ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 07WC 25735 MASSEY, ALBERT L, SR J C HAULING W 08/25/05 BROWN & BROWN WIMMER & STIEHL 2 08WC 29792 BURNS, DARYL R JR STOCK TRANSPORT 09/27/07 LYNN D BARNETT JAMES M KELLY 3 08WC 33639 SIDWELL, DOROTHY THERESIA ARROW GROUP INDUSTRIES 06/06/08 COOK SHEVLIN YSURSA ET AL LEAHY WRIGHT & ASSOC 4 08WC 41948 19B NESSER, JOE J SANFORD CONTRACTOR SVC 08/27/08 JEROME LEFTON LAW OFFICE REED ARMSTRONG GORMAN ET AL 5 08WC 45834 RAGSDALE, ANN OVATIONS FOOD SERVICE 09/09/08 ROUSE & CARY 6 08WC 53531 SCOTT, BERLINDA VANDALIA BUS LINES 04/29/07 MILLER/SALSBURY LAW FIRM 09WC015426 -C 7 09WC 09337 TRETTER, JEFF PRE-COAT METALS 12/08/08 LAW OFFICE OF THOMAS SCHOO LEMP & ANTHONY, PC 8 09WC 38965 BALLARD, RODNEY SPECTRULITE CONSORTIUM IN 01/01/91 BROWN & BROWN 9 09WC 38971 UNGER, JAMES SR SPECTRULITE CONSORTIUM IN 04/01/99 BROWN & BROWN 10 09WC 40060 SHOPTAW, ALAN SPECTRULITE CONSORTIUM, I 10/01/94 BROWN & BROWN 11 09WC 42308 CHAMBERS, LONNIE SPECTRULITE CONSORTIUM IN 07/31/02 BROWN & BROWN 12 09WC 46098 19B SMITHSON, BRIAN GRAND RENTAL STATION 08/10/09 BECKER SCHROADER & CHAPMAN RODDY LAW LTD 13 09WC 47460 MC DOWELL, RUSSELL SPECTRULIFE CONSORTIUM, I 10/01/02 BROWN & BROWN 14 09WC 48547 LOWRY, ROBERT SPECTRULITE CONSORTIUM IN 01/01/99 BROWN & BROWN 15 09WC 48588 RONGEY, SAMUEL JR SPECTRULITE CONSORTIUM, I 08/01/01 BROWN & BROWN 16 10WC 12308 19B WAKELAND, JOHN LIQUID TRANSPORT CORP 08/12/08 KOLKER LAW OFFICES HINSHAW & CULBERTSON 17 10WC 16429 19B FOXWORTH, ROSEMARY CAJUN OPERATING CO 04/02/10 NELSON & NELSON PATRICIA M CARAGHER 18 10WC 21274 JACKSON, BRENDA SHOP N SAVE 06/13/07 BECKER SCHROADER & CHAPMAN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 19 10WC 21795 19B ERTEL, RENEE SODEXO 04/28/10 BROWN & CROUPPEN KLAUKE LAW GROUP LLC 20 10WC 32918 19B PAINTER, ANDREA VILLAGE OF GLEN CARBON 07/14/10 STRONG LAW OFFICE KEEFE & DEPAULI 13WC011044 -C 21 10WC 34659 MEYER, CHARLES U S STEEL 04/18/10 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 22 11WC 10686 BALLARD, RICHARD ST OF IL @ 07/15/10 SCHUCHAT, COOK & WERNER ASSISTANT ATTORNEY GENERAL 16WC010475 -C STATE OF IL DEPT OF 23 11WC 12348 LEMASTER, LYNDON KURT JOHNSON SITE DEVELOPMENT 03/15/11 BEATTY & MOTIL 24 11WC 16720 GRIGGS, MARTIN LEE SPECTRULITE CONSORTIUM, I 08/16/02 DAVID J JEROME 25 11WC 16723 COTTRELL, JAMES JR SPECTRULITE CONSORTIUM, I 11/01/99 DAVID JEROME 26 11WC 16726 REPKA, ROBERT SPECTRULITE CONSORTIUM IN 02/01/02 BROWN & BROWN 27 11WC 16804 RATLIFF, CALVIN SPECTRULITE CONSORTIUM, I 12/01/85 BROWN & BROWN 28 11WC 16811 EIDEN, RICHARD SPECTRULITE CONSORTIUM IN 02/28/01 BROWN & BROWN 29 11WC 20045 19B WRIGHT, AMY M OLIN CORPORATION 04/28/10 MORMINO,VELLOFF,EDMONDS,SN KEEFE & DEPAULI 13WC008284 -C 30 11WC 23584 SHAW, BRIAN SPECTRULITE CONSORTIUM, I 02/01/02 BROWN & BROWN 31 11WC 29527 COPELAND, ADRIANA UNIVERSITY NURSING & REHA 02/07/11 BROWN & BROWN RUSIN & MACIOROWSKI LTD 32 11WC 34590 GEIST, BERNARD JR REXEL 07/07/11 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 33 11WC 36052 NASH, JACKIE STATE OF ILLINOIS @ 11/04/09 LAW OFFICE KEITH SHORT ASSISTANT ATTORNEY GENERAL 34 11WC 37281 KERN, JEROME A SHAY ROOFING 05/11/11 NELSON & NELSON GAROFALO SCHREIBER STORM 11WC037282 -C 35 11WC 38794 GIBBS, PIA METRO DEVELOPMENT AGENCY 04/17/11 LYNN D BARNETT EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 36 11WC 42160 DAVIS, KELLY AMERICAN WATER WORKS 08/31/11 GALANTI LAW OFFICES CLAYBORNE SABO & WAGNER 37 11WC 49169 MC DOWELL, JEFFREY K BOWEN ENGINEERING CORPORA 10/31/11 LAW OFFICE OF THOMAS SCHOO STEPHEN H LARSON LAW OFFICE 38 12WC 02394 MURRAY, MICHAEL WAL-MART 03/05/11 MATTHEW NAGEL WIEDNER & MCAULIFFE LTD 39 12WC 10604 CRISLER, JOSEPH SCHECK MECHANICAL CORP 04/25/11 KEEFE & GRIFFITHS PC HEYL ROYSTER VOELKER & ALLEN 40 12WC 12404 NALER, TAMMY YAZAKI NORTH AMERICA 04/08/10 JEROME LEFTON LAW OFFICE HENNESSY & ROACH, PC 41 12WC 14803 WILSON, DAVID D OLIN CORPORATION 07/22/10 LAW OFFICE KEITH SHORT KEEFE & DEPAULI 42 12WC 15565 BLUE, LOU GENE JR GHASSAN S Y JARABA IND & @ W 07/08/10 GABRIEL, MCCARTNEY & WAGNE 13WC004524 -C NAL ENTERPRISES LLC 43 12WC 15839 DAVIS, JAMES EAST ST LOUIS PARKS DEPAR 04/13/12 BROWN & BROWN KEVIN C KAUFHOLD PC 44 12WC 16338 MCKINNEY-WALLACE, STACIE ST OF IL DEPT OF CHILDREN 02/24/12 MCGLYNN & MCGLYNN 45 12WC 17138 MIKS, JOHN H SPECTRULITE CONSORTIUM IN 08/31/02 BROWN & BROWN 46 12WC 18927 CONAWAY, CHRISTOPHER J BEELMAN RIVER TERMINALS I 05/10/12 WILLIAMS CAPONI & ASSOC MCANANY VANCLEVE & PHILLIPS 47 12WC 20106 OSBORNE, DAVID AMERICAN STEEL 05/19/12 BECKER SCHROADER & CHAPMAN BOGGS AVELLINO 48 12WC 20336 MUNRO, JIMMY US STEEL 04/30/11 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 49 12WC 21499 SWARRINGIN, AUTUMN ROBERT DAVIS INDIV & DBA @ W 05/31/12 MATTEA LAW FIRM BECKER PAULSON & HOERNER PC 50 12WC 21935 BAALMAN, CHRISTOPHER SOUTHERN ILLINOIS 05/21/12 MILLER, WILLIAM R LAW OFFI ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 51 12WC 22406 JACOB, GARY JACOB SUNROOM & EXTERIORS 12/08/11 BROWN & BROWN 52 12WC 27676 SCHANUEL, STEVE CERRO COPPER 01/26/12 BEMENT & STUBBLEFIELD RUSIN & MACIOROWSKI LTD 12WC027677 -C 53 12WC 30180 GALLOWAY, RANDALL BEN HUR CONSTRUCTION CO 04/10/10 CULLEY & WISSORE KEEFE & DEPAULI 54 12WC 31350 GROVES, ROY LOGAN'S ROADHOUSE 01/02/11 MATHIS MARIFIAN RICHTER ET WIEDNER & MCAULIFFE LTD 55 12WC 33064 ADAMS, NORMAN CITY OF VENICE IL 01/04/12 PETER BLASI LLC RUSIN & MACIOROWSKI LTD 56 12WC 33092 HUELSMANN, JENNIFER COMMUNITY LINK 06/18/12 BROWN & BROWN GANAN & SHAPIRO 57 12WC 36913 FISCHER, KURT A INTER COMPANY AMUSEMENT 07/30/12 NELSON & NELSON THOMAS & PORTELA 58 12WC 37224 DUGGER, KIP WASTE MANAGEMENT 10/17/12 BECKER SCHROADER & CHAPMAN GAROFALO SCHREIBER STORM 59 12WC 38336 DELP, EDWINA GLOBAL BRASS 08/14/12 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 60 12WC 38972 19B MOSBY, DENIS MASSMAN TRAYLOR ALBERICI 10/20/12 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 61 12WC 39159 MADISON, CARLON REHABILITATION SERVICES @ 02/01/12 BUTLER & KEMPER ELIZABETH LEAHY 62 12WC 41148 DARBY, DANIEL KRAFT FOODS 10/08/12 BEATTY & MOTIL GAROFALO SCHREIBER STORM 63 12WC 41182 DURHAM, SCOTT OLIN WINCHESTER 10/31/12 MORMINO,VELLOFF,EDMONDS,SN KEEFE & DEPAULI 64 13WC 01236 RIDENHOUR, JULIA HIGHLAND MACHINE 07/17/12 BEATTY & MOTIL RIPES NELSON BAGGOT KALOBRAT 65 13WC 01723 WALLACE, GREG UNITED PARCEL SERVICE 01/02/13 ARMBRUSTER DRIPPS MCANANY VANCLEVE & PHILLIPS 66 13WC 03001 HILL, KENDERLLY D AMERI-CAN PORTABLES 08/06/12 SCHUCHAT, COOK & WERNER EVANS & DIXON, LLC 67 13WC 05548 WILSON, DAVID OLIN 01/09/13 LAW OFFICE KEITH SHORT KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 68 13WC 05672 NAVA, MIQUEL US XPRESS 01/09/12 STRONG LAW OFFICE MCANANY VANCLEVE & PHILLIPS 69 13WC 07006 OXENDINE, RICHARD ALL CITY RECOVERY AGENCY 01/17/13 BONIFIELD & ROSENSTENGEL P HENNESSY & ROACH PC 15WC029053 -C 70 13WC 07296 MAYES, DEBRA J GATEWAY REGIONAL 12/04/12 LYNN D BARNETT POWER & CRONIN LTD 71 13WC 09972 JONES, ROYCE CENTRAL TRANSPORT 02/28/13 RICH RICH COOKSEY PC MCANANY VANCLEVE & PHILLIPS 72 13WC 12311 REID, SARAH L ST OF IL DEPT OF HUMAN SE @ 10/21/12 JOHNSTON LAW OFFICE ASSISTANT ATTORNEY GENERAL 73 13WC 12486 EPPERSON, SCOTT D AT & T 02/15/13 SMITH ALLEN MENDENHALL ET HENNESSY & ROACH, PC 74 13WC 13486 GOLDEN, DARIUS T MIKE CUNETTO'S/KAREN SHAR @ W 11/30/12 JOHNSTON LAW OFFICE 75 13WC 14574 WILSON, DAVID D OLIN CORPORATION 02/15/13 LAW OFFICE KEITH SHORT KEEFE & DEPAULI 76 13WC 15694 19B PHELPS, ELANA MEMORIAL HOSPITAL 12/18/12 BROWN & CROUPPEN MATHIS MARIFIAN RICHTER ET A 77 13WC 16268 PERRY, JERRY BASLER ELECTRIC 01/25/13 BECKER SCHROADER & CHAPMAN EVANS & DIXON, LLC 78 13WC 17504 19B FRANKLIN, DEANGELO EAST ST LOUIS POLICE DEPT 03/23/13 RICH RICH COOKSEY PC CLAYBORNE SABO & WAGNER 14WC015629 -C 79 13WC 18772 TODD, MORTON GRP MECHANICAL 05/14/13 LYNN D BARNETT HEYL ROYSTER VOELKER & ALLEN 80 13WC 19678 LOUCKS, GARY JR WALMART 03/02/13 BROWN & BROWN GANAN & SHAPIRO 13WC041290 -C 13WC041291 -C 13WC041479 -C 13WC041549 -C 14WC022274 -C 81 13WC 21827 DILLARD, DETRECE MEMORIAL HOSPITAL 02/12/13 KATZMAN & ASSOCIATES MATHIS MARIFIAN RICHTER ET A 15WC021167 -C 15WC021640 -C 82 13WC 22290 ADAMS, CRYSTAL HORSESHORE LAKE ANIMAL HO 08/15/12 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 83 13WC 25657 MUSIAL, STANLEY F U S MINERALS 07/02/13 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 84 13WC 26244 RAKOWSKI, ELIZABETH VIDEOJET TECHNOLOGIES 10/25/12 BOYNE, KEVIN PC WIEDNER & MCAULIFFE LTD 85 13WC 28992 BRITT, KEN GRANITE CITY SCHOOL DEPT 08/21/13 GALANTI LAW OFFICES KNAPP, OHL & GREEN 86 13WC 29359 PATTERSON, DIANE COLLINSVILLE REHABILITATI 08/20/13 GALANTI LAW OFFICES KNELL LAW LLC 87 13WC 30598 VEACH, ROBERT M PEABODY GATEWAY SERVICES 07/31/13 CULLEY & WISSORE 88 13WC 31078 HALL, MICHAEL CUSTOM STAFFING 08/07/13 RON D COFFEL & ASSOC THOMAS & PORTELA 89 13WC 31786 HAYS, VICKI U S STEEL 08/09/13 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 90 13WC 32238 SLEDGE, RUSSELL TMCI INC 09/12/13 BROWN & BROWN STEPHEN H LARSON LAW OFFICE 91 13WC 32886 WINFIELD, JEANETTE SCHNUCK MARKETS INC 05/04/13 ROTH LAW OFFICES LEMP & ANTHONY, PC 92 13WC 33046 MURRIE, KIINA SCHENKER LOGISTICS 07/02/13 KOLKER LAW OFFICES LAW OFFICE PAUL LARIMORE 93 13WC 36566 THOMPSON, JOHN W JACK COOPER TRANSPORT CO 09/30/13 SCHUCHAT, COOK & WERNER KNELL & O'CONNOR 94 13WC 38279 WILSON, CARLA MEMORIAL HOSPITAL 10/27/13 CARAWAY FISHER MATHIS MARIFIAN RICHTER ET A 95 13WC 38552 FORD, COREY E JET AVIATION 09/21/13 NELSON & NELSON MATHIS MARIFIAN RICHTER ET A 96 13WC 39966 BEDWAN, RUSHDI MAX'S ONE STOP 11/13/13 CHATHAM & BABKA 97 13WC 40806 19B BYINGTON, LAWRENCE MR BULTS INC (MBI) 07/09/13 JOHNSON GRAY LLC WIEDNER & MCAULIFFE LTD 98 13WC 41747 RICHTER, JEFF HIGHLAND MACHINE 08/22/13 WILLIAMS CAPONI & ASSOC RIPES NELSON BAGGOT KALOBRAT 99 13WC 42331 HOZIAN, CARL US STEEL 12/11/13 GALANTI LAW OFFICES KEEFE & DEPAULI 100 14WC 00537 JOHNSON, JEFFERY FALCON TRANSPORT/GD LEASI 09/10/13 BROWN & CROUPPEN THOMAS & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 14WC 00726 COPE, MICHEAL STEIN STEEL 04/19/12 BECKER SCHROADER & CHAPMAN 102 14WC 01861 JOHNSTON, JERRY GENERAL PARTS INC D/B/A 01/09/14 BOYNE, KEVIN PC GOLDBERG & SEGALLA LLP 103 14WC 03213 HOLIDAY, TINA L OLIN CORPORATION WINCHEST 10/11/12 SCHUCHAT, COOK & WERNER KEEFE & DEPAULI 104 14WC 03574 ECKHARDT, DAVID ST OF IL DEPT OF @ 01/10/14 BEATTY & MOTIL ASSISTANT ATTORNEY GENERAL 105 14WC 03824 19B WOBBE, SCOTT D STATE OF ILLINOIS @ 03/24/13 PETER BLASI LLC ASSISTANT ATTORNEY GENERAL 106 14WC 04757 WIGGAND, LARRIE CENTURY BRASS WORKS INC 12/31/13 NELSON & NELSON GANAN & SHAPIRO 107 14WC 05801 JACKSON, NATHAN PREMIUM ENTERPRISES INC. 01/09/14 BECKER SCHROADER & CHAPMAN KEEFE CAMPBELL & ASSOC LLC 108 14WC 05878 HEBERT, KEITH MARY RIVER ORGANIZATION 02/01/13 WARREN E DANZ, PC NYHAN BAMBRICK KINZIE & LOWR 109 14WC 06282 KOHL, KELLY RENEE JACK IN THE BOX 12/12/12 KIRKPARTICK LAW OFFICES ADELSON TESTAN & BRUNDO 110 14WC 10330 ROY, ARTHUR LACH TRANSPORTATION W 07/05/13 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 111 14WC 11198 SEYMOUR, APRIL D OAK HILL 11/13/13 BUTLER & KEMPER BECKER PAULSON & HOERNER PC 112 14WC 11537 SLOVINSKI, MATTHEW IDOT @ 02/02/14 JOSEPH L SAMUELSON PC ASSISTANT ATTORNEY GENERAL 113 14WC 11874 CARAWAY, MATTHEW LIVELY GROVE MINE AT 05/21/13 KEEFE & DEPAULI EVANS & DIXON, LLC 114 14WC 12268 BIERMAN, KAYLA D OLIN CORPORATION- 12/09/13 SCHUCHAT, COOK & WERNER KEEFE & DEPAULI 115 14WC 14513 WHEAT, JOHN AT & T 07/26/13 DAVID JEROME INMAN & FITZGIBBONS 116 14WC 15500 HAGENE, JEREMY LEE ANN PIM AND JUSTIN PI @ W 02/12/12 BOYNE, KEVIN PC ASSISTANT ATTORNEY GENERAL 117 14WC 16040 HUNT, DAVID NATIONAL MAINTENANCE & RE 03/10/14 LYNN D BARNETT 118 14WC 16709 19B RHOADS, MARK COLLINSVILLE UNIT 10 04/03/14 HUSTAVA, JOHN H KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 119 14WC 17736 DOWNARD, KEVIN LAKEVIEW MEMORIAL GARDEN 05/05/14 NELSON & NELSON NYHAN BAMBRICK KINZIE & LOWR 120 14WC 18498 HARRIS, JOY LORITA COMMUNITY CARE SYSTEMS 06/28/12 THE BRADLEY LAW FIRM LIVINGSTONE MUELLER ET AL 121 14WC 19011 CHITTY, STEPHEN B GARCIA TRUCKING COMPANY 06/28/13 KATZMAN & ASSOCIATES 122 14WC 19278 MARTIN, KATHERINE WAL-MART STORES, INC. 04/08/14 SAUTER, SULLIVAN & EVANS 123 14WC 19711 HALL, TODD WOODS BASEMENT SYSTEMS 11/11/13 EVANS & DIXON, LLC 124 14WC 21114 MINAR, BRADLEY ATLANTIC PLANT MAINTENANC 05/05/14 HUSTAVA, JOHN H MACIOROWSKI SACKMANN & ULRIC 125 14WC 21185 19B HART II, MARK SPEEDWAY AUTO SALVAGE, IN 06/01/14 BROWN & BROWN HENNESSY & ROACH, PC 126 14WC 21235 EL-AMIN, AMEENAH CASINO QUEEN INC 06/05/14 MATHIS MARIFIAN RICHTER ET DONOVAN ROSE NESTER 127 14WC 21799 JONES, ANTHONEY GENCO 05/18/14 JEROME LEFTON LAW OFFICE 128 14WC 23435 REED, LEANNE WALMART 06/18/14 BROWN & BROWN WIEDNER & MCAULIFFE LTD 129 14WC 23872 MUSK, JENNIFER CORD MOVING & STORAGE 07/01/14 SCROGGINS LAW OFFICE EVANS & DIXON, LLC 