ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 89WC 34471 BURTLE, JOHN MONTEREY COAL 10/12/85 HARVEY & STUCKEL LIVINGSTONE MUELLER GUNNING 2 97WC 04917 19B BAKER, JODILYNN FREESEN INC 06/04/96 BERG ROBESON & CONNOR LIVINGSTONE MUELLER ET AL 3 00WC 44171 EVANS, JILL R EATON/CUTLER HAMMER 01/18/00 BERG ROBESON & CONNOR FEATHERSTUN GAUMER POSTLEWAI 07WC020965 -C 4 05WC 18156 19B HATCHETT, TERETHA AFSCME COUNCIL 31 11/17/04 STRONG LAW OFFICE SHARI M BRUNTON 5 05WC 51841 19B SCHOONOVER, CAROLYN PORTA COMMUNITY UNIT SCHO 01/10/03 DRAKE, NARUP & MEADE, PC KNELL & KELLY 05WC051842 -C 08WC015248 -C 6 07WC 03321 HIBBARD, JOSEPH B CITY OF DECATUR FIRE DEPT 10/24/04 STRONG LAW OFFICE SAMUELS MILLER SCHROEDER ETA 7 07WC 20911 SMITH, GLORIA E MARY LOU'S COUNTRY ABODE, 07/13/06 KANOSKI BRESNEY EVANS & DIXON 8 07WC 55437 MYERS, JAMES H ILLINOIS DEPT OF @ 10/20/06 KANOSKI & ASSOCIATES ASSISTANT ATTORNEY GENERAL 11WC028805 -C IL DEPT OF TRANSPORTATION 11WC028808 -C ILL DEPT OF TRANSPORTATION 11WC028809 -C IL DEPT OF TRANSPORTATION 9 08WC 40963 BURTLE, JOHN MONTEREY COAL COMPANY 10/12/85 HARVEY & STUCKEL LIVINGSTONE MUELLER ET AL 10 09WC 27565 HERIFORD, ROBERT D GWILLIM TRUCKING, INC 12/27/08 BERG & ROBESON JAMES M KELLY 11WC018219 -C 11 09WC 28028 PETERS, DANIEL KBV CONSTRUCTION D/B/A 09/15/08 DAVID J JERMONE BRYCE DOWNEY & LENKOV LLC 12 09WC 29284 DAY, HARLAN (WIDOWER) ST OF IL @ 03/01/09 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 13 10WC 22168 FRITZ, ANTON MICHAEL CALCOTT ROOFING 05/19/10 DOUGLAS B. MC KECHAN, ATTY 14 10WC 31059 WILSON, KRYSTAL UNIVERSITY OF ILLINOIS 12/15/07 STRONG LAW OFFICE BRUCE WARREN 11WC014362 -C U OF I - SPRINGFIELD 15WC003939 -C 15 10WC 41168 19B SMITH, MARK A SPRINGFIELD SCHOOL 10/05/10 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 11WC 04583 EDWARDS, DALLAS J ST OF IL, SECRETARY OF ST @ 07/16/09 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 17 11WC 06807 HANSEN, CHERYL L STATE OF ILLINOIS @ 12/22/08 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 18 11WC 08637 SEVILLA, ASHLEY HEARTLAND 08/09/10 STRONG LAW OFFICE LIVINGSTONE MUELLER ET AL 13WC027576 -C 19 11WC 09787 THOMAS, DENISE L SIU SCHOOL OF MEDICINE 12/17/07 PRYOR LAW ASSISTANT ATTORNEY GENERAL 20 11WC 11666 DEWITT, MICHAEL STATE OF ILLINOIS @ 12/24/08 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 21 11WC 16143 BEALS, DAVID BLACKS, INC W 07/30/10 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 22 11WC 19058 19B MOOMEY, CAROL A STATE OF ILLINOIS, CMS @ 05/20/08 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 15WC007413 -C 23 11WC 27049 DONELSON, JOHNNY DALE TRI COUNTY COAL 02/16/10 BERG & ROBESON LITCHFIELD CAVO 24 11WC 27566 HELM, VIRGIL DECATUR WOOD 07/16/08 WARREN E DANZ, PC 25 12WC 04436 DONELSON, JOHNNY DALE TRI COUNTY COAL LLC 09/24/11 BERG & ROBESON LITCHFIELD CAVO 26 12WC 37930 GREER, WILLIAM BBK SERVICES 07/15/12 STRONG LAW OFFICE LEAHY EISENBERG & FRAENKEL 12WC037943 -C 27 13WC 02804 BLAND, JOSH A LERT CONSTRUCTION 08/30/12 DELANO LAW OFFICES LLC FEATHERSTUN GAUMER POSTLEWAI 28 13WC 04179 JACKSON, THOMAS GREYHOUND 01/22/13 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 29 13WC 07526 SCHOBY, LLOYD A ICG ILLINOIS LLC 03/26/11 CULLEY & WISSORE THOMAS & ASSOCIATES 30 13WC 13035 FRESE, BRUCE CATERPILLAR INC 02/15/13 BERG & ROBESON CATERPILLAR 14WC003635 -C 14WC003636 -C 31 13WC 14267 BLUM, JAMES ODESCO INDUSTRIAL SERVICE 08/11/10 WALTON TELKEN LLC BROWN & JAMES, PC 32 13WC 15882 CORRIGAN, KIMBERLY STATE OF ILLINOIS @ 06/14/11 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 13WC 17640 GRAY, GLORIA (WIDOW) FREEMAN UNITED COAL # 05/22/11 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 34 13WC 24749 SCHROEDER, PENNY L CAPITAL HEALTHCARE & REHA 06/10/13 BERG & ROBESON SPIEGEL & CAHILL, PC 35 13WC 25090 POLISTINA, MICHAEL STATE OF ILLINOIS @ 04/27/11 BERG & ROBESON ILLINOIS ATTY GENERAL 36 13WC 28498 HENRY, SHERYLE SECRETARY OF STATE @ 12/31/12 SGRO HANRAHAN & BLUE ASSISTANT ATTORNEY GENERAL 13WC028499 -C 15WC003638 -C IL DEPT OF PUBLIC HEALTH 15WC003646 -C 37 13WC 34860 DAVIS, PETER SPRINGFIELD MASS TRANSIT 10/01/13 LEE, MARK N LAW OFFICE HINSHAW & CULBERTSON 38 14WC 10003 DONELSON, DALE JOHNNY TRI COUNTY COAL LLC CROWN 12/08/11 BERG & ROBESON LITCHFIELD CAVO 39 14WC 15275 WILSON, JERRY J UNIQUE PERSONNEL 03/20/14 EDMONDS LAW OFFICE STONE & JOHNSON CHARTERED 40 14WC 23540 SEYMOUR, CRYSTAL D PASSAVANT AREA HOSPITAL 05/01/14 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 14WC038867 -C 