13WC004313 -C SINGER STATE OF IL 13WC030281 -C 19 12WC 44534 JEFFERSON, TASHA R INTERNATIONAL AUTOMOTIVE 10/09/12 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 20 13WC 03675 NEWMAN, MICHAEL CARLSON HEATING, COOLING 06/19/12 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 17WC027890 -C 21 13WC 04020 DELAROSA, TAMMY T CHRYSLER, LLC 07/24/12 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 22 13WC 10337 19B MEDWED, DAVE CHEMTOOL INC 06/30/12 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK 23 13WC 11898 RIVERA, OFELIA JOB NETWORK 01/28/13 GESMER LAW OFFICES, PC LEAHY EISENBERG & FRAENKEL 24 13WC 19767 LOPEZ, BERTHA R & H LAUNDROMAT & DRY 05/13/13 GREG TUITE & ASSOC RUSIN & MACIOROWSKI LTD 25 13WC 35730 JORDAN, LISA MONDELEZ INTERNATIONAL 08/23/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 26 13WC 36816 BRASHER, DANA STREAMWOOD BEHAVIORAL HEA 08/05/08 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 27 14WC 06757 STINSON, BRANDFORD A & B FREIGHT LINE, INC 07/31/13 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 28 14WC 10844 WHITMORE, JOANNA M BYRON SCHOOL DISTRIC #226 01/30/14 OWENS & LAUGHLIN LLC NYHAN BAMBRICK KINZIE & LOWR 18WC016475 -C 29 14WC 16969 RICHARDSON, MARIA BERGSTROM INC 04/21/14 BLACK & JONES WOLFE & JACOBSON, LTD 30 14WC 19734 NGUYEN, HA HAMILTON SUNDSTRAND 08/01/13 BLACK & JONES RUSIN & MACIOROWSKI LTD 31 14WC 21577 PICHE, KAYCEE PACKAGING COORDINATORS IN 06/10/14 GREG TUITE & ASSOC HEYL ROYSTER VOELKER & ALLEN 14WC021578 -C 14WC021579 -C 32 14WC 21924 HAHN, NICOLE GENERAL MILLS INC 03/03/14 BLACK & JONES PAUL A COGHLAN & ASSOC 33 14WC 22069 SELOVER, MARTIN GKN ROCKFORD INC 08/09/11 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 34 14WC 22540 CADWELL, JOHN E UNIVERSITY OF ILLINOIS 02/28/14 GREG TUITE & ASSOC HEYL ROYSTER VOELKER & ALLEN 35 14WC 25421 ROSS, JAMIE CHRYSLER CORP 07/01/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 14WC025422 -C 15WC018315 -C 36 14WC 25429 GARCIA, MARISELA ERIE FOODS INTERNATIONAL 12/26/13 BLACK & JONES HOLECEK & ASSOCIATES 37 14WC 25554 MORRIS, THERESA (WIDOW PETRO TECH HAULING INC # 03/20/06 NASH LAW OFFICE PC EVANS & DIXON 38 14WC 26708 MENDOZA, JOSE METALS USA 01/22/14 BOTTO GILBERT GEHRIS POULOS & DIBENEDETTO LAW 16WC017946 -C 39 14WC 29364 STAHL, DALE GATEHOUSE MEDIA 07/15/14 THOMAS L NASH PC WIEDNER & MCAULIFFE LTD 14WC042607 -C GATE HOUSE MEDIA D/B/A 40 14WC 34212 IRVIN, KELLY BREAKERS SALOON & EATERY 06/25/12 BLACK & JONES 41 14WC 36592 BUNTON, LLONA BLAIN'S FARM & FLEET 08/03/14 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 42 14WC 37539 RINGEL, MICHAEL M MID STATES CONCRETE INDUS 09/04/14 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 43 14WC 39511 FLETCHER, JAMES WINNEBAGO COUNTY HWY DEPT 02/28/14 BLACK & JONES WILLIAMS MCCARTHY LLP 44 14WC 40690 CUPLIN, STEVEN R CHRYSLER LLC 10/15/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE 45 14WC 42628 FIELDS, WADE E CASSENS TRANSPORT 10/09/14 FRANKS, GERKIN & MCKENNA P KNAPP, OHL & GREEN 14WC042629 -C 46 14WC 43138 CACCIATORE, JENNIFER L ILLINOIS DCFS @ 02/21/14 CACCIATORE, WILLIAM T ASSISTANT ATTORNEY GENERAL 15WC019992 -C STATE OF IL, DEPT OF 47 14WC 43334 MANUEL, NIEVES AEROTEK 11/17/14 JAMES ELLIS GUMBINER & ASS LITCHFIELD CAVO 48 15WC 00689 POWELL, MARK LOU BACHRODT AUTO MALL 09/04/13 BLACK & JONES RUSIN & MACIOROWSKI LTD 49 15WC 07267 JENNINGS, MICHAEL ROEHL TRANSPORT 12/28/14 DAVID W MARTAY CACCHILLO LAW GROUP LLC 50 15WC 08316 LEBER, JONATHAN F CARRIER COMMERCIAL 05/15/13 GREG TUITE & ASSOC RUSIN & MACIOROWSKI LTD 15WC038479 -C 51 15WC 09361 LUKE, CAROL STATE OF IL-DORS @ 02/17/15 BLACK & JONES ASSISTANT ATTORNEY GENERAL 52 15WC 09415 MCALLISTER, CINDY ELGIN MENTAL HEALTH CENTE 01/19/15 BLACK & JONES ASSISTANT ATTORNEY GENERAL 53 15WC 09940 HERBST, CINDY HAMILTON-SUNDSTRAND UTC 02/20/15 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 15WC010001 -C 54 15WC 10169 CHRISTIANSEN, WANDA J UNITED TECHNOLOGIES CORP 08/22/13 FRANCINE B WHITE RUSIN & MACIOROWSKI LTD 15WC010170 -C 16WC017527 -C 55 15WC 17272 DE VLIEGER, LAURIE A ROCKFORD MASS TRANSIT DIS 05/06/15 GREG TUITE & ASSOC WILLIAMS MCCARTHY LLP 56 15WC 17504 SEVERSON, PAUL NORTHWEST PALLETT SUPPLY 12/10/14 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 57 15WC 17951 KULJANIN, MILOMIR MEGA EXPRESS 11/20/13 BLACK & JONES SCOPELITIS GARVIN LIGHT 58 15WC 17952 ROBLES TRETO, NOEL JESSICA FARTH GARCIA D/B/ W 03/12/15 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 59 15WC 17953 ALLEN, GREGORY STATE OF IL @ 02/13/15 BLACK & JONES ASSISTANT ATTORNEY GENERAL 60 15WC 18273 JAMES, JIMMY A STERLING FARM & FLEET INC 05/03/14 GREG TUITE & ASSOC WOLFE & JACOBSON, LTD 61 15WC 20523 CHANTHAPHONE, SONENALINH CITY OF ROCKFORD FIRE DEP 12/05/14 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 15WC022058 -C 16WC009683 -C 17WC014266 -C 62 15WC 22443 GALBO, JASON GILLS FREEPORT DISPOSAL 01/08/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 63 15WC 23194 SANDERS, SCOTT LIEBOVICH CUSTOM FABRICAT 09/03/14 GESMER & REYNOLDS PC POULOS & DIBENEDETTO LAW 64 15WC 24249 HADUCA-DIECKHOUS, PREDICA ROCKTON SCHOOL DISTRICT 1 05/07/14 SCHWEICKERT & GANASSIN LAW OFFICES JOSEPH MARCINIAK 65 15WC 25221 BILLINGSLEY, BARBRA CHRYSLET LLC 06/12/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 15WC025222 -C 66 15WC 26402 STEVENS, LAKRISHA IAC MANAGEMENT, LLC 12/17/14 BLACK & JONES GANAN & SHAPIRO 67 15WC 28563 MC GUIRE, CHARLES L. ROCKFORD BOARD OF EDUCATI 07/28/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 68 15WC 29216 MARTIN, DANIEL T CITY OF ROCKFORD 07/21/15 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 69 15WC 29470 ARTEAGA, CLAUDIO MODERN SUSPENSION SYSTEMS 02/14/14 GESMER LAW OFFICES, PC HENNESSY & ROACH PC 70 15WC 33863 NEVAREZ, XHAVIER OAKLEY SUB ASSEMBLY 05/26/15 MARTIN V KUGIA 71 15WC 34186 HOLLIMAN, ROSE M ANDROID INDUSTRIES 09/10/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 72 15WC 34772 VERVINCK, SAMANTHA MCDONALDS 03/26/15 GESMER LAW OFFICES, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 73 15WC 36592 LIEBER, STACY HEALTHPORT 08/31/15 BLACK & JONES THOMAS & PORTELA 15WC036593 -C 74 15WC 41706 MICHALSEN, JULIE CITY OF ROCKFORD 12/01/14 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 15WC041707 -C 75 15WC 41709 JOHNSON, JONNY BARNES INTERNATIONAL 10/02/14 BLACK & JONES 76 16WC 01458 SEAS, SHARLEEN ILLINOIS STATE POLICE @ 04/27/15 RIDGE & DOWNES ASSISTANT ATTY GENERAL 77 16WC 04134 STRONG, JOHN METALS USA 11/14/15 BLACK & JONES POULOS & DIBENEDETTO LAW 78 16WC 05206 CARTER, HENRY GE AVIATION SYSTEMS LLC 03/25/15 MARKS INJURY LAW RUSIN & MACIOROWSKI LTD 79 16WC 06089 GRAHAM, CHARLENE BCBS OF IL 03/27/15 BLACK & JONES LAW OFFICES STEPHEN CARTER 16WC025257 -C 80 16WC 06717 GRIFFIN, THOMAS A TOMERMO INC 02/03/16 TUITE LAW ROSARIO CIBELLA 81 16WC 07104 LAWSON-ROSS, BECKY PACKAGING COORDINATORS IN 10/23/15 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 82 16WC 07179 PEYTON, CARA IAC BELVIDERE CROSSLINK A 10/14/15 WOODRUFF & JOHNSON GANAN & SHAPIRO 83 16WC 09513 OSTRANDER, SEAN GRUPO ANTOLIN 03/04/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 84 16WC 09540 SANCHEZ, DONNELL NVUS METALS, INC. 02/17/16 RICHARD O. GREENFIELD THOMAS & PORTELA 85 16WC 11953 MENDEZ, CASSIE F SWEDISH AMERICAN HOSPITAL 07/22/15 ANKIN LAW OFFICE WILLIAMS MCCARTHY LLP 86 16WC 13448 RODRIGUEZ, MARY A ROSECRANCE HEALTH NETWORK 02/01/14 THE ROMAKER LAW FIRM POWER & CRONIN LTD 87 16WC 14696 LOFT, JOHN STATE OF ILLINOIS @ 10/06/14 VANDERGINST LAW PC ASSISTANT ATTY GENERAL 88 16WC 15424 GREEN, PAULA STATE OF IL DORS 04/18/16 BLACK & JONES ASSISTANT ATTY GENERAL 89 16WC 15624 FAVRETTO, WILLIAM ROCKFORD MASS TRANSIT 04/13/16 WHITESIDE & GOLDBERG LTD POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 16WC 15747 REYES, MARGARITA TH FOODS, INC. 07/07/15 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 91 16WC 15939 TREVINO, GONZALO (DECEASE WASTE CONNECTIONS # 04/28/16 BLACK & JONES SPIEGEL & CAHILL, PC 92 16WC 16129 MCWILLIAMS, WILLIAM T. ROCKFORD MASS TRANSIT DIS 04/06/16 LEE, MARK N LAW OFFICE 93 16WC 16427 19B COLLETTI, MARIA ROCKFORD PARK DISTRICT 04/23/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 94 16WC 16830 CROPPER, ROBERT FISCHER EXCAVATING INC 03/27/11 GESMER & REYNOLDS PC 95 16WC 17569 DAVIS, OKIE SWEDISH AMERICAN 07/02/15 NEWLAND & NEWLAND WILLIAMS MCCARTHY LLP 96 16WC 20440 WYNER, ERIC J LOU BACHRODT CHEVROLET 07/17/15 RICHARD E ALEKSY GANAN & SHAPIRO 97 16WC 20453 GENANDT, SUSAN CORNERSTONE CREDIT UNION 02/16/16 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 98 16WC 20636 PRESLEY, COURTNEY CITY OF ROCKFORD POLICE D 03/31/15 NASH LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 99 16WC 20884 GRIFFIN, EDWYNNE M ARAMARK UNIFORM & 02/26/16 TUITE LAW WIEDNER & MCAULIFFE LTD 100 16WC 21176 JIMENEZ, LUIS R FIAT CHRYSLER AUTOMOBILES 06/28/14 JACOBSON & SCHIEFELBEIN WIEDNER & MCAULIFFE LTD 101 16WC 21513 LARSON, ROBBY SYCREON 04/25/16 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM GRA 16WC023091 -C SYNCREON 102 16WC 21539 PARHAM, STUDGE GRUPO ANTOLIN 06/16/16 KATZ FRIEDMAN EAGLE ET AL 103 16WC 22243 FOAT, KATASHA APAC 10/04/15 CHASE & WERNER LTD HENNESSY & ROACH PC 104 16WC 22567 BROWN, TONYA MENARDS 10/05/15 BLACK & JONES CHILTON YAMBERT PORTER LLP 105 16WC 22589 KUZIORA, TOMASZ FCA US LLC 04/11/16 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 16WC022590 -C 106 16WC 22593 SINGLETON, CHERYL L ANDROID INDUSTRIES 07/09/16 KATZ FRIEDMAN EAGLE ET AL 107 16WC 24066 RYLATT, JULIE A. STATE OF ILLINOIS DEPT. O @ 07/22/16 TUITE LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 108 16WC 25839 MOORE, WILLIAM J ABLE BUILDING MAINTENANCE 10/27/15 ALEXANDER, PETER LTD. MICHAEL JASPER 109 16WC 26546 WATTS, WILLIAM B WESLEY WILLOWS CORPORATIO 05/27/16 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 110 16WC 28098 STORM, GRAIL L CONSERV FS, INC 12/30/15 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 111 16WC 28594 JOINER, FELICIA MAPLE CREST CARE CENTER 08/25/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 18WC001539 -C NORTHWOODS NURSING HOME 112 16WC 29813 NEWHAUFEN, BEVERLY HENREY GENERAL MILLS 04/29/16 MARTIN V KUGIA PAUL A COGHLAN & ASSOC 16WC031283 -C 113 16WC 29950 PARRA, LETICIA EBERSPAECHER 08/28/15 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 114 16WC 30222 READER, ROBERT L WINNEBAGO COUNTY HIGHWAY 04/04/16 TUITE LAW 115 16WC 30449 DRIVER, JENNIFER DEPT OF REHAB