130 14WC 24943 WILLIAMS, CANDACE ST OF ILL DEPT OF HUMAN S @ 05/28/14 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 131 14WC 25942 HAMANN, JOHN WHOLESALE ATV 07/07/14 BROWN & BROWN HENNESSY & ROACH, PC 132 14WC 26503 RILEY, CARLA TITLE MAX OF ILLINOIS INC 06/27/14 DANIEL J. GAUTHIER PATRICIA M CARAGHER 133 14WC 26610 HILL, JEFFREY HEIDTMAN STEEL COMPANY 07/25/14 BEATTY & MOTIL 134 14WC 26618 19B OLLIS, LUKE AMSTED RAIL COMPANY, INC 07/22/14 BEATTY & MOTIL BOGGS AVELLINO 135 14WC 27619 BUCHANAN, SHAWN PRAIRIE FARMS 07/15/14 SMITH ALLEN MENDENHALL ET KNAPP, OHL & GREEN 136 14WC 27733 NASH, JACKIE SIU E @ 02/16/12 LAW OFFICE KEITH SHORT ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 14WC 28468 WILLIAMS, TINA STAFFING SYNERGIES 07/30/14 BROWN & BROWN PATRICIA M CARAGHER 138 14WC 28726 DORSEY, BRENDA AMERICAN WATER WORKS 05/22/14 139 14WC 30408 SCHLEMER, FRANCES ALTON MEMORIAL HOSPITAL 06/21/13 ARMBRUSTER DRIPPS HOLTKAMP LIESE ET AL 140 14WC 31553 PULLIAM, GLORIA JC PENNEY 04/06/12 P. MICHAEL READ LAW OFFICE 141 14WC 32600 SKELTON, TAMBLA LYNN ELLI ALTON MENTAL HEALTH & @ 03/29/13 MILLER, WILLIAM R LAW OFFI ASSISTANT ATTORNEY GENERAL 142 14WC 33064 FISHER, ROBERT TRI CITY CANVAS PRODUCTS 09/12/14 ROTH LAW OFFICES HENNESSY & ROACH, PC 143 14WC 33304 OWENS, BRAD ST LOUIS PUBLIC SCHOOLS 07/25/14 ONDER SHELTON O'LEARY EARLY & MIRANDA PC 144 14WC 33402 CONNERS, JAMES METRO TRANSIT 03/02/14 BROWN & CROUPPEN BROWN & JAMES, PC 145 14WC 33603 DASCH, LINDA COMMUNITY CARE 10/22/13 KIRKPARTICK LAW OFFICES 146 14WC 34419 MARLER, DEBRA AMSTED RAIL/AMERICAN STEE 06/26/14 LAW OFFICE OF THOMAS SCHOO 147 14WC 34467 WEBB, BARBARA E ST ELIZABETH HOSPITAL 08/30/14 NELSON & NELSON MICHAEL NESTER 148 14WC 35451 BALL, JACK AMERICAN STEEL FOUNDRIES 09/26/14 GALANTI LAW OFFICES BOGGS AVELLINO 149 14WC 35533 PERKINS, FREDDIE SUPPORT SYSTEMS & SERVICE 09/03/14 KOLKER & GERMEROTH 150 14WC 35542 LEADY, MICHAEL MILLENIUM RAIL/WATCO CO 09/24/14 MORMINO,VELLOFF,EDMONDS,SN HENNESSY & ROACH 151 14WC 35563 DOANE, ERIC CROSSROADS RFNG & CONTRAC 08/02/14 BADGLEY, BRAD L ARCHER LASSA & MCHUGH 152 14WC 35764 19B BENT, DAVID COUNTRYWIDE PAYROLL & 09/11/14 NELSON & NELSON HENNESSY & ROACH, PC 153 14WC 36383 WATKINS, SCOTT GRP MECHANICAL CO INC 06/22/12 NELSON & NELSON BRADY, CONNOLLY & MASUDA, PC 154 14WC 38349 WILLIAMS, COREY A SAFWAY SERVICES LLC 02/14/13 STEVEN A. TREFTS HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 155 14WC 38579 SPYTEK, CORY CUSTOM STAFFING SERVICES 07/31/14 MEACHAM, WILLIAM J PC FEIRICH MAGER GREEN & RYAN 156 14WC 38768 OAKLEY, PAULA A STAFFING SYNERGIES INC 07/31/14 SCHUCHAT, COOK & WERNER LAW OFFICES STEVEN PILAND 157 14WC 38866 DOCKINS, DARRELL K HANKS EXCAVATING & 12/16/13 GLASS & KOREIN STEPHEN H LARSON LAW OFFICE 158 14WC 38907 JARVIS, DIANE FAMILY KITCHEN 09/23/14 FISHER KERHOVER & WELGE GANAN & SHAPIRO 159 14WC 39418 MYINT, BARBARA ARAMARK 03/25/14 LAW OFFICE OF THOMAS SCHOO EVANS & DIXON, LLC 160 14WC 39999 ARCHER, ROY D HERBSTER-HELLWEG PAINTING 09/15/14 AMANDA MURPHY DANNA MCKITRICK PC 161 14WC 40025 MCCASKILL, WILSON III J F ELECTRIC 10/18/14 BROWN & BROWN ROUSE & CARY 162 14WC 40085 MCCOY, MICHELLE TARGET 06/05/13 NELSON & NELSON KEEFE CAMPBELL & ASSOC LLC 163 14WC 40341 HOLLOWAY, ANTHONY EXTRA HELP INC 06/14/13 GLENN E BRADFORD MCANANY VANCLEVE & PHILLIPS 164 14WC 40398 TAYLOR, DOLORES M CATHOLIC CHILDREN'S HOME 05/06/14 MORMINO,VELLOFF,EDMONDS,SN NYHAN BAMBRICK KINZIE & LOWR 165 14WC 40845 KELLY, SUSAN IDES @ 10/08/14 ASSISTANT ATTORNEY GENERAL 166 14WC 40853 WESTERHEIDE, MICHAEL G IDOT @ 09/04/14 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 167 14WC 41068 HELFER, GARY ARGOSY CASINO 12/16/11 SCHOEN WALTON TELKEN & FOS 168 14WC 41336 HUNT, NANCY SCHUCK'S 09/01/09 GLASS & KOREIN LLC LEMP & MURPHY 169 14WC 41579 DAWE, LINDA (WIDOW OF CUSTOM STAFFING INDUSTRIA # 09/12/14 CULLEY & WISSORE CRAIG & CRAIG 170 14WC 41838 THRONE, AMY OLIN WINCHESTER 08/19/13 KEEFE & DEPAULI 171 14WC 42049 WESSEL, CHYREL A COLLINSVILLE SCHOOL DIST 05/08/13 SCHOEN WALTON TELKEN & FOS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 172 14WC 42086 ALEXANDER, TINA M HULLIUNG GYMNASTICS INC 03/22/14 COOK SHEVLIN YSURSA ET AL JOHNSON & JOHNSON 173 14WC 42173 FERGUSON, BARBARA UNITED STATES STEEL 11/12/12 KATZMAN & ASSOCIATES KEEFE & DEPAULI 14WC042174 -C 174 14WC 42569 HAMILTON, RICHARD GEO SOLUTIONS 12/10/14 GALANTI LAW OFFICES RUSIN & MACIOROWSKI LTD 175 14WC 42756 JACKSON, VELCEY J SELECT STAFFING 06/01/13 BUTLER & KEMPER SLAVIN & SLAVIN 176 14WC 42788 HASLETT, DONALD SHARON WILLIAMS TRUCKING 08/04/14 BOSHARDY LAW OFFICE PC JAMES M KELLY 177 14WC 43079 SEARS, ASHLEY CFA STAFFING 12/01/14 DWORKIN AND MACIARIELLO 178 14WC 43269 BAKER, HOWARD D METRO 03/02/14 MCGLYNN & MCGLYNN BROWN & JAMES, PC 179 14WC 43356 THOMPSON, MARY K JIM'S FORMAL WEAR 01/07/14 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 180 14WC 43378 GILMAN, PAUL ELITE EVENT SEVICES 12/12/14 EDMONDS LAW OFFICE 181 15WC 00551 BAXTON, MICHAEL SR AMSTED INDUSTRIES INC 07/01/14 CLAY BARKLEY ST CLAIR BOGGS AVELLINO 182 15WC 00583 SUTTON, ANITA COPE PLASTICS INC 10/03/14 SGRO HANRAHAN & BLUE 183 15WC 01043 WETZLER, BARRY BAXMEYER CONSTRUCTION INC 09/23/14 BROWN & BROWN INMAN & FITZGIBBONS 184 15WC 01182 FIEDLER, JAMES DOUGLAS PANERA LLC 10/08/14 RICHARD LECINSKI EVANS & DIXON, LLC 185 15WC 02415 LAMPE, DAVID US STEEL CORP 12/01/14 BEATTY & MOTIL KEEFE & DEPAULI 186 15WC 02468 GREELING, STEVE BARRETT HEATING AND COOLI 10/25/12 DENIS A MC GRADY, JR 187 15WC 02557 HOUGLAND, MIKE ST ELIZABETH HOSPITAL 09/25/14 BROWN & BROWN MICHAEL NESTER 188 15WC 02741 MOORE, TINA MENARD AUTO SALES INC 12/13/12 NELSON & NELSON ROBERT L. SMITH 189 15WC 02748 MOORE, TINA MENARD AUTO SALES INC 05/01/14 NELSON & NELSON ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 190 15WC 03629 RUSHING, STEVEN M SR PRAIRIE FARMS DAIRY 12/01/14 DAVID H. BONE LLC KNAPP, OHL & GREEN 191 15WC 03632 DURHAM, RANDY THE ROHO GROUP INC 01/14/13 DAVID H. BONE LLC 192 15WC 03747 BANACH, JAMES W. MIDWEST SUNRAY 12/01/13 MEEHAN LAW FIRM 193 15WC 04492 DEPROW, CARLOS U.S. STEEL CORP 10/12/14 BEATTY & MOTIL KEEFE & DEPAULI 194 15WC 04518 RAKERS, MARCIA A BREESE NURSING HOME 09/01/12 NELSON & NELSON BOGGS AVELLINO 195 15WC 04587 WILBERT, JOHN FRESH WAREHOUSE 12/31/14 THOMAS C RICH PC 196 15WC 05312 PACHECO, MIQUEL BAILY INTERNATIONAL 01/19/15 BROWN & BROWN HOLTKAMP LIESE ET AL 197 15WC 05579 PRIDE, WAYNE CSR CONSTRUCTION INC 02/19/13 MILLER, WILLIAM E III 198 15WC 05680 WATKINS, LADONNA ALTON MENTAL HEALTH CENTE @ 02/12/13 SMITH ALLEN MENDENHALL ET ELIZABETH LEAHY 199 15WC 05897 DARE, JO ANN F/K/A JO OLI PROFESSIONAL THERAPY SERV 07/24/13 STERLING AND DOWLING PATRICIA M CARAGHER 200 15WC 05959 COWDEN, KEVIN L. IMO'S PIZZA 11/23/13 WILLIAMS CAPONI & ASSOC 201 15WC 06118 SUMPTER, AUSTIN J GROSS MECHANICAL CONTRACT 12/18/14 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 202 15WC 06686 GASTON, AARON FEDEX GROUND 12/26/14 HOLLORAN & SCHWARTZ 203 15WC 06693 YOUNG, ALAN L RANDOLPH COUNTY 05/06/14 BECKER PAULSON & HOERNER PC 204 15WC 06772 HOGAN, MICHAEL ILLINOIS STATE POLICE 02/20/15 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 205 15WC 07343 JONAS, VIOLA (WIDOW) CITY OF CENTREVILLE # 06/02/09 206 15WC 07461 JOKERST, KACI M TAYLOR EXCAVATING CO # 01/12/15 SUMNER LAW GROUP ARCHER LASSA & MCHUGH 207 15WC 07625 DONJON, ALAN PEABODY GATEWAY SERVICES 01/30/15 CULLEY & WISSORE KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 208 15WC 07857 HENRY, JOHN P STATE OF ILLINOIS @ 07/01/14 ASSISTANT ATTORNEY GENERAL 209 15WC 08038 SILVA, BENJAMIN HEIDTMAN STEEL PRODUCTS 03/03/15 FOX GOLDBLATT & SINGER PC STEPHEN H LARSON LAW OFFICE 210 15WC 08079 GRACE, LARRY METRO EAST INDUSTRIES 08/25/14 NELSON & NELSON KEEFE & DEPAULI 211 15WC 08519 TAYLOR, ANDRE M IL DEPT OF CORRECTION 01/22/14 P. MICHAEL READ LAW OFFICE ASSISTANT ATTORNEY GENERAL 212 15WC 08690 SIMPSON, PATRICIA L HIGHLAND PARK CVS, LLC 07/05/14 SCHREMPF, BLAINE, KELLY & HINSHAW & CULBERTSON 213 15WC 09209 SHELTON, SARAH SHILOH SCHOOL DIST 85 03/04/15 BONIFIELD & ROSENSTENGEL P KEEFE & DEPAULI 214 15WC 10183 BRANDENBERG, NANCY ILLINOIS CENTRAL SCHOOL B 01/28/15 MEYERS & FLOWERS MCANANY VANCLEVE & PHILLIPS 215 15WC 10461 MANDRELL, RAYMOND BRAND ENERGY SERVICES 12/17/14 BECKER SCHROADER & CHAPMAN BRADY, CONNOLLY & MASUDA, PC 216 15WC 10566 CAMPBELL, MARCUS MILLER BUILDING GROUP 03/18/15 SMITH ALLEN MENDENHALL ET HENNESSY & ROACH, PC 217 15WC 10697 GONZALEZ, ROSA EXTRA HELP 04/01/14 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 218 15WC 10903 BUCHHOLZ, CHARLES FOUNTAIN WATER DISTRICT 03/14/14 BEMENT & STUBBLEFIELD 219 15WC 10950 PHILLIPS, MICHAEL LEE KALMER LUMBER 03/12/15 MARK S PEEBLES 220 15WC 11499 GANTT, DALE Q AMSTED INDUSTRIES INCORPO 01/28/15 221 15WC 11529 DUGAN, JUSTIN TRILLIUM ENVIRONMENTAL 03/07/15 KEEFE & GRIFFITHS PC SPIEGEL & CAHILL, PC 222 15WC 11638 GRAJALES, JULIO TEK RECYCLING INC 03/30/15 LASHLY & BAER PC STEPHEN H LARSON LAW OFFICE 223 15WC 11667 HARRELL, SHEILA U-GAS 02/22/15 BROWN & BROWN HOLTKAMP LIESE ET AL 224 15WC 12268 GARIS, EDWARD J NATL MAINTENANCE & REPAIR 05/19/14 MCBREARTY, BRIAN K KEEFE CAMPBELL & ASSOC LLC 225 15WC 12559 WAGNER, FRANK US STEEL CORP 05/18/13 BEATTY & MOTIL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 226 15WC 12763 ARMSTRONG, PATRICK TOENJES BRICK CONTRACTING 04/10/15 COOK SHEVLIN YSURSA ET AL 227 15WC 12848 GATEWOOD, DARIEN T AMSTED RAIL 11/01/14 BUTLER & KEMPER 228 15WC 12857 MOSS, ELYSSA B IGNITE EVENTS 02/11/15 SCHOEN WALTON TELKEN & FOS 229 15WC 13429 HEAVENS, MICHAEL AMERICAN STEEL FOUNDRIES 08/28/14 GALANTI LAW OFFICES 230 15WC 13482 MESTDAGH, MARCELLINE RULER FOODS 02/03/15 GALANTI LAW OFFICES STONE & JOHNSON CHARTERED 231 15WC 13825 WADE, CHRIS WOLFF CONSTRUCTION 06/23/14 PETER BLASI LLC 232 15WC 14851 DALE, LESTER III COLUMBIA SCHOOL DISTRICT 04/09/14 GALANTI LAW OFFICES CLAYBORNE SABO & WAGNER 233 15WC 14888 BEYER, JOSEPH HARRISONVILLE TELEPHONE C 12/09/14 MCCARTHY ROWDEN & BAKER RIPES NELSON BAGGOT KALOBRAT 234 15WC 15029 MARTIN, STEVE WATERLOO POLICE DEPT 04/06/15 WILLIAMS CAPONI & ASSOC KEEFE & DEPAULI 235 15WC 15638 RAMSHAW, TIMOTHY J ICON MECHANICAL 10/25/14 LAW OFFICES OF MARY CREAME EVANS & DIXON, LLC 236 15WC 15786 ILLIG, JANET R PRAIRIE FARMS DAIRY INC 03/13/15 BUTLER & KEMPER KNAPP, OHL & GREEN 237 15WC 16216 ROBINSON, CHRIS D GLOBAL BRASS AND COPPER I 05/27/14 SIMMONS HANLY CONROY KEEFE & DEPAULI 238 15WC 16477 REINIGER, RAYMOND SAM'S CLUB 04/19/15 BROWN & BROWN WIEDNER & MCAULIFFE LTD 239 15WC 16553 GASKILL, SUSAN M LEE ENTERPRISES 02/27/15 BADGLEY, BRAD L GAROFALO SCHREIBER STORM 240 15WC 16970 STEVENSON, MINEKA K BRANDING IRONS 04/15/15 SAUTER, SULLIVAN & EVANS LAW OFFICE CRAIG A HANSEN 241 15WC 17099 AITKEN, BRUCE HIGHLAND MINING CO, LLC 12/31/14 CULLEY & WISSORE 242 15WC 17176 HARRIS, RODERICK HOME DEPOT 07/15/13 ADELSON TESTAN & BRUNDO 243 15WC 17336 WOODS, KENNETH GLOBAL BRASS 04/23/15 GALANTI LAW OFFICES KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 244 15WC 17391 JOHNSON, JUDITH A MADISON COUNTY GOVERNMENT 03/03/14 LAW OFFICES OF JOHN D. WEN SCHREMPF, BLAINE, KELLY & DA 245 15WC 17565 SANDERS, KEVIN B BRIDGEMAN FOODS DBA WENDY 04/27/14 MILLER, WILLIAM E III NOBLE & ASSOCIATES PC 246 15WC 17712 WOOLSEY, JAMES GLOBAL BRASS 06/17/14 GALANTI LAW OFFICES KEEFE & DEPAULI 247 15WC 17918 BARNETT, CURTIS KOZENY-WAGNER 04/18/15 DENNIS SHEVLIN KEEFE & DEPAULI 248 15WC 18185 ALBERTSON, KAY ARCH HOUSE 02/26/15 GALANTI LAW OFFICES STEPHEN H LARSON LAW OFFICE 249 15WC 18346 MCAFEE, BRENT OLIN WINCHESTER 06/28/12 ARMBRUSTER DRIPPS KEEFE & DEPAULI 250 15WC 18642 PILOUT, KENNETH W ROESLEIN & ASSOCIATES 09/19/14 THOMAS & ASSOCIATES 251 15WC 18654 SKELTON, TAMBLA LYNN ELLI ALTON MENTAL HEALTH & @ 04/14/15 MILLER, WILLIAM R LAW OFFI ASSISTANT ATTORNEY GENERAL 252 15WC 19609 EVANS, MICHAEL MARK'S APPLIANCE 07/25/14 BROWN & CROUPPEN GANAN & SHAPIRO 253 15WC 20022 PHILLIPS, SHELLY SIUE @ 10/30/13 BROWN & BROWN ASSISTANT ATTORNEY GENERAL 254 15WC 20659 SMITH, LEO LAMONT QUALITY RAIL SERVICES INC 04/30/15 NELSON & NELSON HENNESSY & ROACH, PC 255 15WC 20844 FRAKES, DEBRA DUFRENESE SPENCER GROUP D 04/30/15 RICH RICH COOKSEY PC LAW OFFICE CRAIG A HANSEN 256 15WC 21425 POWERS, KIMBERLY A RULER FOODS 06/11/15 DRUMMOND LAW OFFICE 257 15WC 22020 MCMINN, JOHN BEELMAN TRUCK CO 11/28/14 SCHREMPF, BLAINE, KELLY & MCANANY VANCLEVE & PHILLIPS 258 15WC 22024 KRUCKEBERG, GREGORY J SIEVERS EQUIPMENT CO 05/22/15 PERICA LAW FIRM 259 15WC 22128 THOMAS, TOBY HANFELDER'S TREE SERVICE @ W 05/22/15 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 260 15WC 22264 STONE, RONALD US STEEL CORP 06/19/15 BEATTY & MOTIL KEEFE & DEPAULI 261 15WC 22547 FORESHEE, PATRICK DB SCHENKER 06/06/15 ROTH LAW OFFICES LAW OFFICE PAUL LARIMORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 262 15WC 22686 HENSIEK, TIMOTHY COLORMASTER AUTOMOTIVE PA 01/21/15 LASHLY & BAER PC COZZI & GOGGIN-WARD 