16WC015548 -C 41 14WC 28148 19B VAUGHN, DESIREE M (NKA BE ODEL INC 07/18/14 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 42 14WC 31904 JORDAN, DELORES ILLINOIS DEPT OF HFS 03/14/13 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 43 14WC 37315 19B HAUVERSBURK, TRISTY ST OF IL @ 09/26/14 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 44 14WC 43365 SCHWAB, KEVIN BILL MILLER 08/28/12 STRONG LAW OFFICE HENNESSY & ROACH 45 15WC 01254 BASKETT, JACKIE STATE OF IL @ 12/29/14 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL 46 15WC 01359 BASKETT, JACKIE STATE OF IL, SEC. OF STAT @ 12/02/14 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL 47 15WC 02158 LEHN, AMANDA L SOI, DECATUR CORRECTIONAL @ 05/25/12 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 18WC003256 -C 48 15WC 02684 SELBY, STEVEN JR B&R CONSTRUCTION 09/29/11 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 49 15WC 02836 KAYLOR, KAREN ADDUS HEALTHCARE 05/01/14 LEE, MARK N LAW OFFICE 50 15WC 07464 WINSEL, CHARLES STATE OF ILLINOIS - HFS 02/01/15 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 51 15WC 08618 NOWMAN, BRYAN R OAKLEAF COUNTRY CLUB 09/04/14 BERG & ROBESON GAROFALO SCHREIBER STORM GRA 52 15WC 09248 HAMILTON, DONNA ST OF IL HFS DIV 02/19/15 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 53 15WC 15046 LINDSEY, GEORGE R JR CITY OF WINCHESTER 12/06/12 BERG & ROBESON KEEFE & DEPAULI 54 15WC 16934 GRAVES, DANIEL ARCH COAL VIPER MINE 05/01/15 BOSHARDY LAW OFFICE PC THOMAS & ASSOCIATES 55 15WC 17901 HANDLEY, ROBYN STATE OF ILLINOIS - HFS @ 02/05/15 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 56 15WC 19752 THORON, JOSEPH STATE OF ILLINOIS @ 12/31/13 CULLEY & WISSORE ASSISTANT ATTORNEY GENERAL 57 15WC 21493 HOAG, SUSAN STATE OF IL, SEC OF STATE @ 08/06/12 HAXEL LAW OFFICE ASSISTANT ATTORNEY GENERAL 17WC024545 -C ST OF IL SEC STATE POLICE 58 15WC 23156 19B FORTNEY, LARRY PERFORMANCE FOOD SERVICE 01/08/15 JEROME LINDSAY SALMI LL BRYCE DOWNEY & LENKOV LLC 59 15WC 24230 JONES-DURBIN, MARY HELP AT HOME 03/03/14 SHAFFER, WILLIAM C III ROUSE & CARY 60 15WC 27695 RELEFORD, TRACY L STATE OF IL @ 06/12/15 KANOSKI BRESNEY KRISTINA ECHOLS 61 15WC 30285 DONOVAN, PATRICE SPRINGFIELD MASS TRANSIT 03/24/15 LEE, MARK N LAW OFFICE HINSHAW & CULBERTSON 62 15WC 30630 WHITE, TOBY MULTIBAND CORPORATION 08/14/15 STRONG LAW OFFICE 16WC022749 -C 63 15WC 31017 PICKERILL, JASON MACON COUNTY SHERIFF DEPT 04/21/15 STEPHEN P. KELLY FEATHERSTUN GAUMER POSTLEWAI 64 15WC 33375 ALLEN, MELISSA Y CASEY'S GENERAL STORE, IN 07/17/15 BERG & ROBESON JAMES M KELLY 65 15WC 35562 GAINES, WILLIAM MARK DEXTER MARSHALL D/B/A W 09/25/15 66 15WC 37115 BAKER, ROBERT IL DEPT OF CORRECTIONS @ 11/25/14 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 15WC 38268 DUNN, STEPHEN SPRINGFIELD COAL CO 06/30/11 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 68 15WC 39665 EMBRY, JOHN DORE & ASSOCIATES 01/27/15 JEROME LINDSAY SALMI LL ORENSTEIN & ASSOCIATES 69 16WC 00267 SAMPSON, SANDRA SMTD 12/14/15 LEE, MARK N LAW OFFICE 70 16WC 00731 DEGNER, TAMMY MEMORIAL HOSPITAL 07/01/15 CONNOR LAW OFFICES SORLING NORTHRUP 17WC016383 -C 17WC016384 -C 71 16WC 01421 WAKE, RICHARD HERITAGE COAL CO 01/29/15 CULLEY & WISSORE 72 16WC 03141 MOYER, JOSEPH CATERPILLAR INC 10/30/15 WALTON TELKEN LLC CATERPILLAR 73 16WC 03656 BARNWELL, KAREN MONTEREY COAL CO 12/15/15 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 74 16WC 05655 CODY, NICK SPRINGFIELD CLINIC 01/07/16 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 75 16WC 06541 HOUSTON, VANDA CITY OF SPRINGFIELD 01/06/16 HAXEL LAW OFFICE LIVINGSTONE MUELLER ET AL 76 16WC 08206 GUTMANN, H WILLIAM CITY OF SPRINGFIELD 06/27/14 HAXEL LAW OFFICE 77 16WC 09475 WILSON, KRYSTAL UNIVERSITY OF ILLINOIS 12/07/15 STRONG LAW OFFICE BRUCE WARREN 78 16WC 09651 SUTER, GARY F. WARD PLUMBING & HEATING @ W 10/20/15 SHAFFER, WILLIAM C III 79 16WC 10702 PYLES, JERRY WILBERT BURIAL VAULT 03/11/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 80 16WC 11441 MC CARTHY, KATHLEEN STATE OF ILLINOIS @ 02/29/16 GREGORY W. SCRONCE ASSISTANT ATTORNEY GENERAL 81 16WC 13255 KITE, PHIL CATERPILLAR INC 02/11/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 82 16WC 14020 GLOSSOP, JOHN DENBY QUEST DIAGNOSTICS 09/04/15 STEPHEN P. KELLY STEPHEN H LARSON LAW OFFICE 83 16WC 14316 BROWN, ANTHONY BEELMAN TRUCKING 04/22/16 CROWLEY & PRILL ROSARIO CIBELLA 84 16WC 14402 ADE, VICTORIA JO BINS 24/7 12/26/14 STEPHEN P. KELLY GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 