illinois workers' compensation commission page 1 …15 14wc 26856 dwyer, dorothy ann memorial...

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 08WC 12011 SIMMONDS, FRANKLYN JR TARGET 07/24/06 GENE A TURK, JR LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 2 10WC 07165 SHANNON, BARBRE HAMILTON MEMORIAL HOSPITA 09/08/09 MUELHAUSEN & STEFANI GAROFALO SCHREIBER STORM GRA 3 10WC 21215 LEFLER, JOSH MENTOR NETWORK 03/25/10 RON D COFFEL & ASSOC CHILTON YAMBERT PORTER LLP 11WC009783 -C 4 10WC 34618 HENDERSON-ODUM, NANCY CHESTER MENTAL HEALTH @ 07/20/10 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 5 12WC 18004 MARTIN, BRENDA BRUSHY CREEK COAL CO 08/13/11 CULLEY & WISSORE KEEFE & DEPAULI 6 12WC 28841 HENSON, PHYLLIS, WIDOW OF PATRIOT COAL CORP # 02/27/12 CULLEY FEIST KUPPART & JOR KEVIN M HAZLETT LLC 7 13WC 08691 BRADDY, ROBERT ZELLER CONSTRUCTION INC 02/11/13 LAWLER & LAWLER GANAN & SHAPIRO 8 13WC 09488 FITZMAURICE, CHRISTINE NEURORESTORATIVE 11/30/11 WOMICK LAW FIRM CHILTON YAMBERT PORTER LLP 9 13WC 12330 HERRON, BRANDY (GUARDIAN CATERPILLAR, INC 02/11/13 COOK SHEVLIN YSURSA ET AL ROUSE & CARY 10 13WC 18297 19B ELDARACHER, DAVID BOWEN ENGINEERING 02/28/13 TIM DENNY LLC HEYL ROYSTER VOELKER & ALLEN 11 13WC 26991 REED, JOSEPH BIG RIDGE INC 11/17/12 CULLEY & WISSORE EVANS & DIXON, LLC 12 13WC 28804 19B BOWERS, MARK MENARD CC @ 08/20/13 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 13 14WC 03948 HACK, MAGDALENA DOLLAR GENERAL 01/05/14 LAW OFFICE OF JAMES PARROT LEAHY EISENBERG & FRAENKEL 14 14WC 11103 19B OAKLEY, KAREN COMMONWEALTH EXPRESS 03/13/14 LAW OFFICE OF JAMES PARROT FEIRICH MAGER GREEN & RYAN 15 14WC 26856 DWYER, DOROTHY ANN MEMORIAL HOSPITAL 07/09/13 KATZ FRIEDMAN EAGLE ET AL FEIRICH MAGER GREEN & RYAN 16 14WC 34365 LAY, CATHY TRI-C ELEMENTARY 12/17/08 LAW OFFICE OF JAMES PARROT HENNESSY & ROACH, PC 17 14WC 34644 WOLZE, JASON ILL DEPT OF CORRECTIONS @ 01/13/14 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 18 14WC 36268 SMITH, HERBERT SIH/HERRIN HOSPITAL 04/16/14 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN

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Page 1: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …15 14wc 26856 dwyer, dorothy ann memorial hospital 07/09/13 katz friedman eagle et al feirich mager green & ryan ... karla aisin

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 08WC 12011 SIMMONDS, FRANKLYN JR TARGET 07/24/06 GENE A TURK, JR LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 2 10WC 07165 SHANNON, BARBRE HAMILTON MEMORIAL HOSPITA 09/08/09 MUELHAUSEN & STEFANI GAROFALO SCHREIBER STORM GRA 3 10WC 21215 LEFLER, JOSH MENTOR NETWORK 03/25/10 RON D COFFEL & ASSOC CHILTON YAMBERT PORTER LLP 11WC009783 -C 4 10WC 34618 HENDERSON-ODUM, NANCY CHESTER MENTAL HEALTH @ 07/20/10 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 5 12WC 18004 MARTIN, BRENDA BRUSHY CREEK COAL CO 08/13/11 CULLEY & WISSORE KEEFE & DEPAULI 6 12WC 28841 HENSON, PHYLLIS, WIDOW OF PATRIOT COAL CORP # 02/27/12 CULLEY FEIST KUPPART & JOR KEVIN M HAZLETT LLC 7 13WC 08691 BRADDY, ROBERT ZELLER CONSTRUCTION INC 02/11/13 LAWLER & LAWLER GANAN & SHAPIRO 8 13WC 09488 FITZMAURICE, CHRISTINE NEURORESTORATIVE 11/30/11 WOMICK LAW FIRM CHILTON YAMBERT PORTER LLP 9 13WC 12330 HERRON, BRANDY (GUARDIAN CATERPILLAR, INC 02/11/13 COOK SHEVLIN YSURSA ET AL ROUSE & CARY 10 13WC 18297 19B ELDARACHER, DAVID BOWEN ENGINEERING 02/28/13 TIM DENNY LLC HEYL ROYSTER VOELKER & ALLEN 11 13WC 26991 REED, JOSEPH BIG RIDGE INC 11/17/12 CULLEY & WISSORE EVANS & DIXON, LLC 12 13WC 28804 19B BOWERS, MARK MENARD CC @ 08/20/13 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 13 14WC 03948 HACK, MAGDALENA DOLLAR GENERAL 01/05/14 LAW OFFICE OF JAMES PARROT LEAHY EISENBERG & FRAENKEL 14 14WC 11103 19B OAKLEY, KAREN COMMONWEALTH EXPRESS 03/13/14 LAW OFFICE OF JAMES PARROT FEIRICH MAGER GREEN & RYAN 15 14WC 26856 DWYER, DOROTHY ANN MEMORIAL HOSPITAL 07/09/13 KATZ FRIEDMAN EAGLE ET AL FEIRICH MAGER GREEN & RYAN 16 14WC 34365 LAY, CATHY TRI-C ELEMENTARY 12/17/08 LAW OFFICE OF JAMES PARROT HENNESSY & ROACH, PC 17 14WC 34644 WOLZE, JASON ILL DEPT OF CORRECTIONS @ 01/13/14 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 18 14WC 36268 SMITH, HERBERT SIH/HERRIN HOSPITAL 04/16/14 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 19 14WC 39390 VILLAGOMEZ, IRMA DOLLAR GENERAL 10/01/14 BEMENT & STUBBLEFIELD LEAHY EISENBERG & FRAENKEL 20 14WC 40801 WALLE, LUIS SJS TEQUILAS INC, D/B/A 10/11/12 JELLIFFE FERRELL DOERGE PH ROUSE & CARY 14WC040802 -C 21 15WC 15693 STAATS, WALLACE MARION CHEVROLET BUICK 06/25/12 GARY L. BEMENT GAROFALO SCHREIBER STORM GRA 22 15WC 18190 TAYLOR, TRAVIS RAIL READY RAILCAR REPAIR @ 05/14/15 WINTERS BREWSTER CROSBY ET 23 15WC 24616 SHERIFF, DAVID W SHORT ENTERPRISES INC 02/06/15 KOLKER LAW OFFICES INMAN & FITZGIBBONS 16WC008910 -C 24 15WC 26098 STEWART, PATRICIA B (ADMI GILSTER MARY-LEE CORP # 08/03/12 FISHER KERHOVER COFFEY FEIRICH MAGER GREEN & RYAN 25 15WC 26223 KEMP, AUGUSTA NOTTUS, INC @ W 06/03/15 CULLEY FEIST KUPPART & TAY ACTON & SNYDER 26 15WC 27255 BALDWIN, COLTON AMERICAN COAL COMPANY 06/21/15 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO 27 15WC 30078 CRAWFORD, KARLA AISIN MANUACTURING 07/31/15 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 28 15WC 30588 19B PECKINPAUGH, VICTORIA MEMORIAL HOSPITAL OF 08/18/15 RICH RICH COOKSEY & CHAPPE FEIRICH MAGER GREEN & RYAN 29 15WC 30798 19B MATLOCK, STEPHANIE STATE OF IL CHOATE MENTAL @ 09/04/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 16WC002296 -C 229 16WC004246 -C 30 15WC 34098 HOOD, BEVERLY INTEGRITY HEALTHCARE 04/16/15 GENE A TURK, JR LAW OFFICE 31 15WC 38327 FREELAND, GORDON G PINCKNEYVILLE AMBULANCE 10/29/15 GLASS & KOREIN RUSIN & MACIOROWSKI LTD 32 15WC 42624 HILLE, DARREN VIP REMODELING & CONSTRUC 10/28/15 COOK SHEVLIN YSURSA ET AL QUINTAIROS PRIETO WOOD & BOY 33 16WC 00516 TANNER, JODIE GLISTER-MARY LEE CORP 11/10/13 MEYERS & FLOWERS FEIRICH MAGER GREEN & RYAN 34 16WC 01265 DINKINS, CHARLES A CITY OF PINCKNEYVILLE 01/20/15 BONIFIELD & ROSENSTENGEL P RUSIN & MACIOROWSKI LTD 35 16WC 02295 MELVIN, CANDACE SIM MEMORIAL HOSPITAL 02/05/14 RON D COFFEL & ASSOC FEIRICH MAGER GREEN & RYAN