263 15WC 23077 ROBINSON, LISA ALTON MENTAL HEALTH @ 12/21/14 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 264 15WC 23196 SYKES, CRAIG GRANITE CITY FIRE DEPT 07/09/15 GALANTI LAW OFFICES KEEFE & DEPAULI 15WC025764 -C 265 15WC 23625 HOLDER, COLIN SITEX ENVIRONMENT 07/01/15 BECKER SCHROADER & CHAPMAN GANAN & SHAPIRO 266 15WC 23778 PELT, TERRANCE PRECOAT METALS 07/24/15 NELSON & NELSON LEMP & MURPHY 267 15WC 24252 BELCHER, JAN (WIDOW) VEE-JAY CEMENT # 07/29/15 COOK SHEVLIN YSURSA ET AL LEMP & MURPHY 268 15WC 24735 JOHNSON, EDMOND ALTON MENTAL HEALTH CTR @ 07/08/15 JEROME LEFTON LAW OFFICE ASSISTANT ATTORNEY GENERAL 269 15WC 25450 SNYDER, GREGORY W WBGZ/METROPLEX COMMUNICAT 12/13/13 UNSELL, EDWARD W LAW OFFIC GAROFALO SCHREIBER STORM 270 15WC 25918 UFER, KYLA, ADMIN FOR CONAGRA FOODS # 12/04/13 UNSELL, EDWARD W LAW OFFIC RUSIN & MACIOROWSKI LTD 271 15WC 26311 JONES, JOANN DEMOULIN BROTHERS & COMPA 04/22/15 MARK E MORELAND EVANS & DIXON, LLC 272 15WC 26393 SHEPHERD, REBECCA DAVITA DIALYSIS 06/04/15 GLASS & KOREIN WIEDNER & MCAULIFFE LTD 273 15WC 26420 PEACOCK, THOMAS BURKLUND DISTRIBUTORS, IN 02/04/14 BRIAN STOKES 274 15WC 26680 EVANS-KRUSE, DEBORAH J. STAUNTON AREA AMBULANCE S 09/24/14 DELANO LAW OFFICES LLC RUSIN & MACIOROWSKI LTD 275 15WC 27372 GANSZ, TERRY OLIN WINCHESTER 07/27/15 EDMONDS LAW OFFICE KEEFE & DEPAULI 276 15WC 27495 SEEGER, GREGORY EDWARD HARRY'S DISPOSAL, INC. 04/17/12 LAW OFFICE OF SUSAN GRAMME 277 15WC 27681 CASEY, JOHN SHERRELL CONSTRUCTION INC 07/28/15 SMITH ALLEN MENDENHALL ET 278 15WC 28630 ONTIVEROS, OSCAR BRANDING IRON HOLDINGS IN 06/11/15 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 279 15WC 28709 SMITH, BRIAN GELLY EXCAVATING & 06/29/15 COOK SHEVLIN YSURSA ET AL BOGGS AVELLINO ETAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 280 15WC 28713 HANSEL, SPENSER QUALITY RAIL SERVICE 07/12/15 NELSON & NELSON HENNESSY & ROACH, PC 281 15WC 28747 IGLEHART, KRIS D. NUPLEX RESINS LLC. 01/23/15 BONIFIELD & ROSENSTENGEL P THOMAS & ASSOCIATES 282 15WC 29052 GIVENS, ROSALIND P ROSEWOOD CARE CENTER 07/10/15 BONIFIELD & ROSENSTENGEL P ROSARIO CIBELLA 283 15WC 29532 WHITE, JOSHUA RCS CONSTRUCTION INC 07/02/15 SMITH ALLEN MENDENHALL ET STEPHEN H LARSON LAW OFFICE 284 15WC 29954 KNOPP, SIDNEY ST ELIZABETH'S HOSPITAL 06/27/15 KIRKPARTICK LAW OFFICES MICHAEL NESTER 285 15WC 30169 GUARDIAN, SANDRA ROSE ACRE FARMS 08/15/15 JANICE K. PULVER 286 15WC 30477 MILAN, JOCELYN ROXY'S NIGHT CLUB 06/28/15 KEEFE & GRIFFITHS PC 287 15WC 30601 RAWLING, DAVID ABENGOA BI ENERY OF IL 08/28/15 HENNESSEY LAW FIRM MCANANY VANCLEVE & PHILLIPS 288 15WC 30615 GALETI, STEPHANIE KUROSKSI SHULTZ LLC 04/11/15 NELSON & NELSON 289 15WC 30641 GURKIN, ANITA INTEGRITY HEALTH CARE OF 04/14/15 SCROGGINS LAW OFFICE 290 15WC 30659 REYNOLDS, JONATHAN SUNCOKE ENERGY 03/23/15 BECKER SCHROADER & CHAPMAN MCBREARTY, BRIAN K 291 15WC 30869 HAEFFNER, JAMES HEIDTMAN STEEL PRODUCTS 05/05/14 SCHOEN WALTON TELKEN & FOS STEPHEN H LARSON LAW OFFICE 292 15WC 31062 HUELS, JENNIFER KILLIAN CORP 07/20/15 COOK SHEVLIN YSURSA ET AL BRADY, CONNOLLY & MASUDA, PC 293 15WC 31073 MARTINEZ, ALEXIS P CINDY'S CRITTER CAMP INC 08/16/15 LEWIS RICE LLC LAW OFFICES STEVEN PILAND 294 15WC 31714 MUELLER, PAMELA CVS 04/20/15 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 295 15WC 31754 CANNON, DARLENE EAST ST LOUIS SCHOOL DIST 08/14/15 NELSON & NELSON BECKER PAULSON & HOERNER PC 296 15WC 31874 MC NAMARA, WILLIAM GATEWAY PACKAGING 08/27/15 BROWN & BROWN WIEDNER & MCAULIFFE LTD 297 15WC 32127 PORTER, TERRY GELLY EXCAVATING & 06/04/15 BOGGS AVELLINO ETAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 298 15WC 32440 LEWIS, RYAN AMERICAN STEEL FOUNDRIES 06/11/15 GALANTI LAW OFFICES 299 15WC 32750 WRIGHT, RONALD W JR DB SCHENKER 08/17/15 SCHOEN WALTON TELKEN & FOS LAW OFFICE PAUL LARIMORE 300 15WC 33140 RQAMBO, TIMOTHY CAHOKIA SCHOOL 09/24/15 BECKER SCHROADER & CHAPMAN 301 15WC 33378 PAULETTE, MONTRICE EXPRESS MEDICAL TRANSPORT 09/17/15 KEEFE & GRIFFITHS PC 302 15WC 33383 SCOTT, KRYSHELLE ROSEWOOD CARE CENTER 07/06/15 303 15WC 33525 RITTMEYER, AMY SAINT CLAIR 10/23/12 DENNIS SHEVLIN BECKER PAULSON & HOERNER PC 304 15WC 33598 REITZ, DONNA SCHNUCKS 10/01/15 SANSONE & LAUBER 305 15WC 33618 FREINER, TINA M MENASHA PACKAGING 05/22/15 LYNN D BARNETT HEYL ROYSTER VOELKER & ALLEN 306 15WC 33655 VALLE, JOHN AMERICAN CENTRAL PORT 06/02/14 HUSTAVA, JOHN H WIEDNER & MCAULIFFE LTD 307 15WC 33699 JOHNSON, TERRENCE TRANSITIONAL CENTER, INC 10/08/14 BECKER PAULSON & HOERNER P GAROFALO SCHREIBER STORM 308 15WC 33726 PAIGE, REGINALD ELITE STAFFING 08/27/15 MEEHAN LAW FIRM 309 15WC 34072 MENDEZ, MIGUEL ANGEL A.K. FOCAL POINTE OUTDOOR 10/05/15 EPSTEIN, JACK R LAW OFFICE EVANS & DIXON, LLC 310 15WC 34084 FRUEH, CINDY MASSAGE LUXE 09/03/15 BROWN & BROWN INMAN & FITZGIBBONS 311 15WC 34574 WHORL, CHARLES HELMKAMP CONSTRUCTION 09/22/15 GALANTI LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 312 15WC 34609 BOLK, PHYLLIS J HIGHLAND COMMUNITY DISTRI 12/04/14 NELSON & NELSON RUSIN & MACIOROWSKI LTD 313 15WC 34787 BURNETT, CRETA CRACKER BARREL 08/08/15 HUSTAVA, JOHN H 314 15WC 34851 HICKS, JONATHAN ST OF IL DEPT OF @ 08/26/15 BECKER SCHROADER & CHAPMAN ELIZABETH LEAHY 315 15WC 34876 FRIERSON, ESTELLA SNL CONCESSIONS D/B/A 12/01/14 HOFFMAN & SLOCOMB

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 316 15WC 34909 RAGHEI, OMAR A DOLLAR GENERAL 09/16/15 PERICA LAW FIRM LEAHY EISENBERG & FRAENKEL 317 15WC 34994 WILLIAMS, HOMER NATIONAL MAINTENANCE & RE 12/11/14 BECKER SCHROADER & CHAPMAN KEEFE CAMPBELL & ASSOC LLC 318 15WC 35528 BYRD, MONIQUE REM STAFFING @ 11/28/14 BROWN & BROWN ASSISTANT ATTORNEY GENERAL 319 15WC 35822 MCMURRAY, GINA COMMUNITY CARE SYSTEMS, I 09/25/15 STEELE LAW OFFICE LIVINGSTONE MUELLER ET AL 320 15WC 36139 GUTIERREZ, DAVID CENTURY BRASS WORKS INC 08/14/15 JUSTIN B MATTEA HEYL ROYSTER VOELKER & ALLEN 321 15WC 36281 BANDY, MARIALUZ A WALMART 06/02/15 DAVID H. BONE LLC EARLY & MIRANDA PC 322 15WC 36410 VALDEZ, JOSE TRAVEL CENTER OF AMERICA 10/21/15 GALANTI LAW OFFICES RODDY LAW LTD 323 15WC 37602 TAYLOR, RICK E GENERAL RESOURCE TECHNOLO 10/27/15 JOHN S. ELIASIK KEEFE & DEPAULI 324 15WC 37961 KAMBAROV, HASAN N R1 TRANSPORT INC * 10/18/15 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 325 15WC 38002 SANSEVERE, ALEX KUNA FOOD SERVICES 10/20/15 BROWN & BROWN POWER & CRONIN LTD 326 15WC 38301 ZEUNER, JAMES T EASTMAN CHEMICAL CO 10/21/15 CHATHAM & BARICEVIC WIEDNER & MCAULIFFE LTD 327 15WC 38308 WRIGHT, CHRISTIN JD STREETT & COMPANY INC 11/04/15 BROWN & BROWN 328 15WC 38368 DAVIS, CAROL FAMILY DOLLAR 11/11/15 GALANTI LAW OFFICES BRYCE DOWNEY & LENKOV LLC 329 15WC 38518 JONES, JAMES EARL TRANSITIONAL CENTER INC 06/16/14 BECKER PAULSON & HOERNER P NYHAN BAMBRICK KINZIE & LOWR 330 15WC 38856 AGNE-DICK, JANET SCHNUCK'S 06/15/15 MCGLYNN & MCGLYNN ORENSTEIN & ASSOCIATES 331 15WC 38871 WEST, STEVE HIGHLAND HEALTH CARE 10/09/14 HENNESSY & ROACH 332 15WC 38942 WALTON, MARK ELITE STAFFING 10/27/15 BOYNE, KEVIN PC 333 15WC 39264 HANCOCK, CHERYL KAPPERT CONSTRUCTION INC 07/06/15 FREEARK, HARVEY & MENDILLO GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 15WC 39549 DAMPIER, DESHAUN AMSTED RAIL 05/15/15 KEEFE & GRIFFITHS PC 335 15WC 39553 SCROGGINS, DEBI ILLINOIS CENTRAL SCHOOL B 09/08/15 KOLKER LAW OFFICES MCANANY VANCLEVE & PHILLIPS 336 15WC 39581 MILLER, KATHIE CASINO QUEEN 10/22/13 BROWN & BROWN KRISTINE MCGEE MACK 337 15WC 39884 PERKINSON, PAUL D OLIN CORP. 10/08/15 GLASS & KOREIN KEEFE & DEPAULI 338 15WC 39941 GARDNER, KELVERT ALLIED WASTE 09/23/15 SORRELL & TRAUBE 339 15WC 41322 SHAW, MARIO AMERICAN STEEL FOUNDRIES 12/02/15 GALANTI LAW OFFICES BOGGS AVELLINO 340 15WC 41347 THOMAS, LEKISHA METRO TRANSIT 07/18/15 NELSON & NELSON BROWN & JAMES, PC 341 15WC 41640 KING, RUTHELMA SAINT ELIZABETH HOSPITAL 06/15/15 THOMAS W DUDA MICHAEL NESTER 342 15WC 42124 BROWN, SCOTT W AMEREN IP 11/24/15 NELSON & NELSON LEMP & MURPHY 343 15WC 42190 CORBIN, SCOTT L. HAAG FOODS 09/25/15 RIPES NELSON BAGGOT KALOBRAT 344 15WC 42347 THOMPSON, GERALD AMERICAN STEEL FOUNDRIES 10/06/15 GALANTI LAW OFFICES BOGGS AVELLINO 345 15WC 42652 PRICE, DARREN SAVE-A-LOT 09/08/15 BROWN & BROWN BOGGS AVELLINO ETAL 346 16WC 00418 ELLIS, ANNETTE ALTON REHABILITATION & NU 11/24/15 JEROME LEFTON LAW OFFICE 347 16WC 00423 MARTIN, JAMES EMPIRE COMFORT SYSTEMS 08/13/15 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 348 16WC 00699 BEARLEY, MICHAEL U.S. STEEL 11/24/15 KEEFE & DEPAULI 349 16WC 00820 BRANDY-ROGIER, BRENDA CENTRUE BANK 08/28/15 GALANTI LAW OFFICES HOLTKAMP LIESE ET AL 350 16WC 00850 BINDER, KIMBERLY GARDEN PLACE 12/07/14 GARY L. BEMENT HENNESSY & ROACH, PC 351 16WC 01302 KAUT, DANIEL AFTON CHEMICAL 12/23/15 CHATHAM & BARICEVIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 352 16WC 01373 BUTLER, DEON ARAMARK 05/22/15 DWORKIN AND MACIARIELLO 353 16WC 01422 LEWIS, TRACEY L ST PAUL'S HOME 10/27/15 SCANLON, CHARLES R 354 16WC 01439 KEELY, ANTHONY USF HOLLAND INC 12/23/15 LESKERA LAW FIRM HENNESSY & ROACH, PC 355 16WC 01523 ASHER, TIANA M. CASEYS GENERAL STORES, 12/22/15 MILLER, WILLIAM R LAW OFFI 356 16WC 01936 PROST, LARRY US STEEL 01/08/16 GALANTI LAW OFFICES KEEFE & DEPAULI 357 16WC 02093 JORDAN, CARI J. COLLINSVILLE UNIT 10 11/02/15 CHATHAM & BARICEVIC KNAPP, OHL & GREEN 358 16WC 02263 BOYD, NATHAN SHAY ROOFING INC 08/12/15 BROWN & CROUPPEN LAW OFFICE PAUL LARIMORE 359 16WC 02290 HOLLEN, GARY K. NELSON TREE SERVICE, INC. 01/07/16 SMITH ALLEN MENDENHALL ET ADELSON TESTAN & BRUNDO 360 16WC 02504 SHELTON, KRISTINA STATE OF ILLINOIS @ 12/02/15 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 361 16WC 02814 RUSSELL, DENNIS STONETRENDS INC 09/05/14 LAW OFFICES OF MARY CREAME EVANS & DIXON, LLC 362 16WC 02976 CRITES, JERRY US STEEL CORPORATION 11/03/15 BEATTY & MOTIL KEEFE & DEPAULI 363 16WC 03151 LEACH, NATALIE A SOUTHERN IL UNIVERSITY @ 12/09/15 WALTON TELKEN FOSTER LLC ELIZABETH LEAHY 364 16WC 03504 MC MATH, SHAMIKA COLUMBIA REHAB & NURSING 12/20/15 WILLIAMS CAPONI & ASSOC 365 16WC 03592 STARR, MICHAEL THE BOEING COMPANY 01/21/16 KIRKPARTICK LAW OFFICES EVANS & DIXON, LLC 366 16WC 03748 THOMAS, MARK ALDI'S 03/06/14 HUSTAVA, JOHN H 367 16WC 03784 ADKINS, DANIEL ERLINGER REMODELING 10/13/15 MICHAEL J BRUNTON LAW OFFI GAROFALO SCHREIBER STORM 368 16WC 04043 KIRCHER, LEIGH ANDERSON HOSPITAL 05/01/15 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 369 16WC 04098 MEYER, JASON D E-LITE TOOL & MFG CO 01/09/15 WILLIAMS CAPONI & ASSOC CASSANO & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 370 16WC 04100 MYERS, GARY SCHENKER, DB 01/15/16 ROTH LAW OFFICES LAW OFFICE PAUL LARIMORE 371 16WC 04248 HILL, BARBARA AT AND T 10/02/15 HUSTAVA, JOHN H 372 16WC 05244 MC ALLISTER, ELIZABETH FRESH THYME 12/20/15 BONIFIELD & ROSENSTENGEL P ROUSE & CARY 373 16WC 05467 SMITH, JOHN P CUSTOMIZED DISTRIBUTION S 12/15/15 UNSELL, EDWARD W LAW OFFIC LAW OFFICES STEVEN PILAND 374 16WC 05558 DAUBMAN, AMBER HOME INSTEAD SENIOR CARE 01/18/16 BROWN & BROWN GANAN & SHAPIRO 375 16WC 05676 FOX, TANYA WALMART 12/12/15 KIRKPARTICK LAW OFFICES WIEDNER & MCAULIFFE LTD 376 16WC 05804 SUGG, MARGARET AGENCY FOR COMMUNITY TRAN 11/10/15 NELSON & NELSON RUSIN & MACIOROWSKI LTD 377 16WC 05878 WHITEHEAD, RICHARD CFA STAFFING 01/26/16 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 378 16WC 05899 KING, CLEVELAND CASINO QUEEN 06/10/15 BROWN & BROWN MICHAEL NESTER 379 16WC 05917 LACY, TERRY GLOBAL BRASS 08/12/15 GALANTI LAW OFFICES 380 16WC 06146 ABEL, RICHARD D VILLAGE OF PONTOON BEACH 05/20/15 PETER BLASI LLC 381 16WC 06281 LAWS, DWANA EXTRA HELP 10/26/15 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 382 16WC 06555 HAGENBROK, WANDA BEVERLY FARMS 02/05/16 BECKER SCHROADER & CHAPMAN HOLTKAMP LIESE ET AL 383 16WC 06716 BASILE, VINCENT A IL DEPT OF TRANSPORTATION @ 02/10/16 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 384 16WC 07041 BEAHRINGER, JEFFERY BUD'S TRAILER REPAIR 01/15/16 BROWN & CROUPPEN HENNESSY & ROACH, PC 16WC007053 -C 385 16WC 07139 STEPHENSON, DAVID ORKIN PEST & TERMITE CONT 01/21/16 BROWN & BROWN BRADY, CONNOLLY & MASUDA, PC 386 16WC 07181 RADLIFF, CATHERINE BELLEVILLE MEMORIAL HOSPI 08/04/14 KATZ FRIEDMAN EAGLE ET AL MATHIS MARIFIAN RICHTER ET A 387 16WC 07297 ROLLBERG, JACQUELINE CASEY'S GENERAL STORE 02/02/16 BROWN & BROWN KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 16WC 07316 NIKOLAUZYK, CLARENCE MASCOUTAH RURAL FIRE 06/15/15 NELSON & NELSON KEEFE & DEPAULI 389 16WC 07541 FOSTER, CRAIG AMS SERVICES 01/01/16 KULLMAN KLEIN & DIONEDA 390 16WC 07847 WITHCER, LAWRENCE AMERICAN STEEL FOUNDRIES 01/07/16 GALANTI LAW OFFICES BOGGS AVELLINO 391 16WC 08056 NOLTE, DANIEL E TEAM INDUSTRIAL SERVICES 01/16/16 WALTON TELKEN FOSTER LLC 392 16WC 08275 HAAS, RONALD SHAY ROOFING INC 09/12/15 LAW OFFICE PAUL LARIMORE 393 16WC 08398 HALL, MARVIN LAZER SPOT 12/01/15 KLAR, IZSAK, STENGER LLC EVANS & DIXON, LLC 394 16WC 08508 19B FISHER, RONALD CITY OF GRANITE CITY 12/07/15 LAW