85 16WC 15840 DENNING, JEFFREY A ILLINOIS STATE POLICE DIS @ 05/07/16 FIGLIOLI, DAVID ASSISTANT ATTORNEY GENERAL 86 16WC 16342 OVERBY, SHANE CITY OF SPRINGFIELD POLIC 04/15/16 HOLLEY & ROSEN LIVINGSTONE MUELLER ET AL 87 16WC 17221 SCHNEPPER, BARBARA PRAIRIE VILLAGE HEALTH CA 05/07/16 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 88 16WC 17824 MCNEIL, ROOSEVELT WAL-MART 02/11/16 STRONG LAW OFFICE GANAN & SHAPIRO 16WC021474 -C WALMART SUPERCENTER 89 16WC 20127 WALKER-CAMPBELL, NISHELLE STATE OF IL DEPT OF CORRE @ 06/20/16 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 90 16WC 20617 GARNER, ISAAC K SPRINGFIELD LAWN BARBER 05/25/16 KANOSKI BRESNEY GANAN & SHAPIRO 91 16WC 22520 MORRELL, HEATHER AFSCME COUNCIL 31 @ 03/14/16 LEE, MARK N LAW OFFICE ROUSE & CARY 92 16WC 23202 WILLIAMS, JOSHUA SERVICE MASTER DBA 04/27/16 STRONG LAW OFFICE GANAN & SHAPIRO 93 16WC 25442 SAMS, JOEL STATE OF ILLINOIS @ 05/28/16 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 94 16WC 26547 BOWN, DEBORA S JBS USA FOODS 09/17/15 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 95 16WC 26817 GRAY, DANIEL STATE OF IL, ILLINOIS RIV @ 11/09/15 REHN & SKINNER LLC ASSISTANT ATTORNEY GENERAL 96 16WC 26987 FRAZIER, GREGORY O NATL RENT-TO-OWN 04/09/15 SCHUCHAT, COOK & WERNER 97 16WC 27587 SHIRLEY, KEVIN J ADM TRUCKIGN INC 01/12/15 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 98 16WC 28458 JOHNSON, MORRIS ADM MECHANICAL DEPARTMENT 03/20/16 DWORKIN AND MACIARIELLO FEATHERSTUN GAUMER POSTLEWAI 99 16WC 29253 SANTANA, PILAR HOPE SCHOOL 05/06/16 LAMARCA LAW OFFICES, PC 100 16WC 29933 MURPHY, LUANNE ILLINOIS SCHOOL FOR THE @ 08/26/15 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 101 16WC 29946 ORTEGA, MARTIN C JACKSONVILLE CORRECTIONAL @ 02/10/15 SHAFFER, WILLIAM C III ASSISTANT ATTORNEY GENERAL 102 16WC 31482 BARTON, KRISTINA HERITAGE NURSING HOME 03/05/16 SHORT AND DAUGHERTY RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 16WC 31791 AYRE, KEITH CITY OF SPRINGFIELD FIRE 09/23/16 CONNOR LAW OFFICES LIVINGSTONE MUELLER ET AL 104 16WC 32824 STEVENS SR, NICHOLAS J STATE OF IL - CMS @ 09/20/16 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 105 16WC 33296 EVANS, RONALD PJP AUTO ENTERPRISES 10/10/16 WOLTER BEEMAN AND LYNCH QUINN JOHNSTON HENDERSON ETA 106 16WC 35553 DONELSON, JOHNNY DALE TRI COUNTY COAL, LLC CROW 11/17/13 BERG & ROBESON 107 16WC 36307 SCHOFIELD, BRENDA K REYNOLDS CONSUMER 11/06/14 KANOSKI BRESNEY KLAUKE LAW GROUP LLC 16WC036310 -C 108 16WC 37172 AMBROSE, KENNETH ADM 05/01/16 LEE, MARK N LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 109 16WC 38548 WILLIAMS, ROBERT ALERT CONSTRUCTION SVCS 11/14/16 STRONG LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 110 17WC 00311 TURNER, LAJUAN ARCHER DANIELS MIDLAND CO 12/07/16 DWORKIN AND MACIARIELLO FEATHERSTUN GAUMER POSTLEWAI 111 17WC 01200 DANIELS, JEFF REYNOLDS CONSUMERS 12/23/16 GALANTI LAW OFFICES KLAUKE LAW GROUP LLC 112 17WC 02380 SPERRY, TIMOTHY E STATE OF ILLINOIS @ 06/16/16 KANOSKI BRESNEY KRISTINA D DION 113 17WC 03280 MARVIN, JODI STARCREST CLEANERS 11/15/16 STRONG LAW OFFICE CASSANO & ASSOCIATES 114 17WC 03404 FONNER, LAURIE INTERNATIONAL PAPER 05/28/16 WOODRUFF & JOHNSON BROWN & JAMES, PC 115 17WC 04638 WILLIAMS, ANDRE AMEREN 01/27/17 LEE, MARK N LAW OFFICE 116 17WC 05097 MILLER, JAMES L STATE OF ILLINOIS/DCFS @ 08/06/15 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 117 17WC 07126 SEMAR, ZACHARY BURGERS N MORE, LLC 10/12/16 WOLTER BEEMAN AND LYNCH PETER BLASI LLC 118 17WC 07441 HORTON, MARY K RAJAN DHAMRAIT D.D.S. 11/18/16 KANOSKI BRESNEY LUCY T. UNGER 119 17WC 07658 BOND, JERI L STATE OF ILLINOIS @ 12/21/16 120 17WC 07875 STANLEY, DARLA R. HERTZBERG NEW METHOD 11/02/15 LAMARCA LAW OFFICES, PC LIVINGSTONE MUELLER ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 17WC 08480 SCHWAIB, SHEILA DCFS STATE OF ILLINOIS @ 12/19/16 ASSISTANT ATTORNEY GENERAL 122 17WC 09068 SMITH, TERYL ELM CITY REHABILITATION C 08/04/16 WOODRUFF & JOHNSON THOMAS & PORTELA 123 17WC 09517 BLACK, LEANNETTE STATE OF IL - HFS @ 09/02/16 ASSISTANT ATTORNEY GENERAL 124 17WC 09679 RHODES, TRAVIS L BAUM, OTTO 08/11/16 KANOSKI BRESNEY KNELL LAW LLC 125 17WC 09732 SCHMIDT, MARK IDOT @ 12/17/16 STEPHEN P. KELLY KRISTINA D DION 126 17WC 10712 CRUZ, CRIST DECATUR PUBLIC SCHOOLS 01/11/17 LEE, MARK N LAW OFFICE 127 17WC 12579 MORENO DE GUIJOSA, OLINDA JBS 10/08/16 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 17WC012580 -C 128 17WC 13143 PATTERSON, JULIE A STATE