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 36 16WC 03893 FOUREZ, RICKY AMERICAN COAL 08/29/15 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 37 16WC 05472 VALENTINE, RICHARD EDWARD NOTTUS AMBULANCE SERCICE 10/05/15 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 38 16WC 06875 ASHLEY, BRENDA NEURO RESTORATIVE 02/27/14 WOMICK LAW FIRM CHTD CHILTON YAMBERT PORTER LLP 39 16WC 07717 PARSONS, LARRY II THE AMERICAN COAL COMPANY 12/22/14 RON D COFFEL & ASSOC MCBREARTY, BRIAN K 40 16WC 11047 PASQUINO, RICHARD KNIGHT HAWK COAL COMPANY 07/01/15 LAWLER & LAWLER LITCHFIELD CAVO 41 16WC 11493 CURTIS, MARY FRANKLIN HOSPITAL 01/22/16 SAM C MITCHELL & ASSOCIATE FEIRICH MAGER GREEN & RYAN 42 16WC 11977 CADY, LORI STATE OF IL/MENARD C C @ 02/19/16 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 43 16WC 12049 BROCK, DENNIS MACH MINE LLC 07/29/15 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 44 16WC 16171 WESTRAY, ROSEMARY THE AMERICAN COAL COMPANY # 02/13/16 CULLEY & WISSORE FEIRICH MAGER GREEN & RYAN 45 16WC 16445 LEDBETTER SHEEHAN, PATRIC FEDEX EXPRESS 01/04/16 BADGLEY, BRAD L WIEDNER & MCAULIFFE LTD 46 16WC 18034 ALLEN, THOMAS AMERICAN COAL 07/11/11 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 47 16WC 18429 ANTONACCI, AMANDA IL DEPT. OF HUMAN SERVICE @ 05/31/16 WINTERS BREWSTER CROSBY ET ILLINOIS ATTORNEY GENERAL 48 16WC 19338 LITTLE, WILLIAM WRIGHT INDUSTRIAL 06/01/16 LAWLER & LAWLER JELLIFFE FERRELL DOERGE PHEL 49 16WC 19673 GRAHAM, DAVID L STATE OF IL-CHOATE @ 02/10/16 LAW OFFICES FOLEY & DENNY ILLINOIS ATTORNEY GENERAL 50 16WC 20142 DEMENT, MARY ELIZABETH JOPPA SCHOOL DIST 38 12/17/15 HOWERTON, DORRIS & STONE WIEDNER & MCAULIFFE LTD 51 16WC 20402 MILLETTE, BRIAN MENARD'S 12/05/15 WOMICK LAW FIRM CHTD QUINN JOHNSTON HENDERSON ETA 52 16WC 21346 HUIE, CHARLES THE AMERICAN COAL COMPANY 05/23/15 CULLEY & WISSORE CRAIG & CRAIG 53 16WC 22648 TOLER, SCOTT CHOATE MENTAL HEALTH @ 06/01/16 BECKER SCHROADER & CHAPMAN ILLINOIS ATTORNEY GENERAL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 54 16WC 22978 FIELD, JERRY THE AMERICAN COAL COMPANY 05/22/15 CULLEY & WISSORE CRAIG & CRAIG 55 16WC 24194 WEIR, ROBERT J THE AMERICAN COAL MINE CO 08/29/15 CULLEY & WISSORE CRAIG & CRAIG 56 16WC 24233 ROBERTS, GARY D. STATE OF ILLINOIS @ 12/17/15 CULLEY & WISSORE ILLINOIS ATTORNEY GENERAL 57 16WC 25691 ELDERS, BRYAN IL DEPT. OF JUVENILE JUST @ 07/14/16 PRINCE LAW FIRM ILLINOIS ATTORNEY GENERAL 17WC020724 -C 58 16WC 27279 SHERROD, GARRON TRU-BILT BUILDING CO. 06/13/16 RON D COFFEL & ASSOC GANAN & SHAPIRO 59 16WC 29133 DUNNING, TONYA GLISTER MARY LEE CORPORAT 04/22/16 STRONG LAW OFFICE FEIRICH MAGER GREEN & RYAN 60 16WC 30531 SMITH, DOUGLAS AMERICAN COAL 08/31/15 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 61 16WC 30539 MCCORMICK, ADA J BRUSHY CREEK COAL COMPANY #W 07/29/16 CULLEY & WISSORE 62 16WC 30648 LEVAULT, TOMMY THE AMERICAN COAL COMPANY 08/29/15 CULLEY & WISSORE CRAIG & CRAIG 63 16WC 31595 BARNETT-PRATER, ANITA ILLINOIS VETERANS HOME OF @ 06/05/16 HARRIS & JONES ILLINOIS ATTORNEY GENERAL 64 16WC 31749 ROWE, RONALD THE AMERICAN COAL COMPANY 02/11/16 CULLEY & WISSORE CRAIG & CRAIG 65 16WC 32739 GIACONE, LARRY THE AMERICAN COAL CO 11/16/14 CULLEY & WISSORE CRAIG & CRAIG 66 16WC 32917 LIEDTKE, LAURA SOUTHERN ILLINOIS HEALTHC 08/25/16 BEARD LAW FIRM FEIRICH MAGER GREEN & RYAN 67 16WC 35178 CRAWFORD, KARLA AISIN MANUFACTURING 08/26/16 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 68 16WC 35910 GRAVATT, CHAD MARION PARK DISTRICT 10/10/16 LAW OFFICE OF ROBERT BATES RUSIN & MACIOROWSKI LTD 16WC035911 -C 16WC035912 -C 16WC035913 -C 69 16WC 36293 WYATT JR, DAVID STATE OF ILLINOIS, CHOATE @ 11/11/16 TIM DENNY LLC ASSISTANT ATTORNEY GENERAL 70 16WC 36411 19B MATLOCK, STEPHANIE CHOATE MENTAL HEALTH CTR @ 10/30/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 71 16WC 36928 GOMEZ, SANTIAGO SAMMY BYRON 11/20/15 GENE A TURK, JR LAW OFFICE ROUSE & CARY 72 16WC 37719 PARSONS II, LARRY THE AMERICAN COAL COMPANY 11/17/16 RON D COFFEL & ASSOC LITCHFIELD CAVO 73 16WC 38333 WEBB, MARVIN THE AMERICAN COAL COMPANY 01/14/15 CULLEY & WISSORE CRAIG & CRAIG 74 16WC 38488 ARVIEW, ELVA THE AMERICAN COAL COMPANY 08/29/15 CULLEY & WISSORE CRAIG & CRAIG 75 16WC 38781 HEATH, DAVID BEELMAN TRUCKING 11/13/16 WINTERS BREWSTER CROSBY ET HARRIS DOWELL FISHER & HARRI 76 16WC 39214 DRAPER, DONNA SOUTHERN ILLINOIS HEALTHC 11/07/16 KEEFE & DEPAULI FEIRICH MAGER GREEN & RYAN 77 17WC 02690 SANCHEZ, ROBERTO COAL FIELD CONSTRUCTION C 12/26/16 JEROME LEFTON LAW OFFICE 78 17WC 04005 ESTES, JEFF AMERICAN ELECTRIC POWER/ 03/12/14 JEFF ESTES FEIRICH MAGER GREEN & RYAN 79 17WC 04161 STEIN, KOREEN M STATE OF ILLINOIS - CHOAT @ 11/26/16 TIM DENNY LLC ILLINOIS ATTORNEY GENERAL 80 17WC 06400 HILLIARD, DUSTIN CITY OF MARION 04/01/14 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 81 17WC 07082 TONNON, LYLE ROYALTY TECH @ W 02/20/17 SHORT AND DAUGHERTY 82 17WC 07283 LAWLER, JAMES E RIDGWAY TOWNSHIP 12/07/15 ADAM B LAWLER LAW FIRM CRAIG & CRAIG 83 17WC 07462 SCHNOEKER, DEREK CHESTER MENTAL HEALTH CEN @ 02/24/17 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 84 17WC 07629 BOWMAN, MARIAH ADDUS HEALTHCARE INC UAN 10/07/16 ADAM B LAWLER LAW FIRM 85 17WC 08478 BROWN-MARTIN, WILETA ILLINOIS DEPT OF PUBLIC @ 02/07/17 MICHAEL MILES ILLINOIS ATTORNEY GENERAL 86 17WC 08697 MC QUEEN, SAMUEL L AISIN MANUFACTURING IL, L 06/01/16 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 87 17WC 09341 RICKS, DAVID K & R GROUP INC 02/28/17 KARNO, MARK L & ASSOC 88 17WC 10718 ZARANTI, ANTHONY FERRELLGAS 10/19/16 RON D COFFEL & ASSOC KNELL O'CONNOR DANIELWICZ