OFFICE OF THOMAS SCHOO KEEFE & DEPAULI 395 16WC 08617 VERDERBER, LAURA STATE OF IL/SOUTHWESTERN @ 11/26/15 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 396 16WC 08990 MOORE, DANIEL CUSTOM FRAME WORK 10/28/15 BROWN & CROUPPEN THOMPSON & MCDONALD LAW OFFI 397 16WC 09000 COLYER, DAVID OLIN/GLOBAL BRASS 06/30/15 LAW OFFICE KEITH SHORT KEEFE & DEPAULI 398 16WC 09323 TUCKER, KIM CASINO QUEEN 02/11/16 RICH RICH COOKSEY PC BECKER PAULSON & HOERNER PC 399 16WC 09563 ALEXANDER, COURTNEY L DAVIS MAIL SERVICES, INC 03/04/16 THE GOGEL WOLF LAW LTD 400 16WC 09686 BROWN, RODERICK MENASHA PACKAGING CO. 02/04/16 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 401 16WC 09769 REYNOLDS, ROGER A. W.A. RICE SEED CO. 10/20/15 SMITH ALLEN MENDENHALL ET MCANANY VANCLEVE & PHILLIPS 402 16WC 09808 LINDLEY, ROBERT JR GENERAL PARTS, INC 02/18/15 UNSELL & SCHUMAN GOLDBERG & SEGALLA LLP 403 16WC 09980 FITE, TERESA K MILLSTADT CCSD #160 09/10/14 MATHIS MARIFIAN RICHTER ET WIEDNER & MCAULIFFE LTD 404 16WC 10362 HARDWICK, BOBBIE J FED EX 02/17/16 DAVID H. BONE LLC 405 16WC 10476 KNIPP, JEFF CITY OF ALTON 06/01/14 SCHUCHAT, COOK & WERNER SCHREMPF KELLY & NAPP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 16WC 10556 HAHS, JOHN M LOWES HOME IMPROVEMENT 01/25/16 BONIFIELD & ROSENSTENGEL P KEEFE CAMPBELL & ASSOC LLC 407 16WC 10875 MILLER, KEITH HAIER PLUMBING & HEATING 12/15/15 DENNIS SHEVLIN INMAN & FITZGIBBONS 408 16WC 10951 HAYNES, DONITA FOUNTAIN VIEW MANOR 02/12/16 GABRIEL, MCCARTNEY & WAGNE 409 16WC 11029 BRENDEL, ELENORA DB SCHENKER 02/19/16 ROTH LAW OFFICES LAW OFFICE PAUL LARIMORE 410 16WC 11038 STANDAL, DANIEL B AT&T 01/28/15 SCOTT P. HOLWITT 411 16WC 11049 BAGLEY, NAJAH AMERICAN RED CROSS 07/07/15 BROWN & BROWN GOLDBERG & SEGALLA LLP 412 16WC 11124 CWILKOWSKI, DOUG HAYES PMC 03/20/16 KEEFE & DEPAULI GAROFALO SCHREIBER STORM 413 16WC 11186 BYRD, LESTER ILLINOIS DEPT OF PUBLIC H 06/03/15 THE ROBBINS LAW FIRM ASSISTANT ATTORNEY GENERAL 414 16WC 11225 HAMBRICK, JORDANNE THE CLIP-DOG GROOMING 03/17/15 RATHBUN CSEVENYAK & KOZOL 415 16WC 11390 JONES, VALERIE G&S FOUNDRY & MANUFACTURI 10/21/15 FISHER KERKHOVER & COFFEY QUINTAIROS PRIETO WOOD & BOY 416 16WC 11423 BATSON, JOSHUA MADISON INDUSTRIAL 11/18/15 LAW OFFICE OF THOMAS SCHOO 417 16WC 11428 REYNOLDS-RATLIFF, GEORGE SIU EDWARDSVILLE @ 07/20/15 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 418 16WC 11437 JONES, RICHARD S SR. HEADWATERS 03/06/16 NELSON & NELSON 419 16WC 11628 PELLEGRINO, ANDREA ALTON MEMORIAL 12/07/15 UNSELL & SCHUMAN HOLTKAMP LIESE ET AL 420 16WC 11741 CATALDO, VINCENT L AT&T 03/23/16 SCOTT P. HOLWITT INMAN & FITZGIBBONS 421 16WC 11893 CREWS, THOMAS PASS SECURITY 02/01/16 CANTOR & BURGER 422 16WC 11912 HILL, MICHELE SPECTRULITE CONSORTIUM IN 02/01/03 BROWN & BROWN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 423 16WC 11979 LEWIS, MARCHELLE CASEYS GENERAL STORE 12/29/15 RICH RICH COOKSEY PC 424 16WC 12003 HALEY, CANDACE MEMORIAL HOSPITAL 11/22/15 RICH RICH COOKSEY PC MATHIS MARIFIAN RICHTER ET A 16WC016092 -C 425 16WC 12017 THOMAS, ANN COMPASS TWO LLC 04/07/16 ROTH LAW OFFICES GANAN & SHAPIRO 426 16WC 12365 STEWART, LYNNE COPE PLASTICS INC 03/16/15 SMITH ALLEN MENDENHALL ET HENNESSY & ROACH, PC 427 16WC 12502 SCOTT, ELIZABETH MASCOUTAH HIGH SCHOOL 04/15/15 WILLIAMS CAPONI & ASSOC INMAN & FITZGIBBONS 428 16WC 12906 HROBOWSKI, KIMBERLY UNITED STATES STEEL CORP 11/17/15 PETER BLASI LLC 429 16WC 12990 BLAND, DANNY BLAND'S PLUMBING SEWER & 03/25/16 GALANTI LAW OFFICES BOGGS AVELLINO ETAL 430 16WC 13208 NANTKES, GREGORY L UNITED PARCEL SERVICE 03/01/16 GLASS & KOREIN MCANANY VANCLEVE & PHILLIPS 431 16WC 13217 SCHAPER, HENRY BAUMAN OIL DISTRIBUTION 02/26/15 GARY G MATHENY HUCK & HOWE 432 16WC 13227 KRAUS, SARA J ST PAUL NURSING HOME 10/13/15 NELSON & NELSON 433 16WC 13393 FRANKLIN, JACK E JR ALTON STEEL, INC. 01/14/16 ARMBRUSTER DRIPPS KEEFE CAMPBELL & ASSOC LLC 434 16WC 13708 MEYER, JOHNDOLYNN DHS/AMH ALTON MENTAL @ 11/29/15 SMITH ALLEN MENDENHALL ET ASSISTANT ATTORNEY GENERAL 435 16WC 13921 BECKER, RONALD CLINTON COUNTY HIGHWAY DE 01/20/12 BEATTY & MOTIL BECKER PAULSON & HOERNER PC 436 16WC 13953 KANE, BETTY L WAL-MART 07/02/15 NELSON & NELSON EARLY & MIRANDA PC 437 16WC 13967 PIEPER, SHANE CARGILL METALS 06/11/15 GALANTI LAW OFFICES LIVINGSTONE MUELLER ET AL 438 16WC 14309 CHISHOLM, JEREMY NELSON TREE SERVICE 08/06/15 GALANTI LAW OFFICES 439 16WC 14615 JONES, ALLEN SPECTRULITE CONSORTIUM IN 01/01/02 BROWN & BROWN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 440 16WC 14618 HOPPE, WILLIAM SPECTRULITE CONSORTIUM IN 05/01/02 BROWN & BROWN 441 16WC 14639 SANDERS, SEAN BRANDING IRON HOLDINGS, I 03/06/16 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 16WC014790 -C 442 16WC 14716 SANDERS, THOMAS J. JR METRO EAST INDUSTRIES 10/20/14 BROWN & BROWN KEEFE & DEPAULI 443 16WC 14780 KRIEGER, MATTHEW AMSTED RAIL 04/28/16 GALANTI LAW OFFICES 444 16WC 15236 BROWN, DARRIUS D LOTAWATA CREEK SOUTHERN G 01/07/16 BROWN & BROWN 445 16WC 15393 WICKS, BRANDON GLOBAL BRASS & COPPER 11/18/15 BROWN & CROUPPEN KEEFE & DEPAULI 446 16WC 15431 VALLE, CHERI DISTRICT 7 EDWARDSVILLE 10/06/15 ROTH LAW OFFICES 447 16WC 15534 RUSSELL, MICHAEL TERRA PROPERTIES 11/26/13 BROWN & BROWN THOMPSON & MCDONALD LAW OFFI 448 16WC 15561 CARSON, JESSIE FOSTER GRANDPARENTS PROGR @ 01/23/16 MELVIN J SMITH & ASSOC 449 16WC 15582 ESTES, DIANE ALTON COMMUNITY SCHOOL DI 03/06/15 SMITH ALLEN MENDENHALL ET KNAPP, OHL & GREEN 450 16WC 15595 HOWARD, SHANISHA ELITE STAFFING 04/08/16 LAW OFFICE KEITH SHORT 451 16WC 15977 JORDAN, STEPHEN SEQUA CORPORATION/PRECOAT 04/23/14 SHAPIRO SPAETH & SAUER LLC LEMP & MURPHY 452 16WC 16070 RAGLIN, ANTONIA N. IL DEPT OF JUVENILE JUSTI @ 10/13/15 ARMBRUSTER DRIPPS ASSISTANT ATTORNEY GENERAL 453 16WC 16174 WEBB, CHRISTINA IDOT @ 03/23/16 BROWN & BROWN ELIZABETH LEAHY 454 16WC 16188 HICKMAN, KERI SWANSEA RESTAURANT SERVIC 04/21/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 455 16WC 16237 SCHULZE, ROBERT US STEEL CORPORATION 07/09/13 BEATTY & MOTIL KEEFE & DEPAULI 456 16WC 16357 RAY, GLEN MONRO MUFFLER BRAKE, INC. 05/19/16 SMITH ALLEN MENDENHALL ET 457 16WC 16626 COTTON, DANIELL L. CEDAR RIDGE HEALTH 10/26/15 BROWN & BROWN HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 458 16WC 16838 BURDELL, RAYMOND DB SCHENKER USA 10/30/15 BROWN & CROUPPEN LAW OFFICE PAUL LARIMORE 459 16WC 17084 MCAFEE, CAROLANN LOUISE ST. ELIZABETH'S HOSPITAL 03/10/15 JOSEPH L SAMUELSON PC MICHAEL NESTER 460 16WC 17123 COLE, SANDRA AMERICAN RED CROSS 07/07/15 BROWN & BROWN EVANS & DIXON, LLC 461 16WC 17194 MOORE, WAYNE III AP SANDERS CONS 08/12/15 462 16WC 17212 PHILLIPS, BRIAN AMERICAN STEEL FOUNDRIES 05/19/16 GALANTI LAW OFFICES BOGGS AVELLINO 463 16WC 17654 MOORE, KEITH PHILLIPS 66 05/14/16 HARRY STOCKMAN HEYL ROYSTER VOELKER & ALLEN 464 16WC 18139 WILLIAMS, MARY RIVERBEND BILLIARDS 10/09/15 ARMBRUSTER DRIPPS MCANANY VANCLEVE & PHILLIPS 465 16WC 18293 PERKINS, JASON ILLINOIS STATE POLICE @ 05/25/16 RIDGE & DOWNES 466 16WC 18436 BROWN, RICHARD JB HUNT TRANSPORT SERVICE 05/18/16 GALANTI LAW OFFICES LAW OFFICE CRAIG A HANSEN 467 16WC 18522 BARFIELD, DANIELLE FREEBURG CARE CENTER 02/10/16 BROWN & BROWN BOGGS AVELLINO 16WC038481 -C 468 16WC 18535 LESPERANCE, CHAD PEABODY COAL CO 12/29/15 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 469 16WC 18608 DAVIS, RAYKELL HOYLETON MINISTRIES 05/08/16 MCGLYNN & MCGLYNN LITCHFIELD CAVO 470 16WC 18635 19B BRYANT, JARVIA WATERLOO SCHOOL DISTRICT 09/02/14 BECKER PAULSON & HOERNER P MCANANY VANCLEVE & PHILLIPS 471 16WC 19014 NICHOLSON, QUBIEK ELITE STAFFING 02/15/16 WALTON TELKEN FOSTER LLC 472 16WC 19408 CHEATHAM, BILLY PEABODY GATEWAY SRVCS 03/31/16 CULLEY & WISSORE KEEFE & DEPAULI 473 16WC 19555 COX, GARY ADVANCEPIERRE 04/01/16 BROWN & BROWN HENNESSY & ROACH, PC 474 16WC 19636 HESTER, PETER SW FRANKLIN GROUP INC 07/09/14 THE HESTER GROUP LLC 475 16WC 19710 HUDSON, HOWARD SIEMENS MANUFACTURING CO 05/23/16 BROWN & BROWN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 476 16WC 20045 REITZ, DONNA SCHNUCKS MARKETS, INC 08/15/15 SANSONE & LAUBER 477 16WC 20084 GREEN, GERALD FIRST LOOK OPTICAL LAB 01/08/16 JOHNSON GRAY LLC 478 16WC 20088 EVELAND, SARA REHKEMPER & SON, INC 07/20/15 RICH RICH COOKSEY PC WIEDNER & MCAULIFFE LTD 479 16WC 20309 RICHARDSON, ERIC WHELAN SECURITY 01/27/16 NELSON & NELSON WIEDNER & MCAULIFFE LTD 480 16WC 20635 BINNS, BRAD HELMKAMP 08/26/15 HENNESSEY LAW FIRM LAW OFFICE CRAIG A HANSEN 481 16WC 20857 CROWDER, CHARLES B PREMIER INSULATION 06/16/16 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 482 16WC 20858 BETANCOURT, JOSE THE EAGLES 03/16/16 LASHLY & BAER PC KEEFE & DEPAULI 483 16WC 20929 WILLIAMS, DEBORAH BI-STATE DEVELOPMENT 06/01/16 KOLKER LAW OFFICES BROWN & JAMES, PC 484 16WC 21306 ROSE, JOHN SCHANTZ MANUFACTURING 07/01/14 GLASS & KOREIN 485 16WC 21526 DAVIS, ROBERT T. JR. KMK FABRICATORS, INC. 06/14/16 BROWN & BROWN HOLTKAMP LIESE ET AL 486 16WC 21790 GRAU, CYNTHIA M CHALLENGE UNLIMITED INC 01/08/15 P. MICHAEL READ LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 487 16WC 21956 LEWIS, DIONNE BELLEVILLE BOOT INC 03/20/15 DAVID H. BONE LLC EVANS & DIXON, LLC 488 16WC 22090 YATES, BAYLEY GENE STANFORD 05/29/16 LAW OFFICE OF SUSAN GRAMME 489 16WC 22146 BUERKLE, FRANK PEABODY COAL 05/19/16 COLLISON & O'CONNOR 490 16WC 22172 BENT, DAVID HAAG FOODS SERVICES, INC. 07/29/14 NELSON & NELSON 491 16WC 22239 REITZ, DONNA SCHNUCK MARKETS INC 08/15/15 SANSONE & LAUBER 492 16WC 22449 ROBERTS, VANESSA SPARTA SCHOOL DISTRICT 14 11/07/14 THOMAS C RICH PC GANAN & SHAPIRO 17WC004001 -C 493 16WC 22821 HIGGINS, DOROTHY M. WALMART 08/20/15 NELSON & NELSON GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 494 16WC 22879 WIERCISZEWSKI, EDWIN AA GLASS LLC 07/07/16 COOK SHEVLIN YSURSA ET AL HUCK & HOWE 495 16WC 22888 DUMSTORFF, CONNIE AVISTON COUNTRYSIDE MANOR 02/21/16 KOLKER LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 496 16WC 23360 LEE, ROBERT E JR CAVO BROADBAND COMMUNICAT 09/02/15 BROWN & CROUPPEN EVANS & DIXON, LLC 497 16WC 23393 ALLEN, LARRY N. J & L SERVICES, INC. 07/10/16 BUDIN LAW OFFICES HENNESSY & ROACH, PC 498 16WC 23525 HOOKER, KAREN BELLEVILLE AREA SPECIAL S 03/09/15 KATZMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 499 16WC 23538 BROWN, RHONDA ROSEWOOD CARE CENTER 06/16/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 500 16WC 23666 KIDD, DORNE MIDWEST NONWOVENS, LLC 05/13/16 SAUTER, SULLIVAN & EVANS MORROW WILLNAUER 501 16WC 23756 DE PROW, CARLOS JR U S STEEL 07/18/16 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 502 16WC 23769 SHARP, TERRY L BLOOMSDALE EXCAVATING 06/02/16 PERICA LAW FIRM BRADSHAW STEELE 503 16WC 24012 MOORE, SHELLY BETHALTO COMMUNITY UNIT S 02/28/15 LAW OFFICE KEITH SHORT RIPES NELSON BAGGOT KALOBRAT 504 16WC 24030 REEL, MIKE PRAIRIE STATE GENERATING 06/02/15 WINTERS BREWSTER CROSBY ET EVANS & DIXON, LLC 505 16WC 24064 LAMPE, DAVID U.S. STEEL CORP. 12/01/14 BEATTY & MOTIL KEEFE & DEPAULI 506 16WC 24147 SALGER, SAMANTHA KUNA FOOD SERVICE 08/04/16 COOK SHEVLIN YSURSA ET AL POWER & CRONIN LTD 507 16WC 24420 EDWARDS, JOSEPH PADGETT BUILDING & REMODE 06/17/16 RICH RICH COOKSEY PC GANAN & SHAPIRO 508 16WC 24433 PRICE, BRUCE A. AMSTED RAIL 03/24/15 UNSELL & SCHUMAN 509 16WC 24540 BOOTCHEE, JIMMIE DAWSON MANOR APARTMENTS 07/14/16 RICH RICH COOKSEY PC MCANANY VANCLEVE & PHILLIPS 510 16WC 24627 BOYD, TERRY PEABODY COAL 06/30/16 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 511 16WC 24687 DIEGO, JAVIER DIXIE J HARR THOROUGHBRED 06/23/15 DEPAOLO ZADEIKIS GORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 512 16WC 24774 STEINACHER, ANNA ALTON MENTAL HEALTH CENTE 07/13/16 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 513 16WC 24981 DILLOW, DENNIS DB SCHENKER 05/18/16 WALTON TELKEN FOSTER LLC 514 16WC 25006 WALK, DAVID PHILLIPS 66 01/23/16 GALANTI LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 515 16WC 25032 ELLIS, JEFFREY HEIDTMAN STEEL PRODUCTS, 08/01/16 BROWN & BROWN STEPHEN H LARSON LAW OFFICE 516 16WC 25036 RANDLE, ALBERT BOEING COMPANY 06/25/15 BUTLER & KEMPER EVANS & DIXON, LLC 517 16WC 25106 PIERCE, ROBERT ALLEN UNION UNITED METHODIST CH 05/29/16 NELSON & NELSON 518 16WC 25689 GEORGE, STEVEN KELLER CONSTRUCTION 08/03/16 BECKER SCHROADER & CHAPMAN ROUSE & CARY 519 16WC 25746 JONES, MAURICE E USF HOLLAND, INC 07/28/16 LESKERA LAW FIRM HENNESSY & ROACH, PC 520 16WC 25757 HODGES, DEMARCO AMERICAN STEEL FOUNDRIES 08/16/16 GALANTI LAW OFFICES BOGGS AVELLINO 521 16WC 25785 BECKETT, KELI WALMART 03/16/14 BOYNE, KEVIN PC WIEDNER & MCAULIFFE LTD 522 16WC 25836 SCRANTON, TRAVIS STATE OF IL IDOT @ 05/17/16 SMITH ALLEN MENDENHALL ET ELIZABETH LEAHY 523 16WC 25852 NEAL, LINDA BELLEVILLE MEMORIAL HOSPI 06/04/16 BROWN & CROUPPEN MATHIS MARIFIAN RICHTER ET A 524 16WC 25878 KECK, JEFF VEE JAY CEMENT 08/09/16 GALANTI LAW OFFICES LEMP & MURPHY 525 16WC 25892 MILLER, JANET L. HUMANE SOCIETY OF MONROE 06/05/15 LAW OFFICE OF THOMAS SCHOO