OF ILLINOIS - @ 06/20/16 DELANO LAW OFFICES LLC BRADLEY DEFREITAS 129 17WC 13749 SPONSLER, SCOTT STATE OF ILLINOIS @ 07/14/16 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 130 17WC 13945 SPONSLER, SCOTT STATE OF ILLINOIS @ 03/27/17 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 131 17WC 14062 FOX, KATHLEEN LOWE'S COMPANIES, INC 05/10/14 MARK A WELLS LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 132 17WC 15393 STANDEFER, RICKY STATE OF ILLINOIS, CMS @ 12/03/16 HAXEL LAW OFFICE ASSISTANT ATTORNEY GENERAL 133 17WC 16643 RHOADES, VIRGINIA MEMORIAL MEDICAL CENTER 01/16/17 HOLLEY & ROSEN SORLING NORTHRUP 134 17WC 16695 KEAN, CHARLES H. SPRINGFIELD POLICE DEPT 02/14/14 SAUTER, SULLIVAN & EVANS 135 17WC 17900 BECHERER, SALLY IL DEPT OF HEALTHCARE & F 08/05/16 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 136 17WC 18384 MC CRORY, TERRANCE DECATUR COUNTRY CLUB 04/14/17 LEE, MARK N LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 17WC 18500 BRYAN, JENNIFER KEMMERER VILLAGE 06/10/17 138 17WC 18512 BROSS, ROB ATWOOD POLICE DEPARTMENT 02/15/17 WOODRUFF & JOHNSON EVANS & DIXON 17WC018513 -C 17WC027909 -C 139 17WC 19294 WEAKLEY, DULCIE MENARDS, INC 08/13/16 LEE, MARK N LAW OFFICE QUINN JOHNSTON HENDERSON ETA 140 17WC 19495 WOMACK, ALFRED B SANGAMON COUNTY SHERIFF O 03/23/17 DELANO LAW OFFICES LLC POWER & CRONIN LTD 18WC012398 -C 141 17WC 19865 PENTON, TIFFANY TACO BELL 06/10/17 KANOSKI BRESNEY MCDONALD & BOGDAN 142 17WC 22293 COMMON, GREGORY GREGHOUND BUSLINES 06/29/17 FOHRMAN, DONALD W & ASSOCS 143 17WC 22788 BOLLHORST, DEREK CATERPILLAR, INC 06/25/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 144 17WC 23948 MATTHEWS, ALBERT DEREK NARDIN 07/26/16 WARREN E DANZ, PC 145 17WC 24555 WILLIAMS, GERALD A. IDOT @ 03/06/17 HAXEL LAW OFFICE ASSISTANT ATTORNEY GENERAL 146 17WC 24682 BRADLEY, WARREN WARREN BRADLEY 07/20/15 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 17WC033779 -C CMS, STATE OF ILLINOIS 147 17WC 25186 SIMPSON, MICHAEL ILLINOIS DEPARTMENT @ 12/31/16 CULLEY FEIST KUPPART & JOR ASSISTANT ATTORNEY GENERAL 148 17WC 26068 JONES, JOANN HELP AT HOME 01/11/17 MARK E MORELAND 149 17WC 27006 LACKEY, BRANDON POGGENPOHL REDI MIX 11/23/16 BRADY, CONNOLLY & MASUDA, PC 150 17WC 28021 DUNAVEN, BARBARA CATERPILLAR INC 07/25/17 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 151 17WC 28180 MC CLANAHAN, JENNIFER WALMART 05/08/17 SHAY & ASSOCIATES 152 17WC 28803 COKER, JEFFREY SPRINGFIELD POLICE DEPT 11/15/16 CONNOR LAW OFFICES 153 17WC 29235 THOMAS, ALAN R CARAUSTAR INDUSTRIES 05/11/17 CULLEY & WISSORE HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 17WC 29727 SCOTT, DEBRA K CARMODY SENIOR CARE, INC 03/09/17 JAMES ACKERMAN CASSANO & ASSOCIATES 155 17WC 30342 ROTHE, STEVE SECRETARY OF STATE @ 09/01/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 156 17WC 31832 ROESCH, TROY SME TRANSPORT 10/24/17 LEE, MARK N LAW OFFICE 157 17WC 32072 TURNER-JONES, RANDOM DANI SUPPLEMENTAL HEALTH CARE 03/27/17 LEE, MARK N LAW OFFICE 158 17WC 32713 EDWARDS, MARLENE SCHOOL DISTRICT #117 08/16/16 WOODRUFF & JOHNSON HINSHAW & CULBERTSON 159 17WC 32903 HESTER, TINA ARAMARK 10/16/17 SHAY & ASSOCIATES INMAN & FITZGIBBONS 160 17WC 33156 DEPPER, JAYME PIZZA HUT 09/27/17 WOLTER BEEMAN AND LYNCH BRADY, CONNOLLY & MASUDA, PC 161 17WC 33962 HAYES, GRACE ILLINOIS DEPT OF PUBLIC H @ 01/27/16 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 162 17WC 33965 NOBLE, JUSTIN STATE OF ILLINOIS @ 07/11/17 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 163 17WC 34119 JARETT, JUSTIN SYGMA NETWORK INC 08/07/17 LEE, MARK N LAW OFFICE HENNESSY & ROACH 164 17WC 35005 NICHELSON, JAMES D STATE OF ILLINOIS @ 12/09/14 CHRISTOPHER T TUCKER ASSISTANT ATTORNEY GENERAL 165 17WC 35048 RINABERGER, KAINAN SPRINGFIELD FIRE DEPT 11/01/17 CONNOR LAW OFFICES 166 17WC 35716 SCOTT, ROY LOWES HOME IMPROVEMENT 10/19/16 SHAY & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 167 17WC 36816 JONES, MELISSA WALMART 12/01/17 RIDGE & DOWNES GANAN & SHAPIRO 168 17WC 37359 NIHISER, NANCY L NIEMANN FOODS INC 08/27/17 LAKE LAW FIRM HEYL ROYSTER VOELKER & ALLEN 169 17WC 37952 KENDALL, ANTHONY CHATHAM SCHOOL DISTRICT # 10/18/17 SAUNDERS CONDON & KENNY WIEDNER & MCAULIFFE LTD 170 18WC 00749 MACK, ANDREW STONE TRENDS 12/21/17 HARVEY & STUCKEL MCANANY VANCLEVE & PHILLIPS 171 18WC 01525 REED, JEFFREY E SPRINGFIELD MASS TRANSIT 11/13/17 KANOSKI BRESNEY STEPHEN H LARSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 172 18WC 01600 DEERWESTER, PAMELA HCR