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 89 17WC 10804 CREASON, LUCAS A CHESTER MENTAL HEALTH CEN @ 07/10/16 GLASS & KOREIN ILLINOIS ATTORNEY GENERAL 90 17WC 11475 BANKS, CHARLENE HARRISBURG MEDICAL CENTER 12/29/15 HANAGAN & MCGOVERN PC FEIRICH MAGER GREEN & RYAN 91 17WC 11721 DIEFENBACH, DELORES CHOATE MENTAL HEALTH & @ 03/11/17 MUELHAUSEN & STEFANI ILLINOIS ATTORNEY GENERAL 92 17WC 12819 BEBOUT, BRYAN IL YOUTH CENTER - HARRISB @ 04/20/17 TAMMI N. JACKSON ILLINOIS ATTORNEY GENERAL 93 17WC 13191 EDWARDS-SMITH, MYRA STATE OF IL/IYC HARRISBUR @ 02/17/17 HALVACHS & ABERNAT0HY LLC ILLINOIS ATTORNEY GENERAL 94 17WC 13796 RIDDLE, HARRY AMERICAN COAL 02/15/16 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 95 17WC 14668 19B STUEVE, JACKIE JR MENARD CC @ 02/27/17 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 96 17WC 14874 MITCHELL, COYET PEPSI MIDAMERICA 01/03/17 SAM C MITCHELL & ASSOCIATE 97 17WC 16148 COWSERT, TRAVIS IL YOUTH CENTER-HARRISBUR @ 04/21/17 HART & HART ILLINOIS ATTORNEY GENERAL 98 17WC 16440 GIRTEN, JOHN AMERICAN COAL 07/02/13 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 99 17WC 16472 KEITH, ROBERT J CENTERSTONE OF ILLINOIS 11/28/16 100 17WC 16746 WEBER, ANGELA ADVANTAGE SALES AND MARKE 05/10/16 HANAGAN & MCGOVERN PC KELLEY KRONENBERG 101 17WC 16835 19B MORRIS, APRIL HARRISBURG MEDICAL CENTER 06/11/16 HANAGAN & MCGOVERN PC FEIRICH MAGER GREEN & RYAN 102 17WC 17522 RAGLAND, PAIGE IL YOUTH CENTER HARRISBUR @ 05/22/17 HART & HART ILLINOIS ATTORNEY GENERAL 103 17WC 17547 RALLS, STEVEN E SOUTHERN ILLINOIS UNIVERS @ 01/10/17 TIM DENNY LLC ILLINOIS ATTORNEY GENERAL 104 17WC 17567 WILLIS, STEPHEN AMERICAN COAL 02/05/16 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 105 17WC 18926 19B KELLY, KENDRA S SIH MEMORIAL HOSPITAL OF 06/29/16 HASSAKIS & HASSAKIS PC FEIRICH MAGER GREEN & RYAN 106 17WC 19556 HAMLIN, DAVID SOUTHERN IL DERMATOLOGY I 05/28/15 WINTERS BREWSTER CROSBY ET RUSIN & MACIOROWSKI LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 107 17WC 20728 DALTON, DONNA AMERICAN COAL 08/29/15 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 108 17WC 22964 BODINE, MATHEW NRE GLOBAL HOLDINGS, INC. 05/08/17 MICHAEL MILES GAROFALO SCHREIBER STORM GRA 109 17WC 23179 19B CHARTIER, MICHAEL ROOF BOLT EXPRESS, INC 04/21/17 SAM C MITCHELL & ASSOCIATE INMAN & FITZGIBBONS 110 17WC 24392 LEONARD, MONIQUE ED BURRIS DISPOSAL LLC 05/31/17 BROWN & BROWN BRADY, CONNOLLY & MASUDA, PC 111 17WC 25179 MASSIE, E RUTH CHOATE MENTAL HEALTH @ 06/11/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 112 17WC 25244 HOLDER, MATT GOLDEN CORRAL 08/01/17 DWORKIN AND MACIARIELLO 113 17WC 25525 LEWIS, CLAUDIA N CHESTER MENTAL HEALTH @ 06/15/17 ASSISTANT ATTORNEY GENERAL 114 17WC 25762 HENDERSON, NANCY STATE OF ILLINOIS @ 04/14/17 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 115 17WC 25972 MASCIO, HELEN MEMORIAL OF CARBONDALE HO 07/24/16 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN 116 17WC 27627 CLIFF, CHRISTINA CASEY'S 08/27/17 RICH RICH COOKSEY & CHAPPE 117 17WC 27837 BREWER, JANICE SIH-MEMORIAL OF CARBONDAL 08/23/17 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN 118 17WC 28031 MARVEL, GARY AMERICAN COAL 01/01/16 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 119 17WC 28043 WINTERS, LUCILLE WILLIAMSON COUNTY AMBULAN 03/13/17 JELLIFFE FERRELL DOERGE PH ROUSE & CARY 120 17WC 28230 BLYTHE, DARYL G DOLLAR GENERAL 07/06/17 MARSZALEK AND MARSZALEK LEAHY EISENBERG & FRAENKEL 121 17WC 28325 HILLIARD, DUSTIN CITY OF MARION 04/19/17 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 122 17WC 28345 RICHTER, LINDA D CHOATE MENTAL HEALTH, ILL @ 05/28/16 MICHAEL MILES ASSISTANT ATTORNEY GENERAL 123 17WC 29070 GRAHAM, DAVID L STATE OF IL CHOATE @ 09/17/17 LAW OFFICES FOLEY & DENNY ASSISTANT ATTORNEY GENERAL 124 17WC 29709 PEEBELS, SCOTT BASLER TRUCKING 12/01/16 WOMICK LAW FIRM CHTD BRADY, CONNOLLY & MASUDA, PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 125 17WC 30112 SPENCE, H.D. EXECUTIVE EXPRESS, INC. 07/05/16 SAUTER, SULLIVAN & EVANS EVANS & DIXON, LLC 126 17WC 30329 OYLER, BRIAN CHESTER MENTAL HEALTH CEN @ 05/30/17 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 127 17WC 30542 PULLIAM, JOHN SUI CARBONDALE @ 01/24/17 CULLEY & WISSORE ASSISTANT ATTORNEY GENERAL 128 17WC 30841 WALKER, JUSTIN COAL FIELD CONSTRUCTION L 07/31/17 LITCHFIELD CAVO 129 17WC 30925 PENGROSS, TERESA R STATE OF ILLINOIS-CHOATE @ 08/23/17 TIM DENNY LLC ASSISTANT ATTORNEY GENERAL 130 17WC 32088 SMITH, SANDRA STATE OF ILLINOIS/ @ 06/22/15 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 17WC032089 -C 17WC032090 -C 131 17WC 32461 WIGGINS, PAUL WIGGINS, PAUL 07/08/17 JOSEPH L SAMUELSON PC 132 17WC 33152 WALDRON, LEONARD CITY OF DU QUOIN 10/02/17 HOWERTON, DORRIS & STONE KEEFE & DEPAULI 133 17WC 33484 MODICUE, CASSIE CHOATE MENTAL HEALTH CENT 06/19/15 MCGARRY, BRIAN P 134 17WC 33648 LAWRENCE, DAVID MACH MINE LLC 09/28/17 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 135 17WC 33761 SHURTZ, CARL THE AMERICAN COAL COMPANY 06/09/17 CULLEY & WISSORE CRAIG & CRAIG 136 17WC 33773 PEARCE, DENNIS THE AMERICAN COAL COMPANY 09/22/17 CULLEY & WISSORE CRAIG & CRAIG 137 17WC 33802 OYLER, BRIAN CHESTER MENTAL HEALTH CTR @ 04/04/16 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 138 17WC 34542 FRANCESCON, DONALD KNIGHT HAWK COAL 07/27/17 KEEFE & GRIFFITHS PC LITCHFIELD CAVO 139 17WC 34698 LEWIS, BRADLEY BUNGE NA 08/16/17 BECKER SCHROADER & CHAPMAN HEYL ROYSTER VOELKER & ALLEN 140 17WC 34918 EDWARDS, STEVEN B FARE FOODS, INC 06/28/17 MICHAEL MILES HEYL ROYSTER VOELKER & ALLEN 141 17WC 35109 LIEFER, DENISE L DORMA KABA 08/14/17 MILLER, WILLIAM R LAW OFFI ROUSE & CARY 142 17WC 35152 PLUMMER, LINDSEY CHOATE @ 07/22/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 143 17WC 35599 RISLEY, NORMAN BIG RIDGE, INC 12/21/12 CULLEY & WISSORE EVANS & DIXON, LLC 144 17WC 35755 THOMPSON, PATTIE MASSAC MEMORIAL HOSPITAL 08/31/17 LAWLER & LAWLER GAROFALO SCHREIBER STORM GRA 145 17WC 36193 WATTERSON, JOHNATHON M SAMS IGA 11/06/17 MCCARTHY ROWDEN & BAKER 146 17WC 36381 LOGWOOD, JAMEELA INTEGRITY HEALTHCARE 11/23/17 WOMICK LAW FIRM CHTD HOLTKAMP LIESE 147 17WC 36644 COURIER, KENNETH CHESTER MENTAL HEALTH @ 09/09/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 148 17WC 36933 REED, LINDA BIG RIDGE, INC # 10/06/17 CULLEY & WISSORE EVANS & DIXON, LLC 149 17WC 38024 STENNETT, MARSHALL K LIBERTY CRANE, LLC 06/22/15 SCHUCHAT, COOK & WERNER HENNESSY & ROACH, PC 150 18WC 00562 WOODSIDE, MARK EATON B-LINE 08/29/17 COOK SHEVLIN YSURSA ET AL LEAHY EISENBERG & FRAENKEL 151 18WC 00711 BISHOP, ALEX CITY OF CARBONDALE 02/09/17 WOMICK LAW FIRM CHTD 152 18WC 00878 CAIREL, BARBARA FOR OLD BEN COAL CO/SELF-INSU # 10/13/17 CULLEY & WISSORE KEEFE & DEPAULI 153 18WC 01732 SUITS, TRACY W ROSS FINANCIAL SVS, INC 10/05/17 LAWLER & LAWLER 154 18WC 01831 MCMILLEN, LINCOLN CENTRIFUGAL SERVICES INC 12/11/17 PRINCE LAW FIRM CRAIG A HANSEN 155 18WC 02596 RODRIGUEZ, JORGE LEVEL IT EXCAVATING 11/22/17 NELSON & NELSON GANAN & SHAPIRO 156 18WC 02644 HODGES, DAVID ST FRANCIS MEDICAL CENTER 05/21/16 HENNESSEY LAW FIRM 157 18WC 03604 GIBSON, MARSHA C GILSTER MARY LEE 12/16/17 TIM DENNY LLC FEIRICH MAGER GREEN & RYAN 158 18WC 03657 FRITSCHE, CHRISTOPHER STATE OF IL/MENARD CC @ 01/24/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 159 18WC 03772 MORRIS, ELLEN D SIU- CARBONDALE @ 08/29/17 WINTERS BREWSTER CROSBY ET ASSISTANT ATTORNEY GENERAL 160 18WC 03945 HALE, CHRYSTAL CHOATE MENTAL HEALTH @ 03/21/16 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 161 18WC 03948 HALE, CHRYSTAL CHOATE MENTAL HEALTH @ 12/29/17 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 162 18WC 05101 BRITTIN LANG, SHANNON SOUTHERN ILLINOIS MOTOR X 06/17/17 163 18WC 05334 EMBERTON, JAMES CITY OF ZIEGLER 01/22/18 LEVENHAGEN LAW FIRM PC KEEFE & DEPAULI 164 18WC 05840 KEITH, MATTHEW EATON CORPORATION 01/30/18 GLASS & KOREIN LEAHY EISENBERG & FRAENKEL 165 18WC 06223 KELLUM-HAMILTON, VICKIE MURPHYSBORO CUSD 186 11/29/17 MCCARTHY ROWDEN & BAKER QUINN JOHNSTON HENDERSON ETA 166 18WC 06362 SETTLEMOIR, CURTIS THE AMERICAN COAL COMPANY 10/23/17 CULLEY & WISSORE CRAIG & CRAIG 167 18WC 07384 SMITH JR., JOHN PJR & ASSOCIATES, INC 09/19/17 NELSON & NELSON KEEFE CAMPBELL & ASSOC LLC 168 18WC 08773 DALLAS, DAN GILSTER MARY LEE 12/15/17 NELSON & NELSON FEIRICH MAGER GREEN & RYAN 169 18WC 10060 BRIDGES, ASHLEY CHOATE @ 03/19/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 19WC009771 -C STATE OF IL/CHOATE MENTAL 170 18WC 10345 STEPHENSON, WILLIAM MACH MINE LLC 01/02/18 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 171 18WC 10674 KNIFFEN, SUSAN ST. JOSEPH'S HOSPITAL 07/27/17 KIRKPARTICK LAW OFFICES FEIRICH MAGER GREEN & RYAN 172 18WC 11172 CORNER, DAWN HELP AT HOME 02/03/18 JEROME LINDSAY SALMI LL 173 18WC 11268 QUINT, MICHELLE JAMP SPECIAL EDUCATION 03/23/17 WINTERS BREWSTER CROSBY ET WIEDNER & MCAULIFFE LTD 18WC038359 -C 19WC017505 -C 174 18WC 11720 ROGERS, TIFFANY KOHL'S 02/21/18 MCGARRY, BRIAN P CHILTON YAMBERT PORTER LLP 175 18WC 12367 KENDRICK, ANTHONY CITY OF CREAL SPRINGS 11/25/17 RICH RICH COOKSEY & CHAPPE INMAN & FITZGIBBONS 176 18WC 12483 KING, RICKY JOHN E ROSE 02/21/18 FOLEY & DENNY HENNESSY & ROACH PC 177 18WC 12613 SLAVENS, JOEL STATE/MENARD C.C. @ 03/25/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 178 18WC 12960 EDWARDS-SMITH, MYRA STATE OF IL/HARRISBURG @ 09/08/17 HALVACHS & ABERNAT0HY LLC ASSISTANT ATTORNEY GENERAL 179 18WC 13124 BUCHANAN, RODNEI JUST KIDS INC FKA TOT LAN 08/10/16 WINTERS BREWSTER CROSBY ET RUSIN & MACIOROWSKI LTD 180 18WC 13295 WRIGHT, JOE TARGET CORPORATION 11/03/17 LAWLER & LAWLER KEEFE CAMPBELL & ASSOC LLC 181 18WC 14306 BERRY, SONJA STATE OF IL/IYC HARRISBUR @ 04/05/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 182 18WC 14331 PORTER, WILLIAM AMERICAN COAL COMPANY @ 04/22/17 TIM DENNY LLC CRAIG & CRAIG 183 18WC 14634 COLLINS, MARVIN JAMES ROOFER'S MART INC 02/22/18 MICHAEL MILES 184 18WC 14825 19B GIBSON, BRENDON IYC HARRISBURG @ 04/20/18 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 185 18WC 15554 PARMLY, TAMMY CHOATE MENTAL HEALTH @ 08/21/17 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 186 18WC 15850 PRICE, STEPHANIE CENTERSTONE OF ILLINOIS, 01/23/18 LAWLER & LAWLER 187 18WC 16244 BEARDEN, RICHARD PEABODY ILLINOIS SERVICES 06/29/15 CULLEY & WISSORE KEEFE & DEPAULI 188 18WC 16521 STURGILL, QUINTIN THE AMERICAN COAL COMPANY 09/22/17 CULLEY & WISSORE CRAIG & CRAIG 189 18WC 16660 RISHEL, MICHAEL CITY OF CARBONDALE FIRE D 01/23/18 RICH RICH COOKSEY & CHAPPE RUSIN & MACIOROWSKI LTD 190 18WC 16699 SUITS, TRACY W ROSS FINANCIAL SERVICES I 10/17/17 LAWLER & LAWLER MCDONALD & BOGDAN 191 18WC 16729 COUCH, JUSTIN STATE OF IL/CHESTER MENTA @ 01/20/18 RICH RICH COOKSEY & CHAPPE LISA MADIGAN 192 18WC 17101 POENITSKI, CARLA TRI-COUNTY SPECIAL EDICAT 11/09/17 MUELHAUSEN & STEFANI 193 18WC 18376 WARD, SAM CITY OF MARION 03/05/18 PRINCE LAW FIRM 194 18WC 19084 FUQUA, VINCENT PEABODY MIDWEST MINING LL 04/18/18 LAWLER & LAWLER KEEFE & DEPAULI 195 18WC 19279 PLASTERS, MELISSA HELP AT HOME 02/12/18 ARMBRUSTER DRIPPS HENNESSY & ROACH, PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 196 18WC 19906 UCHTMAN, PATTI STATE OF ILLINOIS @ 03/07/14 FISHER KERHOVER COFFEY 197 18WC 21068 NICHOLSON, TIM MCDONALDS RESTAURANT 02/13/17 WOMICK LAW FIRM CHTD 198 18WC 21230 HALL, DARLENE CASEY 07/26/17 DWORKIN AND MACIARIELLO KEEFE & DEPAULI 199 18WC 21857 COURIER, KENNETH CHESTER MENTAL HEALTH @ 06/24/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 200 18WC 22284 FERGUSON, ALAN KOERNER DISTRIBUTING 07/06/18 TIM DENNY LLC THOMAS MAMER & HAUGHEY 201 18WC 22747 POLLEY, RICK THE AMERICAN COAL COMPANY 08/18/17 CULLEY & WISSORE CRAIG & CRAIG 202 18WC 22859 ROBISON, AUSTIN MADISONVILLE MINING, LLC 09/24/17 TAMMI N. JACKSON HEYL ROYSTER VOELKER & ALLEN 203 18WC 22868 CHANEY, CATHY (BENEFICIAR KNIGHT HAWK COAL, LLC # 04/10/17 CULLEY & WISSORE CRAIG & CRAIG 204 18WC 23689 DIERCKS, MAYLEE GILSTER MARY LEE 04/19/18 BROWN & BROWN FEIRICH MAGER GREEN & RYAN 205 18WC 23869 CONNER, DAWN HELP AT HOME, LLC 02/03/18 JEROME LINDSAY SALMI LL 206 18WC 23876 GABBY, JOHN STATE OF ILLINOIS @ 12/31/16 CULLEY & WISSORE ASSISTANT ATTORNEY GENERAL 207 18WC 25525 ANDERSON, CHRISTOPHER STATE OF IL/CHESTER MENTA @ 07/17/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 208 18WC 26208 DAVIS, BRIAN STATE OF IL/IYC HARRISBUR @ 04/10/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 209 18WC 26528 RHOADES, SHANE A ILLINOIS YOUTH CENTER @ 08/25/18 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 210 18WC 26742 PRICE, DONNA HARRISBURG MEDICAL CENTER 07/23/18 CARAWAY FISHER FEIRICH MAGER GREEN & RYAN 211 18WC 26837 GALLAGHER, ROBERT O'REILLY AUTO PARTS 01/02/17 KEITH SHORT HENNESSY & ROACH, PC 212 18WC 27671 MC KINNEY, WILLIAM WALLACE CONSTRUCTION W 09/10/18 DWORKIN AND MACIARIELLO 213 18WC 27828 DENT-TURNER, VICTORIA LARRY'S HOUSE OF CAKES 08/15/18 BEARD LAW FIRM GANAN & SHAPIRO