COZZI & GOGGIN-WARD 526 16WC 25968 CALDWELL, RICHARD STATE OF ILLINOIS @ 07/28/16 GARY L. BEMENT ELIZABETH LEAHY 527 16WC 25977 WILLIAMS, CORA L SPARTAN LIGHT METALS 07/20/16 WILLIAMS CAPONI & ASSOC 528 16WC 26063 JACKOWIAK, MARK A PACK 4U CORP 05/11/16 LAW OFFICE OF ROBERT J. IR 529 16WC 26137 HAVIS, STEPHANIE SOI-ALTON MENTAL @ 06/03/15 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 530 16WC 26215 OLDHAM, CAROLYN HAND HAMPTON INN 07/30/16 MANDEL & MANDEL LLP 531 16WC 26343 POPOVIC, PETER WAL-MART INC. 08/08/16 WIMMER & STIEHL WIEDNER & MCAULIFFE LTD 532 16WC 26361 GANSZ, JEFF NELSON TREE SERVICE, INC. 12/03/15 GALANTI LAW OFFICES ADELSON TESTAN & BRUNDO 533 16WC 26423 SIEGMAN, JOHN FAITH COUNTRYSIDE HOMES 11/12/15 KOLKER LAW OFFICES BRUCE WARREN 534 16WC 26494 WALL, TIMOTHY S. HOLTHAUS TRUCKING 06/28/16 WILLIAMS CAPONI & ASSOC JAMES M KELLY 535 16WC 26548 EDWARDS, JOSEPH PADGETT BUILDING & REMODE 02/18/16 RICH RICH COOKSEY PC GANAN & SHAPIRO 536 16WC 26556 SCHUESSLER, EDWARD SIUE TRANSPORTATION @ 03/01/16 LAW OFFICE OF CELESTINE DO ILLINOIS ATTORNEY GENERAL 537 16WC 26623 HOFF, JULIE BAYMONT INN 07/10/16 JOHNSTON LAW OFFICE 538 16WC 26696 LAWRENCE, DUSTIN ULTRA PLAY SYSTEMS, INC. 08/02/16 BOYNE, KEVIN PC MC ANDREWS & NORGLE LLC 539 16WC 26797 COLEMAN, LASHONDA EDWARDSVILLE SCHOOL DISTR 05/09/16 DWORKIN AND MACIARIELLO 540 16WC 26912 CLINE, ALFRED REPUBLIC SERVICES 10/08/14 KEEFE & GRIFFITHS PC 541 16WC 27120 HEIMER, MICHAEL AECOM - URS * 03/08/16 CARAWAY FISHER HEYL ROYSTER VOELKER & ALLEN 542 16WC 27334 MILLER, ANITA GRANITE CITY SCHOOL DISTR 08/26/16 GALANTI LAW OFFICES EVANS & DIXON, LLC 543 16WC 27500 LAGEMANN, JUDITH MACYS 06/03/16 KOLKER LAW OFFICES BRYCE DOWNEY & LENKOV LLC 544 16WC 27585 MUNIE, MARYANN MEMORIAL HOSPITAL BELLEVI 03/29/16 LEVENHAGEN LAW FIRM PC MATHIS MARIFIAN RICHTER ET A 545 16WC 27963 SCHALLER, JOHN ROTHMAN FURNITURE STORES 07/01/15 STEPHEN H LARSON LAW OFFICE 546 16WC 28133 ALEXANDER, SHERMAN SCHNUCK MARKETS, INC 06/24/16 LIESER LAW FIRM 547 16WC 28148 BARBOUR, MICHAEL AMBASSADOR 06/18/16 BROWN & BROWN LAW OFFICE CRAIG A HANSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 548 16WC 28174 BARBOUR, MICHAEL AMBASSADOR 06/16/16 BROWN & BROWN 549 16WC 28248 KILLINGSWORTH, SHIRLEY ST. PAUL'S HOME 09/06/16 BOYNE, KEVIN PC MORROW WILLNAUER 550 16WC 28368 HOOD, KATHY TOUCHETTE REGIONAL HOSPIT 06/26/16 KIRKPARTICK LAW OFFICES CLAYBORNE SABO & WAGNER 551 16WC 28661 HILL, DELVIN METRO 08/25/16 BROWN & JAMES, PC 552 16WC 28665 HENSON, ELZA T HAYES MECHANICAL 05/30/15 BEATTY & MOTIL 553 16WC 28888 NICHOLS, REGGIE INDUSTRIAL GAS 02/17/14 JUNCKER, DANIEL K PC ROSARIO CIBELLA 554 16WC 29018 REICHLING, DONALD JR TERRASOURCE GLOBAL CORP 10/03/12 KATZMAN & ASSOCIATES FEIRICH MAGER GREEN & RYAN 555 16WC 29171 TALLEY, JAYMI N J. FIRES MARKET BISTRO 07/08/16 WILLIAMS CAPONI & ASSOC 556 16WC 29363 SIMS, LARRY BERT'S RENTAL AND SALES 12/08/15 REED & BRUHN, PC RUSIN & MACIOROWSKI LTD 557 16WC 29617 MARTINEZ, CHRISTOPHER J ILLINO ENVIRONMENTAL INC 04/11/16 CLAY BARKLEY ST CLAIR 558 16WC 29623 MCADAMS, JAMES PRAIRIELAND POWER 08/18/16 ERIN M. PHILLIPS HOLTKAMP LIESE ET AL 559 16WC 29690 VETETO, APRIL PILOT TRAVEL CENTERS 05/20/16 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 560 16WC 29738 GRAHAM, JIM WASTE MANAGEMENT 09/17/14 LAW OFFICE KEITH SHORT GAROFALO SCHREIBER STORM 561 16WC 29787 WILLIAMS, SEAN MCCANN CONCRETE PRODUCTS 05/20/16 HUSTAVA, JOHN H HOLTKAMP LIESE ET AL 562 16WC 29906 SHERFY, MILTON URS/AECOM 07/18/16 SMITH ALLEN MENDENHALL ET HEYL ROYSTER VOELKER & ALLEN 563 16WC 29921 INGRHAM, AMANDA D 143 CORNER CAFE INC 12/30/15 MORMINO,VELLOFF,EDMONDS,SN 564 16WC 30108 BLASDEL, SCOTT ANDERSON HOSPITAL 07/27/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 565 16WC 30169 SHEFF, TERRIE ANN DO DROP INN 02/11/16 MILLER, WILLIAM R LAW OFFI GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 566 16WC 30182 LAMBAY, ABDUL WIMAN CORP 08/29/16 MATLOCK LAW GROUP STEPHEN H LARSON LAW OFFICE 567 16WC 30334 STEPHENSON, DEMOND AMERICAN STEEL FOUNDRIES 09/16/16 GALANTI LAW OFFICES 568 16WC 30459 SCHMITT, CYNTHIA D ADVANCE PIERRE FOODS 06/27/16 WILLIAMS CAPONI & ASSOC 569 16WC 30520 STALLINGS, TIMOTHY ALLEN ROOFING 09/07/16 BROWN & CROUPPEN 570 16WC 30663 FRIEMANN, MELISSA A US PHILLIPS 66 09/19/16 WALTON TELKEN FOSTER LLC HEYL ROYSTER VOELKER & ALLEN 571 16WC 30731 FORESHEE, CHRISTOPHER INFINITY GRANITE CITY LLC 09/19/16 ROTH LAW OFFICES HENNESSY & ROACH, PC 572 16WC 30817 DURER, JAMES WAL-MART ASSOCIATES, INC 11/04/15 CERVANTES & ASSOC GANAN & SHAPIRO 573 16WC 31435 FORREST, JOHN ALDI'S 01/10/16 GALANTI LAW OFFICES LYNN D BARNETT 574 16WC 31443 WILHELM, JIM PEABODY MIDWEST MANAGEMEN 01/12/16 CULLEY & WISSORE KEEFE & DEPAULI 575 16WC 31479 MADDEN, JOSEPH AMSTED RAIL 09/29/16 GALANTI LAW OFFICES BOGGS AVELLINO 576 16WC 31610 WATTS, DEVIN DON LILLIS D/B/A LILLIS L 07/06/16 BROWN & BROWN GREGORY M. SKINNER 577 16WC 31751 KOSTYSHOCK, RALPH STUTZ EXCAVATING INC 08/29/16 WALTON TELKEN FOSTER LLC WOLF LAW LTD 578 16WC 31782 JACKSON, SHERIKA BRANDON IRON 07/15/16 GLASS & KOREIN EVANS & DIXON, LLC 579 16WC 31932 SAPUTO, ANTHONY IL DEPT OF TRANSPORTATION @ 08/20/15 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 580 16WC 31971 DAVIS, EDWARD P OLIN CORPORATION 08/07/16 JOSEPH E. HOEFERT KEEFE & DEPAULI 581 16WC 32038 MERSINGER, RUSSELL SOUTHWESTERN ELECTRIC COO 02/25/15 HUSTAVA, JOHN H LAW OFFICE CRAIG A HANSEN 582 16WC 32288 SIMPSON, CORI GLENN CARBON FIRE PROT DI 06/15/16 DANIELS WILZBACH PC KEEFE & DEPAULI 583 16WC 32405 NAZARI, SHAUN M E.M. WIEGMANN 09/10/15 BONIFIELD & ROSENSTENGEL P ROUSE & CARY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 584 16WC 32469 JACKSON, WILLIE BELLEVILLE NEWS DEOMCRAT 09/25/16 BROWN & CROUPPEN 585 16WC 32658 OGDEN, ANDREW M MUNIE TRENCHING & EXCAVAT 10/11/16 BONIFIELD & ROSENSTENGEL P 586 16WC 32769 BEAN, CEDRIC AMSTED RAIL 10/07/16 GALANTI LAW OFFICES BOGGS AVELLINO 587 16WC 32901 PRIDE, JEREMY W BECKER IRON & METAL INC 02/25/16 UNSELL, EDWARD W LAW OFFIC 588 16WC 32924 BARNETT, ROSE CROTHALL HOUSE CARE INC 07/15/16 BECKER SCHROADER & CHAPMAN GANAN & SHAPIRO 589 16WC 33085 HARLEY, ERICKA BEVERLY FARMS 09/02/16 BECKER SCHROADER & CHAPMAN 590 16WC 33092 ANDERSON, LEONARD AMERICAN STEEL FOUNDRIES 09/15/16 GALANTI LAW OFFICES 591 16WC 33150 PAVIA, LYNDA SIU-EDWARDSVILLE @ 10/06/16 GALANTI LAW OFFICES ILLINOIS ATTORNEY GENERAL 592 16WC 33210 ANDERSON, LEONARD AMERICAN STEEL FOUNDRIES 08/22/16 GALANTI LAW OFFICES BOGGS AVELLINO 593 16WC 33382 MOORE, JENNIFER THE MASCHHOFFS LLC 07/27/16 BOYNE, KEVIN PC LAW OFFICE CRAIG A HANSEN 594 16WC 33404 MITCHELL, WYATT 4 POINTS CONCRETE 09/06/16 595 16WC 33463 RUSSELL, LASHONDA ILLINOIS CENTRAL SCHOOL B 09/27/16 RICHARD LECINSKI MCANANY VANCLEVE & PHILLIPS 596 16WC 33594 MARTIN, BRIAN GUARDIAN RELOCATION 10/06/16 MANDEL & MANDEL LLP LEAHY WRIGHT & ASSOC 597 16WC 33632 DESHON, JOSEPH OLIN/GLOBA BRASS 04/30/14 LAW OFFICE KEITH SHORT KEEFE & DEPAULI 598 16WC 33670 MCKENZIE, SHERINA P BRANDING IRON HOLDINGS, I 12/04/15 NELSON & NELSON LAW OFFICE CRAIG A HANSEN 599 16WC 33771 DIXON, CINDY INTEGRITY HEALTH CARE 06/12/16 MILLER, WILLIAM R LAW OFFI 600 16WC 33863 STROZEWSKI, ERIC AMERICAN STEEL 08/03/16 BECKER SCHROADER & CHAPMAN 601 16WC 33897 PARIS, DELBERT C WEIR CHEVROLET, INC 06/22/16 CLAY BARKLEY ST CLAIR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 602 16WC 33973 FLORES, MARTHA E BRANDING IRON HOLDINGS, I 10/18/16 ONDER SHELTON O'LEARY EVANS & DIXON, LLC 603 16WC 34450 METCALF, BRUCE AIR PRODUCTS 09/27/15 GALANTI LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 604 16WC 34935 RYAN, CHARLIE IDOT @ 10/28/16 GALANTI LAW OFFICES ELIZABETH LEAHY 605 16WC 35104 DEIHL, DENNIS OUR LADY OF THE SNOWS SHR 11/29/15 KIRKPARTICK LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 606 16WC 35121 SWINK, DEON SPAETH WELDING INC 10/12/16 607 16WC 35170 HOWARD, DENISE CASEY'S 11/04/16 GALANTI LAW OFFICES KEEFE & DEPAULI 608 16WC 35354 LONDON, IAN G SAFEWAY SERVICES 10/11/16 SCHREMPF KELLY & NAPP HEYL ROYSTER VOELKER & ALLEN 609 16WC 35440 WEISS, SHANI WADE SERVICE CC FOOD MART 09/11/15 BEATTY & MOTIL 610 16WC 35451 WILLIAMS, SEQUELLA MEDLINE INDUSTRIES 08/15/16 KEEFE & GRIFFITHS PC GAROFALO SCHREIBER STORM 16WC035464 -C 611 16WC 35564 LILLER, ROBERT GMS MINE REPAIR & MAINT I 11/30/14 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 612 16WC 35577 FRENCH, KEN TEAM ONE CONTRACT SERVICE 09/24/16 KEEFE & GRIFFITHS PC WIEDNER & MCAULIFFE LTD 613 16WC 35705 HAYES, PATRICIA GRANITE CITY STEEL 10/24/16 BECKER SCHROADER & CHAPMAN 614 16WC 35861 WASEM, CARL F UPS 10/11/16 GLASS & KOREIN 615 16WC 35943 PETERSON, MICHAEL USERY DRYWALL 08/29/16 HAMMOND SHINNERS TURCOTTE 616 16WC 36220 JOHNSON, RALPH GLOBAL BRASS & COPPER 05/01/16 BUTLER & KEMPER KEEFE & DEPAULI 617 16WC 36256 BROWN, RHONDA ROSEWOOD CARE CTR 07/13/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 618 16WC 36404 HOLLOWELL, BRANDON GENCO UNILEVER 06/01/16 KEEFE & GRIFFITHS PC SPIEGEL & CAHILL, PC 619 16WC 36638 COOK, PATRICIA TOM'S SUPERMARKET 08/29/16 BECKER PAULSON & HOERNER P GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 620 16WC 36921 FORGY, JAMES O REMINGTON PROPERTIES 09/19/16 WILLIAMSON WEBSTER ET AL 621 16WC 37032 HILL-MARTIN, HARRIET EAST ST LOUIS 10/12/14 RIPES NELSON BAGGOT KALOBRAT 622 16WC 37067 HUSEMANN, ARTHUR WAYNE DYNEGY 11/15/13 FISHER KERHOVER & WELGE KEEFE & DEPAULI 623 16WC 37098 STEMMLEY, DUANE COYNE CONSTRUCTION 11/10/16 BROWN & BROWN KEEFE & DEPAULI 624 16WC 37124 JONES, SONYA US STEEL CORPORATION 01/29/16 BEATTY & MOTIL KEEFE & DEPAULI 625 16WC 37361 DAMIANO-EVERTS, BRANDY HALIT JUSUFID/B/A 10/19/16 KATZMAN & SUGDEN 626 16WC 37382 DONAT, BRENDA CITY OF BELLEVILLE 10/17/14 BROWN & BROWN 627 16WC 37591 BAUER, JAMES BEELMAN TRUCK CO 10/25/16 LAW OFFICE KEITH SHORT MCANANY VANCLEVE & PHILLIPS 628 16WC 37615 HOWELL, BRIDGETTE EAST ST LOUIS SCHOOL DIST 10/13/16 HUSTAVA, JOHN H BECKER PAULSON & HOERNER PC 629 16WC 37621 WILSON, DONNA LEBANON CARE CENTER 11/28/16 KNELL LAW LLC 630 16WC 37636 DAVIS, LINDA M SHOP & SAVE 03/25/16 PERICA LAW FIRM HOLTKAMP LIESE ET AL 631 16WC 37773 QUALLS, TERRI CUSTOM STAFFIN 12/03/14 BADGLEY, BRAD L 632 16WC 37790 YOUNG, KEVIN AMERICAN STEEL FOUNDRIES 12/01/16 GALANTI LAW OFFICES BOGGS AVELLINO 633 16WC 37862 HOLLOWAY, ANGELLA SALVATION ARMY 10/27/16 NELSON & NELSON RODDY LAW LTD 634 16WC 37930 WALLACE, ARNOLD L MIDDENDORF, INC. 11/03/16 BONIFIELD & ROSENSTENGEL P HENNESSY & ROACH 17WC009130 -C 635 16WC 38063 QUALLS, TERRI CUSTOM STAFFING SERVICES 07/16/14 BADGLEY, BRAD L 636 16WC 38090 JEFFREY, RANDY TAGGART TRANSPORTATION 08/30/16 JOHNSTON LAW OFFICE 637 16WC 38153 LE COMPTE, SHEILA F CROTHALL HEALTHCARE 12/19/13 LAW OFFICE ROBERT G WATERS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 638 16WC 38247 WRIGHT, LAGARDO METRO INDUSTRIES, INC 09/27/16 HUSTAVA, JOHN H KEEFE & DEPAULI 639 16WC 38358 STEVENS, MARK UNITED IRON WORKERS 02/04/16 COOK SHEVLIN YSURSA ET AL STEPHEN H LARSON LAW OFFICE 640 16WC 38374 ZIMMER, JOHN ALTON STEEL 09/15/16 GALANTI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 641 16WC 38475 POHLMAN, CHRISTOPHER WILLOW CREEK REHAB 10/26/16 KOLKER LAW OFFICES MCANANY VANCLEVE & PHILLIPS 642 16WC 38519 BARKER, MARK A AMAZON 12/09/16 THE GOGEL WIEDNER & MCAULIFFE LTD 643 16WC 38534 BLANK, MICHAEL PEABODY GATEWAY SVCS 03/11/16 CULLEY & WISSORE KEEFE & DEPAULI 644 16WC 38579 WOODS, ARDELL L HIRE LEVEL 11/23/16 SCHUCHAT, COOK & WERNER MCANANY VANCLEVE & PHILLIPS 645 16WC 38584 STORTZUM, DONNA COLLINSVILLE UNIT 10 SCHO 07/22/16 JOHNSTON LAW OFFICE 646 16WC 38631 TANDY, ERICA ALTON MENTAL HEALTH CENTE @ 10/30/16 KOLKER LAW OFFICES ELIZABETH LEAHY 647 16WC 38718 DIAL, MADELAINE SENIOR SERVICES PLUS, INC 11/22/15 PERICA LAW FIRM 648 16WC 38759 CLARK, JOHNNY D ABF FREIGHT SYSTEMS INC 08/11/15 KEEFE CAMPBELL & ASSOC LLC 649 16WC 38861 DELP, COLE A CLEARY BUILDING CORPORATI 12/02/16 SMITH ALLEN MENDENHALL ET 650 16WC 38937 THOMAS, TOBY WAINWRIGHT TREE CARE W 11/15/16 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 651 16WC 39006 BUTLER, MICHAEL SHANE WAINWRIGHT TREE CARE 11/15/16 GALANTI LAW OFFICES 652 16WC 39108 BURTON, DEREK AMAZON 12/05/16 SAUTER, SULLIVAN & EVANS WIEDNER & MCAULIFFE LTD 653 16WC 39127 COLLINS, WILLIAM AMAZON DISTRIBUTION CENTE 12/05/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 654 16WC 39148 HURST, BRENTON EDWARDSVILLE POLICE DEPAR 12/12/16 GALANTI LAW OFFICES SCHREMPF KELLY & NAPP 655 16WC 39242 DUNHAM, TIMOTHY L ALAMO EQUIPT CO, INC 10/22/16 SMITH ALLEN MENDENHALL ET