MANORCARE 11/15/17 MOSS & MOSS PC BRYCE DOWNEY & LENKOV LLC 173 18WC 02609 TOBERT, ROGER JR. DECATUR PUBLIC SCHOOLS 12/07/17 LEE, MARK N LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 174 18WC 02816 PERIDORE, LINSY SMITH DISTRIBUTING/BELL F 09/18/17 ERIN M. PHILLIPS 175 18WC 02991 OCHS, JOSEPH W STATE OF ILLINOIS @ 09/18/17 HANAGAN & MCGOVERN PC ASSISTANT ATTORNEY GENERAL 176 18WC 03634 HAYES, JACKIE DECATUR PUBLIC SCHOOLS 08/16/17 LEE, MARK N LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 177 18WC 03646 BARBER, CHERILYN STATE OF ILLINOIS-HFS @ 01/22/18 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 178 18WC 03856 PHILLIPS, ANGIE MOWEAQUA REHABILITATION & 01/05/18 STRONG LAW OFFICE ACCIDENT FUND HOLDINGS 179 18WC 04249 BOYD, ROGER FAMILY DOLLAR 10/23/16 NESSLER, FREDERIC LAW OFFI 180 18WC 04699 ROACH, RON CITY OF LITCHFIELD 09/11/16 PRINCE LAW FIRM INMAN & FITZGIBBONS 181 18WC 04857 PERRY, LAURA DECATUR CITY TAXI 01/19/18 182 18WC 05333 LYNN, PAMELA SPRINGFIELD 07/27/17 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 183 18WC 05575 HILTON, FAWN ILLINOIS DEPT OF PUBLIC H @ 01/31/18 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 184 18WC 05972 ROODHOUSE, KEVIN STATE OF ILLINOIS, IDOT @ 10/31/17 CONNOR LAW OFFICES 185 18WC 06394 BOGDEN, ERIC KIM'S AUTOBODY 01/29/18 MCCARTHY ROWDEN & BAKER GANAN & SHAPIRO 186 18WC 06404 KELLY, JARETT CITY OF SPRINGFIELD 01/01/18 SGRO, HANRAHAN DURR RABIN LIVINGSTONE MUELLER ET AL 187 18WC 07362 KUNZ, DENISE SIU SCHOOL OF MEDICINE @ 03/02/18 ASSISTANT ATTORNEY GENERAL 188 18WC 07458 HABERMAN, MICHAEL BLUFF SPRINGS TOWNSHIP 09/04/17 HAXEL LAW OFFICE JAMES M KELLY 189 18WC 08355 WILLIAMS, DEBRA ST PAUL'S LUTHERAN CHURCH 12/16/16 NESSLER, FREDERIC LAW OFFI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 190 18WC 08374 HUTCHCRAFT, TERRY L STATE OF ILLINOIS @ 11/30/17 ASHER & SMITH ASSISTANT AT0TORNEY GENERAL 191 18WC 08400 WILLIAMSON, TONY CATERPILLAR 08/31/17 CATERPILLAR 192 18WC 08923 KHARSI, DESTINY STATE OF ILLINOIS @ 12/01/17 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 193 18WC 09079 KLINE, DAVID K SENECA COMPANIES, INC 05/18/17 KANOSKI BRESNEY LEAHY EISENBERG & FRAENKEL 19WC012190 -C 194 18WC 09276 CLAY, CALVIN APERION CARE CAPITAL 03/21/18 ANESI OZMON RODIN NOVAK KO BRADY, CONNOLLY & MASUDA, PC 195 18WC 09951 KLASINZ, TIFFANY MCGRAW ENTERPRISES INC 06/18/17 LIVINGSTONE MUELLER ET AL 196 18WC 10106 GINOLI, VICKI S SOI DEPT OF REVENUE @ 04/20/15 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 197 18WC 10166 ROBERTS, ADELINA R JBS USA 03/29/16 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 18WC013348 -C 198 18WC 11272 CAREY, MELISSA A CHELP 11/21/16 KANOSKI BRESNEY ROUSE & CARY 199 18WC 11743 KRIENER, KRISTA MCDONALD'S CORP 04/02/18 NESSLER, FREDERIC LAW OFFI 200 18WC 11867 WATKINS, TONI L STATE OF ILLINOIS @ 02/05/18 JAMES ACKERMAN ASSISTANT ATTORNEY GENERAL 201 18WC 12891 FERRARA, VINCENT IL METER INC DBA 03/13/18 STEPHEN P. KELLY STEPHEN H LARSON LAW OFFICE 202 18WC 13736 DRURY, GEOFFRY L CAPITOL WOOD WORKS LLC DB 01/27/17 STEPHEN P. KELLY LIVINGSTONE MUELLER ET AL 203 18WC 13754 NICHELSON, JAMES ILLINOIS SECRETARY OF STA @ 09/22/17 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 204 18WC 13917 SCHMUTZ, BARBARA DECATUR SCHOOL DIST 61 02/27/18 STRONG LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 18WC013918 -C 18WC013922 -C 18WC014373 -C 205 18WC 14353 MASTERS, BRANDON MUELLER COMPANY 11/09/17 KANOSKI BRESNEY FEATHERSTUN GAUMER 206 18WC 14412 RYAN, DEBRA GOODWILL INDUSTRIES 11/27/15 FREDERICK & HAGLE LIVINGSTONE MUELLER ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 207 18WC 14915 ASH, ERICA STATE OF ILLINOIS @ 06/18/16 MARK N LEE ASSISTANT ATTORNEY GENERAL 208 18WC 15560 HOLMES, CHARLES JR INTERNATIONAL PAPER 11/01/16 SMITH LAW LTD BROWN & JAMES, PC 209 18WC 15908 TORBERT JR., ROGER DECATUR PUBLIC SCHOOLS 04/30/18 MARK N LEE FEATHERSTUN GAUMER POSTLEWAI 210 18WC 15918 TATE-BRADLEY, JOCELYN A SOILL RESTAURANT SYSTEMS 11/03/17 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 211 18WC 16136 JAMES, PAULA A SAM'S CLUB 07/27/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 212 18WC 17087 TUCKER, DOLORES DOLLAR GENERAL 10/17/16 MARK N LEE LEAHY EISENBERG & FRAENKEL 213 18WC 17331 MC GUIRE, ROBERT ADM 03/03/18 MARK N LEE FEATHERSTUN GAUMER 214 18WC 17726 CLARK, THOMAS W SPRINGFIELD PARK DISTRICT 05/19/18 KANOSKI BRESNEY 215 18WC 18336 RUMPLE, HAYDEN THORNBURGH ABATEMENT 05/23/18 HOLLEY & ROSEN HENNESSY & ROACH 216 18WC 18379 