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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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 56029 MC NEELY, GLORIA M BUSHNELL VETERINARY SERV 05/19/03 KANOSKI BRESNEY SPIEGEL & CAHILL, PC 2 04WC 58005 MC NEELY, GLORIA M BUSHNELL VETERINARY SERV 01/21/02 KANOSKI BRESNEY COZZI & GOGGIN-WARD 3 07WC 08144 NEILL, JACQUALYNL WEST CENTRAL IL 05/11/06 KANOSKI BRESNEY THOMAS & PORTELA 4 07WC 17532 DAY, LEAH LOU'S DRIVE-IN 04/18/06 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 5 08WC 40905 INGRAM, DANIEL KM PLANT SERVICES 09/10/08 RUSIN MACIOROWSKI & FRIEDMAN 192 08WC042390 -C 6 09WC 26635 GOODMAN, DENNY D JR MECHANICAL INSULATION CO, 02/01/08 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 7 09WC 32559 ADAMS, HEATHER CITY OF MACOMB 07/14/09 JAMES M RIDGE & ASSOC PC KEEFE & DEPAULI 09WC033081 -C 09WC038180 -C 8 09WC 35789 SCHIERER, SCOTT EUREST DINING 03/26/09 STRONG LAW OFFICE GANAN & SHAPIRO 9 09WC 44948 NORBOM, GARY A CITY OF PEORIA 08/13/09 BACH, ROBERT W HASSELBERG GREBE SNODGRASS 10 10WC 09429 HUNT, THANE PEORIA POLICE DEPARTMENT 01/25/10 LAW OFFICE OF JEFF GREEN HASSELBERG GREBE SNODGRASS 11 10WC 13469 COATES, CATHRYN PROCTOR HOSPITAL 02/08/10 STRONG LAW OFFICE STEPHEN P. KELLY 12WC021708 -C 12 10WC 14940 JENKINS, ANITA Z PARKER-HANNIFIN CORPORATI 02/02/09 RUSIN MACIOROWSKI & FRIEDMAN 11WC035124 -C 13 10WC 20595 ARJES-MADDOX, WARD A IDOT 04/19/10 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 13WC032671 -C 14WC008708 -C 14 11WC 07324 NORTON, CASSANDRA ELMS NURSING HOME 07/01/10 LAW OFFICE DAVID HUNT RUSIN MACIOROWSKI & FRIEDMAN

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 11WC 07597 SCHERTZ, JACQUELINE R STATE OF ILLINOIS @ 02/16/11 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 16 11WC 07742 BOZEK, MELODY CATERPILLAR, INC 01/14/11 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR INC 11WC007743 -C 17 11WC 10499 MARFELL, JENNIFER PEORIA PUBLIC SCHOOLS/DIS 11/15/10 STRONG LAW OFFICE STEPHEN P. KELLY 18 11WC 12794 RUTHERFORD, ALVIS B JR CITY OF PEORIA 12/10/10 JEFFREY R. BACH HASSELBERG GREBE SNODGRASS 19 11WC 18164 RODRIQUEZ, ANA M CATERPILLAR INC 03/23/11 STEPHENS FIDDES MCGILL ASS CATERPILLAR 20 11WC 18698 DONAHUE, MARCIA COUNTY OF PEORIA 04/21/10 DOC HALLIDAY STEPHEN P. KELLY 21 11WC 24333 MIKULA, CHERYL A PARKER HANNIFIN 07/20/10 JOHN LESAGANICH ALLEN KOPET & ASSOCIATES 22 11WC 24731 FITZGERALD, DENISE ILLINOIS CENTRAL COLLEGE 06/25/08 TROY I ROBERTS COZZI & GOGGIN-WARD 23 11WC 25770 LOCHBAUM, AARON HAYES MECHANICAL 05/23/11 STRONG LAW OFFICE GAROFALO SCHREIBER STORM 11WC033948 -C 24 11WC 26522 ROMINE, VIRGIL KEYSTONE STEEL & WIRE CO 07/18/10 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 25 11WC 28221 BARTH, CAROLYN OSF SAINT FRANCIS 06/01/11 STRONG LAW OFFICE HINSHAW & CULBERTSON 11WC028222 -C 26 11WC 29839 HELMS, DALE SCSI LLC & ADVANCED QUALI 04/15/11 JAY H JANSSEN HEYL ROYSTER VOELKER & ALLEN 27 11WC 32349 19B SCOTTI, JOHN PEORIA PARK DISTRICT 11/03/10 LAW OFFICE OF CHRIS DOSCOT RUSIN MACIOROWSKI & FRIEDMAN 28 11WC 33836 KELLEY, LAURA L ST OF IL @ 08/03/11 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 29 11WC 42944 SHANNON, STEVEN E STATE OF ILLINOIS @ 06/01/11 DOC HALLIDAY ASSISTANT ATTORNEY GENERAL 30 11WC 43300 DAVIS, ARNOLD EMERALD PERFORMANCE MATER 07/10/09 SHAY & ASSOCIATES RUSIN & MACIOROWSKI LTD 31 11WC 44034 TORRES, PATRICIA FCA ANUFACTURING 09/22/10 JOHN LESAGANICH HOLECEK & ASSOCIATES

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 11WC 46656 STUBBS, JOSEPH C CITY OF PEKIN 07/25/09 THOMAS W DUDA NYHAN BAMBRICK KINZIE & LOWR 33 11WC 47040 GARRY, JIMMEY PEORIA HOUSING AUTHORITY 07/13/11 ROCHFORD & ASSOC THOMAS & ASSOCIATES 34 11WC 47132 19B JACKSON, DOUGLAS KEYSTONE STEEL & WIRE 11/17/11 GOLDFINE & BOWLES RUSIN & MACIOROWSKI LTD 35 11WC 49001 JENKS, PHILLIP OF METALS 12/19/11 STRONG LAW OFFICE SPIEGEL & CAHILL, P.C. 36 12WC 02711 DOTY, BARB WALMART 05/18/08 LAW OFFICE DAVID HUNT WIEDNER & MCAULIFFE LTD 37 12WC 09257 CHANDLER, PATRICIA L OSF ST FRANCIS MEDICAL CE 02/04/12 JOHN LESAGANICH HINSHAW & CULBERTSON 38 12WC 09333 CHANDLER, PATRICIA L OSF ST FRANCIS MEDICAL CE 11/07/11 JOHN LESAGANICH HINSHAW & CULBERTSON 39 12WC 10069 YATES, MARY PEORIA PUBLIC SCHOOL DIST 03/02/12 BENASSI & BENASSI STEPHEN P. KELLY 14WC040243 -C 40 12WC 13386 UMPHRESS, NEIL A FRATE SERVICE INC 03/09/12 PERONA, PETERLIN, ANDREONI JAMES M KELLY 41 12WC 15818 YOCOM, DAVID H KRESS CORPORATION 03/22/12 JOHN LESAGANICH THOMAS & ASSOCIATES 42 12WC 16990 19B ROBERTS, CRAIG PEORIA ROOFING 01/31/11 GOLDFINE & BOWLES KEEFE CAMPBELL & ASSOC LLC 43 12WC 21493 FURLONG, SCOTT EMERALD PERFORMANCE MATER 04/03/12 RUSIN & MACIOROWSKI LTD RUSIN & MACIOROWSKI LTD 44 12WC 23356 NAVE, JAY POLY ONE CORP 03/05/12 LAW OFFICE OF CHRIS DOSCOT KNELL & O'CONNOR 45 12WC 26490 KAUFMAN, LAURA STATE OF ILLINOIS @ 06/28/12 DOC HALLIDAY ASSISTANT ATTORNEY GENERAL 46 12WC 31308 RAGLAND, RANDY RAGLAND COMPANIES 07/01/11 WILLIAMS & SWEE RIPES NELSON BAGGOT KALOBRAT 47 12WC 35557 SPURLOCK, JAMES ADVASTAFF/MATCOR @ 06/14/12 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 48 12WC 35672 RANDLE, LONZO ADVASTAFF 06/14/12 JAY H JANSSEN LEAHY EISENBERG & FRAENKEL 49 12WC 35675 WALKER, DARRELL HOMEWAY HOMES 06/27/12 WILLIAMS & SWEE LTD PERRY GENTILE

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 12WC 35993 BROWN, WILLIAM ENERCON ENGINEERING 01/20/12 JAMES M RIDGE & ASSOC PC HOLECEK & ASSOCIATES 51 12WC 36833 YOUNGER, THEODORE W CATERPILLAR INC 05/18/12 STEPHENS FIDDES MCGILL ASS DARCY GIBSON 52 12WC 41492 MALSON, SHARI MAPLE LAWN HEALTH CENTER 03/05/12 WILLIAMS & SWEE GANAN & SHAPIRO 53 12WC 42447 BRATTON, SHERRYL A UFS SAVINGS CENTER INC 10/08/12 JOHN LESAGANICH QUINTAIROS PRIETO WOOD & BOY 54 12WC 42970 MARRS, JAMES CATERPILLAR, INC. 10/11/12 STEPHEN P. KELLY DARCY GIBSON 55 12WC 43428 WATTS, LEROY PRAIRIE FARMS DAIRY 03/12/12 GOLDFINE & BOWLES KNAPP, OHL & GREEN 12WC043429 -C 13WC015802 -C 16WC021358 -C 56 12WC 43756 BYBEE, RANDY L TAZEWELL COUNTY 06/13/11 BACH, ROBERT W LAW OFFICE OF PAUL O WATKISS 57 13WC 02387 RIGG, WILLIAM T BRADLEY UNIVERSITY 05/09/11 STRONG LAW OFFICE HOLECEK & ASSOCIATES 58 13WC 07458 DONALDSON, VICKIE CATERPILLAR INC 12/21/11 WINNE LAW OFFICE LLC DARCY GIBSON 59 13WC 07524 REED, KATHERINE J PARKER HANNIFIN CORP 01/23/13 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 60 13WC 09460 SCHADT, BRANDON HAGEL METAL FABRICATION I 08/22/12 JANSSEN LAW CENTER RIPES NELSON BAGGOT KALOBRAT 61 13WC 10197 MEINDERS, LARRY L IL DEPT OF TRANSPORTATION 09/10/11 LAW OFFICE OF CHRIS DOSCOT 62 13WC 12096 GRAVES, MARTHA CITY OF PEORIA/MUNICIPAL 07/23/12 HASSELBERG & ROCK HASSELBERG GREBE SNODGRASS 63 13WC 12245 WOLFE, PAULA ST OF IL, DEPT OF CORRECT @ 12/07/12 JOHNSON, ANDREWE ASSISTANT ATTORNEY GENERAL 64 13WC 13526 FITTON, TERRY L KEYSTONE STEEL & WIRE CO 10/25/10 HEALY SCANLON LAW FIRM RUSIN MACIOROWSKI & FRIEDMAN 65 13WC 13794 SEWARD, ROBERT E OTTO BAUM CO INC 04/10/13 LEE, MARK N LAW OFFICE KNELL LAW LLC 66 13WC 13904 WALKER, ANGELA J CIRCLE OF LIFE HOMECARE 07/04/11 JOHN LESAGANICH PC RUSIN MACIOROWSKI & FRIEDMAN

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 13WC 14055 MC DONALD, JENNIFER A SUNSET HILLS GOLF COURSE 08/26/10 JOHN LESAGANICH 68 13WC 15007 LEONARD, LAKEIA ST OF IL DEPT OF HUMAN SE 02/06/13 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 69 13WC 15202 TITUS, LLOYD JOE WESTERN GRAIN MARKETING 02/27/13 STRONG LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 70 13WC 15803 PETTITT, CALVIN EVONIK GOLDSCHMIDT CORP 02/13/13 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 71 13WC 16144 STOENS, JOAN M THE KROGER CO 03/21/13 DOC HALLIDAY 72 13WC 16918 BALENSIEFEN, JOHN EMERALD PERFORMANCE MATER 04/22/13 SHAY & ASSOCIATES RUSIN & MACIOROWSKI LTD 73 13WC 19087 COLE, TIMOTHY J KEYSTONE STEEL & WIRE CO 10/12/11 JOHN LESAGANICH, PC 74 13WC 20312 SHUTTS, DEAN FREDRICH AG-LAND FS INC 05/16/13 LAW OFFICE MARK WERTZ HOLECEK & ASSOCIATES 75 13WC 20356 MARFELL, JENNIFER PEORIA PUBLIC SCHOOLS/DIS 12/17/10 STRONG LAW OFFICE STEPHEN P. KELLY 76 13WC 21029 19B POTTER, BRUCE MATCOR 01/08/13 LAW OFFICE OF CHRIS DOSCOT HEYL ROYSTER VOELKER & ALLEN 77 13WC 21849 LEE, FRANKIE ENERCON ENGINEERING INC 01/23/13 RIDGE & DOWNES HOLECEK & ASSOCIATES 78 13WC 23843 ZERBEE, BRIAN NEWELL MACHINERY 01/16/13 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 79 13WC 26238 SCHAFFER, HEATH EMERALD PERFORMANCE MATER 07/18/10 SHAY & ASSOCIATES RUSIN & MACIOROWSKI LTD 80 13WC 28475 ROUSH, GARY G & D INTEGRATED 08/12/13 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 13WC036444 -C 81 13WC 28799 BRYANT, CHARLOTTE MEDIACOM 08/12/13 STRONG LAW OFFICE HOLECEK & ASSOCIATES 82 13WC 32511 WIELAND, KEVIN STS STAFFING 06/07/13 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 83 13WC 32629 LANDRITH, DONALD E JR HARRIS PEST CONTROL INC 07/31/13 STEPHEN P. KELLY PERRY GENTILE 84 13WC 33229 SPEARS, LUBERTHA OSF ST FRANCIS MEDICAL CE 02/15/13 STRONG LAW OFFICE HINSHAW & CULBERTSON 13WC033230 -C 85 13WC 35313 NICHOLS, DAVONNA F G&D INTEGRATED TRANSPORTA 06/07/11 LAW OFFICE MARK WERTZ 86 13WC 35621 DELBRIDGE, PEGGY L CATERPILLAR, INC. 05/23/13 BACH, ROBERT W DARCY GIBSON 87 13WC 35895 PITTMAN, SARAH PEORIA PUBLIC SCHOOL DIST 09/13/13 STRONG LAW OFFICE STEPHEN P. KELLY 88 13WC 36400 DELBRIDGE, PEGGY I CATERPILLAR INC 05/23/13 BACH, ROBERT W DARCY GIBSON 89 13WC 37479 O'BRIEN, PATRICK VERSA PRESS INC 10/17/13 CUSACK FLEMING GILFILLAN E GANAN & SHAPIRO 90 13WC 37920 WASHINGTON, DAWN D NELLIS MANAGEMENT COMPANY 04/13/13 JOHN LESAGANICH PC EDWARD JANUSZKIEWICZ 91 13WC 40369 BELLO, KATHLENE KROGER STORE 12/02/12 CUSACK FLEMING GILFILLAN E STONE & JOHNSON CHARTERED 13WC040370 -C 92 13WC 41160 DUNNE, MARTIN J MORTON INDUSTRIES LLC 11/04/13 JOHN LESAGANICH PC 93 14WC 01058 MILLER, CINDY L HOME INSTEAD SENIOR CARE 12/09/13 LAW OFFICE PATRICK JENNETT RIPES NELSON BAGGOT KALOBRAT 94 14WC 02180 DIAZ, MARGARITA CENTRAL CLEANING SERVICES 10/30/13 LEITER LAW OFFICES QUINN JOHNSTON HENDERSON ETA 95 14WC 02418 HASCALL, JEFFREY CITY OF PEORIA 07/25/13 BACH, ROBERT W HASSELBERG GREBE SNODGRASS 96 14WC 02901 NASH, DAVID KEYSTONE 11/14/13 CUSACK FLEMING GILFILLAN E RUSIN & MACIOROWSKI LTD 97 14WC 04084 FORD, VALERIE SAM'S CLUB 07/21/13 STEPHENS FIDDES MCGILL ASS QUINTAIROS PRIETO WOOD & BOY 98 14WC 04556 GOODMAN, ROBERT JR PRECISION COLLISION BODY 11/12/13 JOHN LESAGANICH, PL.C. GANAN & SHAPIRO