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 214 18WC 28730 CHURCH, PEGGY FAIRVIEW NURSING HOME 09/07/18 RON D COFFEL & ASSOC BOGGS AVELLINO LACH BOGGS 215 18WC 28780 DELRE, GAIL M INTEGRITY HEALTHCARE OF 07/14/18 FISHER KERHOVER COFFEY HOLTKAMP LIESE 216 18WC 29068 ROBERTS, BOBBY DORMA/KABBA 06/23/18 FISHER KERHOVER COFFEY ROUSE & CARY 217 18WC 29183 HILL, JULIA AISIN MANUFACTURING 10/12/15 NEWCOMB, PAULA M KEEFE & DEPAULI 218 18WC 29345 DOBBS, DONNA CHESTER MENTAL HEALTH CEN @ 09/01/18 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 219 18WC 29866 HOUSEMAN-BURNS, TARA MIDCOUNTRY FINANCIAL CORP 07/20/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH, PC 220 18WC 29931 TENNISON, GARY PERRY COUNTY CHERIFF'S DE 09/24/18 WINTERS BREWSTER CROSBY SC INMAN & FITZGIBBONS 221 18WC 30016 WETZLER, SCOTT ILLINOIS STATE POLICE @ 05/11/16 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 18WC030017 -C 18WC030018 -C 222 18WC 30631 MALONE, TYE MACH MINING, LLC 03/02/18 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO 223 18WC 31379 SILVA, OLIVER MULTIBAND 04/05/16 THE BEARD LAW FIRM 224 18WC 31660 SHEPARD, BRYSON STRATA WORLDWIDE 03/13/18 RON D COFFEL & ASSOC CRAIG A HANSEN 225 18WC 32387 BROWN, ANGELA CHOATE MENTAL HEALTH @ 05/01/18 JOHNSON SCHNEIDER & FERREL ASSISTANT ATTORNEY GENERAL 226 18WC 32479 SMITH, CHARLIE MARSHALL BROWNING HOSPITA 08/03/16 GAROFALO SCHREIBER STORM GRA 227 18WC 32700 THOMPSON, JACOB MURPHYSBORO DISTRICT #186 08/27/18 FISHER KERHOVER COFFEY HEYL ROYSTER VOELKER & ALLEN 228 18WC 32746 JEFFORDS, DONNA CHOATE MENTAL HEALTH @ 10/16/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 229 18WC 32974 QUINTANA, CORY CHESTER MENTAL HEALTH CEN @ 10/17/18 FISHER AND KERKHOVER LAW O ASSISTANT ATTORNEY GENERAL 230 18WC 33451 MARAGNI, MICHELLE A REGIONAL HOME CARE CROSSR 07/26/18 HARRIS & JONES HENNESSY & ROACH, PC 231 18WC 33770 FOSTER, EDDIE THE PANGERE CORPORATION 08/01/18 ANESI OZMON RODIN NOVAK KO WOLFE & JACOBSON, LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 232 18WC 34893 GLADNEY, EDWIN MENDARD C.C. @ 09/14/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 233 18WC 35588 WIESEMAN, CHRISTOPHER CHOATE MENTAL HEALTH- SOI @ 10/11/18 TIM DENNY LLC ASSISTANT ATTORNEY GENERAL 234 18WC 35596 SADLER, VICKIE CHOATE MENTAL HEALTH @ 09/11/18 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 235 18WC 36077 GUETHLE, SANDRA L GLISTER MARY LEE 09/26/17 BROWN & BROWN FEIRICH MAGER GREEN & RYAN 236 18WC 36136 HAMPLEMAN, JUDITH A TRI-COUNTY SPECIAL ED 11/08/18 DEVIN M JONES LAWRENCE COZZI - LAW OFFICE 237 18WC 36248 WHITLOCK, TERESA JC SKYLINE, LLC, D/B/A 10/25/18 LAWLER & LAWLER STEPHEN H LARSON LAW OFFICE 238 18WC 36453 DAVISON, MICHELLE MACY'S ' 10/31/18 MICHAEL MILES BRYCE DOWNEY & LENKOV LLC 239 18WC 36904 ALLEN, DARRYL PEABODY ILLINOIS SERVICES 09/28/18 CULLEY & WISSORE 240 18WC 37060 SIVELS, SHAWN M R.P. LUMBER @ 08/08/18 FOLEY & DENNY ROUSE & CARY 241 18WC 37198 ABDO, SAMIR HARRISBURG MEDICAL CENTER 11/05/17 TAMMI N. JACKSON FEIRICH MAGER GREEN & RYAN 242 18WC 37248 DANIEL, BEVERLY CITY OF MARION 06/14/18 KEEFE & DEPAULI 243 18WC 37285 TINCHER, MARK CITY OF MURPHYSBORO 08/27/18 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 244 18WC 37295 GUETERSLOH, MARK A IL DEPT NATURAL RESOURCES @ 12/01/15 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 245 18WC 37436 AGIN, JASON AMEREN ILLINOIS 07/15/18 DONOVAN ROSE NESTER LEMP & MURPHY 246 18WC 37512 BATTS, BETTY FRANKLIN HOSPITAL 10/26/18 PRINCE LAW FIRM FEIRICH MAGER GREEN & RYAN 247 18WC 37970 JACKSON, CHRIS BEN'S LAWN SERVICE 11/28/18 MCGARRY & MALKOVICH GAROFALO SCHREIBER STORM GRA 248 18WC 38053 MAYO, ANTHONY AISIN ELECTRONICS 12/05/18 KEEFE & GRIFFITHS PC KEEFE & DEPAULI 249 18WC 38103 STACEY, KEVIN GENERAL CABLE 11/21/18 RICH RICH COOKSEY & CHAPPE QUINN JOHNSTON HENDERSON ETA