TREE, DEREK AUTO ZONE 12/28/17 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 18WC025077 -C 217 18WC 19196 SEYMOUR, DONALD SCOTT CEDARHURST SENIOR LIVING 02/05/18 BERG & ROBESON HOPKINS & HUEBNER PC 218 18WC 19670 HOLLIDAY, ROBYN DEVARIM64, LLC 08/08/17 BUTLER & KEMPER INMAN & FITZGIBBONS 219 18WC 20039 WINTERS, MARK STATE OF ILLINOIS @ 06/19/18 SALVATO O'TOOLE FROYLAN ASSISTANT ATTORNEY GENERAL 220 18WC 20760 SPORRER, TODD E STATE OF IL- DEPARTMENT O @ 02/03/17 JAMES ACKERMAN ASSISTANT ATTORNEY GENERAL 221 18WC 21088 FRAKES, KELLY M THORNTON'S, INC 09/12/17 BOSHARDY LAW OFFICE PC CRAIG A HANSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 222 18WC 21615 BORISOV, CHELSEA TEAVANA 09/09/17 DAVID HUNT GOLDBERG SEGALLA LLC 223 18WC 21840 BRUMMETT, DAVID M SLUMBERLAND FURNITURE 06/23/18 STEPHEN P. KELLY HENNESSY & ROACH 19WC021950 -C 224 18WC 21915 MILLER, SUSAN M STATE OF IL DEPARTMENT OF @ 08/23/17 STEPHEN P. KELLY ASSISTANT ATTORNEY GENERAL 225 18WC 22334 HUTCHINSON, LANA PANA UNIT SCHOOL DISTRICT 11/30/17 MARK N LEE HENNESSY & ROACH, PC 226 18WC 22686 MILLER, PATRICIA TAYLORVILLE MEMORIAL HOSP @ 06/17/18 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 227 18WC 22736 RICE, MARK S CLEVENGER CRONTRACTORS IN 07/02/18 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 228 18WC 22781 BECK, ROBERT MCLEOD TRUCKING 07/10/18 TUGGLE SCHIRO & LICHTENBER INMAN & FITZGIBBONS 229 18WC 23134 TURNEY, GREGORY MARTIN BROS DISTRIBUTING 05/30/18 SGRO, HANRAHAN DURR RABIN ASA LAW GROUP 230 18WC 23251 RHODES, JAMES HELENA CHEMICAL CO 11/06/16 WILLIAMS & SWEE KEEFE & DEPAULI 231 18WC 23823 FISHER, STEPHEN SPRINGFIELD PARK DISTRICT 06/06/18 NOLL LAW OFFICE LIVINGSTONE MUELLER ET AL 232 18WC 24126 WALTER, RAYMOND R III AIRMETHODS CORPORATION 04/01/18 MCGLYNN & MCGLYNN BRYCE DOWNEY & LENKOV LLC 233 18WC 24323 SCHWENT, TIMOTHY ARCHER DANIELS MIDLAND 07/30/18 STRONG LAW OFFICE FEATHERSTUN GAUMER 234 18WC 24713 LOGSDON, KIMBERLY K SCHUTT SPORTS 08/06/18 SCHREMPF KELLY & NAPP HENNESSY & ROACH 235 18WC 25088 LINDSEY, GEORGE R JR CITY OF WINCHESTER 05/15/18 BERG & ROBESON KEEFE & DEPAULI 236 18WC 25538 JARRETT, RANDALL AUGIE'S FRONT BURNER 08/18/18 NOLL LAW OFFICE LIVINGSTONE MUELLER ET AL 237 18WC 25774 STRAM, MARK IL STATE POLICE @ 05/10/18 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTY GENERAL 238 18WC 26084 GOODALL, RICHARD IDOT 01/25/18 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 239 18WC 26362 COE, TYLER KM PLANT SERVICES INC 07/09/18 MARK N LEE WOLFE & JACOBSON, LTD 240 18WC 26737 TUCKER, MARLO MCDONALDS 10/13/17 WARREN E DANZ, PC INMAN & FITZGIBBONS 18WC026759 -C 241 18WC 27173 PULCHER, FAYE A ST JOHN'S HOSPITAL 06/19/18 RICH RICH COOKSEY & CHAPPE HEYL ROYSTER VOELKER & ALLEN 18WC028628 -C 242 18WC 28672 PENNINGTON, LORI STATE OF IL, EPA @ 08/31/18 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 243 18WC 28765 BRAHMAMDAM, AMARNADH STATE OF ILLINOIS-HFS @ 08/09/18 MARK N LEE ILLINOIS ATTY GENERAL 244 18WC 29112 MARTIN, ANGELA UCP LAND OF LINCOLN-GONE 09/04/18 MARK N LEE ACCIDENT FUND HOLDINGS 245 18WC 29120 CROWDER, ADAM CITY OF SPRINGFIELD FIRE 06/30/18 CONNOR LAW OFFICES LIVINGSTONE MUELLER ET AL 246 18WC 29121 DORR, PAUL MCLANE COMPANY 07/09/18 MCCARTHY ROWDEN KEEFE CAMPBELL BIERY & ASSOC 247 18WC 29213 SVANDA, DONALD JASON FIRST AUTO & CASUALTY 10/10/17 BECKER SCHROADER & CHAPMAN 248 18WC 29501 BARNETT, DAVID R ALLIED UNIVERSAL SECURITY 06/02/18 FREDERICK & HAGLE GAROFALO SCHREIBER STORM GRA 249 18WC 30584 FURNESS, MARY GRAHAM CORRECTIONAL CENTE @ 01/09/18 ASSISTANT ATTORNEY GENERAL 250 18WC 30959 TURNER, GINA L SPRINGFIELD LOGISTICS, IN 05/19/18 KANOSKI BRESNEY 251 18WC 31056 KAY, STACI A COMMUNITY CARE SYSTEMS, I 07/11/17 HARVEY & STUCKEL LIVINGSTONE MUELLER ET AL 252 18WC 31088 SIMMONS, ERIKA CATERPILLAR, INC 08/15/18 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 253 18WC 31148 ELSON, LOGAN ALLIANCE TRACTOR, LLC 04/18/18 DENNIS ATTEBERRY CAPUANI, FRANK S 254 18WC 31222 RILEY, JEANNIE GRAPHIC PACKAGING INT'L I 02/24/18 SMITH LAW LTD 255 18WC 31225 RILEY, JEANNIE INTERNATIONAL PAPER COMPA 11/02/17 SMITH LAW LTD BROWN & JAMES, PC 256 18WC 31257 BATES, KYLIE NAPHCARE 09/18/17 DRUMMOND LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 257 18WC 31323 HIMES, BARBARA QUAD COUNTY HOME 09/17/18 HARVEY & STUCKEL NYHAN BAMBRICK KINZIE & LOWR 258 18WC 31425 WARNISHER, CLINT E CITY OF SPRINGFIELD 06/14/18 THOMAS W DUDA 259 18WC 31726 HANKINS, DAVID LANDGREBE INTERIOR CNSTRC 08/17/18 STRONG LAW OFFICE GAROFALO