SVC @ 09/09/14 GESMER LAW OFFICES, PC HELEN LOZANO 116 16WC 30523 PETSCH, JOSEPH LANE'S AUTO SERVICE, INC 09/09/16 GESMER & REYNOLDS PC ROSARIO CIBELLA 117 16WC 31447 GONZALEZ-GARIBAY, PEDRO GRJ TRUCKING 05/12/16 GESMER & REYNOLDS PC 118 16WC 32659 PHILLIPS, VANESSA ALDI 06/10/16 MARTIN V KUGIA BRADY CONNOLLY & MASUDA PC 17WC022018 -C 119 16WC 33205 GUSTAFSON, JEFFREY R CITY OF ROCKFORD 04/05/16 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 120 16WC 34032 COKE, JONATHAN NATIONAL TECHNICAL SYSTEM 10/20/15 RUSIN & MACIOROWSKI LTD 121 16WC 34136 MCNAB, SEAN NOODLES & COMPANY 10/25/16 DWORKIN AND MACIARIELLO 122 16WC 34591 STOREY, RHONDA AJ KENT, INC D/B/A 09/17/13 TUITE LAW HENNESSY & ROACH PC 123 16WC 35243 BOONE, D'EVYRON CITY OF ROCKFORD POLICE D 07/24/16 NASH LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 124 16WC 35416 FERRIERO, BENN ST LOUIS BLUES 01/24/15 WOLFE LAW PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 125 16WC 38031 MATTI, ALIN OCEAN BLUE TRUCKING INC 11/21/16 DWORKIN AND MACIARIELLO 126 16WC 38129 SALLIS, SUMMER IAC 11/10/16 BLACK & JONES 127 17WC 01382 MACK, JOHN FOLKERTS MANUFACTURING 11/07/16 128 17WC 01847 GUSTAFSON, JULIE ROCKFORD HEALTH SYSTEM 06/12/15 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 129 17WC 02302 VAZQUEZ, JOHNNY CITY OF ROCKFORD POLICE D 10/23/16 THOMAS L NASH PC HEYL ROYSTER VOELKER & ALLEN 130 17WC 02533 JONES, BRENDA HERITAGE WOODS 12/28/16 BLACK & JONES POWER & CRONIN LTD 131 17WC 02733 MOLINA, MARCO COLON'S RESALE SHOP 11/25/16 132 17WC 04929 MITCHELL, JOHN HEIR OF BR CHERRY VALLEY SIGN COMPAN # 09/21/16 BARRICK SWITZER LONG ET AL WIEDNER & MCAULIFFE LTD 133 17WC 04989 ALVAREZ, FRANCISCO R&D THIEL 07/04/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 134 17WC 05057 BRAUER, TAMRA K MEIJER 01/15/17 GESMER & REYNOLDS PC KOPKA, PINKUS DOLIN, PC 135 17WC 05619 HEADLEY, ORVILLE MR ORVILLE HEADLY 02/06/17 BLACK & JONES HENNESSY & ROACH PC 136 17WC 06608 ALEXANDER, MATTHEW QPS EMPLOYMENT GROUP, INC 10/28/16 DEPAOLO ZADEIKIS GORE WOLFE & JACOBSON, LTD 137 17WC 08194 HALL, BRENETTA PRESENCE ST JOSEPH CTR 11/15/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 138 17WC 08581 NACHAMPSSACK, KINGKAMONE TESTORS CORPORATION 01/09/17 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON 139 17WC 08686 COLLINS, RITA LOWE'S DISTRIBUTION CENTE 11/14/16 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 140 17WC 09086 JARRELL, ROBERT J CONCORDIA WIRELESS/TRIAD 02/16/17 MARK E MORELAND RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 141 17WC 09322 PRINNER, BROCK BLAIN'S FARM & FLEET 08/20/15 GESMER LAW OFFICES, PC 142 17WC 13162 GOMEZ, JESUS BL WELLWOOD SERVICES 04/25/17 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 19WC013454 -C 143 17WC 14174 MILLER, SUSAN L SWEDISH AMERICAN, A DIVIS 01/16/17 CACCIATORE, WILLIAM T WILLIAMS MCCARTHY LLP 144 17WC 14363 AURAND, LORI A SCHNUCKS MARKETS, INC 06/01/15 TUITE LAW LEMP & MURPHY 17WC014366 -C 18WC022331 -C 145 17WC 14681 RICHARDSON, THOMAS A ROCKFORD PUBLIC SD #205 01/30/17 TUITE LAW WIEDNER & MCAULIFFE LTD 146 17WC 16100 THORSEN, GERALD ANDREW M. NELSON DBA ANDR 04/04/17 STROW LAW LLC CLARK FROST 147 17WC 16371 CROSS, FARREN PCI PAHRMA SERVICES 05/11/17 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 148 17WC 16689 HUGHES, KIM SYNCREON AUTOMOTIVE 11/29/16 O'CONNOR & NAKOS KEEFE CAMPBELL & ASSOC LLC 17WC016690 -C 149 17WC 17741 STANTON, ASHLEY CARDINAL STAFFING SERVICE 02/06/17 BLACK & JONES THOMAS MAMER & HAUGHEY 150 17WC 18018 MATHESON, ROBERT L JR ROCKFORD MEMORIAL HOSPITA 03/23/15 TUITE LAW WIEDNER & MCAULIFFE LTD 151 17WC 18752 ELLIOTT, BRANDON P HOME DEPOT USA, INC. 05/29/17 TUITE LAW ADELSON TESTAN BRUNDO 152 17WC 18839 MARTINEZ, ANTONIO STEEL CUTTERS, INC. 11/19/16 BLACK & JONES GAROFALO SCHREIBER STORM GRA 153 17WC 18899 CEBUHAR, MICHELLE ILLINOIS LOTTERY 04/07/16 ASSISTANT ATTORNEY GENERAL 154 17WC 19249 CHIPMAN, PAMELA GE AVIATION 06/01/17 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 155 17WC 19306 SALDANA, PEDRO G BRYNOLF MANUFACTURING INC 03/07/17 TUITE LAW GAROFALO SCHREIBER STORM GRA 156 17WC 19319 MARKS, CHELSEA ROCKFORD PARK DISTRICT 06/01/17 MC HARGUE & JONES HENNESSY & ROACH PC 157 17WC 19455 JOHNSON, TANISHA HELP AT HOME 02/27/17 GESMER LAW OFFICES, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 158 17WC 20156 FLOETER, MACKENZIE CHEMTOOL INC 06/23/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 159 17WC 20828 FREET, MICHAEL S WINNEBAGO COUNTY SHERIFFS 05/05/17 STROW LAW LLC WILLIAMS MCCARTHY LLP 160 17WC 21129 MC ELYEA, VESTLE RAY JR ADVANCED DISPOSAL 02/22/17 BLACK & JONES INMAN & FITZGIBBONS 161 17WC 21293 BLACKWELL, KEITH GUSTAVE A LARSON COMPANY 04/26/17 HORWITZ HORWITZ & ASSOC NOBLE & ASSOC 162 17WC 21409 GERMAIN, RENEE L FREEPORT HEALTH NETWORK 01/26/17 TUITE LAW GAROFALO SCHREIBER STORM GRA 163 17WC 21713 HART, MARGARET FCA US, LLC 07/02/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 164 17WC 22173 RAMOS, JOHANN QPS EMPLOYMENT GROUP 07/22/17 COSTA IVONE LLC 165 17WC 22241 FUNK, DAVID HAMILTON-SUNDSTRAND UTC 01/25/17 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 166 17WC 22816 LUX, CONSTANCE BON TON DISTRIBUTION CENT 06/08/17 GESMER & REYNOLDS PC 167 17WC 23063 THOMAS, QUENTIN DR PEPPER SNAPPLE GROUP 01/25/17 BLACK & JONES GAROFALO SCHREIBER STORM GRA 168 17WC 23178 BARNHART, MICHAEL CITY OF ROCKFORD DEPT 05/09/17 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 169 17WC 23799 ARTEAGA, CLAUDIO MODERN SUSPENSION SYSTEMS 12/16/13 BLACK & JONES HENNESSY & ROACH PC 170 17WC 24294 PHILLIPS, ANEATER ROCKFORD RESCUE MISSION 03/28/17 NASH LAW OFFICE PC WILLIAMS MCCARTHY LLP 171 17WC 24857 SCHULTZ, DAVID BRIDGEWAY 06/28/17 GESMER LAW OFFICES, PC PERRY GENTILE 172 17WC 25103 PETSCH, JOSEPH LANE'S AUTO SERVICE, INC 01/11/17 GESMER & REYNOLDS PC ROSARIO CIBELLA 173 17WC 25738 RUSH, BRIAN J MEIBORG BROS INC 06/14/17 FRANKS, GERKIN & MCKENNA P WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 174 17WC 25860 GIBBONS, JENNIFER SWEDISH AMERICAN HOSPITAL 08/26/17 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM GRA 175 17WC 26437 CLARK, EMMANUEL OAKLEY SUB ASSEMBLY 04/14/16 MARTIN V KUGIA 17WC026438 -C 176 17WC 26458 FISCHER, RAYMOND TRI-DIM FILTER CORP 08/01/17 BLACK & JONES 177 17WC 27128 PETERSON, DENISE (DIANE) DOLLAR TREE 04/10/17 BLACK & JONES 178 17WC 27688 GOBER, MELISSA FCA US, LLC 05/21/17 BLACK & JONES WILLIAMS MCCARTHY LLP 179 17WC 27849 FINN-SCHAIBLE, KELLI ABLE HOME HEALTH, LLC 09/04/17 BARRICK SWITZER LONG ET AL PERRY GENTILE 180 17WC 27884 FLORES, ALFREDO TH FOODS 08/09/17 KATZ FRIEDMAN EAGLE ET AL QUINTAIROS PRIETO WOOD & BOY 19WC001096 -C 181 17WC 28228 KEHOE, ELAISOIN SUNNY ISLAND RV 08/21/17 MARSZALEK AND MARSZALEK ANCEL GLINK DIAMOND BUSH & E 182 17WC 29716 MAY, OTTO JR FCA US, LLC 08/04/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 183 17WC 29739 HOLAWAY, JEFFREY FCA US, LLC 05/19/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 184 17WC 29748 SCHUTT, ELIZABETH BEST BUY 07/15/16 GESMER & REYNOLDS PC HENNESSY & ROACH PC 185 17WC 30344 BURKI, STEVEN STATELINE FOUNDRIES 04/26/17 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 186 17WC 30502 RODRIGUEZ, GUSTAVO TAYLOR COMPANY CARRIOR CO 08/11/17 TUITE LAW RUSIN & MACIOROWSKI LTD 187 17WC 30621 INGRAM, LANEKTA ALDEN DEBES REHAB & 09/26/17 KATZ FRIEDMAN EAGLE ET AL 188 17WC 31143 ZIMMERMAN, JOHN PAYNECREST ELECTRIC, INC 01/15/17 GESMER LAW OFFICES, PC CLAYBORNE SABO & WAGNER 189 17WC 31749 VANCE, JOHN ATLAS COMPONENT 04/01/17 DWORKIN AND MACIARIELLO NOBLE & ASSOC 190 17WC 32508 VAN BARRIGER, JOSEPH R BAY VALLEY FOODS 04/16/16 GESMER LAW OFFICES, PC KEEFE CAMPBELL BIERY & ASSOC 191 17WC 33747 STOVALL, BRENT ROCKFORD BOARD OF EDUCATI 09/16/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 17WC 34024 HANSON, MICHELLE ORTHO ILLINOIS SURGERY CE 09/19/17 BLACK & JONES GANAN & SHAPIRO 193 17WC 34956 WALLACE, SANDRA MAXIM HEALTHCARE SERVICES 09/25/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 194 17WC 35441 SMITH, DEWAYNE LAKESIDE INTERNATIONAL TR 04/25/17 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM GRA 195 17WC 35797 LAMB, LARRY TQ LOGISTICS 06/26/17 CLARK FROST 196 17WC 35814 RAFAEL, C DELIA MAGNA INT'L INC 09/25/17 BAUM RUFFOLO & MARZAL LTD POWER & CRONIN LTD 197 17WC 36493 SAUCEDO, ROXANA TITAN PERSONNEL W 10/11/17 BLACK & JONES 198 17WC 36638 GONZALEZ, LOYD JR. DIDIER GREENHOUSE, INC. 03/17/17 CLARK FROST 199 17WC 36751 DEWITT, SUSAN, ESTATE OF THE CITY OF ROCKFORD 11/15/17 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 200 17WC 36866 MONROE, ALEXA PINNACLE LOGISTICS 12/01/17 201 17WC 37102 ALVARADO, MARTIN ALTER TRADING 12/02/16 BOTTO GILBERT MCBREARTY, BRIAN K 202 17WC 37479 MORRIS, JOHN II THOMPSON PRESSURE PIPE 09/01/17 GESMER LAW OFFICES, PC ROSARIO CIBELLA 203 18WC 00032 KUYKENDALL, DOSS QPS EMPLOYMENT GROUP 10/23/17 BLACK & JONES WOLFE & JACOBSON, LTD 19WC011052 -C 204 18WC 01077 DELAROSA, TAMMY T FCA US, LLC 01/05/15 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 205 18WC 01505 TOMLINSON, JAMES W AEROTEK INC 10/24/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 206 18WC 02848 RANDOLPH, IDA R MEIJER STORES, LP 10/11/17 TUITE LAW KOPKA, PINKUS DOLIN, PC 207 18WC 02883 KINGERY, DONALD A OFFICE SYSTEMS INSTALLATI 08/23/17 PIGNATELLI & ASSOCIATES HENNESSY & ROACH PC 208 18WC 03281 TOBLER, CHRISTINA DOLLAR TREE STORES 01/04/18 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 209 18WC 03591 SLEZAK, DAVID ESTWING MANUFACTURING 01/23/17 BRASSFIELD KRUEGER & RAMLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 210 18WC 03640 RIVERA, MARIA BLANCO KELCE & COMPANY 05/17/17 BLACK & JONES 211 18WC 04568 COATES, STEVEN FCA US LLC 07/25/17 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 212 18WC 04586 MCNEIL, MARK ROCKFORD ICE HOGS 11/22/15 GORDON LAW OFFICES LTD 213 18WC 04849 STEVENS, LAKRISHA RESOURCE MFG 09/13/17 BLACK & JONES SPIEGEL & CAHILL, PC 214 18WC 05017 THIBEDEAU, JOHN MONDELEZ INTERNATIONAL 11/16/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 215 18WC 05229 BEDARD, CHARLES CITY OF ROCKFORD 11/08/17 FOOTE MIELKE CHAVEZ & O'NE HEYL ROYSTER VOELKER & ALLEN 216 18WC 05422 AGUILAR, MIGUEL A HAMPTON PROPERTIES 12/01/17 TUITE LAW FRIEDRICH LAW LLC 217 18WC 05596 BUCHHOLZ, BRIAN K RAYNOR GARAGE DOORS, INC 10/30/17 MERTES & MERTES PC 218 18WC 06188 NICHOL, SHANNON FCA US, LLC 11/13/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 219 18WC 06485 