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 250 18WC 38155 BROWN, ANGELA CHOATE MENTAL HEALTH @ 05/01/18 KEEFE & GRIFFITHS PC ASSISTANT ATTORNEY GENERAL 251 19WC 00171 JOHNSON, RON YRC, INC. C/O CT CORP SYS 12/16/18 HETHERINGTON KARPEL BOBBER 252 19WC 00432 JOHNSON, LORETTA M EATON CORPORATION 08/14/18 GLASS & KOREIN LEAHY EISENBERG & FRAENKEL 253 19WC 02149 BAILEY, MARY WALMART 09/14/18 BEMENT STUBBLEFIELD EARLY & MIRANDA PC 254 19WC 02570 SMOCK, JOHN HASTIE MINING, INC 11/21/18 LAWLER & LAWLER BRYCE DOWNEY & LENKOV LLC 255 19WC 03125 CORNELISON, JAMIE DEPARTMENT OF CHILDREN & @ 01/15/19 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 256 19WC 03419 WORKMAN, JUSTIN COMPLIANCE STAFFING 09/14/18 TAMMI N. JACKSON 257 19WC 03544 OKER, STEPHANIE EL RANCHITO REST INC DBA W 06/04/17 LAWLER & LAWLER 258 19WC 04059 RICHARDSON, COREY AISIN 06/17/18 MICHAEL MILES KEEFE & DEPAULI 259 19WC 04141 PENROD, JOSEPH FRONTIER COMMUNICATIONS 01/18/19 MUELHAUSEN & STEFANI BRADY, CONNOLLY & MASUDA, PC 260 19WC 04338 SIMS, JAMYE A STATE OF IL,BOARD OF ELEC @ 02/25/16 WOMICK LAW FIRM CHTD ASSISTANT ATTORNEY GENERAL 261 19WC 05209 BROWN-MARTIN, WILETA ILLINOIS DEPARTMENT @ 02/01/16 LAWLER & LAWLER ASSISTANT ATTORNEY GENERAL 262 19WC 05439 PASQUINO, RICHARD KNIGHT HAWK COAL COMPANY, 03/24/16 LAWLER & LAWLER 263 19WC 05455 AMISON, JUSTIN CHESTER MENTAL HEALTH CEN @ 02/04/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 264 19WC 06007 BRUCE, MICHAEL W DYNEGY INC 01/20/18 JAMES RUPPERT KEEFE & DEPAULI 265 19WC 06370 MULBACK, PATRICIA CHOATE MENTAL HEALTH @ 11/16/18 WILLIAMS CAPONI & ASSOC ASSISTANT ATTORNEY GENERAL 266 19WC 06848 JONES, KEVIN MEDIACOM 05/17/18 PRINCE LAW FIRM HENNESSY & ROACH 267 19WC 06956 BLACKWELL, STANLEY GILSTER MARY LEE CORP. 05/30/18 NO ATTORNEY FEIRICH MAGER GREEN & RYAN

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 268 19WC 07196 DELAPORTE, JACK O JR. THOMASON EXPRESS LLC 05/27/18 WIEDNER & MCAULIFFE LTD 269 19WC 07287 DEBOSE, ANGELIA GOLDEN CIRCLE SENIOR CITI 02/11/19 LAWLER & LAWLER BRADY, CONNOLLY & MASUDA, PC 270 19WC 07518 WADDY, NATASHA CHOATE MENTAL HEALTH @ 01/21/19 LEVENHAGEN LAW FIRM PC ASSISTANT ATTORNEY GENERAL 19WC008574 -C ST OF IL- CHOATE MENTAL HE 271 19WC 08033 ESTES, CARRIE MARSHALL BROWNING HOSPITA 12/28/18 KIRKPARTICK LAW OFFICES GAROFALO SCHREIBER STORM GRA 272 19WC 08636 HUNTER, DAVID CHESTER MENTAL HEALTH @ 02/08/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 273 19WC 08818 CANNON, MISTI J PETERSEN HEALTH CARE 01/08/19 TIM DENNY LLC STEPHEN P. KELLY 274 19WC 08857 HAMMEL, DOUGLAS PERRY COUNTY HOUSING AUTH 09/12/18 HUGHES LAW FIRM RUSIN & MACIOROWSKI LTD 275 19WC 08897 CONNER, BILLIE WALMART SUPERCENTER 02/23/19 SAM C MITCHELL & ASSOCIATE EARLY & MIRANDA PC 276 19WC 09107 FERTALY, MARGARET IL ENVIRONMENTAL @ 07/25/18 PRINCE LAW FIRM ASSISTANT ATTORNEY GENERAL 277 19WC 09281 VEATH, RENEE STATE OF IL/ MENARD C.C. @ 02/20/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 278 19WC 09418 PAVEY, DON R SCHNUCKS 06/14/18 BURKE, REX G 279 19WC 09494 BUCHANON, MICHAEL D MINOVA 03/15/19 WOMICK LAW FIRM CHTD 280 19WC 09617 VANCIL, SEAN COMPLIANCE STAFFING AGENC 12/01/18 WINTERS BREWSTER CROSBY SC 281 19WC 10307 JUHL, RUSTIN L DUQUOIN POLICE DEPARTMENT 03/20/19 DEVIN M JONES 282 19WC 10517 BRUSH, ALLAN JEM AUTOMOTIVE INC 03/22/19 WINTERS BREWSTER CROSBY SC 283 19WC 10692 WHITE, JAMIE LEWIS BROTHERS BAKERY 03/21/19 SHORT AND DAUGHERTY POWER & CRONIN LTD 284 19WC 10842 COWELL, BRUCE RANDOLPH COUNTY COURTHOUS 02/21/19 BROWN & CROUPPEN INMAN & FITZGIBBONS 285 19WC 10887 GEORGE, RAYMOND A PERRY COUNTY SHERIFF'S DE 03/23/19 HARRIS & JONES INMAN & FITZGIBBONS

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 286 19WC 11768 HARPER, ANGELA LYNN MALONE'S EARLY LEARNING C 03/14/19 HOWERTON, DORRIS & STONE QUINN JOHNSTON HENDERSON ETA 287 19WC 11790 MILLER, CYNTHIA LOWES 03/02/19 WOMICK LAW FIRM CHTD KEEFE CAMPBELL BIERY & ASSOC 288 19WC 11905 PEDIGO, DEBRA SOUTHERN ILLINOIS HEALTHC 10/15/18 BRIAN K. ZIRKELBACH FEIRICH MAGER GREEN & RYAN 289 19WC 12108 KNUPP, DENISE REBECCA DILLMAN/SUNRISE W 01/23/19 JEROME LINDSAY SALMI LL 290 19WC 12214 HUGYA, JENNIFER D GLISTER-MARY LEE CORP 03/14/19 HARRIS & JONES FEIRICH MAGER GREEN & RYAN 291 19WC 12385 ANDERSON, JAMES JENNIFER'S TRUCKING, INC 06/03/16 RICH RICH COOKSEY & CHAPPE KOPKA, PINKUS DOLIN, PC 292 19WC 12686 ARCHIBALD, JUDITH SOI - SOUTHERN IL UNIVERS @ 10/23/18 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 293 19WC 13084 MC ALLISTER, JEFF L STATE OF ILLINOIS-CHOATE @ 01/22/19 TIM DENNY LLC 294 19WC 13149 LUNDEBY, ELIZABETH A HARRISBURG VETERINARY CLI 01/03/19 MOLLY WEHKING 295 19WC 13472 HUFF, TIFFANY AEIGIS THERAPIES 07/16/18 SAM C MITCHELL & ASSOCIATE BRAD L BADGLEY PC 296 19WC 13965 LAIRD, BRYAN KEITH RC COLA 09/21/18 HOWERTON, DORRIS & STONE ROUSE & CARY 297 19WC 14106 19B MIGNERON, JASON STATE OF IL/MENARD C.C. @ 04/24/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 298 19WC 14346 WOODROME, KEVIN SLAB MASTERS 04/27/19 PRINCE LAW FIRM ROUSE & CARY 299 19WC 14371 RATHERT, JEFFREY DORMA KABA 09/06/18 FISHER KERHOVER COFFEY 300 19WC 14558 BYRLEY, JAMES PEPSI MID AMERICA 03/06/19 MUELHAUSEN & STEFANI 301 19WC 14632 KOMMER, MICHAEL CWI OF ILLINOIS, INC. 09/24/18 LAWLER & LAWLER LITCHFIELD CAVO 302 19WC 14936 SHEWMAKER, AMANDA SHAWNEE HEALTH SERVICES 11/01/18 HUGHES LAW FIRM 303 19WC 14945 BASDEN, GWENDOLYN KROGER 02/26/19 MICHAEL MILES GANAN & SHAPIRO