SCHREIBER STORM GRA 260 18WC 32251 BRUCE, THOMAS WILLIAMS NATIONALEASE LTD 06/09/18 JAMES ACKERMAN RIPES NELSON BAGGOT KALOBRAT 261 18WC 32719 DENNIS, CARRIE DXC TECHNOLOGY 10/08/18 BERG & ROBESON CRAIG A HANSEN 262 18WC 32867 CAPPS, KATHIE STRIGLOS COMPANIES, INC. 03/15/17 MCCARTHY ROWDEN 263 18WC 33066 COOK, STEPHEN ST OF IL DEPT OF NATURAL @ 10/03/17 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL 264 18WC 33862 BUCHANAN, LAMONICA REYNOLD'S 10/18/18 DWORKIN AND MACIARIELLO 265 18WC 34255 WILLIS, HARRY DEEP ROOTS LAWNCARE 06/20/18 MOSS & MOSS PC QUINN JOHNSTON HENDERSON ETA 266 18WC 34899 NEESE, CHARLES JBS PORK 12/15/17 WOLTER BEEMAN AND LYNCH NYHAN BAMBRICK KINZIE & LOWR 267 18WC 35087 BITSCHENAUER, RONALD R EXPRESS SERVICES INC 08/31/18 BERG & ROBESON MC ANDREWS & NORGLE LLC 268 18WC 35213 VLACH, DONALD ADM 07/21/18 FREDERIC NESSLER & ASSOC HEYL ROYSTER VOELKER & ALLEN 269 18WC 35583 JACKSON, KENNESHA TIMBERLAKE ESTATES SENIOR 09/11/18 STRONG LAW OFFICE 270 18WC 36033 SULLIVAN, DARRYL NUDO PRODUCTS 10/25/18 WOLTER BEEMAN AND LYNCH HENNESSY & ROACH 271 18WC 36183 WILSON, DARNELL DECATUR MEMORIAL HOSPITAL 08/17/17 WOODRUFF JOHNSON FEATHERSTUN GAUMER 272 18WC 36230 MEIERDIRKS, ROBERT BEST BUY 12/05/17 SHAY & ASSOCIATES HENNESSY & ROACH PC 273 18WC 36299 TURNER, BRETT RYDER 11/01/18 DAMON YOUNG HEYL ROYSTER VOELKER & ALLEN 274 18WC 36440 AGERS, CONNIE RICHARDSON MANUFACTURING 04/27/17 LIVINGSTONE MUELLER ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 275 18WC 36485 SPATES, ANTHONY D SAK CONSTRUCTION, LLC 08/02/17 MCANANY VANCLEVE & PHILLIPS 276 18WC 36510 WILLIAMS, SCOTT CATERPILLAR, INC 12/01/18 RIDGE & DOWNES CATERPILLAR, INC. 277 18WC 36793 MEUTH, THOMAS A HJH TRUCKING INC 08/13/18 CARAWAY FISHER 278 18WC 36852 CONNER, JOSEPH US MARBLE GRANITE, INC. 04/17/18 FREDERIC NESSLER & ASSOC 279 18WC 37072 LYNN, LINDA STATE OF IL HFS @ 11/12/18 LAMARCA LAW OFFICES, PC ILLINOIS ATTY GENERAL 280 18WC 37089 LITTLE, ZACHARY MUELLER WATER PRODUCTS IN 07/19/18 FREDERIC NESSLER & ASSOC FEATHERSTUN GAUMER 281 18WC 37108 HILL, ROCHELLE REGENCY CARE 09/17/18 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 282 18WC 37299 FENLEY, RICHARD RICK KONNECKER 07/10/18 DENIS A MC GRADY, JR 283 18WC 37458 WRIGHT, NADIA G JBS 11/26/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 284 18WC 37702 PHELAN, WENDY ST OF IL SEC OF STATE POL @ 11/05/18 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL 285 18WC 37720 CARTER, CECIL ILLINOIS BELL TELEPHONE C 09/12/17 SPIROS LAW PC HENNESSY & ROACH 286 18WC 37945 MCGARY, DANA CASEY'S GENERAL STORE 06/05/18 SHAY & ASSOCIATES 287 18WC 37990 ROGERS, DARRELL INTERSTATE CLEANING CORP 10/28/18 STRONG LAW OFFICE STEPHEN H LARSON LAW OFFICE 288 18WC 38014 STOKES, CHERYL L SALVATION ARMY 11/06/17 KANOSKI BRESNEY EVANS & DIXON 289 18WC 38034 CURTIS, TOSHA FIRST IMPRESSIONS/ COLLEE 04/25/18 NO ATTORNEY 290 18WC 38056 STOKES, CHERYL L SALVATION ARMY 08/16/18 KANOSKI BRESNEY EVANS & DIXON 291 18WC 38129 CARTER, JOHN J.J. BRAKER & SONS, INC 08/15/18 MCCARTHY ROWDEN 292 18WC 38141 HENDERSON, LA SPRINGFIELD SCHOOL DISTR 08/23/18 LAMARCA LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 293 19WC 00509 FELTY, BURL W PANHANDLE COMMUNITY UNIT 09/21/18 KANOSKI BRESNEY INMAN & FITZGIBBONS 294 19WC 00556 THOMAS, RENITA ILLINOIS DEPARTMENT OF @ 03/11/17 CARAWAY FISHER ASSISTANT ATTORNEY GENERAL 295 19WC 01083 BERG, DONALD GAYLORD ARCHIVAL 11/13/18 ANKIN LAW OFFICE HENNESSY & ROACH 296 19WC 01129 MCCANN, WILLIAM "SAM" STATE OF ILLINOIS-SENATE @ 12/20/16 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 297 19WC 01449 HARTSOOK, MARILYN WAL-MART ASSOCIATES, INC. 12/06/17 GANAN & SHAPIRO 298 19WC 01646 WOODS, NORMA J ADDUS HEALTH CARE 09/19/18 KANOSKI BRESNEY HENNESSY & ROACH 299 19WC 01776 LI, RUI YING/HUANG, SAM HUI N. WU 01/23/16 ROBINS & ASSOC LTD 300 19WC 01986 SMALL, DAVID KWCC, INC 12/18/18 TURCYCHUTE LLC ACCIDENT FUND HOLDINGS 301 19WC 02059 LENOVER, TANYA D JBS USA 01/18/16 STEPHEN P. KELLY KNELL O'CONNOR DANIELWICZ 302 19WC 02092 FARRELL, RONNA DEKALB SCHOOL DISTRICT #4 11/27/18 MARK N LEE NYHAN BAMBRICK KINZIE & LOWR 303 19WC 02120 PINKERTON, HARRY MELVN ROVEYFARM & SAKES I 09/26/18 WILLIAMS CAPONI & ASSOC GILDEA, COGHLAN & REGAN LTD. 304 19WC 02688 SIMS, JACQUELYN STATE OF IL - EPA 12/03/18 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 305 19WC 03278 CRISSEY, ADAM PANHANDLE EASTERN PIPELIN 11/07/18 SGRO HANRAHAN DURR 306 19WC 03545 GRATTON, GEORGE JR. SPRINGFIELD PLASTICS, INC 08/01/18 SGRO