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 99 14WC 04584 DEET, ROBERTA P PARKER HANNIFIN CORP 12/04/13 JOHN LESAGANICH RUSIN MACIOROWSKI & FRIEDMAN 100 14WC 04801 SMITH, ERIKA HCR MANOR CARE 02/03/14 LAW OFFICE OF CHRIS DOSCOT BRYCE DOWNEY & LENKOV LLC 14WC005035 -C 101 14WC 05290 ALEXANDER, THOMAS W GINGRICH ENTERPRISES INC 09/01/13 MCCARRON LAW FIRM, PC HEYL ROYSTER VOELKER & ALLEN 102 14WC 05297 BARRIBALL, JAY PEORIA RIVERMAN 12/02/11 THE FLOYD LAW FIRM HOLTKAMP LIESE ET AL 103 14WC 05402 TIEMANN, ANTHONY WAYNE PEUGH FARMS 12/05/13 CUSACK FLEMING GILFILLAN E CHILTON YAMBERT PORTER LLP 104 14WC 06547 DUNHAM, ROGER CITY OF PEORIA 03/04/13 LAW OFFICE OF CHRIS DOSCOT HASSELBERG GREBE SNODGRASS 105 14WC 06995 RIGEL, STEVEN D CRST INTERNATIONAL INC 12/02/13 HASSAKIS & HASSAKIS PC THOMAS & ASSOCIATES 106 14WC 08744 ERVIN, LOUIE D CATERPILLAR INC 02/12/14 STEPHEN P. KELLY DARCY GIBSON 107 14WC 09634 HEARTY, IAN J CASE NEW HOLLAND 03/07/14 RIDGE & DOWNES LLC INMAN & FITZGIBBONS 108 14WC 13097 RUTLEDGE, TERRY KROGER 09/30/13 LEE, MARK N LAW OFFICE 109 14WC 14882 GILLES, RICHARD A JR THYSSENKRUPP 02/10/09 LAW OFFICE PATRICK JENNETT FOLEY & MANSFIELD PLLP 110 14WC 15039 CONGER, MARY GRAHAM HOSPITAL 02/15/13 WILLIAMS & SWEE QUINN JOHNSTON HENDERSON ETA 111 14WC 15653 PRINGLE, GREG KOMATSU AMERICA CORP 04/14/14 LAW OFFICE OF CHRIS DOSCOT KNELL LAW LLC 112 14WC 17597 MEDEARIS, MARY L HENRY SENACHWHINE CUSD 5 02/21/14 JOHN LESAGANICH 113 14WC 17746 BANNISTER, BRAD AT&T 03/12/14 ANDREW J ALMASI 114 14WC 18681 GUDAT, MARLENE BIRD IN THE HAND STAFFING 01/20/14 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 115 14WC 19275 19B BARTELL, MICHAEL IDOT @ 01/16/14 LAW OFFICE OF CHRIS DOSCOT SIMEON NOCKOV 116 14WC 20093 CARTER, NICHOLAS BLAINS FARM & FLEET 01/10/14 JOHN LESAGANICH RIPES NELSON BAGGOT KALOBRAT

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 14WC 20788 KUMER, JOSEPH DAVISON-FULTON WOODLAND C 02/08/14 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 118 14WC 20817 MORRELL, MARK PELLA CORPORATION 11/18/13 SIMPSON PETERSON HEYL ROYSTER VOELKER & ALLEN 14WC020818 -C 119 14WC 20838 RATTON, BRENDA CATERPILLAR INC 06/24/13 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 120 14WC 20929 SHEPLER, LAWRENCE AUGUSTA FARMERS CO-OP 04/28/14 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 121 14WC 21191 19B MATHIS, DORIS VAUGHN & BUSHNELL 11/01/13 LAW OFFICE OF CHRIS DOSCOT BRADY, CONNOLLY & MASUDA, PC 122 14WC 22696 ESTES, JESSE WAL-MART 05/31/14 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 15WC025453 -C 123 14WC 22873 KROHE, CHRISTOPHER A BRIDGEWAY INC 02/03/14 LEWIS & LONGLETT KNELL LAW LLC 15WC011262 -C 124 14WC 24329 MILLER, DONNA CATERPILLAR 06/10/14 STRONG LAW OFFICE AMANDA WATSON 125 14WC 24438 COATES, RYAN N NUSSBAUM TRANS SERV 05/22/14 GHANTOUS LAW OFFICES, LTD GANAN & SHAPIRO 126 14WC 24700 FOWLER, JASON STATE OF IL @ 08/24/12 CORNFIELD & FELDMAN SIMEON NOCKOV 127 14WC 24827 LANE, KELLEY J CITY OF PEORIA 05/05/14 JOHN LESAGANICH HASSELBERG GREBE SNODGRASS 128 14WC 24830 ROWLAND, ALBERT WASHINGTON HIGH SCHOOL 04/20/14 LAW OFFICE OF CHRIS DOSCOT RODDY LAW LTD 129 14WC 25094 KUMER, JOHN CITY OF EAST PEORIA 01/10/14 CROWLEY BUNGER PRILL INMAN & FITZGIBBONS 130 14WC 25122 FARGHER, CYNTHIA STATE OF IL-DCFS @ 06/09/14 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 131 14WC 25503 RATTON, BRENDA CATERPILLAR, INC. 06/17/14 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 132 14WC 25562 BENIGNO, MICHAEL FRED WEBER 03/04/14 KUEHNLEIN & KUEHNLEIN KNELL LAW LLC 133 14WC 25579 MIARS, KAY TAZEWELL COUNTY 05/30/14 LAW OFFICE DAVID HUNT INMAN & FITZGIBBONS

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 134 14WC 25741 COTTON, JENNIFER CHURCHS CHICKEN 07/08/14 STRONG LAW OFFICE BRUCE WARREN 135 14WC 26396 ADAMS, CARLOS G&D INTEGRATED 02/17/14 FOHRMAN, DONALD W & ASSOCS HEYL ROYSTER VOELKER & ALLEN 136 14WC 26664 JACKSON, GARY CNH AMERICA LLC 06/23/13 JOHN LESAGANICH 137 14WC 26822 PARKER, KAYRETHA CATERPILLAR INC 01/09/14 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 138 14WC 27622 BARRIBALL, JAY PEORIA RIVERMAN 10/23/11 FLOYD LAW FIRM HOLTKAMP LIESE ET AL 139 14WC 28091 DOWDS, CODY O'BRIEN STEEL SERVICE 08/02/14 LAW OFFICE OF CHRIS DOSCOT KEEFE CAMPBELL & ASSOC LLC 140 14WC 28125 HIBBERD, VIKKI SODERSTROM DERMATOLOGY CE 07/18/12 HASSELBERG GREBE SNODGRASS RUSIN MACIOROWSKI & FRIEDMAN 141 14WC 28345 WILSON, COLLEEN KOMATSU 07/11/14 HARVEY & STUCKEL KNELL LAW LLC 142 14WC 28728 LARIMORE, JAMES MICHAEL HERITAGE LAKE ASSOC INC 01/12/12 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 143 14WC 28955 VAUGHN, AARON CATERPILLAR, INC 08/19/14 SCHWEICKERT & GANASSIN DARCY GIBSON 144 14WC 29240 NOLAN, SCOTT CATERPILLAR INC 01/04/13 LAW OFFICE OF CHRIS DOSCOT DARCY GIBSON 145 14WC 30401 MOUDY, BRUCE R NELSON GLOBAL PRODUCTS 08/06/14 JOHN LESAGANICH LAW OFFICE CRAIG A HANSEN 146 14WC 32921 ANDERSON, JENNIFER OSF ST FRANCIS 06/08/10 HINSHAW & CULBERTSON 147 14WC 34038 BOWMAN, WARREN ST OF IL-ILLINOIS DEPARTM @ 07/31/14 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 148 14WC 35138 LANE, JOHN R IV KEYSTONE STEEL & WIRE CO 06/21/14 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 149 14WC 35410 BECKMAN, PATRICK K LOWE'S HOME IMPROVEMENT 07/20/14 HARVEY & STUCKEL KEEFE CAMPBELL & ASSOC LLC 16WC004705 -C 150 14WC 35921 BRANCECUM, ROBERT J&R SCHUGEL TRUCKING INC 02/24/14 LAW OFFICE OF CHRIS DOSCOT MACIOROWSKI SACKMANN & ULRIC 151 14WC 36277 CHISM, LINTON NAPA AUTO PARTS, MOTOR 02/10/14 WINNE LAW OFFICE LLC RUSIN & MACIOROWSKI LTD

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 152 14WC 36697 MARTIN, JOSHUA CITY OF PEORIA 10/18/14 BACH, ROBERT W HASSELBERG GREBE SNODGRASS 153 14WC 37313 LINDBERG, JOHN A CATERPILLAR INC 08/29/14 WINNE LAW OFFICE LLC AMANDA WATSON 154 14WC 37781 CLAYTON, MARTIN MV TRANSPORTATION 03/25/13 GOLDFINE & BOWLES 155 14WC 38387 HUFFMAN, MICHELLE L FAMILY DOLLAR STORES, INC 08/23/14 JOHN LESAGANICH WIEDNER & MCAULIFFE LTD 16WC011233 -C 156 14WC 38756 TUTTLE, CARL RONALD CAMPBELL D.B.A @ W 10/01/14 STRONG LAW OFFICE 157 14WC 39354 JONES, DENNIS TEAM JONES TRUCKING 11/17/14 KARNO, MARK L & ASSOC 158 14WC 39593 DEMPSEY, DANIEL A PERU AMBULANCE SERVICE 03/05/14 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 159 14WC 40510 FERNANDEZ, TYLER PEORIA RIVERMEN 11/17/13 LAW OFFICE OF CHRIS DOSCOT HOLECEK & ASSOCIATES 160 14WC 41902 RUTH, JOSHUA TOBIN BROTHERS 11/11/14 LAW OFFICE OF CHRIS DOSCOT KNELL LAW LLC 161 14WC 42252 PARKER, GENERAL RAM MECHANICAL INC 07/05/13 WARREN E DANZ, PC HOLECEK & ASSOCIATES 162 14WC 42567 SMITH, MARLA J OSF HOME CARE 04/02/12 BACH, ROBERT W HINSHAW & CULBERTSON 15WC011537 -C 163 14WC 42611 SPENCE, BRENT KEMP MANUFACTURING CO 11/27/12 KINGERY DURREE WAKEMAN & R GANAN & SHAPIRO 164 14WC 43752 RONANE, CAROLE METAMORE TWNSHP HS DIST 1 10/20/11 FADI B. RUSTOM PERRY GENTILE 165 15WC 00631 HOBBS, BRIAN ILLINOIS DEPT OF CORRECTI @ 09/29/14 LAW OFFICE OF CHRIS DOSCOT ASSISTANT ATTORNEY GENERAL 166 15WC 01878 YOUNG, SYLVIA KELLY SERVICES INC 12/31/14 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 167 15WC 02332 BERTRAND, CRAIG PRAIRIE FARMS INC 02/13/12 CUSACK FLEMING GILFILLAN E KNAPP, OHL & GREEN 168 15WC 02554 TURNER, RUSSELL F CATERPILLAR INC 12/03/14 JOHN LESAGANICH AMANDA WATSON 169 15WC 02588 MCKINLEY, LISA CITY OF PEKIN 01/20/12