HOOKS, STEVE CURTIS METAL FINISHING 02/19/18 BLACK & JONES HENNESSY & ROACH PC 220 18WC 06602 SISLER, NICO L POINT ROCK INVESTMENTS IN 10/07/17 PIGNATELLI & ASSOCIATES 221 18WC 06940 CAHILL, SANDRA FHN MEMORIAL HOSPITAL 09/14/17 BLACK & JONES GAROFALO SCHREIBER STORM GRA 222 18WC 06943 CASEY, THERESA FCA US LLC 05/11/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 223 18WC 07043 RIOS-MAPPE, JULIO C ROCKFORD MASS TRANSIT DIS 12/12/17 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 224 18WC 07095 HALL, JEFFRY A COUNTY OF WINNEBAGO 09/16/14 TUITE LAW WILLIAMS MCCARTHY LLP 225 18WC 07396 GREGG, KEVIN J BOZEMAN ENTERPRISES 11/08/17 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 19WC036111 -C BOSEMAN ENTERPRISES 226 18WC 07803 GUSE, DAVID BLACK DIAMOND PLUMBING & 12/27/17 NASH LAW OFFICE PC BRYCE DOWNEY & LENKOV LLC 227 18WC 07863 RANDECKER, NORMA M STATE OF IL 11/13/17 TUITE LAW ASSISTANT AT0TORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 18WC 08519 WYCKSTANDT, SHAWN GUNITE CORPORATION 01/03/18 MARKS INJURY LAW RUSIN & MACIOROWSKI LTD 229 18WC 08553 KING, GEORGE PINNACLE LOGISTICS 03/12/18 230 18WC 08782 DENNIS, MELISSA RIVER BLUFF NURSING HOME 03/07/18 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 231 18WC 08889 RASNER, VICTORIA FCA US, LLC 02/28/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 232 18WC 09485 DAVIS, DARLENE M COMMUNITY CARE SYSTEMS, I 09/17/17 BLACK & JONES LIVINGSTONE MUELLER ET AL 233 18WC 10394 SCHMOLDT, TRACY A CARRIER CORPORATION 05/12/17 TUITE LAW RUSIN & MACIOROWSKI LTD 234 18WC 10512 GALLAGHER, PAUL P ROCKFORD ILLINOIS POLICE 10/18/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 235 18WC 10862 SEGERS, REGGIE THE WORK PLACE 03/19/17 BLACK & JONES GRANT & FANNING 236 18WC 11009 WAINWRIGHT, QUENTIN MIKE HARRIS MASONRY CONTR 03/05/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 237 18WC 11072 NEMENSKI, PHILLIP R MIDSTATES CONCRETE INDUST 12/05/17 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM GRA 238 18WC 11244 SMITH, RAY ESTWING 11/16/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 239 18WC 11316 NIETO, ETHELVINA YANFENG US AUTO INTERIOR 03/03/18 GESMER & REYNOLDS PC 240 18WC 11374 VIEL, KELLY MCDONALD'S 12/17/17 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 241 18WC 11997 MCCLESKEY, BRIANNE T SWEDISH AMERICAN HOSP ASS 11/05/16 TUITE LAW WILLIAMS MCCARTHY LLP 242 18WC 12189 KJELLGREN, ROXANNE WINNEBAGO COUNTY 02/15/18 BARRICK SWITZER LONG ET AL WILLIAMS MCCARTHY LLP 243 18WC 12468 THOMPSON, BILLY GREENLEE TEXTRON INC 03/11/18 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 244 18WC 12518 KRAUSE, GARRY NICHOLSON ELECTRIC INC 02/27/18 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 245 18WC 12546 ZALUCKYJ, BROOKE FCA US LLC 01/07/18 KAT0Z FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 246 18WC 12940 BLUNT, MARVA ROCKFORD PUBL SCHOOL DIST 09/25/17 MARKS INJURY LAW WIEDNER & MCAULIFFE LTD 247 18WC 12947 POWELL, JOHN SR. FCA US LLC 06/01/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 248 18WC 13477 GRIFFETH, JARED MIKE HARRIS MASONRY CONTR 05/01/17 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 18WC013478 -C 249 18WC 13540 MALLEK, EDWARD US MESSENGER & LOGISTICS 04/18/18 FRANCIS J DISCIPIO LAW OFF RUSIN & MACIOROWSKI LTD 250 18WC 13743 SCHUTT, ALAN IPSEN INC 06/26/16 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 251 18WC 13907 MEGGENBERG, RICHARD ANDROID INDUSTRIES 10/01/16 KATZ FRIEDMAN EAGLE ET AL 252 18WC 14094 SMOLINSKI, TIMOTHY ILLINOIS WATER TECHNOLOGI 04/11/18 GESMER & REYNOLDS PC 253 18WC 14320 GUMS, WANDA SAVENCIA CHEESE LLC 03/19/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 254 18WC 14793 MARTIN, EDWARD BUCKSHOT RIDGE FARMS & 05/07/18 DWORKIN AND MACIARIELLO JAMES M KELLY 255 18WC 15105 DACH, RICHARD CROWN MACHINE 05/11/18 BLACK & JONES JOSEPH MARCINIAK 256 18WC 15595 BANKES, ROBERT ARCO MACHINERY MOVERS LLC 04/09/18 BLACK & JONES GANAN & SHAPIRO 257 18WC 15897 WILLIAMS, KERRY O MIKE HARRIS MASONRY CONTR 03/05/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 258 18WC 16095 SUMMERS, JULIE MONDELEZ INTERNATIONAL IN 03/30/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 259 18WC 16575 ROBINSON, RACHEL SUNRISE TRANSPORTATION 03/23/18 BLACK & JONES FRANCESCA LARSEN 260 18WC 16585 FLUKER, ONDREA FCA US LLC 10/01/17 BLACK & JONES WILLIAMS MCCARTHY LLP 261 18WC 16742 GARRISON, SEAN M BULT'S, INC 01/01/18 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 18WC016743 -C 262 18WC 16894 ALANBAQY, AHMED ARAMARK UNIFORM SERVICES 05/16/17 TUITE LAW MICHAEL COHEN 263 18WC 17376 MOYA, EDGAR FCA US LLC 05/19/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 264 18WC 17760 CARMACK, MARY FCA US LLC 05/23/18 BLACK & JONES WILLIAMS MCCARTHY LLP 265 18WC 17763 HARNISH, DAVID TAYLOR COMPANY 05/11/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 266 18WC 17769 HERNANDEZ, ALEJANDRA HELP AT HOME 05/14/18 BLACK & JONES INMAN & FITZGIBBONS 267 18WC 18052 RIBARICH, RHONDA TAYLOR FREEZER 10/26/15 REESE & REESE RUSIN & MACIOROWSKI LTD 268 18WC 18148 LOUIS, ANTHONY ROCKFORD ICE HOGS 09/28/17 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 269 18WC 18406 BARRON, JEAN FCA US LLC 06/18/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 18WC018407 -C 270 18WC 18511 KOSIER, MARK POOLCORP 03/06/18 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM GRA 271 18WC 18992 SHARP, VICTORIA K ROCKFORD MEMORIAL HOSPITA 11/22/16 JOHN J CASTANEDA WIEDNER & MCAULIFFE LTD 272 18WC 19158 FRALEY, TODD L ED ETNYRE & CO 01/25/18 TUITE LAW CLARK FROST 273 18WC 19314 WURM, BRADLEY TITAN TIRE 03/11/15 HAUSER LAW LLC KEEFE CAMPBELL BIERY & ASSOC 19WC007507 -C 274 18WC 19466 COOPER, COLLIES GUNITE CORP 06/09/18 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 275 18WC 19569 FAVRETTO, ALMA PCI PHARMA SERVICES 04/16/18 MARK N LEE HOLECEK & ASSOCIATES 276 18WC 19746 GETTY, CHARLENE CITY OF ROCKFORD POLICE D 04/13/18 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 277 18WC 20060 THOMPSON, CHRIS KELLENBERGER TECHNOLOGY 06/08/18 GOLDBERG WEISMAN & CAIRO L 278 18WC 20145 GORS, COURTNEY E BURR CHEMICAL COMPANY, IN 01/08/18 TUITE LAW INMAN & FITZGIBBONS 279 18WC 20281 MCDONALD, NANCY CITY OF FREEPORT 03/14/18 GESMER & REYNOLDS PC POWER & CRONIN LTD 280 18WC 20289 VOLKEY, DON LIEBOVICH BROTHERS INC 04/28/14 BLACK & JONES HENNESSY & ROACH PC 281 18WC 20615 CAVINESS, DONTAY D MOVING ANGELS OF ILLINOIS 06/22/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 282 18WC 21083 VOLKEY, DON LIEBOVICH BROTHERS INC 12/10/16 BLACK & JONES HENNESSY & ROACH PC 283 18WC 21236 KING, ROGER FHN MEMORIAL HOSPITAL 01/31/18 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 284 18WC 21744 O'DONELL, BRIAN NEWPORT INDUSTRIES INC 11/06/17 BRASSFIELD KRUEGER & RAMLO CACCHILLO LAW GROUP LLC 285 18WC 21823 PFILE, DEAN W STAR MANUFACTURING COMPAN 07/15/17 TUITE LAW CAPUANI, FRANK S 286 18WC 22674 GARAS, SHAWNNE L MERCY HEALTH SYSTM CORPOR 06/30/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 287 18WC 22719 HOCKMUTH, MICHAEL J O'REILLY AUTO AENTERPRISE 10/30/17 TUITE LAW HENNESSY & ROACH PC 288 18WC 22785 DUELLMAN, TYMISSA PCI PHARMA SERVICES 04/06/18 BLACK & JONES HOLECEK & ASSOCIATES 289 18WC 23063 HORNA, JEREMY INTERNATIONAL PAPER 07/19/18 FRANKS, GERKIN & MCKENNA P GOLDBERG SEGALLA LLC 290 18WC 23291 MARTINEZ, JAVIER ROSEWOOD CARE CENTER 02/26/18 BOTTO GILBERT 291 18WC 23373 JOHNSON, MITCHELL A BRISTOL-MYERS SQUIB COMPA 08/14/15 TUITE LAW RUSIN & MACIOROWSKI LTD 292 18WC 23973 HAIL, L.C KOLB-LENA, INC 06/02/18 TUITE LAW KEEFE CAMPBELL BIERY & ASSOC 293 18WC 24375 HUGHES, MARK GKN ROCKFORD 03/15/17 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 294 18WC 24378 THOLIN, JARRED SAM'S CLUB 08/15/15 BLACK & JONES GANAN & SHAPIRO 295 18WC 24513 MARTINEZ, NICOLE JIMMY JOHN'S W 05/30/18 BLACK & JONES 296 18WC 24690 BUSE, JEREMY RYAN INCORPORATED CENTRAL 05/01/18 FRANKS, GERKIN & MCKENNA P CHILTON YAMBERT PORTER LLP 297 18WC 24830 HOLLEY, JAY THE BOLDT COMPANY 06/20/18 GREGORIO & MARCO RUSIN & MACIOROWSKI LTD 298 18WC 25141 FRY, MATTHEW AMERICAN AXLE 01/15/18 GESMER & REYNOLDS PC EVANS & DIXON 18WC026553 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 299 18WC 25192 CASTLE, ANTHONY AEROTEK 08/10/18 GESMER & REYNOLDS PC HENNESSY & ROACH PC 300 18WC 25688 WILLIAMS, AMBREA SYNCREON 08/08/18 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL BIERY & ASSOC 19WC007290 -C 19WC007291 -C 301 18WC 25864 POST, SHERRI EAST DUBUQUE HIGH SCHOOL 02/06/18 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 302 18WC 25899 BLAKELY, VIRGINIA ROCKFORD MASS TRANSIT 07/28/18 MARK N LEE POWER & CRONIN LTD 303 18WC 26183 WILSON, MARY ANDROID INDUSTRIES 02/01/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 18WC026184 -C 304 18WC 26195 FEHR, DOUG FCA US LLC 04/05/18 BLACK & JONES WILLIAMS MCCARTHY LLP 305 18WC 26818 WATSON, NICHOLE LOWES DISTRIBUTION 04/10/18 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 306 18WC 26917 HOLBERT, JOSEPH J.L. CLARK 08/23/18 BLACK & JONES SPIEGEL & CAHILL, PC 307 18WC 26923 CULLINS, ERIC GUNITE CORP 04/01/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 308 18WC 27046 GILL, EARL AEROTEK 08/05/18 GESMER & REYNOLDS PC 309 18WC 27097 FAVRETTO, ALMA PCI PHARMA SERVICES 08/20/18 MARK N LEE HOLECEK & ASSOCIATES 310 18WC 28160 WISNIOWSKI, ANDRZEJ GERBER COLLISION & GLASS 08/20/18 RICHARD E ALEKSY HOLECEK & ASSOCIATES 18WC028161 -C 311 18WC 28655 CASTANON, PAULINA ANDROID INDUSTRIES 06/19/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 312 18WC 28699 BATLEY, LINDA M WALMART STORES, INC 07/28/18 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 313 18WC 28995 HOWARD, PATRICIA ANCHOR HARVEY COMPONENT 03/27/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 314 18WC 29127 LOMAS, SAM HAMILTON SUNDSTRAND 07/20/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 315 18WC 29221 ROBINSON, GLORIA FCA US LLC 03/01/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 316 18WC 29672 POWELL, JOHN SR. FCA US LLC 02/13/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 317 18WC 29685 WHITAKER, DECAMERON FCA ASSEMBLY PLANT 09/11/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 318 18WC 30025 LEIGH, ANDREW ZENTZ AND ASSOCIATES, INC 09/04/18 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 319 18WC 30042 GARVEY, TOM A FCA US, LLC 08/26/18 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 320 18WC 30221 SWANSON, GINGER WAL-MART STORES, INC 