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 304 19WC 15252 LANE, ANDREA ELDORADO CUSD #4 10/04/18 RICH RICH COOKSEY & CHAPPE ANCEL GLINK PC 305 19WC 15997 DAME, TIM FRITO LAY 03/29/19 RON D COFFEL & ASSOC THOMAS MAMER & HAUGHEY 306 19WC 16326 KONEMANN, JOHN MASSAC CNTY SHERIFF'S OFF 01/16/19 SAM C MITCHELL & ASSOCIATE BRAD L BADGLEY PC 307 19WC 16564 BRYANT, JERRY EAGLE RIVER COAL 01/06/17 CULLEY FEIST KUPPART & JOR 308 19WC 16614 BYERS, NICHOLAS SHAWNEE C.C. @ 02/19/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 309 19WC 16742 CRIPPS, JAMES CORY PRAIRIE FARMS DAIRY, INC 04/18/19 WINTERS BREWSTER CROSBY SC KNAPP, OHL & GREEN 310 19WC 16753 GARRETT, LORENZO PLAZA TIRE 01/11/19 MICHAEL MILES 311 19WC 16842 BRASHER, CARLOS B PEABODY ILLINOIS SERVICES 01/02/19 CULLEY & WISSORE 312 19WC 16876 SANDERSON, LINDA DPS OF HARRISBURG, INC. 12/01/18 MORROW WILLNAUER 313 19WC 17066 FORSTING, GEOFFREY CHESTER MENTAL HEALTH @ 05/19/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 314 19WC 17107 WRIGHT, TAMMY THE FELLOWSHIP HOUSE 11/13/18 WINTERS BREWSTER CROSBY SC MCDONALD & BOGDAN 315 19WC 17234 THOMPSON, RION CP COMMUNICATIONS 10/15/18 RICH RICH COOKSEY & CHAPPE RUSIN & MACIOROWSKI LTD 316 19WC 17264 ARRINGTON, RICHARD CENTERSTONE 12/11/18 BROWN & BROWN 317 19WC 17378 POE, TIMOTHY J GATEWAY COAL MINE 12/06/18 BONIFIELD & ROSENSTENGEL P KEEFE & DEPAULI 318 19WC 17502 MULHOLLAND, RICHARD GLISTER-MARY LEE CORPORAT 05/02/19 WINTERS BREWSTER CROSBY SC FEIRICH MAGER GREEN & RYAN 319 19WC 17603 QUALLS, BARBARA A ONE HOT COOKIE 05/02/19 DEVIN M JONES LUCY T. UNGER 320 19WC 18091 HUMPHREYS, BRUCE CARBONDALE ELEMENTARY SD 06/04/19 RICH RICH COOKSEY & CHAPPE KNELL O'CONNOR DANIELWICZ 321 19WC 18163 PIND, JUDY CHOATE @ 04/29/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 322 19WC 18543 HENDERSON, LARRY STATE OF IL/VIENNA C.C. @ 02/01/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 323 19WC 18552 WARD, SAM CITY OF MARION 04/05/19 PRINCE LAW FIRM 324 19WC 18648 SIMS, CHRISTINE KEREN HART 01/08/19 HOWERTON, DORRIS & STONE NYHAN BAMBRICK KINZIE & LOWR 325 19WC 18773 MOORE, TINIKIA HELP AT HOME 06/06/19 WOMICK LAW FIRM CHTD 326 19WC 18969 TYNER, PHILLISA STATE OF IL, SIU-C @ 10/01/18 HOWERTON, DORRIS & STONE ASSISTANT ATTORNEY GENERAL 327 19WC 19644 WHITTINGTON, DENISE AISIN MFG 04/05/19 WOMICK LAW FIRM CHTD STEPHEN H LARSON LAW OFFICE 328 19WC 19656 MALONE, TYE MACH MINING LLC 06/20/19 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO 329 19WC 19671 YATES, GLENN HIRELEVEL INC 06/20/19 WINTERS BREWSTER CROSBY SC 330 19WC 20166 DRAPER, RHIANA STATE OF IL/CHESTER MENTA @ 06/10/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 331 19WC 20175 BOONE, DANIEL FRONTIER COMMUNICATIONS 05/21/19 HOWERTON, DORRIS & STONE BRADY, CONNOLLY & MASUDA, PC 332 19WC 20393 CLARK, JANSEN GENERAL CABLE 06/19/19 RICH RICH COOKSEY & CHAPPE QUINN JOHNSTON HENDERSON ETA 333 19WC 20428 WHEATON, MARY CHOATE MENTAL HEALTH/ @ 07/06/19 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 334 19WC 20514 POWELL, KEVIN CHOATE MENTAL HEALTH CENT @ 04/05/19 WINTERS BREWSTER CROSBY SC ASSISTANT ATTORNEY GENERAL 335 19WC 21153 PAROLA, JORDAN CROWNLINE BOATS 03/08/19 SAM C MITCHELL & ASSOCIATE HENNESSY & ROACH, PC 336 19WC 21189 MILLER, DAVID WALMART 12/15/18 JEROME LINDSAY SALMI LL EARLY & MIRANDA PC 337 19WC 21190 MONTEITH, TINA COUNTRY CUPBOARD 12/15/18 JEROME LINDSAY SALMI LL LEMP & MURPHY 338 19WC 21275 ELDRIDGE, JAMISON COMPLIANCE STAFFING AGENC 04/01/19 LAWLER & LAWLER RUSIN & MACIOROWSKI LTD 339 19WC 21743 PROWELL, DEBRA LYNN DAVITA DIALYSIS 07/14/18 HOWERTON, DORRIS & STONE WIEDNER & MCAULIFFE LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 340 19WC 21788 PEEBELS, TIMOTHY AISIN ELECTRONICS ILLINOI 10/17/18 WINTERS BREWSTER CROSBY SC STEPHEN H LARSON LAW OFFICE 341 19WC 21884 HILL, ALAN HARRELL WELL SERVICE 02/25/19 HANAGAN & MCGOVERN PC HEYL ROYSTER VOELKER & ALLEN 342 19WC 22170 NOEL, JAMES ILLINOIS YOUTH CNTR HARRI @ 07/23/19 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 343 19WC 22353 CAMPBELL, ALFRED UNITED PARCEL SERVICE 10/02/17 GOLDENBERG HELLER ANTOGNOL MCANANY VANCLEVE & PHILLIPS 344 19WC 22531 NELSON, MAE WALMART SUPERCENTER 05/08/19 JEROME LINDSAY SALMI LL QUINTAIROS PRIETO WOOD & BOY 345 19WC 22638 BECK, MARY GIDGET PENN ALUMINUM 07/10/19 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 346 19WC 22652 LOSEY, JAMES SOUTHERN ILLINOIS VAULT C 06/03/19 WOMICK LAW FIRM CHTD 347 19WC 22845 REHBEIN, PAM HOWERTON DORRIS STONE LAM 05/19/19 PRINCE LAW FIRM 348 19WC 22971 BRAYFIELD, DANIEL GILSTER-MARY LEE CORPORAT 07/26/19 FISHER KERHOVER COFFEY FEIRICH MAGER GREEN & RYAN 349 19WC 23049 PAREDES, ADRIAN CHESTER MENTAL HEALTH CEN @ 07/15/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 350 19WC 23270 SWINDLE, WESLEY QUEST TRUCKING 06/15/19 SCOTT B SHAPIRO BRYCE DOWNEY & LENKOV LLC 351 19WC 23286 JERALDS, DARLA VILLAHOUSE 06/07/19 DAVID W MARTAY QUINN JOHNSTON HENDERSON ETA 352 19WC 23906 BATEMAN, ROBERT SOUTHERN ILLINOIS UNIVERS @ 06/23/18 HUGHES LAW FIRM ASSISTANT ATTORNEY GENERAL 353 19WC 23956 TRIPP, KAREN ST OF IL- ANNA VETERANS H @ 07/15/19 TIM DENNY LLC ASSISTANT ATTORNEY GENERAL 354 19WC 24055 REDMON, BRIAN WALMART 09/23/18 HOWERTON, DORRIS & STONE GANAN & SHAPIRO 355 19WC 24144 GREENLEE, GARY PIASA MOTOR FUELS 08/06/19 GALANTI LAW OFFICES 356 19WC 24449 WALTERS, ROBERT RABEN TIRE CO, INC 01/02/19 WINTERS BREWSTER CROSBY SC 357 19WC 24460 WALKER, KRISTINA AISIN MFG ILLINOIS, LLC 08/02/19 WINTERS BREWSTER CROSBY SC STEPHEN H LARSON LAW OFFICE