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 170 15WC 02811 LANE, JOHN R IV KEYSTONE STEEL & WIRE CO 05/29/14 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 171 15WC 03070 CARNES, CASSIE CATERPILLAR INC 11/01/14 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 172 15WC 04348 JOUT, LAKHLIFI MATCOR 05/22/14 STEPHEN P. KELLY COZZI & GOGGIN-WARD 173 15WC 04394 UNCAPHER, JOSH UNITED WORKFORCE DEVELOPM 08/13/14 LEE, MARK N LAW OFFICE COZZI & GOGGIN-WARD 174 15WC 04705 DEJAYNES, ERIC BUSHNELL ILLINOIS TANK CO 01/28/15 LAW OFFICE OF CHRIS DOSCOT HENNESSY & ROACH PC 175 15WC 04730 BLAKELEY, JULI A GRAHAM HEALTH SYSTEMS DBA 10/23/14 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 176 15WC 05070 FRAZIER, JAMIE MULTIBAND USA 12/03/14 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 177 15WC 05351 HELFRICH, CHAD T THORNTON'S INC 06/05/14 KINGERY DURREE WAKEMAN & R 178 15WC 05684 NEUENDORF, TRACY WEXFORD HEALTH SOURCES 01/07/15 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD 179 15WC 05829 THOMPSON, CARL CATERPILLAR 09/23/14 WILLIAMS & SWEE AMANDA WATSON 180 15WC 06079 VAN PELT, ROBERT CATERPILLAR INC 06/24/14 WINNE LAW OFFICE LLC AMANDA WATSON 181 15WC 06573 OSTRENGA, JAMES KROGERS 12/24/14 STRONG LAW OFFICE STONE & JOHNSON CHARTERED 182 15WC 06591 POLNITZ, EVESTER LONG JOHN SILVERS 10/06/14 STRONG LAW OFFICE EDWARD JANUSZKIEWICZ 15WC035412 -C 16WC001315 -C 183 15WC 06915 ADAMS, KELLY I-HOP 01/02/15 WARREN E DANZ, PC 184 15WC 07169 SIEBERT, GARY MCALLISTER EQUIPMENT 02/06/15 GOLDBERG WEISMAN & CAIRO L 185 15WC 07216 CHURCH, TIFFANY N ROACHMAN 64 INC DBA BIGGI 02/19/15 WINNE LAW OFFICE LLC QUINN JOHNSTON HENDERSON ETA 186 15WC 08197 GRIFFITTS, G DAVID VAUGHN & BUSHNELL MFG 04/21/14 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 187 15WC 08318 ARNOLD, KATHLEEN SNYDER VILLAGE 01/20/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 15WC 08339 THOMPSON, JOHN SR KEYSTONE STEEL & WIRE CO 08/06/14 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 189 15WC 08909 KELLY, EBONIE CATERPILLAR, INC. 07/18/12 LAW OFFICE OF CHRIS DOSCOT DARCY GIBSON 190 15WC 09009 MC CARTNEY, GARY S KEYSTONE STEEL & WIRE CO. 02/20/15 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 191 15WC 10147 SMITH, JON MICHAEL NTN BOWER 09/23/13 SIMPSON PETERSON WIEDNER & MCAULIFFE LTD 15WC010148 -C 192 15WC 10449 TROCKUR, WENDY ILLINOIS CENTRAL COLLEGE 10/18/13 JAY H JANSSEN INMAN & FITZGIBBONS 16WC021222 -C 193 15WC 11198 THOMPSON, JOHN SR KEYSTONE STEEL & WIRE CO 07/16/14 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 194 15WC 12395 SPENARD, TONY GATEHOUSE MEDIA INC 06/12/13 JOHN LESAGANICH 195 15WC 12660 DOWELL, MARGARET A PROGRESSIVE HEALTH SYSTEM 11/16/14 KINGERY DURREE WAKEMAN & R STEPHEN P. KELLY 196 15WC 12953 BRAMAN, DARREL R TODD WHITE AND TROY WHITE 08/13/14 MICHAEL T. MAHONEY 197 15WC 13094 JACKSON, LARRY L CANTON UNION 10/27/14 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 198 15WC 13759 PALMER, DAMITA LUTHERAN SOCIAL SERVICES 03/03/15 LAW OFFICE DAVID HUNT 199 15WC 13789 BELLESS, LORI PETERSEN HEALTHCARE DBA 01/24/15 STRONG LAW OFFICE KNELL LAW LLC 200 15WC 14310 TURNER, LINDA RENAISSANCE CARE CENTER, 03/03/15 JOHNSON & JOHNSON 201 15WC 14540 BROOKS, NATHAN H CNH INDUSTRIAL 04/15/15 JOHN LESAGANICH INMAN & FITZGIBBONS 202 15WC 15634 WHITTINGTON, WARREN FOUR POINTS 06/18/14 WARREN E DANZ, PC 203 15WC 15923 ALLEN, NOAH A LERT CONSTRUCTION SERVI 05/01/15 STRONG LAW OFFICE 204 15WC 16277 MONTROSE, KENNETH SCHUMM TRUCKING INC 11/20/13 STRONG LAW OFFICE JAMES M KELLY 205 15WC 16353 BLOOM, DEBORA GREATER PEORIA MASS TRANS 04/27/15 LEE, MARK N LAW OFFICE QUINN JOHNSTON HENDERSON ETA

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 15WC 16944 ROBERTSON, DENNIS WALMART STORES, INC 04/29/15 JOHN LESAGANICH WIEDNER & MCAULIFFE LTD 207 15WC 16998 MC MAHON, BRETT P UNIT SCHOOL 04/04/15 JOHN LESAGANICH PERRY GENTILE 208 15WC 17180 BRIDGMAN, KRISTA RENAISSANCE CARE CENTER 04/02/15 STRONG LAW OFFICE GANAN & SHAPIRO 209 15WC 17214 BRADFORD, JACOB CITY OF PEORIA 05/12/15 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 210 15WC 17453 ANDERSON, LISA MICHELLE PEKIN HOSPITAL 01/20/15 LEFANTE LAW OFFICES STEPHEN P. KELLY 211 15WC 17587 HART, JOSHUA MJE CONSTRUCTION 08/04/14 LAW OFFICE OF CHRIS DOSCOT 212 15WC 17606 SIMONSEN, DAVID A CITYLINK 06/12/13 HASSELBERG GREBE SNODGRASS QUINN JOHNSTON HENDERSON ETA 213 15WC 17910 KING, WILLIE JR CITY OF PEORIA 12/20/12 SCHLICKSUP, HAL HASSELBERG GREBE SNODGRASS 214 15WC 18171 JOHNSON, GERALD A KEYSTONE STEEL & WIRE CO 01/12/15 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 215 15WC 18738 CARGILL, STEVIE DR PEPPER-SNAPPLE GROUP 03/30/15 STRONG LAW OFFICE SMITH AMUNDSEN LLC 216 15WC 18796 SASSMAN, BRIAN J-TECH 07/30/14 LAW OFFICE DAVID HUNT HOLECEK & ASSOCIATES 217 15WC 18864 PETERSON, DAVID PURDUE PAINTING & COATING 06/05/15 JOHN LESAGANICH BRYCE DOWNEY & LENKOV LLC 218 15WC 20398 BRITTON, CYNTHIA L. WESTERN ILLINOIS UNIVERSI @ 03/24/15 KANOSKI BRESNEY KRISTINA ECHOLS 219 15WC 20596 HUTTER, DARRELL EVONIK INDUSTRIES 09/13/13 LAW OFFICE OF CHRIS DOSCOT COZZI & GOGGIN-WARD 220 15WC 20597 HALL, TIMOTHY KEYSTONE STEEL & WIRE 05/16/15 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD 221 15WC 21058 GORDON, MICHAEL R TEMCO MACHINERY INC 03/04/15 JOHN LESAGANICH 222 15WC 21662 HUDSON, JOHN D JR CATERPILLAR INC 10/07/14 KINGERY DURREE WAKEMAN & R AMANDA WATSON 223 15WC 21842 MASTACHE, JESUS P & W BUILDERS 03/05/15 JAY H JANSSEN QUINN JOHNSTON HENDERSON ETA

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 224 15WC 23145 MOORE, STEPHEN TODD OX PAPERBOARD IL LLC 05/12/15 JOHN LESAGANICH 225 15WC 23426 BECTON, GREGORY CLARK MANAGEMENT LLC D/B/ 06/16/15 GOLDFINE & BOWLES 226 15WC 23533 DUPAGE, JOSHUA M SCOTT BANDY D/B/A MCDONAL 07/15/15 JOHN LESAGANICH 227 15WC 23747 KNOX, DARNELL BEST BUY 01/19/15 HASSELBERG & ROCK 228 15WC 23846 DELOUTCHE, ADRIENNE DOMINO'S 08/01/15 229 15WC 24804 DIECKOW, ROSE COOS INC 03/15/15 JOHN LESAGANICH ROSARIO CIBELLA 230 15WC 25518 PIERSON, TERI L PAUL AND MARY BREZNAY D/B 06/29/15 JOHN LESAGANICH 231 15WC 25690 PAPPAS, MARLEEN A REDBRAND CREDIT UNION 07/07/15 BENASSI & BENASSI HOLECEK & ASSOCIATES 232 15WC 25926 GREER, SARAH M OSF ST FRANCIS MED CTR 07/07/15 BACH, ROBERT W HINSHAW & CULBERTSON 233 15WC 25996 GREMMINGER, SHAWN D. PRECISION COLLISION BODY 07/17/15 JOHN LESAGANICH 234 15WC 26061 GRIEPENTROG, SALLY OSF ST FRANCIS MEDICAL CE 05/23/15 WINNE LAW OFFICE LLC HINSHAW & CULBERTSON 235 15WC 26148 RILEY, ETHEL SMOKIN NOTES BBQ TA 04/30/15 LAW OFFICE OF CHRIS DOSCOT 236 15WC 26348 PETERS, WADE MV TRANSPORTATION 05/28/14 237 15WC 26417 ALLEN, ANGELA CITY OF PEORIA 07/18/15 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 238 15WC 26744 WATTS, THOMAS J. VAN BUSKIRK CONSTRUCTION 07/21/14 HARVEY & STUCKEL HEYL ROYSTER VOELKER & ALLEN 239 15WC 27238 DONALDSON, VICKIE CATERPILLAR INC. 02/11/13 WINNE LAW OFFICE LLC DARCY GIBSON 240 15WC 27421 COTELLESO, BRIAN J KEYSTONE STEEL & WIRE CO 04/17/15 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 241 15WC 27629 GRAHAM, JAMES C SECURITAS SECURITY SVCS 03/14/15 ANDREW J ALMASI WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 242 15WC 27670 DONALDSON, VICKIE CATERPILLAR INC 04/29/13 WINNE LAW OFFICE LLC DARCY GIBSON 243 15WC 27761 ALLEN, CAROLYN S CATERPILLAR 04/17/15 STEPHEN P. KELLY AMANDA WATSON 244 15WC 27765 ANDER, BOBBY SR U-WOOD CONSTRUCTION DBA 08/12/15 WARREN E DANZ, PC 245 15WC 28175 LINDLEY, PHILLIP UPS FREIGHT 08/06/15 WILLIAMS & SWEE ASA LAW GROUP 246 15WC 28629 KEMPER, SUSAN CENTRAL ILLINOIS CHIROPRA 04/15/15 HASSELBERG & ROCK RUSIN & MACIOROWSKI LTD 247 15WC 28805 MC GRUDER, RONNIE RAFF'S MOBILE POWER WASH 06/05/15 WOODRUFF & JOHNSON BRADY, CONNOLLY & MASUDA, PC 248 15WC 28847 WHITE, LISA PEORIA PUBLIC SCHOOL DIST 01/20/15 BENASSI & BENASSI STEPHEN P. KELLY 249 15WC 30724 DEHILARIO, DAVID SELECT REMEDY 07/03/15 JOHN LESAGANICH LEAHY EISENBERG & FRAENKEL 250 15WC 30934 JOHNSON, ELLA MARIE VONACHEN SERVICES INC 06/12/15 HEIPLE LAW OFFICE PERRY GENTILE 251 15WC 31177 NELSON, RONALD L. SOI DEPT. OF TRANSPORTATI @ 08/31/15 GOLDBERG WEISMAN & CAIRO L KRISTINA D DION 252 15WC 31865 NELSON, BRAD J GOSHEN TOWNSHIP 02/24/14 WINNE LAW OFFICE LLC JAMES M KELLY 253 15WC 32285 19B KILLEN, MICHAEL STATE OF ILLINOIS - IDOT @ 05/04/15 LAW OFFICE OF CHRIS DOSCOT KRISTINA D DION 254 15WC 33674 RAMIREZ, GABRIELA CHARTWELL STAFFING SOLUTI 08/21/15 CULLEN HASKINS NICHOLSON 255 15WC 33724 CORNELIUS, LUZVIMINDA IVP PLASTIC 06/26/13 STRONG LAW OFFICE HOLECEK & ASSOCIATES 256 15WC 33764 RIVERS, ADAM MCMAHILL & SONS 09/07/15 QUINN JOHNSTON HENDERSON ETA 257 15WC 33787 HERNANDEZ, EDUARDO KOMATSU AMERICA CORP 06/24/15 KINGERY DURREE WAKEMAN & R HENNESSY & ROACH 258 15WC 33947 CARRINGTON, LEGRAND "JOE" STATE OF IL JAKE WOLF MEM @ 08/10/14 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 259 15WC 34108 GAUWITZ, JR GREASE MONKEY MIDWEST, LL 09/03/15 JOHN LESAGANICH COZZI & GOGGIN-WARD