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 656 16WC 39388 SORBIE, JILL AMAZON- STL 4 12/10/16 KEEFE & DEPAULI WIEDNER & MCAULIFFE LTD 657 17WC 00057 BUSBY, KEVIN ACCEL ENTERTAINMENT 09/03/15 RICH RICH COOKSEY PC 658 17WC 00189 KEEFER, WESLEY M FIRST STUDENT TRANSPORTAT 12/16/16 SAUTER, SULLIVAN & EVANS 659 17WC 00232 GIBSON-MEDLEY, JEAN DYNAMIC TRANSIT CO 10/07/16 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 660 17WC 00327 TAYLOR, SHIRLEY ERMC 08/23/16 ANDERSON & GILBERT KELLEY KRONENBERG 661 17WC 00617 OCHOA, JOSE KIENSTRA PRECAST INC 03/25/15 WALTON TELKEN FOSTER LLC 662 17WC 00722 GARCIA, NICHOLE PETSMART 09/28/16 JOHNSTON LAW OFFICE 663 17WC 00908 RICE, CYMANTHA DAVITA MARYVILLE DIALYSIS 11/15/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 664 17WC 00975 BUSCH, MICHELLE DAWN ARROW SHED, LLC 03/11/14 HILL LAW OFFICES 665 17WC 01031 HUGHES, FREDERICK EXPRESS EMPLOYMENT 01/08/17 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 666 17WC 01112 HUGHES, BETH ROBINGS MANOR NURSING HOM 12/10/16 DWORKIN AND MACIARIELLO KNELL LAW LLC 667 17WC 01148 LONDON, CARTEMUS M ALLIED WASTE TRANSPORTATI 10/11/16 NELSON & NELSON LITCHFIELD CAVO 668 17WC 01210 SWISHER, DAMON STAFFING SYNERIES, INC 11/27/16 WALTON TELKEN FOSTER LLC LAW OFFICES STEVEN PILAND 669 17WC 01543 WILSON, ANTWANN WASTE MANAGEMENT, INC 11/21/14 NELSON & NELSON HENNESSY & ROACH, PC 670 17WC 01555 KEMPFER, JERRY L VILLAGE OF TILDEN 02/22/16 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 671 17WC 01562 SPELLS, ROBERT EASTMAN CHEMICAL COMPANY 08/03/16 WALTON TELKEN FOSTER LLC WIEDNER & MCAULIFFE LTD 672 17WC 01651 LICKENBROCK, SCOTT ST OF IL DEPT OF SOUTHWES 12/13/16 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 673 17WC 01679 JACKSON, ROBERT MAYCO 11/10/16 BECKER SCHROADER & CHAPMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 674 17WC 01683 ALLEN, CLARENCE E AXCESS STAFFING SERVICES 12/15/16 GABRIEL, MCCARTNEY & WAGNE BRADY, CONNOLLY & MASUDA, PC 675 17WC 01691 HAYNES, ARNESIA AXCESS STAFFING SERVICES 12/15/16 GABRIEL, MCCARTNEY & WAGNE 676 17WC 01835 KROEGER, BROC W MAINS TREE SVC 06/14/16 CHATHAM & BARICEVIC ROUSE & CARY 677 17WC 01846 JACKSON, SHERIKA BRANDON IRON 09/26/16 GLASS & KOREIN EVANS & DIXON, LLC 678 17WC 01904 FORCE, MARCIE TRINITY SERVICES 12/28/16 GALANTI LAW OFFICES 679 17WC 02098 HERBSTREITH, PAULA PERMOBIL/ROHO GROUP 09/27/16 WILLIAMS CAPONI & ASSOC 680 17WC 02163 KAPP, RICHARD ALBERTERNST CONSTRUCTION 06/28/16 BECKER SCHROADER & CHAPMAN GANAN & SHAPIRO 681 17WC 02248 TRIGG, BILL INTEGRITY STAFFING SOLUTI 01/03/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 682 17WC 02306 HULVEY, CODY A KETTLE RIVER FURNITURE 05/19/16 WALTON TELKEN FOSTER LLC WIEDNER & MCAULIFFE LTD 683 17WC 02355 LAMBERT, ANDREA MADISON COUNTY 01/06/17 BECKER SCHROADER & CHAPMAN 684 17WC 02424 LEWIS, MARCHELLE CASEYS GENERAL STORE 12/03/16 RICH RICH COOKSEY PC 685 17WC 02756 HODGE, KATHLEEN WALGREENS 01/05/14 BROWN & BROWN 686 17WC 02823 KELSHEIMER, KATHY CITY MASCOUTAH 02/18/14 COOK SHEVLIN YSURSA ET AL 687 17WC 02839 HEINE, STEVE MEDSTAR ABULANCE 04/07/16 RICH RICH COOKSEY PC WOLF LAW LTD 688 17WC 03050 MIXON, MICHELLE VINTAGE SUPPORT GROUP INC 11/15/16 BROWN & BROWN 689 17WC 03091 JOHNSON, KIMBERLY AMAZON 12/06/16 GLASS & KOREIN WIEDNER & MCAULIFFE LTD 690 17WC 03099 GARCIA, NARCISO SURMEIER & SURMEIER 07/28/16 JUSTIN B MATTEA MCANANY VANCLEVE & PHILLIPS 691 17WC 03163 GUYTON, KEVIN D FEDERAL EXPRESS 01/16/17 SAUTER, SULLIVAN & EVANS WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 692 17WC 03192 WATKINS, LADONNA ALTON MENTAL HEALTH CENTE @ 10/30/16 LAW OFFICE OF SUSAN GRAMME ASSISTANT ATTORNEY GENERAL 693 17WC 03478 BRAMAN, RANDY TRAVEL CENTERS OF AMERIC 11/10/16 BROWN & CROUPPEN HENNESSY & ROACH, PC 17WC003482 -C 17WC004002 -C 17WC005756 -C 694 17WC 03650 MEYER, LOUIS OLIN 01/25/16 GALANTI LAW OFFICES KEEFE & DEPAULI 695 17WC 04085 DODSON, DWAYNE SPARTAN LIGHT METALS 04/11/16 NELSON & NELSON 696 17WC 04090 KING, JACQUELINE KRAFT FOODS 11/30/16 RICH RICH COOKSEY PC GAROFALO SCHREIBER STORM 697 17WC 04098 JACKSON, HARVEY AMAZON DISTRIBUTION CENTE 01/01/17 KEEFE & GRIFFITHS PC WIEDNER & MCAULIFFE LTD 698 17WC 04103 KING, JACQUELINE KELLY SERVICES 11/30/16 RICH RICH COOKSEY PC NYHAN BAMBRICK KINZIE & LOWR 699 17WC 04122 OWENSBY, MOLLIE BRANDING IRON HOLDINGS IN 01/18/17 BROWN & BROWN EVANS & DIXON, LLC 700 17WC 04127 WILLMAN, JASON NATIONAL RENT TO OWN 12/03/16 GALANTI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 701 17WC 04137 KELLEY, WILLIAM S JACK COOPER TRANSPORT 11/28/16 702 17WC 04185 BONNER, SHEREE DB SCHENKER 01/31/17 ROTH LAW OFFICES LAW OFFICE PAUL LARIMORE 703 17WC 04462 LITTLE, KATHY ANDERSON HOSPITAL 5132 01/09/17 KIRKPARTICK LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 704 17WC 04469 HUNT, CHRISTOPHER SUPPORT SYSTEMS 01/19/17 BOYNE, KEVIN PC 705 17WC 04671 WEST, STACIE J MEMORIAL HOSPITAL 02/17/16 BONIFIELD & ROSENSTENGEL P MATHIS MARIFIAN RICHTER ET A 706 17WC 04679 OBERKFELL, PORTIA R GARDEN PLACE LLC 09/21/16 CLAY BARKLEY ST CLAIR GANAN & SHAPIRO 707 17WC 04713 TATRO, MAURICE B & D MACHINE WORKS, INC 08/06/16 LEE, MARK N LAW OFFICE GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 708 17WC 04839 REICHLING, DONALD J JR TERRASOURCE GLOBAL CORPOR 01/11/17 KATZMAN & ASSOCIATES FEIRICH MAGER GREEN & RYAN 709 17WC 04847 HOLMES, BRANDON KABIR, INC 12/01/16 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 17WC004855 -C 710 17WC 04892 MACKE, LORI SURGICAL CARE ASSOCIATES 12/13/16 RICH RICH COOKSEY PC LAW OFFICES STEVEN PILAND 711 17WC 04906 MCINTOSH SR, RUKAVINA CITY OF EAST ST LOUIS 11/23/16 BOYNE, KEVIN PC CLAYBORNE SABO & WAGNER 712 17WC 04931 POE, BRITTANY RL AMAZON, LLC 01/25/17 SAUTER, SULLIVAN & EVANS WIEDNER & MCAULIFFE LTD 17WC005046 -C 17WC010478 -C 713 17WC 04962 SCOGGINS, WILLIAMS ALTON MENTAL HEALTH @ 10/15/16 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 714 17WC 05089 WOODY, MICHAEL AMAZON STL 4 02/02/17 ARMBRUSTER DRIPPS WIEDNER & MCAULIFFE LTD 715 17WC 05746 MATHIAS, ED IDOT @ 10/12/16 GALANTI LAW OFFICES ELIZABETH LEAHY 716 17WC 05781 PICKETT, AMBER AMAZON FULFILLMENT CTR - 02/13/17 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 717 17WC 05889 JACKSON, SHERIKA BRANDON IRON 02/03/17 GLASS & KOREIN EVANS & DIXON, LLC 718 17WC 05909 RICHARDSON, STEVEN AMAZON 11/09/16 HRANT NORSIGIAN WIEDNER & MCAULIFFE LTD 719 17WC 06025 BIVINS, DUANE FEED PRODUCTS AND SERVICE 01/30/17 HUSTAVA, JOHN H HOLTKAMP LIESE ET AL 720 17WC 06062 HARRISON, CHARLEISA ANN AMERICAN WATER 12/08/15 MILLER, WILLIAM R LAW OFFI 721 17WC 06077 SYKES, CHRIS TERRACE ON THE PARK 06/13/16 MANDEL & MANDEL LLP 722 17WC 06266 MILLER, TAMMY L PRAIRIE STATE GENERATING 01/30/17 HARRIS & JONES 723 17WC 06360 SCOTT, KELEE WILLIAM BEDELL ARC 09/15/14 PERICA LAW FIRM 724 17WC 06368 DAVIS, DAVID M NAT'L MAINTENANCE & REPAI 04/05/16 WENDLER LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 725 17WC 06391 SHOOK, JESSICA AMAZON 01/26/17 BROWN & BROWN WIEDNER & MCAULIFFE LTD 726 17WC 06522 MERRIWETHER, CARL LOCATE HOLDINGS, INC 12/15/15 HRANT NORSIGIAN 727 17WC 06620 OWOSENI, BABTUNDE PARAGON SYSTEMS INC 12/01/16 GALANTI LAW OFFICES HENNESSY & ROACH, PC 728 17WC 06765 GARTH, LYNNETTE FEDEX GROUND 02/20/17 LAW OFFICE KEITH SHORT 729 17WC 06956 PEDIGO, MICHAEL CITY OF GRANITE CITY 12/16/16 LAW OFFICE OF THOMAS SCHOO KEEFE & DEPAULI 730 17WC 07071 GARTH, LYNNETTE FED EX GROUND 01/10/17 LAW OFFICE KEITH SHORT 731 17WC 07150 CROUCH, THOMAS CAHOKIA SCHOOL DISTRICT 05/15/15 RICH RICH COOKSEY PC KNAPP, OHL & GREEN 17WC007151 -C 732 17WC 07168 BRAUNSEIS, CHRISTINE LINCOLN SURGICAL ASSOCIAT 02/20/17 KEEFE & DEPAULI LAW OFFICES STEVEN PILAND 733 17WC 07276 EDMONDS, MARY A MONROE RANDOLPH TRANSIT 06/01/16 SCHUCHAT, COOK & WERNER 734 17WC 07368 OSBORN, DEREK C CIT OF COLLINSVILLE 11/11/16 THOMAS W DUDA 735 17WC 07377 ALLEN, FREDRICK DB SCHENKER 08/26/15 THE HESTER GROUP LLC LAW OFFICE PAUL LARIMORE 736 17WC 07398 TURNER, BILLIE JO AMPEX BRANDS OF ST LOUIS, 09/07/16 CALLIS PAPA HALE & SZEWCZY HENNESSY & ROACH, PC 737 17WC 07431 BUERKLE, FRANK PEABODY COAL 05/19/16 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 738 17WC 07525 MARTIN, KAREN A HAWTHORNE ANIMAL HOSPITAL 07/06/16 KLAR, IZSAK, STENGER LLC STEPHEN H LARSON LAW OFFICE 739 17WC 07613 BURKETT, CHRISTIAN DOLLAR GENERAL 12/22/16 740 17WC 07650 STREEPER, JOHN GEODIS 03/06/17 GALANTI LAW OFFICES HARRIS DOWELL FISHER & HARRI 741 17WC 07800 TAYLOR, LASHAUNTE ALTON MENTAL HEALTH 09/14/16 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 742 17WC 07876 KUEHNEL, DARREN BOB EVANS 10/07/16 BECKER SCHROADER & CHAPMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 743 17WC 07890 OUTLAW, ZINA AMAZON DISTRIBUTION CTR 12/01/16 BROWN & CROUPPEN WIEDNER & MCAULIFFE LTD 744 17WC 07961 WAGNER, MARK A SUIZA DAIRY GROUP 01/20/16 SCHUCHAT, COOK & WERNER BRADY, CONNOLLY & MASUDA, PC 745 17WC 07984 OERTEL JR, ALBERT WILLIAM BLUFF CITY MINERALS 10/24/16 RICH RICH COOKSEY PC HOLTKAMP LIESE ET AL 746 17WC 08138 BUTLER, LAWRENCE CAHOKIA UNIT SCHOOL DISTR 02/23/17 MANDEL & MANDEL LLP 747 17WC 08306 SULYA, ANTOINETTE LOVE'S TRAVEL & COUNTRY S 12/01/16 SORRELL & TRAUBE GAROFALO SCHREIBER STORM 748 17WC 08417 BOLLINGER, THOMAS DARLING INTERNATIONAL, IN 09/30/16 GREGORY M KLOTE MCANANY VANCLEVE & PHILLIPS 749 17WC 08427 MICHAELS, DANIEL IDOT @ 02/21/17 BECKER SCHROADER & CHAPMAN ELIZABETH LEAHY 750 17WC 08547 BEERS, BRADY STRATA PRODUCTS WORLDWIDE 08/10/15 MCANANY VANCLEVE & PHILLIPS 751 17WC 08704 HERRING, HERBERT METRO EAST INDUSTRIES 11/16/16 RICH RICH COOKSEY PC 752 17WC 08755 ZEISSET JR, CHARLES BOEING COMPANY 11/08/16 BUTLER & KEMPER 753 17WC 09016 COOPER, RONALD MAX WEST STAR AVIATION 12/27/16 MILLER, WILLIAM R LAW OFFI QUINTAIROS PRIETO WOOD & BOY 754 17WC 09041 FULTZ-KING, LISA CASINO QUEEN 10/26/16 BROWN & BROWN 755 17WC 09094 SHORES, RICHARD ANDREW LOGISTICS 11/03/14 MORRISON & MIX 756 17WC 09246 POWELL, VICKIE STEARNES NURSING & REHAB 03/28/16 MATEYKA & ASSOCIATES 757 17WC 09250 MASON, ROBERT WALGREEN'S 02/08/17 GALANTI LAW OFFICES EVANS & DIXON, LLC 758 17WC 09325 BRASS, MICHELE MACY'S 03/04/17 GLASS & KOREIN ROBERT L. SMITH 759 17WC 09520 BAUER, MIKE COLLINSVILLE POLICE DEPAR 03/01/17 GALANTI LAW OFFICES 760 17WC 09526 MAURER, DALE KOSTELAC GREASE SERVICE 01/12/17 BROWN & BROWN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 761 17WC 09549 PEARSON, JACQUELINE CASINO QUEEN 01/13/17 BROWN & BROWN MICHAEL NESTER 762 17WC 09573 DEROSSETT, EARL BOSCH 08/24/16 GALANTI LAW OFFICES GAROFALO SCHREIBER STORM 763 17WC 09669 ZIPFEL, CANDICE MADISON COUNTY GOVERNMENT 12/14/16 GORI, JULIAN & ASSOC SCHREMPF KELLY & NAPP 764 17WC 09786 HOLLOWELL, BRANDON GENCO UNILEVER 06/14/16 KEEFE & GRIFFITHS PC 765 17WC 10064 TATE, ROY L STEVE CRAWFORD TRUCKING, 02/24/17 CLAY BARKLEY ST CLAIR HENNESSY & ROACH 766 17WC 10225 ELLIOTT, LISA ALTON MENTAL HEALTH CENTE @ 03/18/17 ARMBRUSTER DRIPPS ASSISTANT ATTORNEY GENERAL 767 17WC 10244 CARAWAY, KEITH PRAIRIE STATE COAL 03/18/16 CULLEY FEIST KUPPART & TAY 768 17WC 10252 GOULD, JR, FLOYD GLOBAL BRASS 01/31/16 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 769 17WC 10300 KONNEKER, JOSH INTERNATIONL PAPER CO 02/21/17 BROWN & BROWN GOLDBERG SEGALLA LLC 770 17WC 10307 HOSTETLER, KAYLI EDEN VILLAGE RETIREMENT C 10/03/15 NELSON & NELSON 771 17WC 10321 SEITZ, BILLY A THERMAL REFRIGERATION, IN 09/20/16 KULLMAN KLEIN & DIONEDA MCANANY VANCLEVE & PHILLIPS 772 17WC 10363 DEAN, KAYLEEN PANERA BREAD 03/07/17 JOHNSTON LAW OFFICE 773 17WC 10459 CLAYTON, LAVONDA OLIN CORPORATION 02/03/17 ARMBRUSTER DRIPPS KEEFE & DEPAULI 774 17WC 10579 VON HATTEN, CRAIG A GERSTNER PLUMBING CO. 12/20/14 CLAY BARKLEY ST CLAIR 775 17WC 10639 RAY, DAVID IL DEPT OF NATURAL RESOUR @ 01/05/17 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 776 17WC 10702 GRUENINGER, NEIL USF HOLLAND 03/30/17 GALANTI LAW OFFICES HENNESSY & ROACH, PC 777 17WC 10731 BUCHLER, NAYTHAN BEL-O SALES AND SERVICES 01/05/16 BROWN & CROUPPEN 778 17WC 10739 SHIADEK, KELLY PENN STATION 03/27/17 GALANTI LAW OFFICES KNELL LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 779 17WC 10746 COX, STEPHANIE YALE ENFORCEMENT SERVICE 10/04/16 CARAWAY FISHER STEPHEN H LARSON LAW OFFICE 780 17WC 10800 WATSON, CHARLENE FAMILY DOLLAR 09/24/16 LIESER LAW FIRM 781 17WC 10842 JOHNSON, GILDA CITY OF ST LOUIS 02/17/17 BOYNE, KEVIN PC CLAYBORNE SABO & WAGNER 782 17WC 10854 LEWIS, BENNY C. CAHOKIA UNIT SD #187 03/23/17 LAW OFFICE JASON GOING 783 17WC 10956 LANGSDORF, BRET W MONROE COUNTY 01/12/17 CROWDER & SCOGGINS LTD BECKER PAULSON & HOERNER PC 784 17WC 11073 BILLE, TYRON METRO EAST MANUFACTURING 02/13/17 MANDEL & MANDEL LLP 785 17WC 11391 SHAW, PAMELA CALHOUN NURSING AND 01/21/17 BROWN & BROWN BRADY, CONNOLLY & MASUDA, PC 786 17WC 11406 BROWN, TRACEY LUCAS INDUSTRIES 03/03/17 JUNCKER, DANIEL K PC ROUSE & CARY 787 17WC 11476 WOODS, JOAN L VISITING ANGELS/CHERUBS 3 02/18/17 PETER BLASI LLC 788 17WC 11574 MEDINA, KELLEE THE BUCKLE, INC 10/24/15 ROTH LAW OFFICES 789 17WC 11585 RING, SHERRY BELLEVILLE MEMORIAL HOSPI 08/07/16 NELSON & NELSON 790 17WC 11613 KRASNESKY, SYLVIA LYNN EDEN VILLAGE 03/16/17 791 17WC 11629 DENGLER, MARY ROESLEIN & ASSOC, INC 03/10/17 BUTLER & KEMPER 792 17WC 12179 SULYA, ANTOINETTE LOVE'S TRAVEL & COUNTRY S 12/01/16 SORRELL & TRAUBE 793 17WC 12254 