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 358 19WC 24654 ANDERSON, CHRISTOPHER STATE OF IL/ CHESTER MENT @ 07/31/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 359 19WC 24740 FRAZER, AMBER CHESTER MENTAL HEALTH @ 07/16/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 360 19WC 24771 WILLIAMS, RACHAEL ST OF IL- CHESTER MENTAL @ 07/26/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 361 19WC 24909 YURS, LISA GILSTER MARY LEE CORP 07/31/19 LAWLER & LAWLER FEIRICH MAGER GREEN & RYAN 362 19WC 25579 NEWCOMB, ROBIN MASSAC MEMORIAL HOSPITAL 08/01/19 WINTERS BREWSTER CROSBY SC GAROFALO SCHREIBER STORM GRA 363 19WC 25597 FINNEY, KEVIN SIU-C @ 08/07/15 PRINCE LAW FIRM 364 19WC 25889 HARRISON, KEVIN GENERAL CABLE 08/12/19 RICH RICH COOKSEY & CHAPPE KEEFE CAMPBELL BIERY & ASSOC 365 19WC 26031 DUNCAN, WILLIAM HARDIN COUNTY SHERIFF'S D 04/17/19 LAWLER & LAWLER INMAN & FITZGIBBONS 366 19WC 26098 DAIGHERTY-SUMMERS, GERRI HELIA HEALTH 07/07/19 DWORKIN AND MACIARIELLO 367 19WC 26533 FRAZER, AMBER ST OF IL/CHESTER MENTAL H @ 12/25/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 368 19WC 26792 SCHUBERT, MICHELLE M DG RETAIL, LLC 04/03/18 HARRIS & JONES GOLDBERG SEGALLA LLC 369 19WC 27172 BENNETT, ASHLEY CENTERSTONE OF AMERICA IN 02/28/19 GLASS & KOREIN 370 19WC 27194 WINCHESTER, MELISSA CENTERSTONE OF ILLINOIS N 06/03/19 LAWLER & LAWLER 371 19WC 27203 JOSLIN, DEBORAH HELP AT HOME 07/15/19 MICHAEL MILES ROSARIO CIBELLA 372 19WC 27215 WINGERTER, ERIC CHESTER MENTAL HEALTH @ 08/14/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 373 19WC 27818 SCHMIDT, ANN MARIE BOYS & GIRLS CLUBS OF SOU 08/22/19 JOHN S. ELIASIK FEIRICH MAGER GREEN & RYAN 374 19WC 27946 HOUSEMAN, AMANDA STATE OF IL/CHOATE MENTAL @ 06/26/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 19WC027947 -C 375 19WC 28077 FANN, BILLY GENERAL CABLE 09/04/19 RICH RICH COOKSEY & CHAPPE KEEFE CAMPBELL BIERY & ASSOC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 376 19WC 28273 WOODHOUSE, PAUL DRY SYSTEMS TECHNOLOGIES 02/11/19 PRINCE LAW FIRM LUCY T. UNGER 377 19WC 28593 DOWNS, TAMMY (WIDOW) FCCC INVESTMENTS, LLC # 07/07/19 SAM C MITCHELL & ASSOCIATE WIEDNER & MCAULIFFE LTD 378 19WC 28858 DAME, TIM FRITO LAY 08/22/19 RON D COFFEL & ASSOC THOMAS MAMER LLP 379 19WC 28944 BAUER, DAVID MB GLOBAL LOGISTICS INC. 12/16/16 RICHARD E ALEKSY MCANANY VANCLEVE & PHILLIPS 380 19WC 29001 JOHNSON, CATHERINE A AISIN LIGHT METALS, LLC 08/31/18 HARRIS & JONES 381 19WC 29118 GREEN, LAURIE AISIN MANUFACTURING 09/17/18 WINTERS BREWSTER CROSBY SC 382 19WC 29159 CORSO, JOSEPH URSA LOGISTICS 06/25/19 RICH RICH COOKSEY & CHAPPE WIEDNER & MCAULIFFE LTD 383 19WC 29162 THOMPSON, CATHY SOUTHERN SEVEN HEAD START 05/01/19 PRINCE LAW FIRM 384 19WC 29213 WHITTLE, THOMAS MURRAYS BODY SHOP 08/22/18 WOMICK LAW FIRM CHTD ROSARIO CIBELLA 385 19WC 29266 STUART, JEREMY NEAL TIRE & AUTO SERVICE 07/01/19 BEARD LAW FIRM HOLTKAMP LIESE 386 19WC 29315 PETERSEN, DOROTHY SOUTHERN ILINOIS HEALTHCA 08/01/19 BEARD LAW FIRM FEIRICH MAGER GREEN & RYAN 387 19WC 29569 WALLER, JOHN KNIGHT HAWK COAL, LLC 10/09/18 LITCHFIELD CAVO 388 19WC 29716 DUCKWORTH, JOHN CHOATE MENTAL HEALTH @ 08/19/19 WINTERS BREWSTER CROSBY SC ASSISTANT ATTORNEY GENERAL 389 19WC 29835 MOHR, TOBY ST OF IL/MENARD C.C. @ 09/24/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 390 19WC 30031 WOODWORTH JR, RONNIE KRD 06/21/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 391 19WC 30104 SMITH, DAKOTA RABEN TIRE AND AUTO SERVI 02/16/19 SAM C MITCHELL & ASSOCIATE 392 19WC 30305 MELVIN, DIANA GILSTER MARY LEE CORPORAT 08/31/18 HARRIS & JONES FEIRICH MAGER GREEN & RYAN 393 19WC 30368 GILLEY, BROCK QUALITY NETWORK SOLUTIONS 08/10/18 WINTERS BREWSTER CROSBY SC ROUSE & CARY

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 394 19WC 30663 HOAGUE, DAVID DURHAM SCHOOL BUS 01/04/19 RICH RICH COOKSEY & CHAPPE BRADY CONNOLLY & MASUDA PC 395 19WC 30734 JACKSON, CHRISTYNA AISIN ELECTRONICS IL LLC 08/27/19 KIRKPARTICK LAW OFFICES KEEFE & DEPAULI 396 19WC 30819 OPP, ROBERT CITY OF PINCKNEYVILLE 09/05/19 JEROME LINDSAY SALMI LL 397 19WC 31069 HAMBURG, JEFFREY R ADVANCED MED CAR 09/24/19 BROWN & BROWN 398 19WC 31194 SPAULDING, JOHN CHOATE MENTAL HEALTH @ 09/21/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 399 19WC 31199 JACKSON, CHRISTYNA AISIN ELECTRONICS ILLINOI 08/30/19 KIRKPARTICK LAW OFFICES KEEFE & DEPAULI 400 19WC 31204 LEE, TIMOTHY FRANKLIN CNTY HOUSING AUT 09/03/19 RICH RICH COOKSEY & CHAPPE GOLDBERG & SEGALLA LLP 401 19WC 31263 HOLDER, WENDELL IDOT @ 07/10/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 402 19WC 31303 SIMPSON, JOHN GREG WEEKS, INC. 07/05/19 GORI JULIAN & ASSOC JAMES M KELLY 403 19WC 31395 HUDSON, DOUG SOUTHER FS, FARM SERVICE 03/04/19 HUGHES LAW FIRM HEYL ROYSTER VOELKER & ALLEN 404 19WC 31650 BECK, TERI CHESTER MENTAL HEALTH CEN @ 10/23/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 405 19WC 32210 NOVSEK, TRACY PUBLIC HEALTH DEPARTMENT 06/25/17 KATZ FRIEDMAN EISENSTEIN 406 19WC 33144 ELDERS, STEVEN SWANSON INDUSTRIES, INC 02/01/17 LAWLER & LAWLER HEYL ROYSTER VOELKER & ALLEN 407 19WC 33411 BAUER, JAYME CHESTER MENTAL HEALTH CEN @ 09/26/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 408 19WC 33413 CERISIER, FRANTZY GOODMAN NETWORKS 09/07/19 WINTERS BREWSTER CROSBY SC BRADY CONNOLLY & MASUDA PC 409 19WC 33444 CERVANTES-PEREZ, GUILLERM PEABODY-WILDCAT MINE 08/20/19 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 410 19WC 33580 BLEVINS, MACHELLE MURPHYSBORO CUSD #186 03/22/19 WOMICK LAW FIRM CHTD 411 19WC 33691 WALKER, DAVID PEABODY COAL WILDCATE HIL 08/17/15 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 412 19WC 34015 WILLFORD, BRITTANY JEREMIAH'S KITCHEN 07/23/19 HOWERTON, DORRIS & STONE STEPHEN H LARSON LAW OFFICE 413 19WC 34196 GUZMAN, LEE BIMBO BAKERIES USA 08/26/19 RATHBUN CSEVENYAK & KOZOL 414 19WC 34702 SHACKLETON, KATHY DILLARDS 09/11/18 WINTERS BREWSTER CROSBY SC MCANANY VANCLEVE & PHILLIPS 415 19WC 34837 KOWZAN, DANIEL L GOLD PLATE PROGRAM OF 09/10/19 FEIRICH MAGER GREEN & RYAN KNELL O'CONNOR DANIELWICZ 416 19WC 34856 PORRITT, LEO PEPSI MIDAMERICA 10/07/19 BRIAN K. ZIRKELBACH 417 19WC 34960 RIEHLE, CHRIS STRYKER 09/04/18 GALANTI LAW OFFICES MORROW WILLNAUER 418 19WC 35246 SHORT, CYNTHIA HARDIN COUNTY GENERAL HOS 08/18/18 MARK N LEE GAROFALO SCHREIBER STORM GRA 419 19WC 35394 SHULTZ, ROBERT ST OF ILLINOIS/CHESTER ME @ 10/17/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 420 19WC 35551 WARD, CHRISTOPHER PLACESMART AGENCY 09/09/19 WINTERS BREWSTER CROSBY SC 421 19WC 35924 ANDERS, BRANDON S PRYSMIAN GENERAL CABLE 07/11/19 HARRIS & JONES KEEFE CAMPBELL BIERY & ASSOC 422 19WC 36091 KING, TRACY JACKSON COUNTY HOUSING AU 12/20/17 RUSIN & MACIOROWSKI LTD 423 19WC 36351 ATWOOD, MICHELLEM SPERO FAMILY SERVICES 11/06/19 RON D COFFEL & ASSOC HENNESSY & ROACH, PC 424 19WC 36457 GIBBS, WHITNEY ILLINOIS VETERANS HOME OF @ 07/28/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 425 19WC 36652 FRICKE, BRIAN CHESTER DAIRY COMPANY 10/02/19 FISHER KERHOVER COFFEY HENNESSY & ROACH 426 19WC 36770 DONOGHUE, MARK GENERAL CABLE 07/16/19 RICH RICH COOKSEY & CHAPPE EVANS & DIXON 427 19WC 36950 WEBER, VICKI RANDOLPH COUNTY 12/06/19 FISHER KERHOVER COFFEY INMAN & FITZGIBBONS 428 19WC 36963 GRAH, ROBERT CHESTER MENTAL HEALTH CEN @ 10/12/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 429 19WC 36972 WHITED, KARLA MARSHALL BROWNING HOSPITA 03/21/19 RICH RICH COOKSEY & CHAPPE GAROFALO SCHREIBER STORM GRA

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 430 19WC 37052 DEEN, KIMBERLY DEPT OF CORRECTIONS/DUQUO @ 06/07/19 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 431 19WC 37113 JOHNSON, MATTHEW STATE OF ILLINOIS @ 10/03/19 HOWERTON, DORRIS & STONE ASSISTANT ATTORNEY GENERAL 432 19WC 37367 COURTNEY, JOSHUA DAVID STANLEY 08/15/19 DWORKIN AND MACIARIELLO ROUSE & CARY 433 19WC 37517 CHAPMAN, DOUGLAS STATE OF IL/ SIUC @ 01/20/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 434 19WC 37563 ROOD, COREY CHOATE MENTAL HEALTH @ 07/10/19 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 435 20WC 00334 PEARL, BRANDI SUBWAY 09/01/19 HARRIS & JONES 436 20WC 00543 DILDAY, MICHELLE FEDEX EXPRESS 07/23/19 RICH RICH COOKSEY & CHAPPE BRADY CONNOLLY & MASUDA PC 20WC000544 -C 437 20WC 00663 MOORE, BENJAMIN SOUTHERN ILLINOIS MINERS, 07/27/18 LAWRENCE COZZI - LAW OFFICE 438 20WC 00988 PHINNEY, MITCHELL ROYAL CROWN COLA OF HERRI 12/18/19 WINTERS BREWSTER CROSBY SC LAWRENCE COZZI - LAW OFFICE 439 20WC 01176 FIELDS, TRACY BEELMAN TRUCKING 05/08/19 WOMICK LAW FIRM CHTD HARRIS DOWELL FISHER & HARRI 440 20WC 01395 PLUMER, STEVEN R CITY OF MARION 09/19/19 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 441 20WC 01658 SULLIVAN, JOHN SOI/DUQUOIN IMPACT @ 12/17/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 442 20WC 01677 VALLIANT, MICHAEL GILSTER MARY LEE 03/26/19 THE BEARD LAW FIRM FEIRICH MAGER GREEN & RYAN 443 20WC 02059 PETTY, PAULA TJ MAXX 08/26/19 WOMICK LAW FIRM CHTD 444 20WC 02132 STEARNS, CORY VALIANT CARBONDALE AKA 10/24/19 RON D COFFEL & ASSOC MCANANY VANCLEVE & PHILLIPS 445 20WC 02201 SCHLAUTMANN, DAVID ILLINOIS DEPT OF CORRECTI @ 09/25/19 LAW OFFICE OF JEROME SALMI ASSISTANT ATTORNEY GENERAL 446 20WC 02211 ROCHE, DUSTIN PINCKNEYVILLE CC @ 01/09/20 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 447 20WC 02589 DECOURSEY, MARK HEARTLND MECHANICAL CNTRA 05/07/18 STEPHEN P. KELLY