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 260 15WC 34192 JOHNSON, JAMIE RON'S TRACTOR TRAILER W 07/22/15 JOHN LESAGANICH 261 15WC 34409 KELSO, TIMOTHY D ST OF IL DEPT OF 05/19/14 DOC HALLIDAY KRISTINA D DION 262 15WC 34484 TILLMAN, LATONYA (TONY) OSF ST FRANCIS MEICAL CEN 09/06/15 GOLDFINE & BOWLES HINSHAW & CULBERTSON 263 15WC 34548 REYNOLDS, BRIAN CITY OF PEORIA 09/03/15 BACH, ROBERT W HASSELBERG GREBE SNODGRASS 264 15WC 35045 SZESZKO, RICHARD FOREMOST PLASTIC PRODUCTS 09/21/15 RATHBUN CSEVENYAK & KOZOL LAW OFFICES STEVEN PILAND 265 15WC 35246 GRAYSON, CHARLES RENZENBERGER 10/12/15 REHN & SKINNER LLC HENNESSY & ROACH 266 15WC 35828 HARTLINE, CHRISTINE LUTHERAN SOCIAL SERVICES 07/09/15 GAROFALO SCHREIBER STORM 267 15WC 36408 HOLDER, DUSTIN T NELSON GLOBAL PRODUCTS 09/22/15 JOHN LESAGANICH LAW OFFICES STEVEN PILAND 268 15WC 36588 ELLIS, DONALD MILLSTONE WEBER 11/06/15 LEE, MARK N LAW OFFICE HENNESSY & ROACH 269 15WC 37116 PITTMAN, SUSAN PELLA WINDOWS 10/22/14 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 270 15WC 37416 FRYER, SCOTT BRADLEY UNIVERSITY POLICE 10/10/15 THOMAS, DALE 271 15WC 37738 LAYNE, CHARLES T WAL-MART #603 11/11/15 JOHN LESAGANICH WIEDNER & MCAULIFFE LTD 272 15WC 38089 CREW, JOSEPH KEYSTONE STEEL & WIRE 02/10/14 CUSACK FLEMING GILFILLAN E RUSIN & MACIOROWSKI LTD 273 15WC 38287 BURKIETT, PAMELA OSF ST. FRANCIS MEDICAL C 03/25/15 WARREN E DANZ, PC HINSHAW & CULBERTSON 274 15WC 38328 WOLFORD, MARK ANDERSON MERCHANDISERS, L 03/01/15 STRONG LAW OFFICE HENNESSY & ROACH PC 275 15WC 38458 GARRISON, DARRIN MEXICHEM SPECIALTY RESINS 03/01/13 LAW OFFICE OF CHRIS DOSCOT FISHER & PHILLIPS 276 15WC 38464 CHILDRESS, STEVEN PRAIRIE FARMS DAIRY 10/08/15 GOLDFINE & BOWLES KNAPP, OHL & GREEN 277 15WC 38652 FLOOD, WENDY TAZWOOD MENTAL HEALTH INC 10/28/15 STRONG LAW OFFICE PERRY GENTILE

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 278 15WC 38668 COULTER, TRISHA WEXFORD HEALTH 11/06/15 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 279 15WC 38830 JONES, DEBRA J WOODFORD CTY SPECIAL ED A 03/19/15 LAW OFFICE MARK WERTZ 280 15WC 38885 HICKS, RODNEY ISU @ 09/30/15 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 281 15WC 38980 JONES, MICHAEL RIVER CITY CONSTRUCTION L 02/20/13 GOLDBERG WEISMAN & CAIRO L KNELL LAW LLC 282 15WC 39385 WILLIAMS, BRENDA ESTATE A LINDA COOK DBA AL COOK MO # 12/04/12 WESTERVELT, JOHNSON, NICOL KRISTINA D DION 283 15WC 39657 CARTER, JAMES L MORTON BUILDINGS, INC. 11/18/15 JOHN LESAGANICH 284 15WC 39695 LARSON, SCOTT M ST OF IL DEPT OF IDOT 06/09/15 JOHN LESAGANICH 285 15WC 39879 CONKLIN, NOEL I STATE OF ILLINOIS DEPARTM @ 10/12/15 JOHN LESAGANICH KRISTINA D DION 286 15WC 42102 WILSON, JEFFREY A CITY OF PEORIA 12/15/15 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 287 15WC 42121 JOHNSON, RACHEL STATE OF IL DRIVER'S FACI @ 12/06/13 DOC HALLIDAY 288 15WC 42313 ROSENBERGER, GERALD MARC CATERPILLAR INC 04/12/15 WINNE LAW OFFICE LLC 289 15WC 42355 SCHULTZ, GREGG A. KEYSTONE STEEL & WIRE CO. 09/04/15 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 290 15WC 42439 PARK, BRANDON L. KNOXVILLE APARTMENTS 12/21/13 WILLIAMS & SWEE 291 15WC 42473 CARTAGENA, MICHEL CRST DEDICATED SERVICES 11/04/15 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 292 15WC 42495 ADEWUSI, KIONA CATEPILLAR INC 12/01/14 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 293 16WC 00347 DAVIS, CYNTHIA AMERICAN RED CROSS 10/22/14 LAW OFFICE PATRICK JENNETT GOLDBERG & SEGALLA LLP 294 16WC 00561 HICKSON, ELLIOTT CATERPILLAR INC 09/16/15 CUSACK FLEMING GILFILLAN E DARCY GIBSON 295 16WC 00586 PETTIES, JERMALL KEYSTONE STEEL & WIRE CO 12/01/15 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 296 16WC 00747 WILSON, LINDA ARAMARK 11/17/15 WILLIAMS & SWEE 297 16WC 00977 JOHNSON, HAROLD RHETT PHD SERVICES 11/30/15 JOHNSON & JOHNSON QUINN JOHNSTON HENDERSON ETA 16WC000978 -C 298 16WC 01117 RABE, JUSTIN CITY OF PEKIN 04/05/15 LAW OFFICE DAVID HUNT POWER & CRONIN LTD 299 16WC 01404 CLEMENT, SANDRA KROGER CO 12/29/15 LAW OFFICE MARK WERTZ GANAN & SHAPIRO 300 16WC 01476 WOLL, RICHARD A CATERPILLAR INC 10/01/15 HARVEY & STUCKEL AMANDA WATSON 301 16WC 01799 VONDERHEIDE, BRETT A CITY OF PEORIA 11/21/15 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 302 16WC 01919 FERGUSON, BETTY O S F ST FRANCIS HOSPITAL 01/02/16 WARREN E DANZ, PC HINSHAW & CULBERTSON 303 16WC 02072 TONELLI, JAMES KEYSTONE 03/02/15 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD 304 16WC 02090 MARAS, PAUL S. CITY OF PEORIA 02/26/13 BACH, ROBERT W HASSELBERG GREBE SNODGRASS 305 16WC 02113 FLOWERS, VALDA BURGESS CR ENGLAND 10/11/15 DISPARTI LAW GROUP PA COSTA IVONE LLC 306 16WC 02281 LEEPER, CYNTHIA D ENVOY AIR INC 01/01/15 JOHN LESAGANICH 307 16WC 02548 LOPEZ, WILLIAM ILLINOIS DEPARTMENT 12/16/15 STEPHENS FIDDES MCGILL ASS KRISTINA D DION 308 16WC 03229 KERR, JOHN AT&T 07/15/14 LAW OFFICE OF CHRIS DOSCOT INMAN & FITZGIBBONS 309 16WC 03449 JOHNSON, LATONYA WALMART 01/22/15 LAW OFFICE OF CHRIS DOSCOT WIEDNER & MCAULIFFE LTD 310 16WC 03529 ALBANO, TOM PEPISCO 06/25/15 LAW OFFICES TIMOTHY LAMPIN ROBERT L. SMITH 311 16WC 04074 LEONARD, LAKEIA STATE OF IL-DEPT OF HUMAN @ 10/31/13 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 312 16WC 04329 BURGET, STEVE EVONIK INDUSTRIES 11/13/15 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 313 16WC 04332 ROBERTSON, LARRY CHILLICOTHE METALS CO INC 07/07/15 LAW OFFICE DAVID HUNT

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 314 16WC 04362 CALDWELL, DONALD OSF HEALTHCARE SYSTEM COR 01/21/16 LAW OFFICE OF CHRIS DOSCOT HINSHAW & CULBERTSON 315 16WC 05442 REMMEL, JEFFREY MIDLAND DAVIS CORP 04/27/15 STRONG LAW OFFICE KNELL & O'CONNOR 16WC005446 -C 316 16WC 05621 HICKS, RYAN AZZ GALVANIZING 06/12/14 DWORKIN AND MACIARIELLO 317 16WC 06092 KOUTELIS, JAMES LMI LOGISTICS INC 01/19/16 STRONG LAW OFFICE SCOPELITIS GARVIN LIGHT 318 16WC 06140 TAYLOR, SHERRY ADDUS HOME CARE 01/11/16 JOHN LESAGANICH WIEDNER & MCAULIFFE LTD 319 16WC 06156 PARKER, MARK D ADVANCED THERMAL CONSTRUC 08/12/13 DOC HALLIDAY THOMAS & PORTELA 320 16WC 06161 BEECHER, TERROLL CATERPILLAR INC 03/21/14 JAY H JANSSEN CATERPILLAR INC 321 16WC 06176 SLYMAN, BRENDA YOUNG MAUI JIM USA INC 09/18/15 JOHN LESAGANICH 322 16WC 06187 BEARD, MICHELLE HCR MANOR CARE 09/03/15 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 323 16WC 06610 HARRIS-WAYNE, SANDRA G & D TRANSPORTATION 05/14/13 STEPHEN P. KELLY 324 16WC 06760 FUGITT, BRUCE CENTRAL TRANSPORT 01/12/16 LAW OFFICE OF CHRIS DOSCOT HINSHAW & CULBERTSON 325 16WC 07031 GOEHL, GREG CATERPILLAR, INC 05/11/15 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 326 16WC 07136 POWERS, DANIEL H STATE OF ILLINOIS 01/29/16 JOHN LESAGANICH 327 16WC 07321 STONE, REBECCA MCDONALD'S 01/15/16 BENASSI & BENASSI 328 16WC 07722 WILKS, TYRA PEORIA PUBLIC SCHOOLS DIS 02/09/16 STRONG LAW OFFICE STEPHEN P. KELLY

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 329 16WC 08239 TODD, CHRIS OSF ST FRANCIS MEDICAL CE 03/02/16 GOLDFINE & BOWLES HINSHAW & CULBERTSON 330 16WC 08259 CURTIS, CAROL J OSF ST FRANCIS MED CTR 07/02/15 BACH, ROBERT W HINSHAW & CULBERTSON 16WC008353 -C 331 16WC 08354 CURTIS, CAROL J. OSF ST. FRANCIS MEDICAL C 12/14/15 BACH, ROBERT W HINSHAW & CULBERTSON 332 16WC 08761 ANDERSON, JENNIFER OSF ST FRANCIS 02/18/14 HINSHAW & CULBERTSON 333 16WC 09026 LAWSON, JAMES CATERPILLAR, INC 01/25/16 STRONG LAW OFFICE AMANDA WATSON 334 16WC 09445 COURI, KELLY CITY OF PEORIA 11/18/15 JEFFREY R. BACH HASSELBERG GREBE SNODGRASS 335 16WC 09564 BRANSCUMB, GILBERT L CATERPILLAR INC 02/01/16 WINNE LAW OFFICE LLC 336 16WC 09919 HUGHES, GARY A JR SOI-WESTERN ILLINOIS @ 03/10/16 HARVEY & STUCKEL KRISTINA D DION 337 16WC 10800 MAGNUSON, DEBRA CATERPILLAR INC 03/07/16 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 338 16WC 11083 SIDWELL, LAURA BRIDGEWAY CORP 10/29/15 KATZ FRIEDMAN EAGLE ET AL KNELL LAW LLC 339 16WC 11207 MCNEIL, JERRY (JEROME) HOFMANN CONSTRUCTION & 02/01/16 WILLIAMS & SWEE BRUCE WARREN 340 16WC 11416 STONE, KELLY J CATERPILLAR, INC. 01/19/16 WINNE LAW OFFICE LLC AMANDA WATSON 341 16WC 12062 GLADWELL, KIM BERGNER'S 03/14/15 GOLDFINE & BOWLES WIEDNER & MCAULIFFE LTD 342 16WC 12312 BRINKER, COLEEN J CATERPILLAR INC 02/23/16 WINNE LAW OFFICE LLC CATERPILLAR, INC. 343 16WC 12470 BRINKER, COLEEN J CATERPILLR, INC. 02/23/16 WINNE LAW OFFICE LLC CATERPILLAR, INC. 344 16WC 12486 WARD, DOUGLAS WINSHIP FARMS 10/20/15 345 16WC 12653 RENKEN, ROGER C CATERPILLAR, INC 03/21/16 BENASSI & BENASSI CATERPILLAR, INC. 346 16WC 12680 GRAF, PAUL LUCKY'S MODERN DRIVE 01/29/16