ARNOLD, DAVID BELLEVILLE BOOT COMPANY 04/12/17 ROTH LAW OFFICES 794 17WC 12267 WEGRZYN, WALTER KNIPP ROOFING, INC 01/09/16 MATHIS MARIFIAN RICHTER ET 795 17WC 12309 CLEVELAND, PENNY A AMAZON 10/26/16 NELSON & NELSON WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 796 17WC 12379 MARTIN, JAMES HUBBELL WIEGMANN 12/09/16 JEROME LEFTON LAW OFFICE ATWILL & MONTGOMERY 797 17WC 12429 HARVEY, ARNETT CAHOKIA SCHOOL DISTRICT 07/15/15 RICH RICH COOKSEY PC EVANS & DIXON, LLC 17WC012430 -C 798 17WC 12450 PANNIER, RICHARD TOM'S ROOFING 11/30/16 BROWN & CROUPPEN GANAN & SHAPIRO 17WC015842 -C JAMES JUELFS 799 17WC 12506 LONG, LATOYA HEALTHCARE SERVICE GROUP 03/20/17 RICH RICH COOKSEY PC RUSIN & MACIOROWSKI LTD 800 17WC 12559 THOMAS, KIARA AMAZON 03/29/17 RICH RICH COOKSEY PC WIEDNER & MCAULIFFE LTD 801 17WC 12748 BROOKS, JACK BLUELINE RENTAL 02/16/16 BOYNE, KEVIN PC 802 17WC 12781 HESTER, BENJAMIN FAIRVIEW HEIGHTS 01/20/17 CARAWAY FISHER INMAN & FITZGIBBONS 803 17WC 12808 HASTY, TINA CASEYVILLE NURSING & REHA 04/05/17 BROWN & BROWN BOGGS AVELLINO 804 17WC 12988 PINEIRO, ALEJANDRINA MENARDS 03/24/17 BECKER SCHROADER & CHAPMAN 805 17WC 12997 HARRIS, JEFF SAINT CLAIR ROAD DISTRICT 06/03/16 DENNIS SHEVLIN 806 17WC 13017 OSBURN, RANDY OLIN/GLOBAL BRASS 12/17/16 LAW OFFICE KEITH SHORT KEEFE & DEPAULI 807 17WC 13135 DILL, MICHAEL CITY OF EAST ST LOUIS 02/23/16 KIRKPARTICK LAW OFFICES CLAYBORNE SABO & WAGNER 808 17WC 13277 JOHNSON, ENDORA L. JACK IN THE BOX 05/16/16 MCGLYNN & MCGLYNN 809 17WC 13548 AUSTIN, ANTHONY THE EGG & I 03/30/17 CARAWAY FISHER BRADY, CONNOLLY & MASUDA, PC 810 17WC 13590 STRONG, JAMES KELLER CONSTRUCTION 11/04/16 BECKER SCHROADER & CHAPMAN ROUSE & CARY 811 17WC 13600 WIEGARD, DALE MIDWEST PROPANE GAS CO 01/20/17 BADGLEY, BRAD L 812 17WC 13758 NICHOLS, DERRICK EDWARDSVILLE POLICE DEPAR 04/24/17 GALANTI LAW OFFICES SCHREMPF KELLY & NAPP 813 17WC 13793 MOORE, TONY A GATEWAY INDUSTRIAL POWER 12/07/15 GERRITZEN & GERRITZEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 814 17WC 13805 CHANEY, THOMAS PREMIUM TRANSPORTATION 04/05/16 MILLER, WILLIAM R LAW OFFI 815 17WC 13839 DUNHAM, KATHY L FAMILY DOLLAR STORES INC 04/26/17 JOSEPH E. HOEFERT EVANS & DIXON, LLC 816 17WC 13868 DOOLIN, RHONDA DOLLAR TREE 05/16/16 JOSEPH L SAMUELSON PC 817 17WC 14091 BEERS, BRADY L PRAIRIE STATE ENERGY 08/10/15 HOWERTON, DORRIS & STONE EVANS & DIXON, LLC 818 17WC 14124 WELCH, PATRICK FORTUNE FISH & GOURMET 04/01/17 THE DONOHOO LAW FIRM 819 17WC 14241 HARRIEL, DAERRIE HOLTEN MEATS 01/10/17 WALTON TELKEN FOSTER LLC EVANS & DIXON, LLC 820 17WC 14247 WHITE, LESTER E, JR QUALITY RAIL SERVICE 12/20/16 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 821 17WC 14383 BLASSIGAME, KRISTOPHER (M TAVERN ON MAIN 02/25/17 BROWN & BROWN 822 17WC 14650 WATTS, NICHOLAS HAYES MECHANICAL 04/25/17 BECKER SCHROADER & CHAPMAN 823 17WC 14670 SAFFEL, WILLIAM DOUBLETREE 07/26/16 CARAWAY FISHER COZZI & GOGGIN-WARD 824 17WC 14742 BERNIER, MARK S JR METRO EAST INDUSTRIES, IN 02/28/17 BADGLEY, BRAD L KEEFE & DEPAULI 825 17WC 14750 MURRAY, MARION CARLISLE CONSTRUCTION MAT 09/06/16 BROWN & BROWN KNAPP, OHL & GREEN 826 17WC 14807 CAMPOS, CARLOS SOUTHWESTERN IL C.C. @ 05/02/17 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 827 17WC 14816 PEARSON, JACQUELINE CASINO QUEEN 01/13/17 BROWN & BROWN 828 17WC 14827 MUHAMMAD, ABDUL HAKIM PEERLESS PREMIER APPLIANC 04/19/17 NELSON & NELSON LAW OFFICES STEVEN PILAND 829 17WC 14858 TOON, CODY ST ELIZABETH'S HOSPITAL 03/08/17 CARAWAY FISHER MICHAEL NESTER 830 17WC 14947 OWENS, TIMOTHY P NORTH DAKOTA GRAIN 04/12/17 GUIRL LAW FIRM COZZI & GOGGIN-WARD 831 17WC 15059 SMITH, JIMMY JR SEAN TURNER CUSTOM HOMES 04/05/17 COOK SHEVLIN YSURSA ET AL QUINN JOHNSTON HENDERSON ETA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 832 17WC 15186 COX, JUNE MICHELLE ILLINOIS CENTER FOR AUTIS @ 11/28/16 HENNESSEY LAW FIRM WIEDNER & MCAULIFFE LTD 833 17WC 15191 NOTTER, GARY COLUMBIA QUARRY COMPANY 04/10/17 KNAPP, OHL & GREEN 834 17WC 15388 JONES, LEROY CONTAINER DISTRIBUTORS 12/13/16 BECKER SCHROADER & CHAPMAN COZZI & GOGGIN-WARD 835 17WC 15398 REYNOLDS, JAMES SIUE/STATE OF ILLINOIS @ 08/14/15 LAW OFFICE KEITH SHORT ELIZABETH LEAHY 836 17WC 15423 BASS, TAMMY BBS AKA ICON CONSTRUCTION 09/23/16 DENNIS SHEVLIN KEEFE CAMPBELL & ASSOC LLC 837 17WC 15431 HARGROVE, RON GBW RAILCAR SERVICES 10/04/14 GALANTI LAW OFFICES HENNESSY & ROACH 838 17WC 15466 BLOEMKER, GARY OLIN 04/25/17 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 839 17WC 15710 WARLICK, CLARENCE RLS TRANSPORATION 04/11/17 BROWN & CROUPPEN WIEDNER & MCAULIFFE LTD 840 17WC 15719 SMITH, JASON C METRO EAST INDUSTRIES, IN 04/19/16 RICHARD LECINSKI KEEFE & DEPAULI 841 17WC 15771 GARDNER, ERICA AMAZON 03/28/17 JEROME LEFTON LAW OFFICE 842 17WC 15911 ISBELL, BRADLEY COPE PLASTIC'S 05/22/17 GALANTI LAW OFFICES LAW OFFICES STEVEN PILAND 843 17WC 15927 CLARK, JOHN USF HOLLAND 04/05/17 GALANTI LAW OFFICES HENNESSY & ROACH, PC 844 17WC 16008 KOLB, JORDAN EMERSON RUSSELL MAINTENAN 08/04/15 GOLDENBERG HELLER ANTOGNOL 845 17WC 16058 WOLF, STEVEN AMERICAN STEEL 04/10/17 BECKER SCHROADER & CHAPMAN 846 17WC 16092 MESTER, JACK HAWK'S AMUSEMENTS, INC. 02/01/17 BROWN & BROWN 847 17WC 16124 HODGES, CHRISTOPHER DAVIS MAIL SERVICES INC 04/29/17 DWORKIN AND MACIARIELLO 848 17WC 16139 DE LA CRUZ, EUGENIA STAFFING SYNERGIES INC 04/20/17 GOLDBLATT + SINGER 849 17WC 16220 MILLER, TRACEE ROYAL LIVING CENTER 05/06/17 BROWN & BROWN RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 850 17WC 16236 EDWARDS, DALLAS IDOT @ 03/03/17 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 851 17WC 16364 EAKEN, DEBRAH AMAZON 04/19/17 WILLIAMSON WEBSTER ET AL WIEDNER & MCAULIFFE LTD 17WC016365 -C 852 17WC 16459 ZIEGLER, TIMOTHY J ILL DEPT OF TRANSPORTATIO 03/29/17 JOSEPH L SAMUELSON PC ASSISTANT ATTORNEY GENERAL 853 17WC 16463 SCHNEIER, EDWARD S GUARANTEE ELECTRICAL COMP 05/09/17 NELSON & NELSON 854 17WC 16774 BLACK, RONALD K BEELMAN TRUCK CO 06/17/15 HUGHES LAW FIRM HARRIS DOWELL FISHER & HARRI 855 17WC 16781 METTILLE, JOHN UPS 05/12/16 JOHNSTON LAW OFFICE MCANANY VANCLEVE & PHILLIPS 856 17WC 16802 YENNE, WILLIAM R JOURDAIN ROOFING COMPANY, 05/25/17 KEEFE & DEPAULI RODDY LAW LTD 857 17WC 16809 HORN, THOMAS CASSENS AND SONS 04/04/17 BECKER SCHROADER & CHAPMAN KNAPP, OHL & GREEN 858 17WC 16834 RUSK, JAMES O'REILLY AUTO PARTS 05/09/17 GALANTI LAW OFFICES 859 17WC 16842 RHODES, CLARENCE LTI TRUCKING SERVICES 05/08/17 BROWN & CROUPPEN MCANANY VANCLEVE & PHILLIPS 860 17WC 16896 NAGELMILLER, STEVEN M.B. STEEL 12/13/16 HUSTAVA, JOHN H 861 17WC 17022 VAHLKAMP, BRIAN HANK'S EXCAVATING 04/25/17 RICH RICH COOKSEY PC LAW OFFICE PAUL LARIMORE 862 17WC 17354 JOHNSON, DAVID S&L INDUSTRIES 05/19/17 HART & HART 863 17WC 17440 DAVIS, GENDRA QUALITY CARRIER INCORPORA 05/23/17 BOYNE, KEVIN PC 864 17WC 17542 HARRISON, JENNIFER THE GARDEN KINGDOM 04/29/16 BROWN & BROWN GANAN & SHAPIRO 865 17WC 17670 RUCKS, MICHAEL BEVERLY FARMS 04/17/17 GOLDENBERG HELLER ANTOGNOL 866 17WC 17677 PICKETT, AMBER AMAZON FULFILLMENT CENTER 10/04/16 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 867 17WC 17760 SURMAN, JOSH PRAIRIE STATE 05/24/17 FISHER KERHOVER & WELGE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 868 17WC 17898 CYSTRUNK, CEDRIC TEK RECYCLING INC 06/09/17 BROWN & BROWN 869 17WC 17974 SUTHERLAND, COOPER PRAIRIE STATE GENERATING 02/28/17 RICH RICH COOKSEY PC 17WC017975 -C 870 17WC 17985 HANCOCK, KIM ESSENDANT F/K/A UNITED 09/29/15 MUELHAUSEN & STEFANI STEPHEN H LARSON LAW OFFICE 871 17WC 18202 BECKUM, LONNIE FED EX GROUND 05/16/16 GOLDBERG LAW FIRM, LLC 872 17WC 18206 MC FALLS, GARY JR US STEEL CORPORATION 01/22/17 BEATTY & MOTIL KEEFE & DEPAULI 873 17WC 18225 GERRITZEN, GREG R SHARP ELECTRONICS 08/16/16 CARAWAY FISHER LEAHY WRIGHT & ASSOC 874 17WC 18241 LEE, TOM AMEREN 02/01/17 DENNIS SHEVLIN 875 17WC 18449 ASBRIDGE, STEPHAN J MCLEOD EXPRESS 06/09/17 DELANO LAW OFFICES LLC GANAN & SHAPIRO 876 17WC 18707 TROY, KATRINA INTEGRITY HEALTHCARE OF A 05/06/17 BROWN & CROUPPEN 877 17WC 18735 ROACH, EDWARD API INC 05/23/17 LYNN D BARNETT LEAHY EISENBERG & FRAENKEL 878 17WC 18764 CRAIN, NICHOLAS A IL DEPARTMENT JUVENILE JU @ 03/14/17 SGRO HANRAHAN DURR RABIN 879 17WC 18790 HAMBY, LORI ST ANTHONY'S HOSPITAL 03/30/17 GALANTI LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 880 17WC 18796 COMBS, VALERIE INTEGRITY HEALTHCARE OF 05/17/17 SIEVERS & BORCHERDING 881 17WC 18832 HOWELL, CHRISTINA AMAZON 01/29/17 LAW OFFICE TARUN RANA 882 17WC 18887 BOYER, KEITH SIU EDWARDSVILLE @ 01/04/17 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 883 17WC 18915 SANDERS, BRENDA MCDONALD'S 06/21/17 KOLKER & GERMEROTH 884 17WC 18927 GREENFIELD, MICHAEL ST CLAIR TOWNSHIP RD DIST 01/30/17 WILLIAMS CAPONI & ASSOC 885 17WC 18967 MARKS, KEVIN POETTKER CONSTRUCTION 06/19/17 GALANTI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 886 17WC 19171 PHEMISTER, TIMOTHY TEK RECYCLING LLC 06/22/17 DWORKIN AND MACIARIELLO 887 17WC 19271 TIMMERMANN, DONNA GERMANTOWN TRUST &SAVINGS 01/20/17 LAW OFFICE KEITH SHORT 888 17WC 19274 WILLIAMS, TREVON EMPIRE SYSTEMS 05/17/17 GALANTI LAW OFFICES KEEFE & DEPAULI 889 17WC 19304 FOWLER, APRIL N COLLINSVILLE COMMUNITY UN 11/10/16 BECKER SCHROADER & CHAPMAN 890 17WC 19309 EVANS, TOBY DAR PRO 05/09/17 RICH RICH COOKSEY PC 891 17WC 19312 STARK, RANDY USF HOLLAND 06/22/17 GALANTI LAW OFFICES 892 17WC 19397 ALMOS, SHAWN DB SCHENKER 02/08/17 ROTH LAW OFFICES LAW OFFICE PAUL LARIMORE 893 17WC 19405 SCHWOEBEL, NATACHA M KMK 10/10/16 WILLIAMS CAPONI & ASSOC HOLTKAMP LIESE ET AL 894 17WC 19443 MILTON, KEITH L KRAFT HEINZ 06/19/17 BEATTY & MOTIL GAROFALO SCHREIBER STORM 895 17WC 19450 MURPHY, KESTULIS GBW RAILCAR SERVICES, LLC 05/19/17 BROWN & BROWN HENNESSY & ROACH 896 17WC 19469 PUHSE, RALPH AE COM ENERGY & CONSTRUCT 05/09/17 BROWN & CROUPPEN HENNESSY & ROACH 897 17WC 19491 GRAVES, ANGELA DECATUR MEMORIAL HOSPITAL 07/21/16 MCCARTHY ROWDEN & BAKER 898 17WC 19497 EILAND, WILLIAM HIRE LEVEL 06/02/17 BROWN & BROWN 899 17WC 19558 MILLER, NATHAN JERSEYVILLE POLICE DEPT 06/13/17 SMITH ALLEN MENDENHALL ET SCHREMPF KELLY & NAPP 900 17WC 19564 BIGGS, KRISTA FOR DECEASE PEABODY COAL CO # 05/22/17 CULLEY & WISSORE 901 17WC 19592 PRUDEN, ANTHONY AMAZON 10/12/16 GOLDBLATT + SINGER 902 17WC 19631 JONES, JANNA AT&T 01/03/17 MICHAEL C. GOLDBERG HENNESSY & ROACH, PC 903 17WC 19655 LEWIS, ANGELA AT&T 04/01/16 GOLDBLATT + SINGER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 904 17WC 19685 CONNOUR, KELLY AMAZON DISTRIBUTION CENTE 03/23/17 WALTON TELKEN FOSTER LLC 905 17WC 19714 SCHMIDT, PATTI FIRST STUDENT MANAGEMENT/ 03/22/17 MICHAEL J BRUNTON LAW OFFI WIEDNER & MCAULIFFE LTD 906 17WC 19748 SCHWOEBEL, NATACHA M KMK 01/24/17 WILLIAMS CAPONI & ASSOC HOLTKAMP LIESE ET AL 907 17WC 19894 GOVEA, JOSE NICKELSON INDUSTRIAL SVS, 06/16/17 RICH RICH COOKSEY PC 908 17WC 19935 GONZALES, VICTOR TOTALL METAL RECYCLING IN 01/11/17 FRANK J. CARRETERO 909 17WC 20124 SHAIN, NORMAN DYNAMIC TRANSIT COMPANY 01/04/17 BROWN & CROUPPEN HEYL ROYSTER VOELKER & ALLEN 910 17WC 20141 MITCHELL, MARK DARLING INGREDIENT 08/08/16 BECKER SCHROADER & CHAPMAN QUINN JOHNSTON HENDERSON ETA 911 17WC 20228 DAHMM, BRITTNI AMAZON FULMILLMENT CTR 03/14/17 GALANTI LAW OFFICES 912 17WC 20242 DOWNY, KYLE BERGMANN & ROSCOW 09/29/16 GALANTI LAW OFFICES 913 17WC 20407 MALONE, GREGORY C.R. ENGLAND * 06/07/17 NESSLER, FREDERIC LAW OFFI 914 17WC 20462 GREER, PATRICIA OLIN CORPORATION * 05/16/17 ARMBRUSTER DRIPPS KEEFE & DEPAULI 915 17WC 20592 WATTERS, CHRISTOPHER R & N TREE SERVICE * 07/05/17 GALANTI LAW OFFICES ROUSE & CARY 916 17WC 20597 MAIS, JOHNATHAN BRANDING IRON HOLDINGS IN * 06/09/17 BROWN & BROWN EVANS & DIXON, LLC 917 17WC 20688 CALCATERRA, DOUGLAS THE BOEING COMPANY * 07/18/14 MANDEL & MANDEL LLP EVANS & DIXON, LLC 918 17WC 20698 CHESNEK, PAMELA JUNG TRUCK SERVICE, INC. * 08/08/16 HANAGAN & MCGOVERN PC JAMES M KELLY 919 17WC 20725 ALLRED, JEFFREY WATCO * 04/13/15 BECKER SCHROADER & CHAPMAN 920 17WC 20730 SCHEMMER, STEVEN AMEREN * 11/05/15 RICH RICH COOKSEY PC 921 17WC 20749 KITCHEN, TRINETTA BRANDON IRON * 07/07/17 GLASS & KOREIN EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 922 17WC 20789 VANBUSKIRK, WILLIAM MADISON COUNTY * 03/06/17 BECKER SCHROADER & CHAPMAN SCHREMPF KELLY & NAPP 923 17WC 20823 EARNEST, AMBER ABOVE AND BEYOND CLEANING * 06/27/17 ROTH LAW OFFICES 924 17WC 20842 MACKE, KATHLEEN M. HIGHLAND MACHINE * 04/18/16 LAW OFFICE KEITH SHORT 925 17WC 20910 SCOTT, JENNIFER CHICK-FIL-A * 03/18/17 NELSON & NELSON RUSIN & MACIOROWSKI LTD 926 17WC 21112 THOMAS, MARQUIS SYGMA NETWORK INC * 06/08/17 JEROME LEFTON LAW OFFICE 927 17WC 21201 PARSLEY, BRIAN HOLLYWOOD SHOW CLUB * 07/20/17 DWORKIN AND MACIARIELLO ROUSE & CARY 928 17WC 21228 OTTEN, MICHAEL A HENRY J GASSER CONSTRUCTI * 04/18/17 SHAPIRO/SAUER LLC 929 17WC 21286 DOWNS, JONATHAN FARMERS RESTAURANT & BAKE * 07/09/17 GALANTI LAW OFFICES 930 17WC 21319 BUCHANAN, GEORGE WEIR CHEVROLET BUICK GMC * 04/25/17 GLASS & KOREIN