11/12/17 QUINTAIROS PRIETO WOOD & BOY 321 18WC 30304 JOHNSON, COREY UNITED PARCEL SERVICE 04/27/18 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 322 18WC 30408 LAPASTORA, JOSE GKN ROCKFORD, INC 09/22/18 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 323 18WC 30611 TOMLINSON, JAMES ROCKFORD TOOLCRAFT, INC 10/08/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 324 18WC 30811 O'HAVER, TRAVIS TITAN TIRE CORPORATION 10/26/17 SANDMAN LEVY & PETRICH 325 18WC 31091 CARDENAS, SANDRA FERNANDE ANDROID INDUSTRIES 11/19/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 326 18WC 31215 VERHAGEN, LESTER FCA US LLC 09/13/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 327 18WC 31253 WEST, KRISTINE SPIDER COMPANY, INC 06/21/18 BLACK & JONES CAPUANI, FRANK S 328 18WC 31276 JOHNSON, SHARON KELLY WILLIAMSON COMPANY 06/14/18 GESMER & REYNOLDS PC RIPES NELSON BAGGOT KALOBRAT 329 18WC 31426 SMITH, JEFFREY TH FOODS INC 07/09/18 BLACK & JONES EVANS & DIXON 330 18WC 31552 MERRIT, DAVID YES STAFFING 10/06/18 DAVID W MARTAY SLAVIN & SLAVIN 331 18WC 31614 CABRERA, LOUIS JR WARNER'S FURNITURE W 09/17/18 BLACK & JONES HINSHAW & CULBERTSON 332 18WC 31658 GRAY, ROBERTA ROCKFORD HOUSING AUTHORIT 03/07/18 GESMER & REYNOLDS PC GILDEA, COGHLAN & REGAN LTD. 333 18WC 31800 WEST, KRISTINE SPIDER COMPANY, INC 09/19/18 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 18WC 32195 NOREK, JOSHUA BOONE COUNTY FIRE DISTRIC 07/27/18 GESMER & REYNOLDS PC POWER & CRONIN LTD 335 18WC 32213 JOHNSON, JEREMY SPHERION STAFFING SERVICE 09/26/18 BLACK & JONES 336 18WC 32688 MENDOZA, CRISTINA GUERILLA GRAFFIX 06/19/18 GESMER & REYNOLDS PC 337 18WC 32874 LAUER, BRADLEY R CITY OF ROCKFORD POLICE D 10/17/18 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 338 18WC 33002 PADRON, JEANETTE COMPASS GROUPS 10/05/18 MORETTI LAW PC 339 18WC 33175 JORDAN, LISA CHRYSLER, LLC 03/03/18 KRETMAR BEATTY SANDZA WILLIAMS MCCARTHY LLP 340 18WC 33381 WAGNER, CLINT M CITY OF ROCKFORD 07/17/18 BARRICK SWITZER LONG HEYL ROYSTER VOELKER & ALLEN 341 18WC 33461 FERNANDEZ CARDENAS, SANDR ANDROID INDUSTRIES 09/20/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 342 18WC 33737 TAYLOR, JOSHUA COMBINED ROOFING, INC 10/02/18 ANKIN LAW OFFICE 343 18WC 33754 HOLZE, HENRY BLOUNT INTERNATIONAL 10/03/16 BLACK & JONES WOLFE & JACOBSON, LTD 344 18WC 33933 ANGER, LEEANN SYNCREON 10/07/18 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 345 18WC 34289 STOCKER, KIMBERLY FCA US, LLC 07/15/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 346 18WC 34489 ELLIS, JAYMES PIERCE DISTRIBUTION 09/04/18 DWORKIN AND MACIARIELLO WOLF LAW LTD 347 18WC 35303 KING, NANCY ROCKFORD SUPPORTIVE LIVIN 11/15/18 MC HARGUE & JONES 348 18WC 35572 ORTEGA, JOSE S THE MIDDLEBY CORPORATION 09/10/18 TUITE LAW RUSIN & MACIOROWSKI LTD 349 18WC 35782 TILLMAN, THOMAS CHRYSLER ASSEMBLY PLANT 10/17/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 350 18WC 36015 WEBSTER, BRAXTON ANDROID INDUSTRIES 06/29/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 351 18WC 36104 ROSENFELD, LISA THE EQUITY GROUP INC 06/05/18 CLARK FROST GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 352 18WC 36486 HARKINS, PATRICIA ROCKFORD BOARD OF EDUCATI 10/15/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 353 18WC 36615 JOHNSON, JAIME SUNRISE TRANSPORTATION 01/08/18 BLACK & JONES 354 18WC 36795 HERRMANN, STEVE TITAN TIRE 12/14/17 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 355 18WC 36847 HERNANDEZ, ANGELES SAUCED SNAK KING CORP 11/06/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 356 18WC 36930 DAVIS, KELLIE SPX FLOW 08/07/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 357 18WC 36968 SELLERS, LATASHA FHN MEMORIAL HOSPITAL 01/30/18 BLACK & JONES GAROFALO SCHREIBER STORM GRA 358 18WC 37006 DOLAN, JUSTINA STEPHENSON COUNTY PROBATI 10/19/18 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 359 18WC 37059 HARKINS, PATRICIA ROCKFORD BOARD OF EDUCATI 10/17/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 360 18WC 37137 METZGER, ANNETTE SNAK KING 06/04/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 361 18WC 37159 DEAN, MARIA BERGSTROM 10/01/18 BLACK & JONES WOLFE & JACOBSON, LTD 362 18WC 37585 WILLIAMS, BRIAN USF HOLLAND 06/12/18 BLACK & JONES HENNESSY & ROACH PC 363 18WC 37590 BARBARY, JAMESETTA YANGFENG AUTOMOTIVE INTER 11/17/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 364 18WC 37853 LESURE, AKILIA PINNACLE LOGISTICS 12/13/18 WOODRUFF JOHNSON 365 18WC 38089 QUIST, PAM NORTHWOODS CARE CENTRE 02/09/18 BLACK & JONES BRADY CONNOLLY & MASUDA PC 366 18WC 38279 CLAYPOOL, STEVE SNELSON COMPANIES, INC 12/08/18 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 367 18WC 38352 MITCHELL, LAWRENCE MCDONALD'S CORP 10/07/18 TUITE LAW HENNESSY & ROACH PC 368 18WC 38395 RODGERS, TIMOTHY USF HOLLAND 11/17/17 JOHN C SERKLAND HENNESSY & ROACH PC 369 19WC 00134 GUSTAFSON, DENNIS FCA US LLC 10/26/15 BLACK & JONES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 370 19WC 00190 CHIPMAN, PAMELA GE AVIATION AIR MANAGEMT 11/28/18 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 371 19WC 01115 KIELY, GARY CITY OF ROCKFORD 09/14/18 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 372 19WC 01173 LIPSCOMB, ELAINE MERCY HEALTH ROCKTON AVE 10/26/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 373 19WC 01456 LORD, CLARISSA WIDOW OF AUTOGYRO, USA, INC. # 10/30/18 CAPRON & AVGERINOS PC BRADY CONNOLLY & MASUDA PC 374 19WC 01638 OLSON, PATRICK G SWAN LAKE LLC, D/B/A 09/20/18 TUITE LAW ACCIDENT FUND HOLDINGS 375 19WC 02001 SAN MIGUEL CASTILLO, VICT MAGNA EXTERIORS 12/28/18 BLACK & JONES POWER & CRONIN LTD 376 19WC 02027 TAYLOR, ANDREA SEWARD SCREW PRODUCTS 11/02/18 BLACK & JONES HOLECEK & ASSOCIATES 377 19WC 02053 WOODS, ROBERT J LOWE'S HOME CENTERS LLC 12/12/18 TUITE LAW KEEFE CAMPBELL BIERY & ASSOC 378 19WC 02106 STALLWORTH, LENA MARIE ALDEN ALMA NELSON DEBES 08/10/17 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 379 19WC 02111 QUATRANO, ROBIN SENIOR HELPERS 01/06/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 380 19WC 02186 EASTON, CARL WIESE USA, INC 09/06/18 WILSON LAW OFFICES LLC EVANS & DIXON 381 19WC 02359 GARNICA, ARMANDO SPECTRUM PREFERRED MEATS 12/20/18 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 382 19WC 02605 GRAHAM, JOHNNY S CHRYSLER CORPORATION 11/08/17 REESE & REESE WILLIAMS MCCARTHY LLP 383 19WC 02635 HAVENS, KAREN STANDARD FORWARDING 08/01/18 BLACK & JONES HENNESSY & ROACH PC 384 19WC 02977 RIO, JEFFREY GENERAL MILLS INC 12/12/18 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 385 19WC 03099 JENSEN, LUANN ORTHO ILLINOIS SURGERY CE 11/22/17 GESMER & REYNOLDS PC ROSARIO CIBELLA 386 19WC 03160 ROSS, BRIAN A POPLAR GROVE PACEMAKER LL 04/01/16 TUITE LAW 387 19WC 03183 ROSS, BRIAN A PACEMAKER COUNTRYSIDE 09/13/18 TUITE LAW EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 19WC 03271 CARDOSO, ENRIQUE JOSE ANTONIO MURILLO 10/24/18 GESMER & REYNOLDS PC 389 19WC 03361 STUDIER, JOSHUA RUSSCO MFG, INC 11/16/18 TUITE LAW GANAN & SHAPIRO 390 19WC 03409 LARSEN, TED LIEBOVICH BROTHERS INC 02/01/18 BLACK & JONES POULOS & DIBENEDETTO LAW 391 19WC 03476 SMITH, REBECCA FCA US LLC 08/23/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 19WC003477 -C 392 19WC 03687 BURMEISTER, CATHERINE BURMEISTER FARM EQUIPMENT 07/17/18 GANAN & SHAPIRO 393 19WC 04495 SPEIGLE, DONALD ROGERS ELECTRIC 08/10/18 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 394 19WC 04764 WORSHAM, ALANE GARDA WORLD 02/01/19 ANGELINI & ORI LLC KEEFE CAMPBELL BIERY & ASSOC 395 19WC 04813 JONES, ANNETTE PINNACLE LOGISTICS 02/14/19 DWORKIN AND MACIARIELLO 396 19WC 05240 TRIMBLE, CHARLES HEELS AND HARDHATS CONTRA 08/31/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 397 19WC 05243 MILROY, CARRIE ROCKFORD PUBLIC SCHOOLS 09/20/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 398 19WC 05567 JACKSON, NICHOLAS MORSE ELECTRIC INC. 02/11/18 KATZ FRIEDMAN EAGLE ET AL 399 19WC 05658 CURRY, SHEILA TH FOODS, INC 03/01/18 BLACK & JONES EVANS & DIXON 400 19WC 05676 FLORES, PATRICK MACLELLAN INTEGRATED SERV 12/16/18 GESMER & REYNOLDS PC KNELL LAW LLC 401 19WC 05690 WUBBEN, RONALD STAR MANUFACTURING 08/09/17 BLACK & JONES CAPUANI, FRANK S 402 19WC 05871 LOVE, CEDRIC MACIELLAN INTEGRATED SERV 01/28/19 DWORKIN AND MACIARIELLO KNELL LAW LLC 403 19WC 05888 SIMMONS, RAMARIO FCA US LLC 07/23/18 BLACK & JONES WILLIAMS MCCARTHY LLP 404 19WC 05994 LEMBKE, SANDRA MAGNA EXTERIORS 01/22/19 BLACK & JONES POWER & CRONIN LTD 405 19WC 06017 REEDY, CHAZZ GUNITE CORP 07/08/18 BLACK & JONES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 19WC 06099 LANDRETH, SYLVIA ROCKFORD SCHOOL DISTRICT 02/06/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 407 19WC 06140 DALL, KURT ABF FREIGHT SYSTEM INC. 11/13/18 DEPAOLO & ZADEIKIS 408 19WC 06265 GREENIG, JILL ROCKFORD SCHOOL DISTRICT 01/01/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 409 19WC 06704 WEKENMANN, MARY PCI PHARMA SERVICES 09/27/18 NASH LAW OFFICE PC HOLECEK & ASSOCIATES 410 19WC 06809 ELLESON, STEPHANIE M UTC AEROSPACE SYSTEMS 02/02/19 GESMER & REYNOLDS PC RUSIN & MACIOROWSKI LTD 411 19WC 06968 HERNANDEZ, ADOLFO QPS EMPLOYMENT 02/27/19 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 412 19WC 07191 COLLINS, GERALD BELVEDERE USA LLC 08/10/18 JOSEPH J LOSS PC RUSIN & MACIOROWSKI LTD 19WC007192 -C 413 19WC 07298 TOBLER, CHRISTINA DOLLAR TREE 02/10/19 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 414 19WC 07624 TUCKER, LASHAWNDA SYNCREON 01/08/19 GESMER & REYNOLDS PC 415 19WC 07663 MARTINEZ, MAXIMILIANO E LEWIS TREE SERVICE 03/04/19 EPSTEIN, JACK R LAW OFFICE 416 19WC 07674 OLSEN, DENNIS KRAUTER FOREST PRODUCTS, 09/15/17 GESMER & REYNOLDS PC 417 19WC 07689 EMIGHOLZ, MATT STATE OF ILLINOIS-CMS @ 02/22/19 MARK N LEE ASSISTANT ATTORNEY GENERAL 418 19WC 07739 FLORES, PATRICK MACLELLAN INTERGRATED SER 12/16/18 GESMER & REYNOLDS PC KNELL LAW LLC 419 19WC 07938 HEATH, ALESHA AXIUM FOODS 03/13/19 ANGELINI & ORI LLC 420 19WC 08037 JONES, FRED COUNTY OF WINNEBAGO 12/06/18 CLARK FROST WILLIAMS MCCARTHY LLP 421 19WC 08423 RAYLOR, TAMLA ROCKFORD SCHOOL DISTRICT 01/28/19 SHELDON I MINKOW & ASSOCIA 422 19WC 08498 DENNIS, MELISSA RIVER BLUFF NURSING HOME 02/16/19 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 423 19WC 08660 SHEFFIELD, PHYLLIS HARLEM SCHOOL DISTRICT 12 01/15/19 GESMER & REYNOLDS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 424 19WC 08965 MCWILLIAMS, LAURIE YANGFENG AUTOMOTIVE