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 347 16WC 12859 BECKMAN, JENNIFER CITY OF PEORIA 02/26/15 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 348 16WC 13229 GORZNY, ROBIN KROGER 12/17/15 HASSELBERG GREBE SNODGRASS GANAN & SHAPIRO 349 16WC 13442 PRIES, JACOB THOMAS HOME GOODS 04/14/16 GOLDFINE & BOWLES BRADY, CONNOLLY & MASUDA, PC 350 16WC 13684 MARRS, JAMES CATERPILLAR 03/28/16 STEPHEN P. KELLY DARCY GIBSON 351 16WC 13696 DUCHARME, MATTHEW CATERPILLAR, INC 04/20/14 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 352 16WC 13702 JOHNSON, JOYCE (WIDOW) FREEMAN UNITED COAL # 07/12/15 CULLEY & WISSORE CRAIG & CRAIG 353 16WC 13712 RODRIGUEZ, MIGUEL FUJIFILM MEDICAL 07/02/14 NEWLAND & NEWLAND 354 16WC 13929 ROBINSON, GLEN CATEPILLAR INC 04/11/16 JOHN LESAGANICH CATERPILLAR 355 16WC 13937 STONE, REBECCA MCDONALDS 04/04/16 BENASSI & BENASSI 356 16WC 14143 HOSEY, JAKKAR FLEXIBLE STAFFING SERVICE 04/18/16 SANDMAN LEVY & PETRICH BRADY, CONNOLLY & MASUDA, PC 357 16WC 14177 HANSEN, KRISTOPHER CATERPILLAR INC 03/18/16 JAY H JANSSEN AMANDA WATSON 358 16WC 14302 GRINDLE, RUTH HAVANA HEALTH CARE CENTER 04/22/16 STRONG LAW OFFICE KNELL LAW LLC 359 16WC 14638 SYNDER, DOLORES ROBERT COTTINGHAM PROPERT 04/26/16 STRONG LAW OFFICE GANAN & SHAPIRO 360 16WC 14861 PARCHMAN, LAURA JOURNAL STAR 03/26/16 LAW OFFICE OF CHRIS DOSCOT 361 16WC 15944 SKINNER, CARL L GLASS AMERICA-PEORIA 05/06/16 HARVEY & STUCKEL HOLECEK & ASSOCIATES 362 16WC 15949 RUSSELL, SAM EVONIK GOLDSCHMIDT CORP 07/14/14 KINGERY DURREE WAKEMAN & R 363 16WC 16079 BIGGAR, THOMAS CROW CREEK FARMS 04/28/15 WILLIAMS, HARRY M & ASSOC RUSIN & MACIOROWSKI LTD 364 16WC 16359 SCHREPFER, RICHARD CATERPILLAR, INC. 03/15/16 STRONG LAW OFFICE AMANDA WATSON

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 365 16WC 16476 STEVENS, ROBERT ARTIS GENERAL CONTRACTING 05/03/16 PERONA, PETERLIN, ANDREONI 366 16WC 16500 RIGGEN, DALE CATERPILLAR INC 09/10/15 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR, INC. 367 16WC 17053 LYONS, MARY A. MACOMB CUSD #185 09/03/13 KANOSKI BRESNEY KNELL LAW LLC 368 16WC 17081 STOEHR, DEBORAH D. CITIZENS EQUITY FIRST 12/08/15 JOHN LESAGANICH HENNESSY & ROACH 369 16WC 17395 ROBINSON, DENNIS PEORIA PBULIE SCHOOL 04/20/16 GOLDFINE & BOWLES STEPHEN P. KELLY 370 16WC 17529 ARMSTRONG, LORI UNITYPOINT CLINIC AT 03/07/16 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 371 16WC 17666 WEAVER, SEAN CATERPILLAR, INC. 02/02/16 JOHN LESAGANICH AMANDA WATSON 372 16WC 17673 GEORGE, RHONDA EUREST DINING SERVICES 05/19/16 STRONG LAW OFFICE GANAN & SHAPIRO 373 16WC 17741 HOLEMAN, LARRY D MORTON BUILDINGS, INC 06/22/15 RIDGE & DOWNES 374 16WC 17847 REED, KATHERINE PARKER HANNIFAN 04/15/16 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD 16WC017848 -C 375 16WC 17884 MORATH, BETHANY BRIDGEWAY, INC 02/11/15 LAW OFFICE DAVID HUNT KNELL LAW LLC 376 16WC 18028 DAVIS, CONNIE PEORIA PUBLIC 05/17/16 LEFANTE LAW OFFICES STEPHEN P. KELLY 377 16WC 18357 BURKS, NEAL KELSO-BURNETT ELECTRICAL 04/22/16 STRONG LAW OFFICE CACCHILLO LAW GROUP LLC 378 16WC 18505 RENKEN, ROBERT CATERPILLAR, INC 03/18/16 BENNETT LAW OFFICES AMANDA WATSON 379 16WC 18662 CLARK, WILLIAM D KEYSTONE STEEL & WIRE 08/10/14 FADI B. RUSTOM RUSIN & MACIOROWSKI LTD 380 16WC 18839 SCHNARR, ROBERT WAYNE MACOMB SCHOOL DISTRICT 18 06/14/13 JOHNSON & JOHNSON GANAN & SHAPIRO 17WC000260 -C 17WC000261 -C 381 16WC 18906 MCCARTNEY, GARY KEYSTONE STEEL & WIRE CO 03/29/16 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 382 16WC 18999 POWERS, MARK UNIQUE PERSONNEL CONSULTA 04/08/16 MEYERS & FLOWERS HOLECEK & ASSOCIATES 383 16WC 19394 MOOBERRY, STEVEN CATERPILLAR 06/30/15 LAW OFFICE OF JEFF GREEN AMANDA WATSON 384 16WC 19541 MCMAHON, BRETT P DUNLAP COMMUNITY UNIT SCH 06/14/14 JOHN LESAGANICH PERRY GENTILE 385 16WC 19630 HELMS, JOSEPH II PCCEO 12/02/15 LAW OFFICE OF CHRIS DOSCOT HENNESSY & ROACH PC 386 16WC 19634 HOHNSON, MERRILYN WALMART 09/02/15 LAW OFFICE OF CHRIS DOSCOT QUINTAIROS PRIETO WOOD & BOY 387 16WC 20010 HAWKINS, RONALD JR CITY OF PEKIN 05/15/16 BACH, ROBERT W NYHAN BAMBRICK KINZIE & LOWR 388 16WC 20091 SAVAGE, TROY PAR ELECTRICAL CONTRACTOR 04/08/15 MUELHAUSEN & STEFANI RUSIN & MACIOROWSKI LTD 389 16WC 20130 ROBINSON, GLEN CATERPILLAR INC 06/01/16 JOHN LESAGANICH CATERPILLAR 390 16WC 20285 JONES, MARILYN CATERPILLAR INC. 07/29/15 WINNE LAW OFFICE LLC AMANDA WATSON 391 16WC 20610 GLASS, JAMES E FRITO-LAY 01/04/16 DOC HALLIDAY 392 16WC 20888 JOPLIN, JOSHUA C RESTAURANTS INC 01/17/15 DOC HALLIDAY 393 16WC 21354 JANUS, CHESTER STATE OF ILLINOIS @ 06/27/16 GOLDFINE & BOWLES KRISTINA D DION 394 16WC 21357 VARDA, KELSIE BETHESDA LUTHERAN 08/21/15 GOLDFINE & BOWLES GAROFALO SCHREIBER STORM 395 16WC 21391 HARRIS, MARY HEDDINGTON OAKS 06/07/16 GOLDFINE & BOWLES STEPHEN P. KELLY 396 16WC 21792 DARLING, CHRISTOPHER PEORIA SIDING & WINDOW 05/09/16 LAW OFFICE DAVID HUNT GANAN & SHAPIRO 397 16WC 21990 CAHO, MERIDETH A ROGYS NEW GENERATION INC 01/07/15 DOC HALLIDAY 398 16WC 22123 HOWARD, DENNIS GREATER PEORIA MASS 02/14/16 WINNE LAW OFFICE LLC QUINN JOHNSTON HENDERSON ETA 399 16WC 22248 VOGEL, CHRISTINA L BOYD GAMING CORP 07/13/16 HASSELBERG GREBE SNODGRASS QUINN JOHNSTON HENDERSON ETA

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 400 16WC 22826 HEATON, SHERRY PETERSEN HEALTH INDUSTRY, 07/19/16 JOHNSON & JOHNSON KNELL LAW LLC 401 16WC 23138 GIVENS, PATRICIA SMG PEORIA CIVIC CENTER 06/24/16 LAW OFFICE DAVID HUNT RUSIN & MACIOROWSKI LTD 402 16WC 23399 PARRIS, ROBERT L MAC'S CONVENIENT STORE D/ 07/17/16 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 403 16WC 23518 POLNITZ, TANNESSIA WINGATE 06/14/16 WARREN E DANZ, PC 404 16WC 23521 SCHAUDER, GERLIND THE KROGER COMPANY 06/05/16 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 405 16WC 23593 SCOTT, SHERMAN CATERPILLAR 05/12/15 STRONG LAW OFFICE AMANDA WATSON 406 16WC 23758 WASHINGTON, DAWN BARTLETT MGMT SRVCS INC 06/15/16 JOHN LESAGANICH 407 16WC 23871 JONES, LORETHA PROCTOR PLACE 07/05/16 LAW OFFICE OF CHRIS DOSCOT 408 16WC 24142 ROSS, ERIC MENARDS 01/11/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 409 16WC 24252 SPRADLING, SEAN MEDICACOM COMMUNICATIONS 11/16/15 KATZ FRIEDMAN EAGLE ET AL 410 16WC 24415 IRIZARRY, PABLO OLD DOMINION FREIGHT 06/11/16 JEFFREY R. BACH RODDY LAW LTD 411 16WC 24449 YELM, GENIE OSF SAINT FRANCIS MEDICAL 03/02/16 STRONG LAW OFFICE HINSHAW & CULBERTSON 412 16WC 24555 WEST, GREG BOLEY TOOL & MACHINE WORK 06/26/16 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 413 16WC 24793 COX, BRET T. SEDONA STAFFING DBA LA 04/27/16 JOHN LESAGANICH 414 16WC 24794 COX, BRET T. RESOURCE MFG A.K.A SELECT 04/27/16 JOHN LESAGANICH LEAHY EISENBERG & FRAENKEL 415 16WC 24966 STRAWN, TIMOTHY G THERMAL SERVICES, INC 01/14/14 JOHN LESAGANICH 416 16WC 24970 BRICKHOUSE, CATHERINE WAL-MART 05/25/16 STRONG LAW OFFICE GANAN & SHAPIRO 16WC024971 -C 417 16WC 25000 SIEFERT, MARILYN WIDOW OF TRI-COUNTRY COAL # 04/27/15 CULLEY FEIST KUPPART & TAY

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 418 16WC 25044 RAMSAY, CINDY KROGER 07/10/16 STEPHENS FIDDES MCGILL ASS 419 16WC 25117 GREENLEE, KATRINA OSF HEALTHCARE INC 10/14/15 LAW OFFICE OF CHRIS DOSCOT HINSHAW & CULBERTSON 420 16WC 25178 MENNE, MARY JANE GRAHAM HOSPITAL 08/01/16 HARVEY & STUCKEL QUINN JOHNSTON HENDERSON ETA 421 16WC 26033 LOVE, ELIZABETH EPIC 08/06/16 GOLDFINE & BOWLES 422 16WC 26220 KENDALL, DENNIS STATE OF ILLINOIS DEPARTM @ 06/01/16 HOLLORAN & SCHWARTZ KRISTINA D DION 423 16WC 26372 CHRISTISON, CARESSA KROGER 08/14/16 RIDGE & DOWNES 424 16WC 26545 SUDDETH, JEFFREY D MILLSTONE WEBER 07/01/16 JOHN LESAGANICH WOLF LAW LTD 425 16WC 26835 JOHNSON, SHAWN ENERCON ENGINEERING 07/29/16 JAY H JANSSEN HOLECEK & ASSOCIATES 426 16WC 26963 SCHNEIDER, DOUGLAS S&S PROPERTY MANAGEMENT 05/28/15 LAW OFFICE OF CHRIS DOSCOT 427 16WC 27322 VELASCO, MARIO HARDEE'S 03/03/16 LAW OFFICE OF CHRIS DOSCOT 428 16WC 27335 GORDON, MICHAEL R TEMCO MACHINERY INC 07/01/16 JOHN LESAGANICH HOLECEK & ASSOCIATES 429 16WC 27477 O'CONNOR, JOHN FLIGINGER'S OUTDOOR POWER 08/10/16 GOLDFINE & BOWLES BRUCE WARREN 430 16WC 27542 BELL, THOMAS NESTLE USA, INC 08/28/16 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 431 16WC 27659 HUGHES, JEFFREY CATERPILLAR INC 08/11/16 WINNE LAW OFFICE LLC AMANDA WATSON 432 16WC 27741 MORTLOCK, WILLIAM FORT TRANSFER CO 08/04/16 STRONG LAW OFFICE 433 16WC 28096 HAMILTON, LANE KEYSTONE STEEL & WIRE 08/24/16 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD 434 16WC 28112 MOORE, WILDELIZ J B HUNT TRANSPORT 11/03/15 STROM, NEAL B LAW OFFICE CRAIG A HANSEN 435 16WC 28202 DUKES, MISTY CASEY'S GENERAL STORE 05/18/16 GALANTI LAW OFFICES