WIEDNER & MCAULIFFE LTD 931 17WC 21410 FREY, BRENDA WALMART * 04/30/17 BROWN & BROWN 932 17WC 21620 WILSON, SHARON K/N/A BOYER FIRE PROTECTION * 03/13/15 CARAWAY FISHER 933 17WC 21649 HOFFMAN, WILLIAM DB SCHENKER INC * 06/19/17 DENIS A MC GRADY, JR 934 17WC 21674 ANKENY, SAVANNA WHITE CASTLE * 08/22/16 LAW OFFICE KEITH SHORT 935 17WC 21717 HILL, KIMALA F OSF HEALTHCARE SPECIALITY * 06/07/17 LAW OFFICE KEITH SHORT HINSHAW & CULBERTSON 936 17WC 21814 SZERZINSKI, GEORGE IDEAL AVIATION * 02/08/17 CALLIS PAPA HALE & SZEWCZY 937 17WC 21822 SHANNON, JEREMY T STATE OF IL * 07/17/17 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 938 17WC 21926 PUCKETT, KYLE B VILLAGE OF CAHOKIA POLICE * 05/23/17 BADGLEY, BRAD L DONOVAN ROSE NESTER 939 17WC 22035 JONES, MARTIN UNIQUE PERSONNEL/STAFFQUI * 03/16/16 KEEFE & GRIFFITHS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 940 17WC 22315 CALIAHAN, MICHELLE L PASS SECURITY * 06/23/17 KLAR, IZSAK, STENGER LLC QUINTAIROS PRIETO WOOD & BOY 941 17WC 22355 VALENTINE, ROSANITA EXPRESS EMPLOYMENT * 08/12/15 MORMINO,VELLOFF,EDMONDS,SN 942 17WC 22362 HAYES, JONATHAN GRANITE CITY FIRE DEPARTM * 05/11/17 GALANTI LAW OFFICES KEEFE & DEPAULI 943 17WC 22383 LUCK, PATRICIA MEMORIAL HOSPITAL * 06/21/14 NELSON & NELSON MATHIS MARIFIAN RICHTER ET A 944 17WC 22404 HERNANDEZ, ALFREDO ALVAREZ CONSTRUCTION D/B/ * 05/31/17 RUEDA, IVAN A 945 17WC 22553 HARRIEL, QUANTON HOME DEPOT * 09/15/16 NELSON & NELSON ADELSON TESTAN & BRUNDO 946 17WC 22563 MARTIN, CHRISTOPHER TRADESMAN INTERNATIONAL * 07/20/17 BROWN & CROUPPEN 947 17WC 22567 WALLACE, TRACEY M CRESCENT PARK CORPORATION * 07/21/17 SMITH ALLEN MENDENHALL ET 948 17WC 22683 TRIEFENBACH, ZACHERY SECON RUBBER & PLASTICS I * 06/10/15 KATZMAN & ASSOCIATES 949 17WC 22692 O'NEAL, JAMES MENARDS'S * 07/09/17 BROWN & CROUPPEN 950 17WC 22752 STATES, MARK BELTONE HEARING AND SERVI * 02/17/17 UNSELL & SCHUMAN 951 17WC 22832 COLEMAN, MARKEISHA FEDEX GROUND PACKAGE SYST * 06/12/17 LESKERA LAW FIRM 952 17WC 22937 DOWNS, JUSTIN PSGC * 06/13/17 BROWN & BROWN 953 17WC 22945 EILERS, MARK R TRUCK CENTERS, INC. * 06/22/17 LAW OFFICE VAN-LEAR P ECKE STEPHEN H LARSON LAW OFFICE 954 17WC 22957 BRADLEY, TALEXIS WALMART * 07/17/17 GALANTI LAW OFFICES 955 17WC 22962 PRIMO, RONALD AMAZON * 11/07/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 956 17WC 22978 SALTO, MARIA HOLTEN MEAT INC * 01/21/17 MANDEL & MANDEL LLP 957 17WC 23483 BURKHART, BRANDY M COLD STONE CREAMERY * 06/13/17 WALTON TELKEN FOSTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 958 17WC 23786 BRINK, KYLE J AUFFENBERG NISSAN * 01/31/17 MILLER, WILLIAM R LAW OFFI 959 17WC 23852 ANTHONY, TINA MEDASSIST/FIRSTSOURCE * 06/04/15 CARAWAY FISHER HOLTKAMP LIESE ET AL 960 17WC 23937 WHITE, MARGARET FOR JODIE GRANITE CITY STEEL # * 09/01/15 LAW OFFICE KEITH SHORT KEEFE & DEPAULI 961 17WC 23962 HILL, DAY AMAZON * 03/14/17 HENNESSEY LAW FIRM WIEDNER & MCAULIFFE LTD 962 17WC 23970 ANTHONY, TINA MEDASSIST/FIRSTSOURCE * 04/10/16 CARAWAY FISHER HOLTKAMP LIESE ET AL 963 17WC 24057 AKERS, SUSAN ARDENT MILLS * 03/06/17 GALANTI LAW OFFICES 964 17WC 24104 SLATTERY, TIMOTHY SCHNEIDER NATIONAL * 02/02/17 MILLER, WILLIAM R LAW OFFI POWER & CRONIN LTD 965 17WC 24200 FORSYTHE, JASON EDWARDSVILLE POLICE * 08/01/17 GALANTI LAW OFFICES SCHREMPF KELLY & NAPP 966 17WC 24203 GRAU, JASON WALBRIDGE EQUIPMENT * 07/27/17 COOK SHEVLIN YSURSA ET AL 967 17WC 24235 DOOLEY, FLOYD MB STEEL * 08/07/17 HUSTAVA, JOHN H 968 17WC 24268 WADE, DEVIN R JR. PRESTIGE COMMERCIAL SERVI * 05/28/17 JOHNSON GRAY LLC QUINN JOHNSTON HENDERSON ETA 969 17WC 24275 HESS, KELLY CURRY, INC. * 04/21/17 LAW OFFICE KEITH SHORT 970 17WC 24291 HARPER, KATHERINE ACADEMY SPORTS & OUTDOORS * 06/06/17 NELSON & NELSON WALLACE SAUNDERS 971 17WC 24305 PLUNKETT, JOYCE EUNICE SMITH HOME * 04/07/17 JOHNSON GRAY LLC HOLTKAMP LIESE ET AL 972 17WC 24317 PATTERSON, LINDA WORLD WIDE TECHNOLOGY * 01/09/15 WILLIAMS CAPONI & ASSOC HENNESSY & ROACH, PC 973 17WC 24330 MCELYEA, GLEN OLIN * 07/27/17 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 974 17WC 24351 MCDONALD, CINDI A GATEWAY ASSOCIATION OF YM * 03/21/17 BROWN & BROWN 975 17WC 24393 BELL, KAREN ANDERSON HOSPITAL * 03/13/17 BEATTY & MOTIL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 976 17WC 24449 WYATT, STEVEN BP * 08/10/17 DWORKIN AND MACIARIELLO 977 17WC 24645 WOODS, BRIAN INTEGRITY STAFFING * 08/06/17 PETER BLASI LLC SLAVIN & SLAVIN 978 17WC 24652 DEATON, DAVID T AND D METAL * 05/22/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 979 17WC 24705 RANDLE, ALBERT BOEING CO * 06/25/15 BUTLER & KEMPER EVANS & DIXON, LLC 980 17WC 24713 RAUZI, MARK US STEEL * 05/11/17 BECKER SCHROADER & CHAPMAN 981 17WC 24815 GLANDER, BRANDON SUIZA DAIRY GROUP LLC * 07/19/17 BADGLEY, BRAD L BRADY, CONNOLLY & MASUDA, PC 982 17WC 25113 HAMPTON, JAMAR AMSTED RAIL * 05/15/16 LAW OFFICES OF ELLEN E MOR 983 17WC 25327 JUENGAIN, JOHN CREATIVE LANDSCAPES, LTD * 04/20/17 BROWN & BROWN 984 17WC 25354 FAHEY, PAUL PSC INDUSTRIAL OUTSOURCIN * 05/07/16 BECKER SCHROADER & CHAPMAN 985 17WC 25527 SCHULT, JIMMY VON ALST OPERATING * 04/11/17 RICH RICH COOKSEY PC EVANS & DIXON, LLC 986 17WC 25533 MC CARTNEY, MICHAEL USIC * 08/16/17 HUSTAVA, JOHN H 987 17WC 25612 BAECHT, JEFFREY A GLOBAL BRASS & COPPER * 09/22/16 NORBERT GOETTEN KEEFE & DEPAULI 988 17WC 25634 GREY, KEVIN HOGAN TRANSPORTS, INC * 08/02/17 BROWN & BROWN BRADY, CONNOLLY & MASUDA, PC 989 17WC 25643 HARRIS, ANDREW S. PRAIRIE STATE GENERATING * 10/13/16 HARRIS & JONES 990 17WC 25746 SICKELS, RONALD GLOBAL BRASS * 07/27/17 ARMBRUSTER DRIPPS KEEFE & DEPAULI 991 17WC 25758 MARTIN, SANDY ROYAL LIVING CENTER * 07/13/17 HUSTAVA, JOHN H 992 17WC 25768 STOLLARD, JOHN LOWE'S * 05/27/17 WEIL MUENSTER & WIGGINTON 993 17WC 25869 WOLK, CODY CUSTOM STAFFING * 06/22/17 WILLIAMS CAPONI & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 994 17WC 25975 FOUTCH, DONALD M.L.VASQUEZ INC * 11/03/16 NELSON & NELSON 995 17WC 26063 STERKIS, CYNTHIANNA AMAZON * 11/07/16 SCANLON, CHARLES R 996 17WC 26087 SIMMONS, DANETTE BELLEVILLE BOOT COMPANY * 07/21/17 KEEFE & GRIFFITHS PC 997 17WC 26121 DEITERS, LEE WSM, INC SI * 06/05/17 NELSON & NELSON BRUCE WARREN 998 17WC 26153 YOUNIS, YOUSIF APC TRUCKING, INC * 09/01/17 ROGER D RUDICH LTD 999 17WC 26235 STEWART, RAYMOND BOEING * 06/04/15 ARMBRUSTER DRIPPS WIEDNER & MCAULIFFE LTD 1000 17WC 26428 GRANT, CLYDE EMPIRE COMFORT SYSTEMS * 05/25/17 BECKER SCHROADER & CHAPMAN 1001 17WC 26478 HACKER, MARK USF HOLLAND * 06/01/17 FLOYD LAW FIRM 1002 17WC 26486 RIPLEY, THOMAS L ROHO/PERMOBILE * 08/14/17 THE JONES LAW FIRM PC 1003 17WC 26525 FEDERLE, DON GLOBAL BRASS & COPPER * 08/07/17 GALANTI LAW OFFICES KEEFE & DEPAULI 1004 17WC 26720 SINSKEY, DENNIS ICON SERVICES * 08/24/17 GALANTI LAW OFFICES 1005 17WC 26762 NOVACK, LACEY LEVEL UP LLC DBA SUBWAY # * 12/26/16 REED & BRUHN, PC 1006 17WC 26829 CHESNUT, GEORGE R PAPA JOHN'S USA INC * 02/24/17 BUTLER & KEMPER HENNESSY & ROACH 1007 17WC 26906 PARTELOW, PATRICK MINTON OUTDOOR SERVICES * 06/09/17 JOSEPH L SAMUELSON PC 1008 17WC 26913 WALLEN, KATHY CITY OF BELLEVILLE POLICE * 08/12/17 BONIFIELD & ROSENSTENGEL P 1009 17WC 26918 FIETSAM, RONALD C FOCUS SALES LLC * 05/04/17 THE GARTNER LAW FIRM 1010 17WC 26931 DUNLAP, LISA NICHELLE AMAZON.COM.DEDC, LLC * 05/20/17 KATZMAN & ASSOCIATES 1011 17WC 27010 DANIEL, SHALONDA AMAZON.COM, INC. * 01/11/17 SCHULTZ & MYERS LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1012 17WC 27026 BLACKWELL, TAKEILA PARAGON SYSTEMS, INC. * 08/18/17 GALANTI LAW OFFICES HENNESSY & ROACH, PC 1013 17WC 27074 THOMPSON, GERALD AMERICAN STEEL FOUNDRIES * 09/07/17 GALANTI LAW OFFICES 1014 17WC 27083 BLACK, HATTIE FAVORITE HEALTHCARE STAFF * 07/24/17 BOYNE, KEVIN PC 1015 17WC 27095 WARREN, STEPHANIE UNILEVER UNITED STATES IN * 06/16/17 ERIN M. PHILLIPS 1016 17WC 27153 REDMOND, TRACEY MORNINGSIDE OF GODFREY * 06/29/17 DAVID W MARTAY 1017 17WC 27227 KLOTH, GEORGIA A WEIR CHEVROLET * 07/28/17 FISHER KERKHOVER & COFFEY 1018 17WC 27238 KLOTH, GEORGIA A WEIR CHEVROLET * 07/27/17 FISHER KERKHOVER & COFFEY 1019 17WC 27383 BARRETT, JACK W LEBANON CUSD #9 * 12/15/15 HENNESSY & ROACH, PC 1020 17WC 27591 HARGRAVE, JASON OLIN * 07/25/17 LAW OFFICE KEITH SHORT KEEFE & DEPAULI 1021 17WC 27623 BRANNAM, WILLIAM P CERRO FLOW PRODUCTS * 04/18/17 BECKER SCHROADER & CHAPMAN 1022 17WC 27670 LAWRENCE, CHARLES R CLIMATE EXPRESS * 08/02/17 BADGLEY, BRAD L MCANANY VANCLEVE & PHILLIPS 1023 17WC 27744 BARBER, SHERRY MEMORIAL HOSPITAL * 11/12/15 MATHIS MARIFIAN RICHTER ET A 1024 17WC 27806 POINTER, LARRY R SUNCOKE ENERGY * 04/29/15 THOMAS E HILDEBRAND LITCHFIELD CAVO 1025 17WC 27822 MARTINEZ, DORA APERION CARE INC * 07/11/17 SPIROS LAW PC 1026 17WC 27861 SMITH, TAKEISHA FEDEX * 07/30/17 KEEFE & GRIFFITHS PC 1027 17WC 27959 JONES, BARBARA AMAZON * 01/23/17 JEROME LEFTON LAW OFFICE 1028 17WC 27983 KILLINGSWORTH, SHIRLEY ST PAUL'S HOME * 09/08/17 BOYNE, KEVIN PC MORROW WILLNAUER 1029 17WC 28033 SCHMITT, ROBERT E SEARS ROEBUCK AND CO * 02/06/17 BRIAN STOKES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1030 17WC 28157 HORNBERGER, JASON CUSTOM STAFFING * 07/29/14 JOSEPH L SAMUELSON PC LITCHFIELD CAVO 1031 17WC 28177 CORREALE, DONNA MEMORIAL HOSPITAL * 05/19/17 HENNESSEY LAW FIRM 1032 17WC 28186 O'BRIEN, GEORGE NUSSBAUM TRANSPORTATION * 05/18/17 WARNER & ZIMMERLE RIPES NELSON BAGGOT KALOBRAT 1033 17WC 28205 THERY, MARY BUNKER HILL SCHOOL DISTRI * 08/22/16 WALTON TELKEN FOSTER LLC 1034 17WC 28309 BATES, WESLEY AARON'S INC. * 05/12/17 LAW OFFICE TARUN RANA 1035 17WC 28348 MC GLOWN, LAWANDA AGENCY FOR COMMUNITY TRAN * 08/05/17 RICH RICH COOKSEY PC 1036 17WC 28379 CLARK, MARQUESHA OLIVE GARDEN * 06/17/17 NELSON & NELSON 1037 17WC 28398 GULLEY, PAMELA BI-STATE DEVELOPMENT AGEN * 07/20/17 JUNCKER, DANIEL K PC 1038 17WC 28773 PING, MARY PROFESSINOAL TRANSPORATIO * 04/12/17 KLAR, IZSAK, STENGER LLC 1039 17WC 28802 VAUGHN, JAMES H EASTMAN CHEMICAL * 07/18/17 CHATHAM & BARICEVIC 1040 17WC 29234 VANDYGRIFF, NICOLE IL CENTRAL SCHOOL BUS * 08/21/17 MORMINO,VELLOFF,EDMONDS,SN 1041 17WC 29682 COLESON, LUANN LOWE'S HOME CENTERS INC * 08/03/17 SAUTER, SULLIVAN & EVANS 1042 17WC 29698 SCOTT, RONALD CITY OF ALTON * 08/23/17 SMITH ALLEN MENDENHALL ET 1043 17WC 29733 WILSON, NICHOLAS KETTLER CASTING COMPANY, * 06/09/17 JUNCKER, DANIEL K PC 1044 17WC 29790 HILL, DEBBIE ADDUS HEALTHCARE * 09/11/17 BROWN & BROWN 1045 17WC 29860 KELLY, ROGER JR. LFI STAFFING * 08/04/17 WALTON TELKEN FOSTER LLC 1046 17WC 29877 STEVENSON, LATASHA AMERICAN HEALTH ASSOCIATE * 09/25/17 GALANTI LAW OFFICES 1047 17WC 29888 MCKAIG, BRET OLIN * 07/14/17 BECKER SCHROADER & CHAPMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1048 17WC 29892 HEDRICK, GARY JR. GREENSIDE LAWN LANDSCAPE * 09/02/17 BECKER SCHROADER & CHAPMAN 1049 17WC 29924 SKORCZ, CHARLIE DMS CONTRACTING, INC * 02/19/16 HANAGAN & MCGOVERN PC 1050 17WC 30008 SNYDER, DIANE SCHNUCK MARKETS INC * 04/05/17 LEMP & MURPHY 1051 17WC 30017 COLLINS, RICKY COUNTY SEAT CAFE * 02/24/15 ROOSEVELT LAW OFFICE 1052 17WC 30034 RUMMER, JAMES PRAIRIE STATE GENERATING * 12/12/16 EVANS & DIXON, LLC 1053 17WC 30038 MILES, JASON COHEN FOODS * 09/05/17 BECKER SCHROADER & CHAPMAN 1054 17WC 30085 ROTHE, WILLIAM GROENDYKE TRANSPORT * 10/05/17 DWORKIN AND MACIARIELLO 1055 17WC 30107 MAHER, STEVEN W JR. DENT WIZARD ACQUISITION C * 05/11/17 ROUSE & CARY 1056 17WC 30124 SMITH, JUSTIN STOCK AUTOBODY * 09/22/17 KIRKPARTICK LAW OFFICES 1057 17WC 30135 WALDEN, THOMAS GALLANT TRANSPORTATION * 07/17/17 LAW OFFICES FOLEY & DENNY 1058 17WC 30160 HUSCHLE, DONALD JR HUNT COMPANIES, INC * 06/14/17 NELSON & NELSON 1059 17WC 30167 BUHS, TERRY CITY OF ALTON POLICE DEPT * 06/10/15 RICH RICH COOKSEY PC 1060 17WC 30229 LAQUET, WAYNE M TOP AG COOP * 09/05/17 BROWN & BROWN 1061 17WC 30330 HARR, ASHLEY THOMAS TREE TRIMMING W* 05/24/17 WOLTER BEEMAN AND LYNCH 1062 17WC 30334 LIGIBEL, THERESA ANDERSON HOSPITAL * 03/09/17 MATTEA, BRUCE NYHAN BAMBRICK KINZIE & LOWR 1063 17WC 30349 BAIN, RAYMOND T USF HOLLAND * 04/24/17 HAMMOND AND SHINNERS PC 1064 17WC 30399 GOSS, GARRY US STEEL * 09/23/17 BECKER SCHROADER & CHAPMAN 1065 17WC 30473 LAWHORN, VELDA FIVE STAR LEARNING CENTER * 06/01/16 CASSANO & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR COLLINSVILLE 53002 ON 11/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1066 17WC 30501 SCHARFHEIDE, RICHARD POWER MAINTENANCE & * 10/25/12 CULLEY FEIST KUPPART & TAY 1067 17WC 30545 STAPLETON, JOEY S & J POTASHNICK TRANS, I * 07/19/17 HASSAKIS & HASSAKIS PC 1068 17WC 30580 HOLMES, ROBERT DB SCHENKER * 07/28/17 GALANTI LAW OFFICES 1069 17WC 30661 CRAIGMILES, ANDREA D JEFFREY LAUTZ DDS * 03/23/16 NYHAN BAMBRICK KINZIE & LOWR 1070 17WC 30727 BRAZEL, RICK PERFORMANCE FOOD SERVICE * 06/09/17 MICHAEL C. GOLDBERG 1071 17WC 30767 SUMNER, RANDOL PEABODY GATEWAY SVS * 12/15/15 CULLEY & WISSORE 1072 17WC 30775 BROWN, ANTHONY A CUSTIMIZED DISTRIBUTION S * 08/25/17 BROWN & BROWN 1073 17WC 30845 WHALEY, LARRY IDOT @ * 05/18/17 HUSTAVA, JOHN H