INTER 11/27/17 BLACK & JONES HENNESSY & ROACH PC 425 19WC 08972 SMITH, MICHAEL R MECHANICAL INC 05/01/18 BLACK & JONES KOPKA, PINKUS DOLIN, PC 426 19WC 09548 ANTIS, WILLIAM J RYDER INTERGRATED LOGISTI 11/29/18 RUBIN LAW GROUP HEYL ROYSTER VOELKER & ALLEN 427 19WC 09867 MEEHAN, PATRICK LAWN CARE BY WALTER 02/10/19 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 428 19WC 09870 KALEN, SCOTT VIKING CHEMICAL CO 12/01/18 BLACK & JONES HENNESSY & ROACH PC 429 19WC 09907 SMITH, KERMIT BERNER FOOD & BEVERAGE 02/01/19 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 430 19WC 09940 COSTA, TIMOTHY BLOUNT INTERNATIONAL INC 02/05/19 GESMER & REYNOLDS PC WOLFE & JACOBSON, LTD 431 19WC 10133 WRIGHT, KAREN HARLEM SCHOOL DIST 122 02/11/19 GOLDBERG WEISMAN & CAIRO L 432 19WC 10311 DELEON, REBECCA UTC AEROSPACESYSTEMS 01/22/19 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 433 19WC 10373 ALLEN, LAURELL FCA US LLC 02/12/15 BLACK & JONES WILLIAMS MCCARTHY LLP 434 19WC 10582 LAMB, RONALD CINTAS CORP 02/06/19 BLACK & JONES POWER & CRONIN LTD 435 19WC 10688 BRINKMEYER, DOUG ALL TRUCKS USA INC W 04/24/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 436 19WC 10713 JURING, ANGELA FCA US LLC 01/10/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 437 19WC 10839 CASSELL, JON L PACCAR INC 02/18/19 TUITE LAW BRADY CONNOLLY & MASUDA PC 438 19WC 11007 BROCK, KRISTINE FCA US LLC 09/10/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 439 19WC 11363 EKQUIST, WILLIAM WOODS EQPMNT A/K/A BLOUNT 03/07/19 PIGNATELLI & ASSOCIATES WOLFE & JACOBSON, LTD 440 19WC 11538 RAMSEY, MARCI OSF HEALTHCARE 03/11/19 CAPRON & AVGERINOS PC HINSHAW & CULBERTSON 441 19WC 11747 HERNANDEZ, EDUARDO WASTE CONNECTIONS, INC 02/07/19 STROW LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 442 19WC 11890 NEWHAUSEN, MERLE A A & B FREIGHT LINE 11/27/18 MARTIN V KUGIA LEAHY EISENBERG & FRAENKEL 443 19WC 11939 SUNDELL, DOMINIC NEBLOCK INC. 07/01/18 BLACK & JONES FRIEDRICH LAW LLC 444 19WC 12042 GONZALEZ MELENDEZ, LUIS A J&L HOME IMPROVEMENT 02/02/19 JAMES URTIS 445 19WC 12167 BRITO LARA, BRENDA C DASCO PRO, INC 03/20/17 TUITE LAW WOLFE & JACOBSON, LTD 446 19WC 12358 KOZUCH, KATHY MERCY HEALTH HOSP-RIVERSI 02/24/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 447 19WC 12370 CABALLERO SALGADO, ALEJAN DIVERSIFIED SRVS FOR 08/15/18 TUITE LAW ACCIDENT FUND HOLDINGS 448 19WC 12763 MCWILLIAMS, LAURIE YANGFENG AUTOMOTIVE INTER 04/16/19 BLACK & JONES HENNESSY & ROACH PC 449 19WC 12973 FREEMAN, ANDRE ROCKFORD SECONDARY CO 02/26/19 CULLEN HASKINS NICHOLSON 450 19WC 13099 WICKWIRE, JENNIFER, WIDOW ALTER TRADING CORPORATION # 10/03/18 GESMER & REYNOLDS PC LANE & WATERMAN 451 19WC 13144 ACKERMAN, LOREN FCA US LLC 03/01/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 452 19WC 13251 RODRIGUEZ, HANNAH ROCKFORD POWER TRAIN 04/16/19 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 453 19WC 13279 LEYVA, ALBERTO DAVILA AMERICAN ALUMINUM EXTRUSI 03/16/18 COSTA IVONE LLC 454 19WC 13423 MARTIN, MARGARET GARDEN HOTEL & CONFERENCE 12/01/18 BLACK & JONES 455 19WC 13510 EDWARDS, CHERYL FCA US LLC 04/18/19 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 456 19WC 13593 NIHELLS, JACOB P CHERRY VALLEY FIRE PROTEC 04/18/19 THOMAS W DUDA POWER & CRONIN LTD 457 19WC 14355 SCHACTNER, NICOLE GOLDIE B FLOBERG CENTER 02/26/19 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 458 19WC 14361 MANDUJANO, ADAM MIKE HARRIS MASON CONTRAC 11/01/18 BLACK & JONES GANAN & SHAPIRO 459 19WC 14364 JONES, JOYCE ROCKFORD PUBLIC SCHOOLS 04/24/19 BLACK & JONES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 460 19WC 14434 YOUNG, MERRY A DOLLAR TREE STORES, INC 04/17/19 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 461 19WC 14666 HANSBERRY, MARK PCI PHARMA SERVICES 02/12/18 MC HARGUE & JONES HOLECEK & ASSOCIATES 462 19WC 14828 SPENCER, FRANKIE FCA US LLC 11/29/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 463 19WC 14971 ERICKSON, STEVE SCP POOL CORP 04/15/19 BLACK & JONES GAROFALO SCHREIBER STORM GRA 464 19WC 14976 ANDERSON, LARRY ESTWING MANUFACTURING CO 01/06/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 465 19WC 14980 MAUERMAN, EDWARD PINNACLE LOGISTICS 10/07/18 BLACK & JONES HENNESSY & ROACH PC 466 19WC 14996 OWEN, MONICA HARLEN SCHOOL DIST 122 03/18/19 DWORKIN AND MACIARIELLO GOLDBERG SEGALLA LLC 19WC014997 -C 467 19WC 15139 HERNANDEZ, ADELA QPS EMPLOYMENT GROUP 02/26/19 GESMER & REYNOLDS PC WOLFE & JACOBSON, LTD 468 19WC 15181 KNIFFEN, DAVID WINNEBAGO COUNTY SHERIFF' 04/30/19 REESE & REESE 469 19WC 15257 KELBEY, CAMERON T WOODWARD INC 04/03/19 TUITE LAW HINSHAW & CULBERTSON 470 19WC 15535 WILSON, SHAYLA N ECOLAB PRODUCTION LLC 04/04/19 TUITE LAW KEEFE CAMPBELL BIERY & ASSOC 471 19WC 15666 NEAL, JOANNE ROCKFORD MEMORIAL HOSPITA 04/11/19 BLACK & JONES 472 19WC 15676 ROBERTS, SETH ELITE FASTENERS 01/07/19 BLACK & JONES GAROFALO SCHREIBER STORM GRA 473 19WC 15797 VULGAMOTT, CYNTHIA S JESSICA'S RESTAURANT 09/30/18 REESE & REESE 474 19WC 15921 ROCK, MELISSA K TRINITY LUTHERAN CHURCH/S 12/14/17 LUCY T. UNGER 475 19WC 16011 MAY, OTTO JR. FCA US LLC 02/20/19 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 476 19WC 16188 DIMAGGIO, CHRISTOPHER FCA US LLC 02/28/19 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 477 19WC 16306 CURRY, ALBERT FCA US LLC 04/23/18 BLACK & JONES WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 478 19WC 16309 SIMMONS, RAMARIO FCA US LLC 07/23/18 BLACK & JONES 479 19WC 16454 JOHNSON, DENNIS SLIDEMATIC 04/25/19 GESMER & REYNOLDS PC JOSEPH MARCINIAK 480 19WC 17055 KOMAR, EVA MAGNA INTERNATIONAL 05/28/19 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 481 19WC 17140 BROOKS, SHAREN GENERAL MILLS INC 02/22/19 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 482 19WC 17148 EZOP, JENNIFER THE FIRST STEP DAYCARE 06/08/18 BLACK & JONES JOSEPH MARCINIAK 483 19WC 17214 FAGAN, KEVIN IL DEPT OF TRANSPORTATION @ 12/21/18 FRANKS, GERKIN & MCKENNA P ASSISTANT ATTORNEY GENERAL 484 19WC 17473 DISMUKE, BELUNN FCA US LLC 01/23/19 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 485 19WC 17786 RUSSELL, JAYSEN COCA-COLA 11/07/18 KROL BONGIORNO & GIVEN LTD 486 19WC 17885 VIRTUE, PATTY HARTIG DRUG 12/26/18 CAPRON & AVGERINOS PC GANAN & SHAPIRO 487 19WC 17955 MARTIN, FELICIA SPX FLOW, INC 03/01/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 488 19WC 17960 NORWOOD, BERNARD FCA US, LLC 03/16/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 489 19WC 17963 CENICEROS, JESUS MIDCOR SUPPLY 05/14/19 COSTA IVONE LLC ACCIDENT FUND HOLDINGS 490 19WC 17977 THOMPSON, SHAWN INGERSOLL MACHINE TOOLS 06/15/16 BLACK & JONES 491 19WC 18095 RUDNY, BRIAN M THE SYNERGY CO., INC 11/05/18 TUITE LAW KEEFE CAMPBELL BIERY & ASSOC 19WC020116 -C 492 19WC 18252 WHITMORE-SMITH, DEBORAH SYNCREON 05/16/19 DWORKIN AND MACIARIELLO 493 19WC 18393 SCHULT, CHARANNA FCA US LLC 05/31/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 494 19WC 18540 ELLIOTT, GEORGE WANEK TRUCKING 03/18/19 TURNER & SACKETT LLC ANCEL GLINK DIAMOND BUSH 495 19WC 18611 JOHNSON, KEITH D FURST STAFFING SRVS, INC 07/25/16 TUITE LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 19WC 18941 NELSON, DEBRA ROCKFORD SCHOOL DIST #205 04/17/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 497 19WC 18954 DEVOE, JEROME AUTOZONE 06/13/19 BLACK & JONES GILDEA, COGHLAN & REGAN LTD. 498 19WC 18966 PEYTON, WILLIAM D QPS 01/16/19 GESMER & REYNOLDS PC WOLFE & JACOBSON, LTD 499 19WC 19099 BUCHNER, CASEY OSF HOME HEALTH & HOSPICE 10/16/18 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 500 19WC 19140 GREINER, GERALDINE WIDOW FRENTRESS LAKE MARINE # 05/17/02 EDWARD J. KOZEL 501 19WC 19378 STAAB, MICHAEL SYNCREON 01/31/19 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 19WC019379 -C 502 19WC 19439 STAVER, DANIEL TEMPERLEY EXCAVATING 02/14/19 THOMAS A MORRISSEY 503 19WC 19633 BURTON, JEREMY AXIUM FOODS 02/08/19 BLACK & JONES WARMOUTH LAW PC 504 19WC 19635 ROBERTS, TIFFANY QPS STAFFING SERVICES, IN 06/12/19 BLACK & JONES WOLFE & JACOBSON, LTD 505 19WC 19641 TRUCKENMILLER, DARRYL STEPHENSON SERVICE CO 06/12/19 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 506 19WC 19810 SALAZAR, ROGER PINNACLE LOGISTICS 07/01/19 REESE & REESE HENNESSY & ROACH PC 507 19WC 19894 HAWKINS, MICKEAL CONCENTRIC AB 04/20/19 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 508 19WC 20007 MOSES, KENDRA KADON PRECISION MACHINING 06/24/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 509 19WC 20185 RIMINGTON, LINDA A ROLLING HILLS PROGRESS CT 04/23/19 HAUSER LAW LLC WIEDNER & MCAULIFFE LTD 510 19WC 20380 KREWER, MICHAEL DISTINCTIVE ROOFING, INC. 05/24/18 MARTIN V KUGIA WOLF & LAUDICINA LTD 511 19WC 20431 HAYNES, BENJAMIN PREMIUM TRANSPORTATION 01/24/19 DWORKIN AND MACIARIELLO 512 19WC 20491 HENDRICKSON, MARY KAY JOHNSON OIL CO EXPRESS LA 06/19/18 O'CONNOR & NAKOS HEYL ROYSTER VOELKER & ALLEN 513 19WC 20743 LEON, CRISTOBAL CREATIVE LANDSCAPING 06/04/19 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 19WC 21034 MCCLELLAN, VINCENT KENCO 06/28/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 515 19WC 21136 GARCIA-FERREYRA, MARIO OAKLEY INDUSTRIES 06/17/19 MARTIN V KUGIA ACCIDENT FUND HOLDINGS 516 19WC 21158 MARTINEZ, FROILAN OAKLEY SUB ASSEMBLY 06/20/19 MARTIN V KUGIA ACCIDENT FUND HOLDINGS 517 19WC 21277 HARNISCH, DENNIS GLENDENNING BROTHERS 06/01/19 BLACK & JONES JAMES M KELLY 518 19WC 21535 ROLLINS, BEVERLY A HELP AT HOME 04/03/19 HAUSER LAW LLC 519 19WC 21796 BANKES, ROBERT ARCO MACHINERY MOVERS 04/09/18 BLACK & JONES GANAN & SHAPIRO 520 19WC 21835 COLLIER, KYM FCA US, LLC 04/15/19 BLACK & JONES WILLIAMS MCCARTHY LLP 521 19WC 21873 NELSON, DENNIS WASTE CONNECTIONS INC 04/16/19 DOUGLAS RALLO PC 522 19WC 21881 MARTINEZ, AMY UPS CUSTOMER CENTER 06/20/19 BLACK & JONES 523 19WC 21942 HOLM, MARK FRANCHESCO'S RISTORANTE 05/29/19 MARKS INJURY LAW 524 19WC 21990 LANCASTE, JEREMY MBI 06/27/19 TURNER & SACKETT LLC WIEDNER & MCAULIFFE LTD 525 19WC 22030 ABERNATHY, OPAL A GRACE HOSPICE 02/08/19 DWORKIN AND MACIARIELLO 526 19WC 22133 COBOS, SUSAN M YANFENG AUTOMOTIVE INTERI 08/30/18 PIGNATELLI & ASSOCIATES 527 19WC 22329 DAVIS, TIMOTHY AMERICOLD LOGISTICS, LLC 06/28/19 GESMER & REYNOLDS PC NYHAN BAMBRICK KINZIE & LOWR 528 19WC 22534 JUSUFI, NAZIM THE PEPPER MILL 01/22/19 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 529 19WC 22704 SALINAS, TAMMY INTEGRATED LABEL CORP 02/15/19 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 530 19WC 22892 