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 436 16WC 28223 FISHER, WILLIE JECKEL PARK FARM INC 12/10/15 GOLDFINE & BOWLES SORLING NORTHRUP 437 16WC 28240 WATSON, MARTIN MAUI JIM SUNGLASSES 12/10/14 RIDGE & DOWNES LLC HOLECEK & ASSOCIATES 438 16WC 28653 WALTERS, BRUCE AECOM 07/26/16 LAW OFFICE OF CHRIS DOSCOT HENNESSY & ROACH 439 16WC 29134 CUNNINGHAM, BRAD AJINOMOTO WINDSOR, INC 08/12/16 STRONG LAW OFFICE HOLECEK & ASSOCIATES 440 16WC 29152 BROOKS, MICHAEL PEORIA FIRE DEPARTMENT 01/05/16 STEPHENS FIDDES MCGILL ASS HASSELBERG GREBE SNODGRASS 441 16WC 29229 KESSLER, MICHAEL D KROGER 08/30/16 STEPHENS FIDDES MCGILL ASS 442 16WC 29328 WARREN, TYRONSICA ADECCO STAFFING 01/13/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH 443 16WC 29373 WHITEHEAD, JOSHUA SCHECK MECHANICAL CORP 08/19/16 LAW OFFICE KEITH SHORT ROBERT L. SMITH 444 16WC 29447 ALVAREZ, DEBRA HEDDINGTON OAKS 07/30/16 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 445 16WC 29691 ALEXANDER, PHYLLIS OSF SAINT FRANCIS 09/13/16 STRONG LAW OFFICE HINSHAW & CULBERTSON 446 16WC 29712 SHREVES, TERESA R MIDWEST CONTROL PRODUCTS 09/13/16 HARVEY & STUCKEL KEEFE CAMPBELL & ASSOC LLC 447 16WC 29728 MERCER, RANDY EVONIK INDUTRIES 08/02/16 LAW OFFICE DAVID HUNT 448 16WC 29916 ROSSON JR, JOHN F CASE NEW HOLLAND 08/08/16 KANOSKI BRESNEY INMAN & FITZGIBBONS 449 16WC 30729 KAMMERMAN, DONALD AECOM/URS CORP 10/21/15 CUSACK FLEMING GILFILLAN E HENNESSY & ROACH 450 16WC 31155 WILSON, SCOTT PAR ELECTRICAL CONTRACTOR 12/30/15 DRAKE & COLLOPY PC RUSIN & MACIOROWSKI LTD 451 16WC 31278 YONKER, THOMAS A BRIDGESTONE RETAIL OPER, 04/19/16 THOMSON & WEINTRAUB KNELL LAW LLC 452 16WC 31546 LANGEBERG, DEBBIE CATERPILLAR, INC 07/08/16 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 453 16WC 31587 LAWSON, GARY G & D TRANSPORTATION 09/21/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 454 16WC 31727 BEEBE, KATHY CASEY'S 06/22/16 LAW OFFICE OF CHRIS DOSCOT 455 16WC 31740 FULLER, JAMES DAX, LLC 07/28/16 GOLDFINE & BOWLES 456 16WC 31780 HAAG, MARGI KROGER 08/07/16 STEPHENS FIDDES MCGILL ASS 457 16WC 31866 REBHOLZ, HEATHER CATERPILLAR, INC 06/07/16 CASEY LAW OFFICE 458 16WC 31958 HUNT, ROY SC2 10/04/16 WARREN E DANZ, PC RIPES NELSON BAGGOT KALOBRAT 459 16WC 32411 RUTHERFORD II, JAMES A RJ DISTRIBUTING CO 09/22/16 JOHN LESAGANICH MCANANY VANCLEVE & PHILLIPS 460 16WC 32700 BARCLAY JR., JOHN ILLINOIS RIVER CORR CTR @ 09/25/14 LAW OFFICE OF CHRIS DOSCOT KRISTINA D DION 461 16WC 32773 SCHULTZ, LARRY G & D TRANSPORTATION INC 07/07/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 462 16WC 32845 DOUBET, CARLA ILLINOIS FARM BUSINESS 03/02/16 GOLDFINE & BOWLES BRADY, CONNOLLY & MASUDA, PC 463 16WC 33096 FLAIRTY, JAMES L KEYSTONE STEEL & WIRE CO 10/12/16 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 464 16WC 33291 JENNINGS, DIRK PEORIA COUNTY HIGHWAY DEP 09/19/16 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 465 16WC 33335 COX, TAMMIE ADVANCED MEDICAL TRANSPOR 10/06/16 LAW OFFICE DAVID HUNT 466 16WC 33635 ALTON, JULIE HOLIDAY INN HOTEL & SUITE 10/30/16 DWORKIN AND MACIARIELLO 467 16WC 33675 GRANT, RAYMOND WALMART 11/17/14 LAW OFFICE OF CHRIS DOSCOT WIEDNER & MCAULIFFE LTD 468 16WC 33860 DRISH, JASON MARTIN BROTHERS DISTRIB C 08/18/15 MCDONALD WOODWARD & CARLSO POWER & CRONIN LTD 469 16WC 33879 GORZNY, ROBIN KROGER 10/18/16 HASSELBERG GREBE SNODGRASS GANAN & SHAPIRO 470 16WC 33929 HAYDEN, TREVOR D BUCK OIL CO 11/01/16 HASSELBERG & ROCK EVANS & DIXON, LLC 471 16WC 34232 DUNNIGAN, BRIAN GUIDO VECCHIO 10/21/16 JAY H JANSSEN

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 472 16WC 34244 BAUER, JOY ILLINOIS AMERICAN WATER C 10/11/16 LAW OFFICE OF CHRIS DOSCOT 473 16WC 34415 BURWELL, KEITH D CITY OF PEORIA 08/26/16 KINGERY DURREE WAKEMAN & R HASSELBERG GREBE SNODGRASS 474 16WC 34420 HETZEL, DEBBIE WESLEY VILLAGE 09/19/16 SIMPSON PETERSON 475 16WC 35000 STAPLETON, JAMIL UPS 04/25/16 LAW OFFICE OF CHRIS DOSCOT 476 16WC 35233 SCOTT, SAMUEL IMI MATERIAL HANDLING LOG 11/01/16 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 477 16WC 35363 HERNANDEZ, ISRRAEL HOME CITY ICE 06/14/16 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 478 16WC 35467 BAILEY, DARRYL GREATER PEORIA SANITARY D 07/14/16 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 479 16WC 35566 HARVEY, CHRISTI PEORIA PUBLIC SCHOOLS 04/15/16 HASSELBERG GREBE SNODGRASS 480 16WC 35579 ABBOT, DAVID RJY ENTERPRISES, INC 10/03/16 STRONG LAW OFFICE 481 16WC 35619 BROWN, KEISHA AFFILIATED DIALYSIS CENTE 11/03/16 MICHAEL P MCCREADY & ASSOC 482 16WC 35796 GOODWIN, ROSEMARIE CATERPILLAR, INC 02/15/16 CUSACK FLEMING GILFILLAN E CATERPILLAR 483 16WC 35918 WILLIAMSON, TRICIA OSF ST FRANCIS MED CTR 08/15/16 GOLDFINE & BOWLES HINSHAW & CULBERTSON 484 16WC 36291 DUTTON, MICHAEL DAVIS BUICK GMC INC 08/30/16 JAMES M KELLY NOBLE & ASSOCIATES PC 485 16WC 36538 CHISM, MARK HANSON INDUSTRIAL INC 09/01/16 STEPHENS FIDDES MCGILL ASS MCANANY VANCLEVE & PHILLIPS 486 16WC 36909 KELLEY, GEORGIA SPUDNUT DONUTS 11/18/16 LAW OFFICE PATRICK JENNETT 487 16WC 37623 BROOKS, KATHY D GRAHAM HOSPITAL 11/07/16 JOHN LESAGANICH 488 16WC 37706 STANLEY, JORDEN AMEREN 11/16/16 LAW OFFICE OF CHRIS DOSCOT WINNE LAW OFFICE LLC 489 16WC 37831 MORGAN, DERRICK AVANTIS 11/22/16 STRONG LAW OFFICE