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 448 20WC 03167 GRIFFITH, RYAN CLINTON MARSHALL D/B/A 10/18/19 LAWRENCE COZZI - LAW OFFICE 449 20WC 03383 HANSIL, RAYMOND CHOATE MENTAL HEALTH @ 12/27/19 LAW OFFICE OF JEROME SALMI ASSISTANT ATTORNEY GENERAL 450 20WC 03529 HOUSLEY, MONICA N LIBERTY VILLAGE OF MARION * 12/16/19 MOLLY WEHKING 451 20WC 03647 BERRY, EILEEN CHOATE MENTAL HEALTH CENT @ * 11/03/19 WALTON TELKEN LLC 452 20WC 04025 STANLEY, ROGER D CITY OF WEST FRANKFORT * 09/14/17 MCANANY VANCLEVE & PHILLIPS 453 20WC 04225 HANGER, CATHERINE GLISTER MARY LEE * 02/12/19 NELSON & NELSON FEIRICH MAGER GREEN & RYAN 454 20WC 04334 IWANICKI, JERZY DZIPKO TRANS INC * 02/01/19 ROBERT WARSASKI 455 20WC 04593 WHITEHEAD, STEVEN MAC-WELD INC * 08/16/18 HARRIS & JONES 456 20WC 04659 MILLER, ANNA MICHELLE LOWE'S * 05/30/19 HOWERTON, DORRIS & STONE KEEFE CAMPBELL BIERY & ASSOC 457 20WC 04858 LEE, TIM KROGER * 11/12/19 RICH RICH COOKSEY & CHAPPE 458 20WC 04945 AUSTIN, DENNIS STATE OF IL/ VIENNA C.C. @ * 08/30/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 459 20WC 04973 GLASSER, DYLAN M WILDCAT HILLS * 09/11/19 HASSAKIS & HASSAKIS PC KEEFE & DEPAULI 460 20WC 04984 CROW,GARRETT VIENNA C.C. * 10/18/19 RICH RICH COOKSEY & CHAPPE 461 20WC 05145 RICH, VIRGIL ALLEN DORRIS TRUCKING, INC. * 11/25/19 LAWLER & LAWLER 462 20WC 05368 MARLOW, CHARLES GENERAL CABLE * 02/03/20 RICH RICH COOKSEY & CHAPPE 463 20WC 05674 KELLEY, LINDA STONEBRIDGE NURSING & REH * 08/29/19 SAM C MITCHELL & ASSOCIATE 464 20WC 05709 SMITH, MARK H MACH MINING, LLC * 11/17/17 CULLEY & WISSORE CRAIG & CRAIG 465 20WC 05766 BASTIEN, REBECCA MURPHYSBORO CUSD #186 * 01/09/20 WOMICK LAW FIRM CHTD KNELL O'CONNOR DANIELWICZ

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 466 20WC 05789 LEMCKE, JOHN JR. CHESTER MENTAL HEALTH CEN @ * 11/05/18 FISHER KERHOVER COFFEY 467 20WC 05801 SHADOWENS, SHANE JOHNSON & JOHNSON ENTERPR * 07/03/19 WINTERS BREWSTER CROSBY SC 468 20WC 05903 WILSON, GANNON MENARD CORRECTIONAL CENTE * 12/03/19 FISHER KERHOVER COFFEY 469 20WC 05929 WALKER, GABE ILLINOIS YOUTH CENTER @ * 10/24/19 RON D COFFEL & ASSOC 470 20WC 05955 WATKINS, KEVIN THOMAS LIQUOR & GAS * 01/11/20 WOMICK LAW FIRM CHTD BRADY, CONNOLLY & MASUDA, PC 471 20WC 06113 HARRIS, STAN FEDEX * 01/29/20 HOWERTON, DORRIS & STONE QUINTAIROS PRIETO WOOD & BOY 472 20WC 06285 CASEY, GARY RAY SIU-C @ * 06/26/17 HOWERTON, DORRIS & STONE 473 20WC 06301 FLEMING, DUSTIN PLAZA TIRE SERVICE * 04/29/19 THE BEARD LAW FIRM FEIRICH MAGER GREEN & RYAN 474 20WC 06336 DAVIS, MICHELLE FIVE STAR INDUSTRIES * 10/21/19 THE BEARD LAW FIRM 475 20WC 06355 ODUM, GARY SOUTHERN ILLINOIS POWER * 10/17/19 MUELHAUSEN & STEFANI HEYL ROYSTER VOELKER & ALLEN 476 20WC 06506 HILL, BRANDON KKN MAIN ST MOBILE, INC * 11/19/19 LAWLER & LAWLER HENNESSY & ROACH, PC 477 20WC 06514 MOORE, REX GILSTER MARY LEE * 08/20/19 COOK SHEVLIN YSURSA ET AL FEIRICH MAGER GREEN & RYAN 478 20WC 06566 FLUTE, TRAVIS PERDUE FARMS * 10/10/19 WALTON TELKEN LLC HENNESSY & ROACH, PC 479 20WC 06744 TRAVELSTEAD, ADA HOME CITY ICE COMPANY * 07/03/17 MCANANY VANCLEVE & PHILLIPS 480 20WC 06884 LAWRENCE, MATTHEW IDOT @ * 01/06/20 RICH RICH COOKSEY & CHAPPE 481 20WC 07086 BOURLAND, JAMES SIU-CARBONDALE * 06/15/19 WINTERS BREWSTER CROSBY SC 482 20WC 07184 SPILLER, NANCY CATERVILLE CUSD 5 * 02/06/20 SAM C MITCHELL & ASSOCIATE 483 20WC 07481 LEONARD, BRIAN FRONTIER COMMUNICATIONS * 01/21/20 WOMICK LAW FIRM CHTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 484 20WC 07650 DOBYNS, CHRISTOPHER CHESTER MENTAL HEALTH CTR @ * 03/01/20 FISHER KERHOVER COFFEY 485 20WC 07674 WIGGINS, CHRISTAL STATE OF ILLINOIS @ * 09/12/19 HANAGAN & MCGOVERN PC 486 20WC 07860 MILLS, RICKY L JR ANCHORAGE LONGWALL REBUIL * 11/06/19 HUGHES LAW FIRM 487 20WC 07959 GEARHART, ANGEL CHESTER MENTAL HEALTH CEN @ * 02/28/20 FISHER KERHOVER COFFEY 488 20WC 08011 THOMAS, MICHAEL HOME DEPOT * 02/04/20 RICH RICH COOKSEY & CHAPPE 489 20WC 08033 ANDERSON, JAIME PEABODY COAL WILDCAT HILL * 12/13/19 CULLEY FEIST KUPPART & JOR 490 20WC 08120 CHAABAN, ALIA JIMMY JOHN'S * 02/28/20 THE BEARD LAW FIRM 491 20WC 08209 DOBBS, DAVID D MENARD CORRECTIONAL CTR @ * 03/06/20 FISHER KERHOVER COFFEY 492 20WC 08241 STONE, BRENDA APERION CARE * 01/11/20 GLASS & KOREIN 493 20WC 08351 MULHOLLAND, RICHARD GILSTER-MARY LEE CORPORAT * 05/06/19 WINTERS BREWSTER CROSBY SC FEIRICH MAGER GREEN & RYAN 494 20WC 08363 DENNY, LORI SIH/MEMORIAL HOSP OF CARB * 04/07/17 FEIRICH MAGER GREEN & RYAN 495 20WC 08387 HEAPE, SETH NIGHT HAWK COAL LLC * 01/07/20 KEEFE & DEPAULI 496 20WC 08463 WEASEL, JASON PEABODY COAL WILDCAT HILL * 12/13/19 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 497 20WC 08481 KARNES, KATHEE HEARTLAND REGIONAL MEDICA * 03/24/20 DWORKIN AND MACIARIELLO 498 20WC 08740 SNYDER, THOMAS PEABODY COAL WILDCAT HILL * 12/13/19 CULLEY FEIST KUPPART & JOR 499 20WC 08754 LOCKETT-HAMILTON, GAIL GILSTER MARY-LEE * 08/07/19 NELSON & NELSON FEIRICH MAGER GREEN & RYAN 500 20WC 08961 FRANKLIN, MAURY AECOM * 08/09/17 JOHNSON SCHNEIDER & FERREL HENNESSY & ROACH 501 20WC 09124 WILLETT, MICHAEL CPC LOGISTICS, INC * 01/21/20 ANKIN LAW OFFICE

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 06/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 502 20WC 09252 KAY, JACK H COAL FIELD CONSTRUCTION C * 11/06/19 LITCHFIELD CAVO 503 20WC 09408 BOCOOK, DONNA RURAL KING * 03/03/20 WINTERS BREWSTER CROSBY SC 504 20WC 09700 COURTNEY, JOSHUA BLUE GOLD MINE SERVICES, * 08/15/19 DWORKIN AND MACIARIELLO 505 20WC 09958 NOLAND, YVETTE MENARD CC @ * 01/18/20 RICH RICH COOKSEY & CHAPPE 506 20WC 10582 NESSA, SHAWN CONTINENTAL TIRE * 02/20/20 HARRIS & JONES