ALMANZA, LUIS TAYLOR COMPANY 04/19/17 RUSIN & MACIOROWSKI LTD 531 19WC 23006 HOLMES, JAMES MAGNA SERVICES OF AMERICA 06/08/18 BLACK & JONES POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 19WC 23009 PYZYNSKI, EMELITA TH FOODS INC 01/28/19 BLACK & JONES HOLECEK & ASSOCIATES 533 19WC 23012 SPENCER, FRANKIE FCA US LLC 11/29/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 534 19WC 23018 PELLEY, TYRAN RAYNER COVERING SYSTEMS I 10/18/18 BLACK & JONES 535 19WC 23044 RENTON, CHAD CORE-MARK INTERNATIONAL, 07/26/19 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 536 19WC 23910 FLORES, JUAN CARLOS QVEST SANITATION 05/31/19 MERTES & MERTES PC 537 19WC 23933 HALL, JEFFRY A COUNTY OF WINNEBAGO ILLIN 04/30/19 TUITE LAW WILLIAMS MCCARTHY LLP 538 19WC 24091 SHORES, BRIAN CAVO COMMUNICATIONS 06/01/19 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 539 19WC 24165 WEFLEN, ROBERT JOHNSON OIL CO. 06/20/19 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 540 19WC 24661 WALLIS, MICHAEL ROCKFORD BALL SCREW 05/09/19 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 541 19WC 24675 MAUERMAN, BRITTANY BLAIN'S FARM & FLEET 07/16/19 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 542 19WC 24678 DALSANTO, NORA SWEDISH AMERICAN HOSPITAL 08/05/19 BLACK & JONES 543 19WC 24786 RODRIGUEZ, XZENA TMI HOSPITALITY MANAGMT D 07/05/19 LAWFIRST 544 19WC 24898 STENSRUD, PATRICIA L G4S SECURE SOLUTIONS USA 11/23/18 TUITE LAW 545 19WC 25474 BURFOOT, SCOTT ROCKFORD PARK DIST 05/19/19 BLACK & JONES HENNESSY & ROACH PC 546 19WC 25527 GERVASIO, LUCIO PET SMART 07/09/18 CRONIN PETERS & COOK WIEDNER & MCAULIFFE LTD 547 19WC 25541 DELAROSA, TAMMY FCA US, LLC 08/12/19 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 548 19WC 25598 HOLAWAY, JEFFREY FCA US LLC 08/15/19 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 549 19WC 25896 ESCALANTE, MICHAEL WOODWARD GOVERNOR CO 06/20/18 BLACK & JONES HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 19WC 25937 HALCOMB, JUDY UNITED PARCEL SERVICES 02/04/19 GWC INJURY LAWYERS LLC NYHAN BAMBRICK KINZIE & LOWR 551 19WC 26063 ADDISON, MARIE EASTER SALES 07/25/19 GESMER & REYNOLDS PC 552 19WC 26165 BUSH, JEAN YANFENG AUTOMOTIVE INTERI 01/14/19 BLACK & JONES 553 19WC 26254 FLORES, PATRICK MACLELLAN INTEGRATED SRVS 10/14/18 GESMER & REYNOLDS PC 554 19WC 26800 HOBBS, SHANE ASPEN CONSTRUCTION SYSTEM 08/17/19 BLACK & JONES BRADY CONNOLLY & MASUDA PC 555 19WC 26804 CASTILLO, JEANETTE MAGNA EXTERIORS 06/18/19 BLACK & JONES POWER & CRONIN LTD 556 19WC 26871 SPRING, SCOTT UTC AEROSPACE SYSTEMS/ 08/08/19 CLARK FROST RUSIN & MACIOROWSKI LTD 557 19WC 26909 ARAND, TONY B SQUARED CONCRETE 10/16/18 DWORKIN AND MACIARIELLO 558 19WC 27008 MABRY, KAYLA R MCDONALD'S CORPORATION 08/20/19 TUITE LAW GANAN & SHAPIRO 559 19WC 27064 CURRY, DENNIS R.L. LEEK INDUSTRIES 09/03/19 DWORKIN AND MACIARIELLO 560 19WC 27126 TOWNSEND, MICHAEL IPSEN, INC 06/08/18 BLACK & JONES GAROFALO SCHREIBER STORM GRA 561 19WC 27130 SANDERS, CHARMAINE JONE'S NATURAL CHEWS 07/15/19 BLACK & JONES 562 19WC 27146 MOORE, KAYETTA BERGSTROM 04/02/19 GESMER & REYNOLDS PC WOLFE & JACOBSON, LTD 563 19WC 27319 CLARK, TIMOTHY A ARAMARK 03/28/19 REESE & REESE 564 19WC 27441 BRYANT, JAMES FCA US LLC 06/26/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 565 19WC 27514 BEETS, TONYA ROCKFORD BOARD OF 11/20/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 19WC027515 -C 566 19WC 27628 LAKIS, NICHOLAS ILLINOIS STATE POLICE @ 02/12/19 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 567 19WC 28064 SANDOVAL, ROSIO TRI-DIM FILTER CORPORATIO 08/15/19 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 568 19WC 28132 JOHNSON, ANTONIO HUGHES RESOURCES 09/17/19 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 569 19WC 28199 REES, DANIEL L OBERT FARMS LLC. 11/27/17 TUITE LAW 570 19WC 28266 HYSER, ANTHONY E BEST BUY COMPANY INC 08/20/19 TUITE LAW 571 19WC 28330 KOESTER, BEVERLY L SCALES MOUND SCHOOL DISTR 06/27/19 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 572 19WC 28481 SIMPSON, PAMELA IL STATE TOLL HWY AUTHORI @ 08/27/19 BAUM RUFFOLO & MARZAL LTD 573 19WC 28577 PETRIE, MIKE COLLINS AEROSPACE 09/09/19 BLACK & JONES RUSIN & MACIOROWSKI LTD 574 19WC 28607 BLAKELY, HERBERT R.L. LEEK INDUSTRIES 06/01/19 BLACK & JONES 575 19WC 28661 HARDEN, JIMMIE FCA US LLC 09/13/19 KATZ FRIEDMAN EAGLE ET AL 576 19WC 28664 CONTRERAS, MARIO FCA US LLC 09/03/19 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 577 19WC 28845 LOMAS, SAM HAMILTON SUNDSTRAND 12/18/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 578 19WC 28884 HERRA, JOHN CITY OF ROCKFORD POLICE D 09/22/19 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 579 19WC 29298 FOLK, CHRISTINE A NOVA WILDCAT SHUR-LINE LL 07/18/19 TUITE LAW 580 19WC 29504 ALEXANDER, JOHN SPEE-DEE TRANSPORATION 08/30/19 GESMER & REYNOLDS PC 581 19WC 29612 BRANNEY, TERRANCE STANDARD FORWARDING COMPA 06/11/19 GESMER & REYNOLDS PC 582 19WC 29684 SANDERS, JARNESA ADDUS HOMECARE 02/26/19 BLACK & JONES 583 19WC 29693 DEAN, LEONARD FCA US, LLC 11/01/18 BLACK & JONES WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 584 19WC 29749 SWANBORG, JOSEPH C MIDWEST SEAMLESS GUTTERS 07/01/18 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 585 19WC 29870 HOLGUIN, RAUL B & C GARAGE DOOR INC 02/04/19 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 19WC033963 -C B&C GARAGE DOOR 586 19WC 29989 MANSFIELD, JOHN THE BOYD GROUP INC. 10/13/16 HOLECEK & ASSOCIATES 587 19WC 30087 DAVIS, MICHAEL D JB HUNT TRANSPORT, INC 07/26/19 GRAUER & KRIEGEL LLC MICHAEL JASPER 588 19WC 30145 LICHTFUSS, SAVANAH R IAS LOGISTICS DWF, LLC 07/01/19 TUITE LAW 589 19WC 30183 GUFFEY, NICHOLAS GUNITE CORP 01/18/19 RUSIN & MACIOROWSKI LTD 590 19WC 30284 KRUEGER, SHELBY EAGLE RIDGE HOSPITALITY, 07/09/19 BLACK & JONES BRADY CONNOLLY & MASUDA PC 591 19WC 30376 WIMS, CHINA FCA US LLC 05/30/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 592 19WC 30607 MEYER, MICHAEL E FCA US LLC 07/10/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 593 19WC 30715 ROSADO, LUIS CHEMTOOL INC 10/04/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 594 19WC 30759 ANDERSON, STEVEN FCA US LLC 09/01/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 595 19WC 30913 ORTEGA GALVAN, ANDRES NYCLO SCREW MACHINE PRODU 11/05/18 COSTA IVONE LLC JOSEPH MARCINIAK 596 19WC 31106 CUNNINGHAM JR, DAVID HUEBER FEED 10/01/19 BLACK & JONES 597 19WC 31265 STICKELS, RUSS PCI PHARMA SERVICES 03/06/19 CLARK FROST 598 19WC 31362 HOLLAND, DION FURST STAFFING 09/24/19 BLACK & JONES ACCIDENT FUND HOLDINGS 599 19WC 31366 RUSSELL, CHRIS BLOUNT INTERNATIONAL 08/14/19 PIGNATELLI & ASSOCIATES 600 19WC 31401 AURAND, LORI A SCHUCK MARKETS, INC 07/11/19 TUITE LAW LEMP & MURPHY 601 19WC 31494 BIELEFELDT, JAIMIE FCA US LLC 09/27/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 602 19WC 31513 FOREMAN, MARY J ROCK VALLEY COLLEGE 05/06/19 TUITE LAW 603 19WC 31629 SMITH, JOY V ARAMARK 10/22/19 KATZ FRIEDMAN EISENSTEIN 604 19WC 31723 FLUKER, SHANNA L MARY'S MRKT CAFE&BAKRY200 04/28/19 TUITE LAW 605 19WC 31743 BERILLO, ETHAN C CITY OF BELVIDERE 04/20/19 BOYD, SCOTT M NYHAN BAMBRICK KINZIE & LOWR 606 19WC 31770 GREENFIELD. COLLIN L O'BRIEN CIVIL WORKS 08/01/19 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 607 19WC 31805 CAMPBELL, ROSEANN ASHLEY FURNITURE 05/01/19 BLACK & JONES 608 19WC 31819 MOATE, ONICA FCA US LLC 06/01/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 609 19WC 31822 VOGT, WILLIAM STAR MANUFACTURING 12/28/18 BLACK & JONES CAPUANI, FRANK S 610 19WC 32024 BOYLE, RICHARD SUPERIOR AIR GROUND AMBUL 08/21/19 REESE & REESE POWER & CRONIN LTD 611 19WC 32212 BRIGHAM, LAPORSHA FCA US LLC 09/30/19 KATZ FRIEDMAN EISENSTEIN WILLIAMS MCCARTHY LLP 612 19WC 32254 MURILLO, HECTOR TAYLOR FREEZER 10/03/19 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 613 19WC 32327 REECE, SCOTT WORKFORCE INTEGRATION D/B 11/27/18 RIDGE & DOWNES MCANANY VANCLEVE & PHILLIPS 614 19WC 32417 EDWARDS, GINO MAGNA EXTERIORS 10/28/19 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 615 19WC 32659 SCHEIDEGGER, LAURIE SWEDISH AMERICAN HOME 06/29/19 DWORKIN AND MACIARIELLO WILLIAMS MCCARTHY LLP 616 19WC 32884 GONZALEZ, MARIA TREEHOUSE FOODS 05/01/19 BLACK & JONES 617 19WC 32918 MURILLO, HECTOR TAYLOR FREEZER 04/28/17 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 618 19WC 32965 LAYKHAM-BURKE, SYMONE LOWES DISTRIBUTION 08/23/19 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 619 19WC 32989 GIOIA, PAUL RBI'S BAR & GRILL 07/21/19 BLACK & JONES GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 620 19WC 32992 DEGENHARDT, CLINTON UPS 10/03/19 BLACK & JONES ASA LAW GROUP 621 19WC 32993 RHYMER, ROBERT SNAK KING CORP 09/23/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 622 19WC 33184 GOODRICH, ALAN CONEVERA INC 12/28/17 GESMER & REYNOLDS PC 623 19WC 33325 GALICA, WITOLD TC TRANSPORT, INC 10/29/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 624 19WC 33374 LAZOS, JESUS BOTELLO TREEHOUSE FOODS 10/09/19 ACEVES & PEREZ PC KEEFE CAMPBELL BIERY & ASSOC 625 19WC 33433 ALDRIDGE, JEFF RRB FABRICATIONS 08/21/19 GESMER & REYNOLDS PC 626 19WC 33536 FIORENZA, ELIZABETH MERCY HEALTH HOSPICE 08/21/19 ALEXANDER, PETER LTD. WIEDNER & MCAULIFFE LTD 627 19WC 33558 LEONARD, COREY BERNER FOODS INC 10/17/18 BLACK & JONES HOLECEK & ASSOCIATES 628 19WC 33585 STOCK, MARK ROCK VALLEY COLLEGE 07/25/18 NASH LAW OFFICE PC 629 19WC 33683 STOCK, MARK ROCK VALLEY COLLEGE 10/04/18 NASH LAW OFFICE PC 630 19WC 33975 WILLIAMS, BETTY ACCURIDE/HUNITE CORP 10/11/19 BLACK & JONES RUSIN & MACIOROWSKI LTD 631 19WC 34019 THOMPSON, NICHOLAS OSF HEALTHCARE 10/11/19 DERANGO & CAIN 632 19WC 34146 HUGHES, RUFUS CHRYSLER 10/15/19 PATRICOSKI, MARK G WIEDNER & MCAULIFFE LTD 633 19WC 34154 CURRAN, ANTHONY R CITY OF ROCKFORD POLICE D 09/19/19 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 634 19WC 34223 MURPHY, JENNIFER FIAT CHRYSLER 10/23/19 DOUGLAS RALLO PC WIEDNER & MCAULIFFE LTD 635 19WC 34390 LE BLANC, MICHELLE BYRON COMMUNITY SD #226 08/01/19 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 636 19WC 34574 JACOBS, TINA DASCO PRO 03/15/18 MARTIN V KUGIA 637 19WC 34630 MERRIMAN, JULIE (WIDOW) AEROTEK STAFFING AGENCY # 10/27/19 TURCYCHUTE LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 638 19WC 34750 MIDCALF, FELICIA ARAMARK 06/25/19 BLACK & JONES HENNESSY & ROACH PC 639 19WC 34754 RODRIGUEZ, JOSE SECURE STAFFING, LLC 02/06/18 BLACK & JONES POWER & CRONIN