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 PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 490 16WC 38112 KUBIAK, BRENT CATERPILLAR, INC. 11/22/16 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 491 16WC 38114 WILLIAMS, PATRICIA WASHIGNTON CUSD #50 09/08/16 LAW OFFICE OF CHRIS DOSCOT PERRY GENTILE 492 16WC 38372 HIGHTOWER, ROGER PEPSI BEVERAGES CO 12/04/16 STEPHENS FIDDES MCGILL ASS ROBERT L. SMITH 493 16WC 38479 MACLIN, EARL LEO BROWN TRUCKING CO W 12/14/14 STRONG LAW OFFICE STEPHEN P. KELLY 494 16WC 38629 WADDILL, RHONDA TAZEWELL COUNTY CLERK 09/16/16 GOLDFINE & BOWLES INMAN & FITZGIBBONS 495 16WC 38934 MATTHEWS, DARRELL ROANOKE CONCRETE PRODUCTS 12/14/16 STEPHEN P. KELLY RODDY LAW LTD 496 16WC 39182 BOND, DIANE KROGER 12/20/16 GOLDFINE & BOWLES 497 16WC 39243 TRAMMELL, LUTHER KEYSTONE STEEL & WIRE 05/17/16 STEPHENS FIDDES MCGILL ASS RUSIN & MACIOROWSKI LTD 498 16WC 39460 COMMON, RONNIE HK PRODUCTION LOGISTICS 01/28/14 LEFANTE LAW OFFICES 499 17WC 00053 WILLIAMS, THOMAS CNS FORESTRY LANDSCAPING 09/29/16 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 500 17WC 00210 WILLIAMS, THOMAS CNS FORESTRY LANDSCAPING 09/20/16 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 501 17WC 00613 MURPHY DIANE OSF HOME CARE SERVICE 11/20/16 LAW OFFICE MARK WERTZ HINSHAW & CULBERTSON 502 17WC 00664 WEAST, JOHN AR LANGE ENTERPRISES, INC 09/29/15 STRONG LAW OFFICE 503 17WC 00672 TINNON, TOBY CATERPILLAR, INC. 11/28/16 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 504 17WC 00728 SCARBEARY, AMBER METAMORA PARK DISTRICT 05/11/16 WILLIAMS & SWEE NOBLE & ASSOCIATES PC 505 17WC 00976 HUGHES, SHIRLEY PEORIA PUBLIC SCHOOLS DIS 12/02/16 GOLDFINE & BOWLES STEPHEN P. KELLY 506 17WC 01152 VAN NORMAN, PETER KEYSTONE STEEL & WIRE CO 09/13/16 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 507 17WC 01517 WASHINGTON, LATREAUNA LANGSTON BAG 01/06/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 508 17WC 01558 SIEBENBORN, CHRIS NRG ENERGY, INC 01/20/15 JOHN LESAGANICH WIEDNER & MCAULIFFE LTD 509 17WC 01675 STRONG, DARYL ILLINOIS STATE POLICE @ 12/27/16 LAW OFFICE DAVID HUNT 510 17WC 01952 TOLAND, KENNETH N SAM LEMAN AUTOMOTIVE GROU 11/23/16 JOHN LESAGANICH GAROFALO SCHREIBER STORM 511 17WC 02169 SOIFER, JOSHUA COLE SC2, INC 12/20/16 WALTON TELKEN FOSTER LLC RIPES NELSON BAGGOT KALOBRAT 512 17WC 02184 STEWART, RODNEY JR CATERPILLAR INC 03/29/14 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR, INC. 513 17WC 02188 BUTTRUM, DEAN CASTING CLEANING RESOURCE 03/01/15 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 514 17WC 02191 BUTTRUM, DEAN SEDONA STAFFING 01/09/17 LAW OFFICE OF CHRIS DOSCOT 515 17WC 02276 PASSMORE, ROGER GRAWEY GLASS 01/11/17 GOLDFINE & BOWLES MCANANY VANCLEVE & PHILLIPS 516 17WC 02289 HALVERSON, TYLER KEYSTONE STEEL & WIRE 11/17/16 CUSACK FLEMING GILFILLAN E RUSIN & MACIOROWSKI LTD 517 17WC 02550 WEARS, DAVID THE GUTTERS & MORE COMPAN 12/30/16 STRONG LAW OFFICE 518 17WC 02965 HINTZ, MICHAEL SIGNATURE CONTROL SYSTEMS 11/09/16 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 519 17WC 02972 ROSS, DANA CRST, INC 12/14/16 STRONG LAW OFFICE 520 17WC 03025 CONTRERAS, TINA STATE OF ILLINOIS 01/15/16 STRONG LAW OFFICE KRISTINA D DION 521 17WC 03059 VERMEESCH, TIMOTHY CATERPILLAR INC 01/23/17 STEPHENS FIDDES MCGILL ASS AMANDA WATSON 522 17WC 03069 JANSSEN, SARA D J D STREET & CO 10/10/16 LAW OFFICE MARK WERTZ 523 17WC 03094 COOK, BRETT M GUTTERS & MORE 09/22/16 MCCALL LAW OFFICES PC 524 17WC 03279 SIDENER, DENNIS LANGSTON BAGS OF PEORIA 01/04/17 STRONG LAW OFFICE 525 17WC 03395 LAYMAN, JEREMY JOHN CITY OF PEORIA POLICE DEP 08/13/16 MCCALL LAW OFFICES PC HASSELBERG GREBE SNODGRASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 526 17WC 03477 BROWN, DEBORAH STATE OF ILLINOIS @ 12/02/16 STEPHENS FIDDES MCGILL ASS KRISTINA D DION 527 17WC 03503 SMITH, RICHARD ALLEGIS GROUP INC 12/28/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 528 17WC 03529 JAPUNTICH, JOSEPH RUAN TRANSPORTATION 03/05/14 KINNALLY FLAHERTY KRENTZ & JAMES M KELLY 529 17WC 03642 GILLIAM, TYRONNE DAL GLOBAL SERVICES, LLC 08/03/16 JOHN LESAGANICH KNELL LAW LLC 530 17WC 03942 HOGAN, RICKEY KEYSTONE STEEL AND WIRE C 01/15/17 CASEY LAW OFFICE RUSIN & MACIOROWSKI LTD 531 17WC 04158 BARNETT, MELISSA TAZEWELL COUNTY COURT SER 01/25/17 GOLDFINE & BOWLES 532 17WC 04374 ORTEGA, JESUS ELITE STAFFING 10/03/16 COSTA IVONE LLC 533 17WC 04463 MENDEZ, PEDRO NESTLE FOOD COMPANY 09/22/16 GHANTOUS LAW OFFICES, LTD NYHAN BAMBRICK KINZIE & LOWR 534 17WC 04572 WADE, VERNON G&D INTEGRATED 01/09/17 STEPHEN P. KELLY HEYL ROYSTER VOELKER & ALLEN 535 17WC 04632 OGBURN, ANDREW CITY OF EAST PEORIA 01/11/17 CONNOR LAW OFFICES INMAN & FITZGIBBONS 536 17WC 04640 CRACRAFT, TIMOTHY CATERPILLAR, INC. 03/10/16 JOHNSON & JOHNSON CATERPILLAR, INC. 17WC004673 -C 537 17WC 04651 FUNCHESS, COURTLAND CITYLINK 09/21/16 LAW OFFICE OF CHRIS DOSCOT 538 17WC 04660 CROOKS, WOODROW SC2 07/28/16 JAY H JANSSEN RIPES NELSON BAGGOT KALOBRAT 539 17WC 04722 MCATEE, RUTH SNYDER VILLAGE 01/12/17 STRONG LAW OFFICE WOLFE & JACOBSON, LTD 540 17WC 04902 WEBB, CHRISTOPHER SC2 06/15/15 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 541 17WC 04922 PATTERSON, RICHARD ADVANTAGE AUTO SALES INC 08/26/15 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 542 17WC 04933 LOVETT, RONNIE ODF SAINT FRANCIS MEDICAL 02/11/16 STRONG LAW OFFICE HINSHAW & CULBERTSON 543 17WC 04969 STALLINGS, STEVEN PEORIA AREA DISPOSAL CO 03/23/16 DOC HALLIDAY HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 544 17WC 05064 DIAZ, CHRISTIAANO PIZZA HUT 03/12/16 GOLDFINE & BOWLES 545 17WC 05065 GROVE, TONYA NORTHWESTERN MEDICINE 12/13/16 GOLDFINE & BOWLES 546 17WC 05573 THOMPSON, APRIL MACOMB COUNTRY CLUB 01/17/17 STEPHEN P. KELLY WOLFE & JACOBSON, LTD 547 17WC 05593 GOLD, TIMOTHY A UAW SENIOR CITIZENS CENTE 06/09/16 DOC HALLIDAY 548 17WC 05725 WORT, DAVID PHILIPPI-HAGENBUCH INC 01/04/17 STRONG LAW OFFICE 549 17WC 05745 EDWARDS, LARRY JIM HAWK TRUCK TRAILERS, 07/15/16 WARREN E DANZ, PC HOLECEK & ASSOCIATES 550 17WC 06089 STEWART, SHANNON L PARKER SEAL 07/25/16 BENASSI & BENASSI ALLEN & NEWMAN 551 17WC 06225 HARVEY, CHRISTL PEORIA PUBLIC SCHOOLS 11/21/16 HASSELBERG GREBE SNODGRASS STEPHEN P. KELLY 552 17WC 06297 FINCH, OWEN J SOI-WESTERN IL UNIVERSITY @ 10/20/16 HARVEY & STUCKEL KRISTINA D DION 553 17WC 06426 FIRMAND, BRIAN HUNZEKER SERVICE AGENCY 08/31/16 JAY H JANSSEN CHILTON YAMBERT PORTER LLP 554 17WC 06483 RODNEY, DELICATH CITY OF PIORIA 12/18/16 HASSELBERG & ROCK HASSELBERG GREBE SNODGRASS 555 17WC 06487 PITTMAN, MELISSA SHARON ELMS HEALTHCARE 02/16/17 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 556 17WC 06675 LINTON, CHARLES W JR TAZEWELL COUNTY 10/24/16 GOLDFINE & BOWLES INMAN & FITZGIBBONS 557 17WC 06709 BEENEY, KATHY PEKIN HOSPITAL - UNITY PO 01/17/17 LAW OFFICE OF JEFF GREEN STEPHEN P. KELLY 558 17WC 06967 PERRY, ERIC BORKHOLDER BUILDINGS 08/30/16 JAY H JANSSEN THOMAS & PORTELA 559 17WC 07120 VIRES, BRIDGET PERKINS RESTAURANT 10/30/16 CUSACK FLEMING GILFILLAN E 560 17WC 07323 MALONEY, STEVE PEPSI 10/11/16 JAY H JANSSEN ROBERT L. SMITH 561 17WC 07337 AKINS, CHRIS NUMOTION 08/13/16 LEFANTE LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 562 17WC 07478 FAHNDERS, CHRISTOPHER WINPAK HEAT SEAL CORPORAT 06/23/16 LEFANTE LAW OFFICES 563 17WC 07520 TOLAND, GREG JAMES INNESS TRUCKING 12/17/14 LAW OFFICE OF CHRIS DOSCOT WIEDNER & MCAULIFFE LTD 564 17WC 07593 BASTIAN, ANGELA SELECT POST ACUTE CARE 11/22/16 LAW OFFICE OF CHRIS DOSCOT 565 17WC 07622 WARD, PHILLIP VONACHEN SERVICES INC 02/08/17 STRONG LAW OFFICE PERRY GENTILE 566 17WC 07649 BRINER, MILDRED DISTRICT 309 EAST PEORIA 02/10/17 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 567 17WC 07772 MILLER, LEE BYERS AUTOMOTIVE INC 01/21/16 JOHN LESAGANICH 568 17WC 07777 BANKS, SHAWN KEYSTONE STEEL & WIRE CO 02/13/17 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 569 17WC 07969 DUHS, DENVER MID-ILLINI 07/10/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 570 17WC 08124 JACKSON, DENISE WEEK-TV 11/07/16 LAW OFFICE OF CHRIS DOSCOT HEYL ROYSTER VOELKER & ALLEN 571 17WC 08210 WYCKOFF, MATT CONTI CORP 02/09/17 LEE, MARK N LAW OFFICE COZZI & GOGGIN-WARD 572 17WC 08272 HOSKING, KEITH RJR TRUCKING 10/13/16 LAW OFFICE OF CHRIS DOSCOT INMAN & FITZGIBBONS 573 17WC 08316 MAYFIELD, HOWARD UNIVERSAL ADCOM 02/02/16 LEFANTE LAW OFFICES 574 17WC 08415 MAYES, DANNY PEORIA SCHOOL DISTRICT 15 04/08/16 HASSELBERG & ROCK STEPHEN P. KELLY 575 17WC 08565 MAYES, DANNY PEORIA SCHOOL DISTRICT 15 04/08/16 HASSELBERG & ROCK STEPHEN P. KELLY 576 17WC 08632 TOCKES, ROBERT FORT TRANSFER 03/01/15 JAY H JANSSEN 577 17WC 09017 ANDERSON, HAILEY HOPEDALE MEDICAL COMPLEX 02/11/17 LAW OFFICE OF CHRIS DOSCOT SPIEGEL & CAHILL, PC 578 17WC 09028 GAINES, CAROLYN A NIEMANN FOODS, INC 12/26/16 HARVEY & STUCKEL HEYL ROYSTER VOELKER & ALLEN 579 17WC 09097 FULTON, HAROLD CATERPILLAR INC 03/09/16 AMANDA WATSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 580 17WC 09397 LOGAN, MONTY CHUCK MILLER INDIVIDUALLY 05/06/15 THOMAS R LICHTEN 581 17WC 09411 EDWARDS, EUGENE LE PEEP 10/16/16 STRONG LAW OFFICE GANAN & SHAPIRO 582 17WC 09462 DUVALL, ANNE MINIMED DISTRIBUTION CORP 12/09/16 GOLDFINE & BOWLES POWER & CRONIN LTD 583 17WC 09495 PEARL, MARCUS CATERPILLAR 08/21/14 STRONG LAW OFFICE AMANDA WATSON 584 17WC 09547 DRIGGS, GEORGE UPS 07/22/14 KELLY LAW COZZI & GOGGIN-WARD 585 17WC 09622 MORRISON, DAVID KEYSTONE STEEL & WIRE 03/13/17 CUSACK FLEMING GILFILLAN E RUSIN & MACIOROWSKI LTD 586 17WC 09635 WHEELER, PAULA THORNTON'S INC 01/31/17 STRONG LAW OFFICE LAW OFFICE CRAIG A HANSEN 587 17WC 10065 SCHILLING, KIM PEORIA COUNTY COURTHOUSE 03/21/17 LEE, MARK N LAW OFFICE 588 17WC 10185 LIVINGSTON, RYAN ALLIED WELDING 03/23/17 LAW OFFICE OF CHRIS DOSCOT RIPES NELSON BAGGOT KALOBRAT 589 17WC 10237 DOUGLAS, PEARLINE OSF HEALTHCARE SYSTEM 03/15/17 STRONG LAW OFFICE HINSHAW & CULBERTSON 590 17WC 10293 MAYBERRY, KENNETH L CATERPILLAR INC 04/01/14 DOC HALLIDAY AMANDA WATSON 591 17WC 10418 HAMBY, NICHOLAS FLEMING ELECTRIC 03/24/17 LAW OFFICE OF CHRIS DOSCOT BRADY, CONNOLLY & MASUDA, PC 592 17WC 10432 MCQUAID, TAMMIE S CATERPILLAR INC 09/02/14 WINNE LAW OFFICE LLC 593 17WC 10583 GROEL, CATHY J G & D INTERGRATED 11/28/16 BENASSI & BENASSI HEYL ROYSTER VOELKER & ALLEN 594 17WC 10802 DONALDSON, LARRY CLUBS AT RIVER CITY * 11/30/16 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD 595 17WC 11060 TARRANT, DAWN R WENDY'S 09/01/16 KANOSKI BRESNEY NOBLE & ASSOCIATES PC 596 17WC 11085 SELING, TSIRCH PRAIRIE FARMS DAIRY 04/05/17 STRONG LAW OFFICE KNAPP, OHL & GREEN 597 17WC 11322 RUSK, TODD R CITY OF PEORIA 03/09/17 CONNOR LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 598 17WC 11488 CHASE, AMBER UNITED FACILITIES 01/08/15 CUSACK FLEMING GILFILLAN E COZZI & GOGGIN-WARD 599 17WC 11555 BRIDGEMAN, DAVID GREENBRIER CASTINGS 10/06/16 GOLDBERG WEISMAN & CAIRO L 600 17WC 11569 EASTWOOD, JOSH SAM'S CLUB, INC 11/05/16 LEFANTE LAW OFFICES 601 17WC 11692 ENGLEBRECHT, RON KEYSTONE STEEL & WIRE CO 10/17/15 GOLDFINE & BOWLES RUSIN & MACIOROWSKI LTD 602 17WC 11770 WALKER, GEORGE O'BRIEN STEEL SERVICE CO 03/13/17 LEFANTE LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 603 17WC 12176 HILL, DONALD OSF ST FRANCIS MEDICAL CE 03/16/17 LAW OFFICE DAVID HUNT 604 17WC 12232 EVANS, SYLVESTER G&D INTEGRATED 02/20/17 GOLDFINE & BOWLES HEYL ROYSTER VOELKER & ALLEN 605 17WC 12315 COATES, LINDA CITY OF PEORIA 07/19/16 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 17WC012316 -C 606 17WC 12327 GUADALUPE-FLORES, MARIA GCA SERVICES 10/15/15 LAW OFFICE OF CHRIS DOSCOT 607 17WC 12329 GUADALUPE-FLORES, MARIA GCA SERVICES 03/10/17 LAW OFFICE OF CHRIS DOSCOT 608 17WC 12507 LINWOOD, ROBERT BUFFALO WILD WINGS 04/01/17 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 609 17WC 12791 STEWART, CODY KEYSTONE STEEL & WIRE 04/03/17 ROCHFORD & ASSOC 610 17WC 12837 GILLETT, DAVE LEXUS OF PEORIA 04/03/17 LAW OFFICE OF CHRIS DOSCOT GANAN & SHAPIRO 611 17WC 13022 HARRISON, LUKE ST LOUIS CARDINALS BASEBA 08/01/16 BURNES & LIBMAN 612 17WC 13042 GILMORE, ASHLEY GRAHAM HOSPITAL 12/05/16 LAW OFFICE OF CHRIS DOSCOT 613 17WC 13060 COCHRAN, PAMELA GRAND VIEW ALZHEIMER'S 04/20/17 RIDGE & DOWNES 614 17WC 13121 BROD, DUANE PAL HEALTH TECHNOLOGIES 02/01/17 GOLDFINE & BOWLES 615 17WC 13124 STEDMAN, COREY MIDWESTERN BLDG SUPPLIES, 03/30/16 GOLDFINE & BOWLES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 616 17WC 13133 MILLER, WILLIAM MCLEOD EXPRESS 02/09/17 STRONG LAW OFFICE 617 17WC 13282 ESCHMEYER, ANDREW L CONTINENTAL AUTOMOTIVE IN 03/22/17 HARVEY & STUCKEL COZZI & GOGGIN-WARD 618 17WC 13353 DOWELL, GARY W. KEYSTONE STEEL & WIRE CO * 07/12/16 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 619 17WC 13760 HEHNER, THERESA TGI FRIDAY'S 03/14/17 LEFANTE LAW OFFICES 620 17WC 14073 MATLOCK, MICHAEL KEYSTONE STEEL & WIRE 03/11/17 CUSACK FLEMING GILFILLAN E RUSIN & MACIOROWSKI LTD 621 17WC 14080 MABREY, AHSLEY LIBERTY VILLAGE OF PEORIA 03/11/17 GOLDFINE & BOWLES 622 17WC 14097 AVILA, JOSE MOTEL 6 03/14/17 LAW OFFICE OF CHRIS DOSCOT WIEDNER & MCAULIFFE LTD 623 17WC 14144 BERRYMAN, BOBBIE PEPSI CO 06/10/16 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 624 17WC 14246 SKINNER, EDWIN JEFFREY SMG PEORIA CIVIC CENTER 04/28/17 WILLIAMS & SWEE 625 17WC 14514 PLATA, ALEJANDRO SAM LEMAN BMW * 01/03/17 LAW OFFICE OF CHRIS DOSCOT 626 17WC 14635 LOESCH, ZACHARY COLUMBUS COTTONMOUTHS * 01/19/17 CHATHAM & BARICEVIC GAROFALO SCHREIBER STORM 627 17WC 14836 HOBBS, AALEAH CHILDER'S EATERY * 09/04/16 HASSELBERG GREBE SNODGRASS 628 17WC 14888 PHILLIPPE, DON ARC * 03/11/17 LAW OFFICE OF CHRIS DOSCOT EVANS & DIXON, LLC 629 17WC 14892 ELLIS, TODD CITY OF EAST PEORIA * 02/27/17 CUSACK FLEMING GILFILLAN E 630 17WC 14952 SHEEHAN, SHANNON VONACHEN SERVICES INC * 01/13/17 SCHWEICKERT & GANASSIN PERRY GENTILE 631 17WC 15018 WILLIAMS, SANDRA FANNIE MAY CHOCOLATES * 04/16/17 BENASSI & BENASSI COZZI & GOGGIN-WARD 632 17WC 15369 BAYARD, ROBERT HAYES MECHANICAL * 04/12/16 LAW OFFICE OF CHRIS DOSCOT 633 17WC 15441 WEBSTER, RICK GINCERICH PLUMBING * 02/23/17 GOLDFINE & BOWLES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 634 17WC 15464 FRIDAY, JUSTIN G&D INTEGRATED * 05/06/17 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 635 17WC 15627 COATS, CHRISTOPHER CITY OF PEKIN DEPARTMENT * 06/25/16 GOLDBERG WEISMAN & CAIRO L 636 17WC 15868 AVERY, JOSHUA LOWE'S * 09/22/16 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 637 17WC 15926 STRUBE, DIANNA STAYBRIDGE SUITES * 03/11/17 LAW OFFICE OF CHRIS DOSCOT GAROFALO SCHREIBER STORM 638 17WC 15943 DUNCAN, DERRICK PRAIRIE FARMS DAIRY INC. * 04/14/17 GOLDFINE & BOWLES KNAPP, OHL & GREEN 639 17WC 15946 PIRAINO, TONY CITY OF EAST PEORIA FIRE * 01/08/17 GOLDFINE & BOWLES 640 17WC 16001 LONG, JEFF KROGER * 08/25/16 LAW OFFICE OF CHRIS DOSCOT 641 17WC 16076 DRAY, LINDA OSF ST FRANCIS MED CTR * 01/17/17 CUSACK FLEMING GILFILLAN E HINSHAW & CULBERTSON 642 17WC 16150 ROE, PETER WASTE MANAGEMENT OF IL IN * 03/06/17 GOLDFINE & BOWLES 643 17WC 16347 WILSDORF, CYNTHIA STATE OF ILLINOIS POLICE * 05/27/17 LAW OFFICE OF CHRIS DOSCOT KRISTINA D DION 644 17WC 16401 KOONCE, RAY D FEDEX EXPRESS PEORIA * 04/20/17 THOMAS, DALE 645 17WC 16442 PRATT, ERICK CORSAW HARDWOOD LUMBER IN * 05/24/17 STRONG LAW OFFICE KNELL & O'CONNOR 646 17WC 16477 AGUILAR, JOSE INCE'S TOWING & SALVAGE, * 01/12/15 LAW OFFICE DAVID HUNT 647 17WC 16573 RUCKER, TERRY L SEVILLE STAFFING LLC * 05/18/17 ANKIN LAW OFFICE 648 17WC 16805 ROOT, DANIEL W C&L TILE DBA AG DRAINAGE * 05/25/17 BOSHARDY LAW OFFICE PC 649 17WC 16836 MC CRAY, FRANK G&D INTEGRATED * 09/10/15 WILLIAMS & SWEE 650 17WC 16961 LEE, KELLY AMERICAN RED CROSS * 04/14/15 JOHN LESAGANICH POWER & CRONIN LTD 651 17WC 16981 WILSON, TAMMY DOLLAR GENERAL * 04/12/17 STRONG LAW OFFICE LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 652 17WC 17277 YOUNG, SYLVIA YELLOW CHECKER CAB * 03/20/17 LAW OFFICE OF CHRIS DOSCOT COZZI & GOGGIN-WARD 653 17WC 17481 HALLSTROM, KYLE SPRINGDALE CEMETARY * 12/20/16 GOLDFINE & BOWLES BRYCE DOWNEY & LENKOV LLC 654 17WC 17545 SARGENT, VERNITA PEORIA PUBLIC SCHOOLS DIS * 07/14/16 GOLDFINE & BOWLES 655 17WC 17570 ERNST, JAMES MARSHALL DON HUMMER TRUCKING CORP * 12/04/16 HEIPLE LAW OFFICE WOLFE & JACOBSON, LTD 656 17WC 17644 BURRELL, RASHAUN PARSEC * 05/17/17 DWORKIN AND MACIARIELLO 657 17WC 17679 BARTON, REBECCA CREVE COEUR SCHOOL DISTRI * 03/07/17 WINNE LAW OFFICE LLC COZZI & GOGGIN-WARD 658 17WC 17814 COLE, JENNIFER ROGYS DAYCARE LEARNING PL * 03/22/17 DWORKIN AND MACIARIELLO 659 17WC 17887 EHLERS, DAVID CATERPILLAR INC * 11/16/15 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 660 17WC 17890 DICKSON, ETHEL RENEE WINPAK HEAT SEAL CORPORAT * 03/16/17 LAW OFFICE OF CHRIS DOSCOT 661 17WC 17954 ANDREWS, DAVID COMCAST SERVICE CENTER * 02/21/17 STRONG LAW OFFICE POWER & CRONIN LTD 662 17WC 18002 ARROWOOD, MARK VELDE CADILLAC BUICK GMC * 05/16/17 LAW OFFICE OF CHRIS DOSCOT GANAN & SHAPIRO 663 17WC 18121 SIGLER, JOHN AMEREN * 01/20/16 STEPHEN P. KELLY WINNE LAW OFFICE LLC 664 17WC 18243 MARMION, HOLLY D COMFORT SUITES * 05/17/17 HASSELBERG GREBE SNODGRASS LAW OFFICE CRAIG A HANSEN 665 17WC 18321 WALLACE, ROCHELLE Y STATE OF ILLINOIS @ * 03/13/17 CORNFIELD & FELDMAN KRISTINA D DION 666 17WC 18344 KIMSEY, DIANE ILLINOIS VALLEY PLASTICS * 11/06/15 JOHN LESAGANICH 667 17WC 18496 MCILVAINE-NEWSAD, HEATHER WESTERN ILLINOIS UNIVERSI @ * 04/20/17 KANOSKI BRESNEY KRISTINA D DION 668 17WC 18620 BEENEY, PERRY J-TECH * 06/12/17 LAW OFFICE OF CHRIS DOSCOT HENNESSY & ROACH 669 17WC 18725 HUNTER, GEORGE PURITAN SPRINGS * 06/02/17 GOLDFINE & BOWLES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 670 17WC 18838 MIZELL, CHERYL AKA CREEKM CVS PHARMACY * 04/30/17 BLACK & JONES 671 17WC 18978 MURRAY, JASMINE STEAK AND SHAKE * 06/20/17 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 672 17WC 19147 HARRIS, DIANNE M WAL-MART * 04/08/17 JOHN LESAGANICH 673 17WC 19261 HAMMOND, EHREN E COLLISION REVISION, INC. * 04/24/17 HARVEY & STUCKEL 674 17WC 19325 CUEVAS, TAMMY CATERPILLAR, INC * 02/23/16 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 675 17WC 19394 GIBBS, MICHAEL AG REGIANT GENETICS * 09/28/16 CUSACK FLEMING GILFILLAN E 676 17WC 19663 BATEY, JAMES HERITAGE ENTERPRISES, LLC * 11/16/16 GOLDFINE & BOWLES 677 17WC 19669 GRIFFIN, MARLEY HERITAGE HEALTH * 06/04/17 LAW OFFICE PATRICK JENNETT HENNESSY & ROACH PC 678 17WC 19808 HARRIS, MARCIA WAL-MART * 07/29/16 LAW OFFICE PATRICK JENNETT 679 17WC 19931 MAY, BRANDY MASSAGE ENVY * 07/08/16 JAY H JANSSEN LAW OFFICE PAUL LARIMORE 680 17WC 19947 GUADALAJARA, THOMAS SC2 * 05/23/17 GOLDFINE & BOWLES 681 17WC 20012 GIVENS, LADALE LANGSTON BAG * 06/19/17 LAW OFFICE OF CHRIS DOSCOT LAW OFFICE CRAIG A HANSEN 682 17WC 20103 CARRASCO, OSCAR D ILLINOIS CONFERENCE OF 7T * 02/26/17 COSTA IVONE LLC COZZI & GOGGIN-WARD 683 17WC 20138 JACOBS, WILLIAM C RMH FOODS/SANFRIDGE CORP * 05/01/17 HARVEY & STUCKEL 684 17WC 20220 TANIS, DEAN KROGER * 02/18/17 STEPHENS FIDDES MCGILL ASS 685 17WC 20427 WILSON, LARRY CENTRE STATE * 03/08/17 LAW OFFICE DAVID HUNT 686 17WC 20495 NOLLER, JON TRI OAK FOODS INC * 03/04/15 MCANANY VANCLEVE & PHILLIPS 687 17WC 20541 POOLE, FELICIA M TAZWELL COUNTY RESOURCE C * 03/21/17 COSTIGAN & WOLLRAB PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 688 17WC 20598 GALLION-WHITAKER, SHAWANN CHILDREN'S HOME * 06/20/17 WARREN E DANZ, PC 689 17WC 20628 POTTER, LYNETTE SC2 * 11/03/16 STEPHEN P. KELLY 690 17WC 20737 KELLEY, TIMOTHY WILBERT VAULT CO * 06/20/17 JAY H JANSSEN CHILTON YAMBERT PORTER LLP 691 17WC 20757 CHAMBERS, DANNY CITY OF EAST PEORIA * 04/07/17 LAW OFFICE MARK WERTZ INMAN & FITZGIBBONS 692 17WC 20779 CLARK, ARTHUR HAMPTON'S KITCHEN & APPLI * 07/12/17 GOLDFINE & BOWLES 693 17WC 20822 ROMANE, GREGORY ROBERT NGL ENERGY OPERATING, LLC * 06/13/17 JOHNSON & JOHNSON 694 17WC 20857 WILKINSON, DAVID YARGER TREE & SERVICES * 05/30/17 JAY H JANSSEN 695 17WC 20992 RICHARD, MARY BETH AMERICAN RED CROSS * 02/22/17 LAW OFFICE OF CHRIS DOSCOT POWER & CRONIN LTD 696 17WC 21006 KOEHL, KEVIN KEYSTONE STEEL & WIRE CO * 06/24/17 JOHN LESAGANICH 697 17WC 21061 SHEETS, RANDY KEYSTONE STEEL & WIRE CO * 04/07/17 LAW OFFICE OF CHRIS DOSCOT 698 17WC 21217 HEADY, CARL SCALE SERVICE & SUPPLY, I * 06/20/17 JOHN LESAGANICH 699 17WC 21320 HAMMER, KENNETH FRITCH HEATING & COOLING * 01/09/17 LAW OFFICE OF CHRIS DOSCOT 700 17WC 21485 PISCAGLIA, MARK CATERPILLAR, INC * 06/08/15 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 701 17WC 21553 KRONCKE, WILLIAM R ILLINOIS STATE POLICE ACA * 02/24/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 702 17WC 21564 EDWARDS, TERRY CITY OF PEORIA * 05/09/17 DAVID W MARTAY HASSELBERG GREBE SNODGRASS 703 17WC 21590 WALL, ALICE N/K/A ALICE F CASEY'S GENERAL STORE * 01/17/16 JOHNSON & JOHNSON 704 17WC 21666 ROGERS, ROBERT ATS INC * 05/25/17 STEPHENS FIDDES MCGILL ASS 705 17WC 21770 BUNDY, JANET STEAK N SHAKE, INC * 03/26/12 GOLDFINE & BOWLES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR PEORIA 41003 ON 09/11/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 706 17WC 21774 WILSON, SCOTT DESIGNER CONCEPTS LANDSCA * 06/15/17 GOLDFINE & BOWLES 707 17WC 21925 SIEVER, REBECCA CHRISTIAN HOMES, INC * 02/14/17 REHN & SKINNER LLC 708 17WC 21954 GORHAM, DARREL SCOTT PEORIA PARK DISTRICT * 10/13/16 STENGEL BAILEY ROBERTSON HENNESSY & ROACH 709 17WC 21967 BASSO, DOREEN IL GUARDIANSHIP & ADVOCAC * 02/08/17 LAW OFFICE OF CHRIS DOSCOT 710 17WC 22036 MC CUBBINS, DAVID M CATERPILLAR, INC * 06/26/17 DOC HALLIDAY 711 17WC 22152 BOYER, GREG BLACK HORSE CARRIERS * 07/16/17 STRONG LAW OFFICE 712 17WC 22339 LAND, MAURICE RMH FOODS, LLC * 06/22/17 LEFANTE LAW OFFICES 713 17WC 22350 TORRES, ANTHONY CATERPILLAR, INC * 04/21/17 CUSACK FLEMING GILFILLAN E CATERPILLAR 714 17WC 22602 SCOTT, GARY L WAL-MART ASSOCIATES, INC * 11/22/16 GANAN & SHAPIRO 715 17WC 22770 PERSON, NATONYA MORTON BUILDINGS, INC * 12/19/16 KNELL LAW LLC 716 17WC 22822 STEPHENS, RANDY K KOMATSU AMERICA CORP * 05/31/17 DOC HALLIDAY 717 17WC 22898 MC CLARY, SCOTT ADVANTAGE AUTO SALES * 01/11/16 STRONG LAW OFFICE 718 17WC 23171 BRIDGEMAN, MATTHEW TERRY CLARK D/B/A MCDONAL * 06/02/17 GOLDFINE & BOWLES 719 17WC 23174 LAFOLLETT, CHERRILL HELP AT HOME * 04/25/16 GOLDFINE & BOWLES

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