LTD 640 19WC 34764 BURKE, CYNTHIA OSF ST ANTHONY MEDICAL CE 02/27/19 BLACK & JONES HINSHAW & CULBERTSON 641 19WC 34796 ZIMMER, SCOTT DW ENTERPRISES LLC 09/16/19 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 642 19WC 34913 SCHULZ, KARL TITAN TIRE COMPANY 12/18/18 WOLFE LAW PC KEEFE CAMPBELL BIERY & ASSOC 643 19WC 34978 GHAREEB, ISMAIL YANFENG AUTOMOTIVE INTERI 09/16/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 644 19WC 35137 NELSON, DEAN C LANARK FIRE DEPT 07/12/18 MERTES & MERTES PC POWER & CRONIN LTD 645 19WC 35305 WHITE, AMBER A FCA US LLC 02/15/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 646 19WC 35383 KRUMSEE, MICHELLE FIRST STUDENT 03/01/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 647 19WC 35469 VALLES, CRISTIHAN B KOHL'S DEPARTMENT STORE, 10/31/19 TUITE LAW HENNESSY & ROACH PC 648 19WC 35472 EDWARDS, NANCY J ROCKFORD PUBLIC SCHOOL DT 03/18/19 TUITE LAW WIEDNER & MCAULIFFE LTD 649 19WC 35486 RILEY, KIMBERLY PARTNERS PERSONNEL/SNAK K 05/09/19 LEAHY EISENBERG & FRAENKEL 650 19WC 35625 SHERWOOD, BRAIDYN NELSON FIRE PROTECTION 07/13/19 HORWITZ HORWITZ & ASSOC 651 19WC 35653 JULIANO, TOVIA UNITED PIPE & STEEL CORP 12/10/16 BLACK & JONES HOLECEK & ASSOCIATES 652 19WC 35957 MINERO, SEVERO UNCLE NICKS 08/29/19 BLACK & JONES HOLECEK & ASSOCIATES 653 19WC 35960 ADAMS, DEBBIE ALDI FOODS 09/03/19 BLACK & JONES BRADY CONNOLLY & MASUDA PC 654 19WC 35984 MORROW, PROMINIQUE PINNACLE LOGISTICS 12/09/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 655 19WC 35991 FEHR, DOUG FCA US LLC 01/10/12 BLACK & JONES WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 656 19WC 36051 LINDBERG, DANIEL H UNITED PARCEL SERVICE, IN 07/14/17 ROSS TYRRELL NYHAN BAMBRICK KINZIE & LOWR 657 19WC 36264 CANCEL, SAMUEL BERNER FOOD AND BEVERAGE 12/12/19 DWORKIN AND MACIARIELLO 658 19WC 36499 MEADORS, ERIK J CITY OF LOVES PARK-POLICE 10/06/19 TUITE LAW 659 19WC 36565 DAMKEN, JOHN CDV CORPORATION 10/01/19 ALEXANDER, PETER LTD. 660 19WC 36619 FLOYD, MICHAEL FIAT CHRYSLER AUTOMOTIVE 12/22/17 FLOYD LAW FIRM 661 19WC 36908 LILLIE, JOLLEEN CURTIS METAL FINISHING 06/20/19 BLACK & JONES HENNESSY & ROACH PC 662 19WC 36912 JONES, BRITTANY SWEDISH AMERICAN HOSPITAL 11/01/18 BLACK & JONES WILLIAMS MCCARTHY LLP 663 19WC 36978 GARCIA-HOLM, PETRA L ROCKFORD BOARD OF EDUCATI 09/04/19 TUITE LAW WIEDNER & MCAULIFFE LTD 664 19WC 37078 HUNT, ALLISON K OREGON COUNTY UNIT 07/29/19 TUITE LAW GAROFALO SCHREIBER STORM GRA 665 19WC 37100 PINEDA, FERNANDO P ROSECRANCE INC 11/27/18 TUITE LAW 666 19WC 37134 MERSHON, GARY AT&T 06/07/19 GESMER & REYNOLDS PC HENNESSY & ROACH PC 667 19WC 37191 WILSON, SCOTT A EXELON 12/18/19 GESMER & REYNOLDS PC CHILTON YAMBERT PORTER LLP 668 19WC 37380 GUSTAFSON, ALEXANDER SAM'S RISTORANTE & PIZZER 08/09/19 GESMER & REYNOLDS PC 669 19WC 37400 DAVIS, LASHELLE FCA US LLC 02/01/18 BLACK & JONES WILLIAMS MCCARTHY LLP 670 19WC 37408 HAYNES, MICHAEL SHEFFIELD MEADOWS APARTME 12/07/19 BLACK & JONES HOLECEK & ASSOCIATES 671 19WC 37411 GONZALEZ, GUADALUPE GUNITE CORP 05/30/19 BLACK & JONES RUSIN & MACIOROWSKI LTD 672 19WC 37559 STREED, DARYN B CITY OF ROCKFORD POLICE D 12/24/19 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 673 19WC 37591 FOLKERTS, NICHOLAS BERGSTROM CLIMATE CONTROL 10/18/19 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 674 20WC 00367 UGARTE, PEDRO SEBERT LANDSCAPE 11/11/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 675 20WC 00429 PENN, BRANDON FCA US LLC 09/15/18 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 676 20WC 00535 STAEHLER, TAMARA UNITED PARCEL SERVICE 11/25/19 GESMER & REYNOLDS PC NYHAN BAMBRICK KINZIE & LOWR 677 20WC 00750 ROSER, COREY D CITY OF ROCKFORD POLICE D 11/27/19 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 678 20WC 00771 PORTER, YASMAN FCA US LLC 11/04/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 679 20WC 00794 HERNANDEZ (SIMPSON), KAIT HIGHVIEW IN THE WOODLANDS 07/05/17 EAMES LAW GROUP LTD 680 20WC 00817 GRENOBLE, JODY V INTEGRITY MOTOR CARS INC 04/12/19 FRANKS, GERKIN & MCKENNA P 681 20WC 00838 MITCHELL, LATRICE MCDONALD'S 05/01/19 BLACK & JONES 682 20WC 00841 RILEY, CHERYLE STATE OF IL-DORS 02/05/15 BLACK & JONES 683 20WC 00873 COOK, MIKE WASTE CONNECTIONS 11/30/19 DAVID W MARTAY 684 20WC 00940 CHANTHAPHONE, SONENALINH CITY OF ROCKFORD 12/16/19 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 685 20WC 00975 BRAY, JAMIE D CWP WEST CORP D/B/A CAR W 10/09/19 TUITE LAW 686 20WC 01107 ROMAN, ANGEL PARAGON SYSTEMS, INC 12/03/19 ELFENBAUM EVERS ZIELINSKA RUSIN & MACIOROWSKI LTD 687 20WC 01154 GORSLINE, JOANN MERCY HEALTH HOSP RIVERSI 11/01/18 STONE & MAYA PC 688 20WC 01184 KLEIN, TIMOTHY NORTH BOONE SCHOOL DIST # 11/24/18 BLACK & JONES GAROFALO SCHREIBER STORM GRA 689 20WC 01296 STRATE, JEFF BELVIDERE PARK DISTRICT 05/09/19 GESMER & REYNOLDS PC 690 20WC 01557 SHORTER, SYLVESTER JR. SBG INTERNATIONAL 04/16/19 HAUSER LAW LLC 691 20WC 01673 CUNNINGHAM, DREW CHRYSLER CORP ASSEMBLY PL 07/23/18 ALEXANDER, PETER LTD.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 692 20WC 01683 MILLER, JAY O ANDERSON PEST SOLUTIONS 12/06/19 HANNIGAN & BOTHA, LTD INMAN & FITZGIBBONS 693 20WC 01910 EATON, VANESSA HARLEM SCHOOL DISTRICT #1 10/25/19 GESMER & REYNOLDS PC 694 20WC 02076 CONRAD, SHAWN R DOLLAR TREE STORES INC 10/17/19 TUITE LAW 695 20WC 02125 REAGAN, RONALD K FCA US LLC 11/25/19 TUITE LAW WIEDNER & MCAULIFFE LTD 696 20WC 02238 SIMON, TIA ROCKFORD MASS TRANSIT 10/17/19 DWORKIN AND MACIARIELLO 697 20WC 02424 MINNICK, MACKENZIE WALMART 01/22/20 DWORKIN AND MACIARIELLO EARLY & MIRANDA PC 698 20WC 02639 WOODS, DESHAWNDA SPXFLOW HYDRAULIC TECHNOL 01/25/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 699 20WC 02745 BONNET, SUSAN PEARL PAVILLION: A PREMIE 06/06/19 DWORKIN AND MACIARIELLO 700 20WC 02777 WALL, GREG FURST STAFFING 01/21/20 DAVID W MARTAY 701 20WC 02818 SCHMIDT, LISA HERITAGE CREDIT UNION 01/03/20 MEYERS & FLOWERS 702 20WC 02937 FRANKLIN, SHERRY HOFFMAN HOUSE 11/01/19 DWORKIN AND MACIARIELLO 703 20WC 03022 LAMBERT, ALFONZO SHERWIN-WILLIAMS COMPANY 07/17/19 GESMER & REYNOLDS PC 704 20WC 03117 BELL, DONNIE ANDROID INDUSTRIES 01/28/20 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 705 20WC 03123 HENRY, DANIEL FCA US LLC 09/18/19 KATZ FRIEDMAN EISENSTEIN WILLIAMS MCCARTHY LLP 706 20WC 03197 LOTTIE, RONNIA SR OAKLEY INDUSTRIES 01/02/20 MARTIN V KUGIA 707 20WC 03202 KITTINGER, EMILY FURST STAFFING 11/08/19 BLACK & JONES 708 20WC 03205 GLASPER, CLAYTON SHERWIN WILLIAMS 10/21/19 BLACK & JONES 709 20WC 03215 ESPARZA, LUZ MARIA MCDONALDS 12/03/19 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 710 20WC 03233 DUCK, DANIEL COMCAST 11/13/19 BLACK & JONES POWER & CRONIN LTD 711 20WC 03236 SANDERS, MICHAEL FCA US LLC 10/25/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 712 20WC 03338 GANTZ, KASEY COLLIER RV 12/14/18 BLACK & JONES 713 20WC 03484 BONJOUR, CHARLES TITAN TIRE COMPANY 08/26/19 WOLFE LAW PC KEEFE CAMPBELL BIERY & ASSOC 714 20WC 03518 BALLESTEROS, ANITA CARDINAL STAFFING 11/20/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 715 20WC 03698 LEPKA, PETER STATE OF ILLINOIS LOTTERY @ 07/03/18 THOMAS A MORRISSEY 716 20WC 03803 JOHNSON, ROBERT B HONEYWELL INTERNATIONAL I 09/08/17 FRANKS, GERKIN & MCKENNA P EVANS & DIXON 717 20WC 03827 LEASCO, CANDY FCA ASSEMBLY PLANT 01/30/20 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 718 20WC 03997 JIMENEZ, JORGE DEYNES NORTHWEST PALLET SERVICES 01/06/20 DWORKIN AND MACIARIELLO 719 20WC 04114 FLORES, CHRISTOPHER MAGGIO TRUCK CENTER 01/29/20 WOODRUFF JOHNSON WOLF & LAUDICINA LTD 720 20WC 04186 MOONEY, AMY FCA US LLC 12/18/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 721 20WC 04206 BRANNEY, TERRANCE STANDARD FORWARDING CO, I 01/20/20 GESMER & REYNOLDS PC 722 20WC 04264 LEFLORE, KERISSA MARIE PE PINNACLE LOGISTICS 02/18/17 ADRIAN MURATI 723 20WC 04359 STICKELS, KELLI AUTO WAREHOUSING COMPANY 12/17/19 RIDGE & DOWNES 724 20WC 04673 KRELL, SUSAN M OSF ST ANTHONY MEDICAL CE 08/26/19 TUITE LAW 725 20WC 04755 TONGSON, THERESA ANDROID INDUSTRIES 09/12/18 KATZ FRIEDMAN EISENSTEIN 726 20WC 04758 STERLING, HOUSTON ROCKFORD REGISTER STAR 01/25/20 KATZ FRIEDMAN EISENSTEIN 727 20WC 04960 FISCHER, KERI HONEYWELL ECLIPSE INC 08/06/19 GESMER & REYNOLDS PC EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 728 20WC 04997 PRICE, KALANDRA MCDONALD'S 02/26/19 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 729 20WC 05023 RAINER, ROSEMARY HEARTLAND HOSPICE 01/20/20 HORWITZ HORWITZ & ASSOC 730 20WC 05135 GARCIA, JOSE RAMOS BREEZY HILL NURSERY 04/16/19 DWORKIN AND MACIARIELLO 731 20WC 05166 LYONS, TALESHA EASTER SEALS 06/10/19 BLACK & JONES 732 20WC 05169 LYONS, TALESHA EASTER SEALS 12/12/19 BLACK & JONES 733 20WC 05172 FLEMING, DENIA WALMART 10/11/19 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 734 20WC 05179 KRUSE, JOHN WASTE CONNECTIONS 01/13/20 BLACK & JONES WIEDNER & MCAULIFFE LTD 735 20WC 05202 WITHERINGTON, PAYTON PERFORMANCE SIGN 10/17/19 BLACK & JONES 736 20WC 05336 TAYLOR, ELIZABETH A THE CHILDREN'S PLACE INC 12/26/19 ARGIONIS & ASSOCIATES LLC HENNESSY & ROACH PC 737 20WC 05386 KINDRED, GREGORY LOVES PARK POLICE DEPT 11/18/19 GWC INJURY LAWYERS LLC POWER & CRONIN LTD 738 20WC 05410 MCALISTER, SANDRA FCA US LLC 07/03/18 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 20WC005408 -C 20WC005409 -C 739 20WC 05507 CAMARERO, SERGIO R&D THIEL INC 02/12/20 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 740 20WC 05563 WILLIAMS, BRENDA FIRST STUDENT 11/18/19 KATZ FRIEDMAN EISENSTEIN 741 20WC 05566 DEEGAN, NICOLAS W UTC AEROSPACE SYSTEMS 08/08/19 KATZ FRIEDMAN EISENSTEIN RUSIN & MACIOROWSKI LTD 742 20WC 05678 MCGIRK, DAWN NEAL MAST AND SON INC 08/16/19 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 743 20WC 05686 FERGUSON JR, SAMMY ESTWING MANUFACTURING CO 02/07/06 BLACK & JONES WIEDNER & MCAULIFFE LTD 744 20WC 05689 BOEKE, JESSICA STAR MANUFACTURING 03/11/18 BLACK & JONES 745 20WC 05714 CARLSON, BARTH B CCA MIDWEST 11/26/19 DOUGLAS RALLO PC GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 746 20WC 05737 JONES, CEADVON CURTIS METAL FINISHING CO 08/01/19 MARTIN V KUGIA 747 20WC 05761 MESHENNY, NIKOLAJ BALLARD PROPERTIES 10/11/18 GESMER & REYNOLDS PC 748 20WC 05799 BROWN, ODELL DIAL MACHINE 06/12/18 GESMER & REYNOLDS PC JOSEPH MARCINIAK 749 20WC 05862 BURRIGHT, ROBERT FCA US LLC 10/17/19 CLARK FROST WIEDNER & MCAULIFFE LTD 750 20WC 05920 FLORES, PATRICK MACLELLAN INTEGRATED 09/08/19 GESMER & REYNOLDS PC 751 20WC 05948 BUSJAHN, MARK ETCHBERGER TRUCKING 08/22/19 GESMER & REYNOLDS PC LEAHY EISENBERG & FRAENKEL 752 20WC 06068 FLETCHER, JAMES ACCRIDE 02/12/20 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 753 20WC 06155 JULIANO, TOVIA UNITED PIPE AND 03/26/18 BLACK & JONES HOLECEK & ASSOCIATES 754 20WC 06183 DAVIS, RONNY EMERSON ELECTRIC COMPANY 01/20/20 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 755 20WC 06326 RAINES, ROBERT JR. GUNITE CORPORATION 05/01/17 GESMER & REYNOLDS PC RUSIN & MACIOROWSKI LTD 756 20WC 06351 CHAIREZ-SACHEZ, OMAR CARDINAL STAFFING SERVICE 10/19/19 BOTTO GILBERT HENNESSY & ROACH PC 757 20WC 06574 BOYER, DAVID R CRYSTAL PRECISION DRILLIN 10/09/18 TUITE LAW WOLFE & JACOBSON, LTD 758 20WC 06760 MCLEAN, ZACHARY FCA US LLC 02/24/20 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 20WC003863 -C 759 20WC 06875 FOWLER, TAMMI L DOLLAR TREE 09/20/19 REESE & REESE 760 20WC 06968 ABNEY, KENDRA ROCKFORD MASS TRANSIT DIS 03/03/20 DWORKIN AND MACIARIELLO 761 20WC 07079 RAMIREZ, MARIA TH FOODS 03/08/20 DWORKIN AND MACIARIELLO 762 20WC 07129 O'MALLEY, ROBERT UTC AEROSPACE SYSTEMS 07/18/18 KATZ FRIEDMAN EISENSTEIN RUSIN & MACIOROWSKI LTD 763 20WC 07171 DOWLING, BENJAMIN GILLS FREEPORT DISPOSAL 02/17/20 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 764 20WC 07174 OLSON, PETER TAYLOR COMPANY 11/12/19 BLACK & JONES RUSIN & MACIOROWSKI LTD 765 20WC 07194 LUTZ, LISA CORTECH, LLC 06/27/17 BLACK & JONES GILDEA, COGHLAN & REGAN LTD. 766 20WC 07303 BURTON, DANIEL DOCTOR GREEN SERVICES 11/22/19 PARENTE & NOREM PC 767 20WC 07358 SARABIA, ANA METRO STAFF INC. 02/04/20 BLACK & JONES 768 20WC 07425 EDWARDS, JIMMIE SYNCREON 10/01/19 BLACK & JONES 769 20WC 07469 THROWER, ANTONIO M BORDER FOODS OF WISCONSIN 02/08/20 TUITE LAW 770 20WC 07677 ARATA, JILL NORTH BOONE COMM UNIT 03/12/19 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM GRA 771 20WC 07751 MINARDI, ANTHONY R CARDINAL GLASS COMPANY 03/30/17 TUITE LAW HENNESSY & ROACH PC 772 20WC 07835 HILL, LARRY JR GUNITE CORPORATION 01/17/20 DERANGO & CAIN RUSIN & MACIOROWSKI LTD 773 20WC 07948 FRICKSON, KENNETH J WINNEBAGO COUNTY SHERIFFS 11/26/18 REESE & REESE 774 20WC 08028 BARBER, SCOTT ROCK RIVER WATER RECLAMAT 01/08/20 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 775 20WC 08160 GREENLAND, LONNIE UPS FREIGHT SVC 01/30/20 BLACK & JONES ASA LAW GROUP 776 20WC 08165 RODRIGUEZ CARRENO, LUCIA SWEDISH AMERICAN HOSPITAL 01/19/20 BLACK & JONES 777 20WC 08183 KLOSTER, SUSAN ROCKFORD CHRISTIAN SCHOOL 02/22/19 GESMER & REYNOLDS PC 778 20WC 08197 CONOUR, DAVID NORTHERN ILLINOIS TERRAZO 02/14/20 ROBERT EDENS RIPES NELSON BAGGOT KALOBRAT 779 20WC 08331 AMEISS, ERIN SALLY BEAUTY HOLDINGS 05/28/19 KROL BONGIORNO & GIVEN LTD 780 20WC 08378 REESE, BRANDON CINTAS CORP 02/04/20 BLACK & JONES POWER & CRONIN LTD 781 20WC 08400 BECK, SAMUEL GRID ONE SOLUTIONS 02/03/20 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 782 20WC 08403 RAMOS, NOEMI BERGSTROM INC 01/10/20 BLACK & JONES 783 20WC 08406 WOMAC, CINDY WOODWARD GOVERNOR CO 08/14/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 784 20WC 08410 MACIAS, CHARLES MTE HYDRAULICS INC 02/10/20 BLACK & JONES 785 20WC 08472 SMITH, ERIC WORK PLACE ROCKFORD 03/05/20 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 786 20WC 08520 STRINGINI, ASHLEY FCA US LLC 08/15/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 787 20WC 08686 VILLANUEVA, JEANETTE LIFETOUCH SERVICES, INC 04/20/19 NYHAN BAMBRICK KINZIE & LOWR 788 20WC 08711 WILLIAMS, BETTY ACCURIDE/GUNITE CORP 03/18/20 BLACK & JONES RUSIN & MACIOROWSKI LTD 789 20WC 08714 SAPRON, GRAZYNA SYNCREON 06/24/19 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 790 20WC 08796 THOMAS, CARLOS LKQ 02/28/20 DWORKIN AND MACIARIELLO 791 20WC 08902 TENNIAL, LAWRENCE ROCKFORD MASS TRANSIT DIS 12/27/19 HORWITZ HORWITZ & ASSOC 792 20WC 09091 MERCED, MELANIE FCA US LLC * 04/01/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 793 20WC 09292 KLAUS, SHAWN FRITO LAY, INC * 11/27/19 HAUSER LAW LLC GILDEA, COGHLAN & REGAN LTD. 794 20WC 09398 EARNEST, PATTI CORTECH * 02/06/20 GESMER & REYNOLDS PC LINDNER & MARSACK 795 20WC 09658 BAXA, BRENDA FCA US LLC * 08/20/18 KATZ FRIEDMAN EISENSTEIN 796 20WC 09715 VENDEN, SUNSHINE SULLIVAN'S FOODS * 08/27/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 797 20WC 09780 THRONDSEN, BRUCE G&M APPLIANCE REPAIR, INC * 01/21/19 CLARK FROST RUSIN & MACIOROWSKI LTD 798 20WC 09799 WILLIAMS, MARRISHA STEPPING STONES INC * 05/01/18 BLACK & JONES 799 20WC 09804 ODOM, PEGGY WALMART SUPERCENTER * 05/23/18 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 800 20WC 09865 JACKSON, LISA GIRL SCOUTS OF NORTHERN * 02/14/20 GESMER & REYNOLDS PC 801 20WC 09969 CRAMAROSSA, JOSEPH WILKES BARRE SCRANTON PEN * 02/06/19 WOLFE LAW PC HENNESSY & ROACH PC 802 20WC 10031 BUTERA, VICTOR WALMART * 12/22/19 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 803 20WC 10054 VAUGHN, RHONDA PCI PHARMA SERVICES * 02/11/20 BLACK & JONES HOLECEK & ASSOCIATES 804 20WC 10145 JACKSON, JAVAUNE MAXIM HEALTHCARE STAFFING * 03/25/20 ANKIN LAW OFFICE 805 20WC 10222 MALONE, WENDY GUNITE CORP * 04/03/19 RUSIN & MACIOROWSKI LTD 806 20WC 10337 GROSHANS, ERICK ROCKFORD MASS TRANSIT * 04/17/20 WHITESIDE & GOLDBERG LTD POWER & CRONIN LTD 807 20WC 10495 GONZALEZ, ERIKA BROSE BELVIDERE * 08/22/19 EPSTEIN, JACK R LAW OFFICE 808 20WC 10529 MARTIN, PATRICK G EVOLUTION STAFFING INC * 02/19/19 TUITE LAW 809 20WC 10587 BOOK, RICK RYAN INCORPORATED CENTRAL * 08/05/19 BLACK & JONES CHILTON YAMBERT PORTER LLP 810 20WC 10601 OLESON, SALLY, WIDOW OF MAPLEHURST FARMS # * 04/07/20 MEYERS & FLOWERS 811 20WC 10746 HOWALD, RANDY S MILLER ENGINEERING CO * 07/08/16 WIEDNER & MCAULIFFE LTD 812 20WC 10772 SALAZAR, JOMAR FCA US LLC 04/10/19 KATZ FRIEDMAN EISENSTEIN 813 20WC 10855 NAVA, FRANCISCO SECURE STAFFING LLC * 05/07/19 ANKIN LAW OFFICE 814 20WC 10877 KALK, KEVIN L WOODWARD INC * 02/17/19 WIEDNER & MCAULIFFE LTD 815 20WC 11146 SALAMONE, RONALD WALMART * 04/02/20 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 816 20WC 11293 JOHNSON, LAWANDA S ROCKFORD SCHOOL DIST #205 * 12/05/18 REESE & REESE WIEDNER & MCAULIFFE LTD 817 20WC 11543 MCGRADY, CHRISTOPHER NAPA AUTO PARTS * 12/18/18 JOHN J CASTANEDA INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 818 20WC 11648 HERNANDEZ, FRANCISCO HENNING INC * 12/18/19 BLACK & JONES 819 20WC 11655 BANUELOS, LUIS ALVARADO LANDESIGN, LLC * 04/14/20 BLACK & JONES HANSON LAW OFFICE 820 20WC 11658 BEARDSLEY, LINDSEY ARAMARK UNIFORM SERVICES * 01/14/20 BLACK & JONES INMAN & FITZGIBBONS 821 20WC 11714 NELSON, BRAD KING BLACKTOP & CONCRETE, * 04/10/20 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 822 20WC 11756 LANKINEN, KEVIN CHICAGO BLACKHAWKS * 02/13/20 WOLFE LAW PC 823 20WC 11913 PADILLA, NOEL NIR ROOF CARE * 05/18/20 DWORKIN AND MACIARIELLO 824 20WC 12049 BEMENT, ALEXIS T MEYER'S KENNEL, INC. * 05/08/20 TUITE LAW 825 20WC 12072 SPARACINO, NICHOLAS UPS * 11/27/19 GWC INJURY LAWYERS LLC ASA LAW GROUP 826 20WC 12093 ALANIS, CESAR USF HOLLAND * 01/29/20 BLACK & JONES 827 20WC 12111 RANDALL, CHARLES MID STATES CONCRETE INDUS * 10/10/18 MARKS INJURY LAW 828 20WC 12120 VAZQUEZ, BAUDELIO TAYLOR COMPANY * 02/22/20 BLACK & JONES 829 20WC 12388 WHITTIE, CAROLYN SUPER NURS LLC * 05/15/20 KATZ FRIEDMAN EISENSTEIN 830 20WC 12595 ABDULHAQ, ZAFIRAH BERNER FOODS * 04/28/20 DWORKIN AND MACIARIELLO 831 20WC 12665 NAMBO, DESTINY GENERAL MILLS INC. * 09/21/19 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 832 20WC 12734 SCHROEDER, JOHN E FCA US LLC * 11/22/19 TUITE LAW 833 20WC 12807 WOLOWICKI, KAREN FCA US LLC * 02/07/20 KATZ FRIEDMAN EISENSTEIN 834 20WC 13004 PRUNER, CHERYL L MCDONALD'S CORPORATION D. * 02/09/20 TUITE LAW 835 20WC 13046 JOHNSON, ROBERT B HONEYWELL INTERNATIONAL I * 10/13/19 FRANKS, GERKIN & MCKENNA P EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 836 20WC 13073 HODYNIAK, RONA VAN MATRE ENCOMPASS HEALT * 04/16/20 GESMER & REYNOLDS PC 837 20WC 13103 HENRICKSON, MARY SAM'S CLUB * 03/12/20 BLACK & JONES WIEDNER & MCAULIFFE LTD 838 20WC 13123 FERGUSON, LINDA SAM'S CLUB * 04/24/20 GESMER & REYNOLDS PC GANAN & SHAPIRO 839 20WC 13399 STEWART, DIANA SYMPHONY NORTHWOODS * 05/10/20 CAPRON & AVGERINOS PC 840 20WC 13498 SMELSER, KAY MPEC * 06/01/18 BORGELT POWELL 841 20WC 13513 ALFARO, GONZALO PCI PHARMA SERVICES * 04/16/20 BLACK & JONES 842 20WC 13532 HEANEY, ANTHONY WOODWARD, INC * 02/18/20 GESMER & REYNOLDS PC 843 20WC 13563 BATES, AUTUMN BERNER FOODS INC * 04/29/20 BLACK & JONES 844 20WC 13621 JONES, JOE AMAZON * 06/14/20 ANGELINI & ORI LLC 845 20WC 13679 GILBERTO, WAYNE ESTWING MANUFACTURING COM * 05/14/20 BLACK & JONES WIEDNER & MCAULIFFE LTD 846 20WC 13694 UNTERSEE, JULIUS USF HOLLAND * 08/29/18 RIDGE & DOWNES 847 20WC 13758 FAUGHT, MATTHEW KENTUCKY FRIED CHICKEN * 05/28/20 DWORKIN AND MACIARIELLO 848 20WC 13889 GAMBINI, RICHARD A JR CITY OF ROCKFORD POLICE D * 12/21/19 REESE & REESE 849 20WC 13924 SANCHEZ, DULCE YANFENG GLOBAL * 11/20/19 TARADASH LAW OFFICE 850 20WC 13981 LLOYD-LITTREL, BETH DHS DIVISION OF REHAB SRV * 06/13/20 DWORKIN AND MACIARIELLO 851 20WC 14041 HERNANDEZ, HERMINIA PYRAMID PLASTICS * 05/16/20 FOOTE MIELKE CHAVEZ O'NEIL 852 20WC 14160 DAHLGREN, EVAR AKS ENTERPRISES * 01/01/19 BLACK & JONES 853 20WC 14164 APPLING, TRACY STATE OF ILLINOIS-DORS * 04/20/20 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCKFORD 45002 ON 08/07/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 854 20WC 14181 VOSS, DANA ROW MAINTENANCE * 06/12/17 WILLIAMS MCCARTHY LLP 855 20WC 14287 PROPST, ROBERT CPR ROOFING INC * 07/25/17 KNELL LAW LLC 856 20WC 14309 YOHNKA, JEB MECHANICAL INC * 03/23/20 BLACK & JONES 857 20WC 14400 PRESTON, ELSIE SPOUSE OF TR TRANSFER INC. # * 03/30/20 PIGNATELLI & ASSOCIATES 858 20WC 14628 O'ROURKE, ANNETTE UPS * 12/11/18 RUBENS KRESS MULHOLLAND 859 20WC 14646 HARDY, NATHANIEL EXECTIVE LAWN SERVICES 01/11/20 DWORKIN AND MACIARIELLO 860 20WC 14977 ALLEN, MARVIN BOCKER AUTOMOTIVE GROUP * 01/14/20 JAMES J BURKE LAW OFFICE 861 20WC 15058 LIES, MICHAEL GEMINI MOTOR TRANSPORT * 04/07/20 BLACK & JONES 862 20WC 15070 DONALDSON, MICHAEL ESTWING MANUFACTURING CO * 05/01/20 GESMER & REYNOLDS PC 863 20WC 15119 SANSONE, RONNIE FREEPORT INDUSTRIAL ROOFI * 10/16/19 CLARK FROST 864 20WC 15144 KRUSE, BRANDIE DOLLAR TREE STORESE * 11/04/19 BLACK & JONES 865 20WC 15162 BROOKS, JOHN A WALMART * 10/16/19 DAMISCH & DAMISCH LTD 866 20WC 15228 GORDON, TIFFANY N EUROPEAN SERVICE AT HOME * 06/03/20 TUITE LAW