HANRAHAN DURR STEPHEN H LARSON LAW OFFICE 307 19WC 03782 MORAN, JANA HELP AT HOME 06/01/18 WOLTER BEEMAN AND LYNCH ROSARIO CIBELLA 308 19WC 03788 FOWLER, MICHELLE STATE OF ILLINOIS DOT @ 06/20/18 MARK A WELLS LAW OFFICE ASSISTANT ATTORNEY GENERAL 309 19WC 03855 MCCOMAS, WILLIAM CCMG 12/03/18 STRONG LAW OFFICE ROUSE & CARY 310 19WC 04062 ALLEN, KIMBERLY STATE OF ILLINOIS (DCFS) @ 01/16/19 PETER BLASI LLC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 311 19WC 04130 SANDIDGE, BRADLEY D IL DEPT OF AGRICULTURE @ 04/30/18 JAMES ACKERMAN ASSISTANT ATTORNEY GENERAL 312 19WC 05220 KONRAD, JERRICA DHS: MCFARLAND MENTAL @ 09/11/18 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 313 19WC 05456 FRIEND, CHARLES STATE OF ILLINOIS - IDOT @ 01/09/19 SHAY & ASSOCIATES ASSISTANT ATTORNEY GENERAL 314 19WC 05572 JOHNSON, ANGELICA CATERPILLAR INC 02/11/19 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 315 19WC 05673 BELL, RENA DOLLAR GENERAL 11/08/17 LAMARCA LAW OFFICES, PC LEAHY EISENBERG & FRAENKEL 316 19WC 06040 LAEL, GREGORY S MICHAELS CORPORATION 02/07/19 STEPHEN P. KELLY ROSARIO CIBELLA 317 19WC 06078 SCHMID, JOHNNY MJM ELECTRIC COOPERATIVE 10/19/17 DRUMMOND LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 318 19WC 06428 BARNES, LADONA TACO GRINGO 11/26/18 BOSHARDY LAW OFFICE PC LIVINGSTONE MUELLER ET AL 319 19WC 06433 SCHLOZ, SARAH M GRAPHIC PACKAGING INT 07/07/18 KANOSKI BRESNEY DOHERTY & PROGAR LLC 320 19WC 06570 WERNER, JAMES JR KINGDOM AUTO 09/17/18 DRUMMOND LAW OFFICE 321 19WC 06790 TAYLOR, SUE ARAMARK 11/02/18 TURCYCHUTE LLC STONE & JOHNSON CHARTERED 322 19WC 06824 MARTINEZ, CHRISTINA M QIK-N-EZ 02/08/19 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 323 19WC 07017 WILCOTT, AMANDA SECRETARY OF STATE @ 09/15/16 WOODRUFF JOHNSON ASSISTANT ATTORNEY GENERAL 324 19WC 07272 MOHN, BRAD L REPUBLIC SERVICES 01/24/19 KANOSKI BRESNEY 325 19WC 07339 ZUBER, RONALD F MUELLER, INC 01/02/18 STEPHEN P. KELLY FEATHERSTUN GAUMER 326 19WC 07363 WELLER, RANDALL LEHIGH HANSON, INC 02/07/18 LAMARCA LAW OFFICES, PC EVANS & DIXON 327 19WC 07483 DAVIS, CHARLES W KOPETZ MANUFACTURING INC 10/11/17 KANOSKI BRESNEY HENNESSY & ROACH 328 19WC 07678 OLLER, NATASCHIA GAMMA HEALTHCARE 01/04/18 WOLTER BEEMAN AND LYNCH LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 329 19WC 07695 EVANS, MICHAEL ALTORFER INC 06/20/18 MARK N LEE STEPHEN H LARSON LAW OFFICE 330 19WC 08481 FRANKLIN, ALICIA L ST MARY'S HOSPITAL 12/04/18 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 331 19WC 08583 FORSHEE, ALICIA SMOKEY BONES BARBEQUE 02/23/19 HOLLEY & ROSEN EVANS & DIXON 332 19WC 08598 TUCKER, VIOLET HOLIDAY INN 02/06/19 CROWLEY & PRILL 333 19WC 08692 CLARK, WADE WRIGHT TREE SERVICE 01/08/19 HOLLEY & ROSEN BROWN & JAMES, PC 334 19WC 09115 RINABERGER, KAINAN CITY OF SPRINGFIELD 12/23/18 HAXEL LAW OFFICE 335 19WC 09444 DAWSON, GREG ILLINOIS SECRETARY OF STA @ 02/22/19 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 336 19WC 09884 WELBURN, TIFFANY J SHELBYVILLE REHABILITATIO 02/04/19 KANOSKI BRESNEY STEPHEN P. KELLY 337 19WC 09962 APPLEGATE, KIMBERLY A SCHUTT SPORTS 01/10/19 KANOSKI BRESNEY EVANS & DIXON, LLC 338 19WC 10394 BOGDEN, ERIC KIM'S AUTOBODY 03/13/19 MCCARTHY ROWDEN GANAN & SHAPIRO 339 19WC 10496 BROWN, ANTHONY D BOONES SALOON 11/02/18 KANOSKI BRESNEY LIVINGSTONE MUELLER ET AL 340 19WC 10571 GONZALEZ, JUSTIN A ILLINOIS STATE POLICE @ 12/19/18 HARRIS & JONES ILLINOIS ATTY GENERAL 341 19WC 10620 STANTON, DENNIS ADM 11/08/16 FREDERIC NESSLER & ASSOC FEATHERSTUN GAUMER 342 19WC 10730 COOK, JOYCE A PANA COMMUNITY HOSPITAL 10/12/18 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 343 19WC 10820 ESTES, BRET B FOLTZ WELDING, LTD 02/21/19 KANOSKI BRESNEY CRAIG A HANSEN 344 19WC 10939 MERRITT, RANDY ARCHER DANIELS MIDLAND 09/11/17 MCCARTHY ROWDEN HEYL ROYSTER VOELKER & ALLEN 19WC018481 -C 345 19WC 11324 EUBANKS, TWYLA P STATE OF ILLINOIS-DEPTOF @ 03/20/19 MCCARTHY ROWDEN ILLINOIS ATTY GENERAL 346 19WC 11784 O'BRIEN, ALEX K RAFFERTY ENTERPRISES D/B/ 03/27/19 HOLLEY & ROSEN GILDEA, COGHLAN & REGAN LTD.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 347 19WC 11786 JACKSON, SANTARUS BURGER KING 12/31/18 WARREN E DANZ, PC ROUSE & CARY 348 19WC 11812 TEGA, WENDY RCM CO-OP 10/26/18 STRONG LAW OFFICE GANAN & SHAPIRO 349 19WC 12152 RUNGE, DYLAN J CITY OF SPRINGFIELD (CWLP 12/07/18 DELANO LAW OFFICES LLC LIVINGSTONE MUELLER ET AL 350 19WC 12154 RICHARDSON, KATHERINE ILLINOIS PRESS ASSOCIATIO 10/13/17 MCCARTHY ROWDEN LUCY T. UNGER 351 19WC 12208 BLACKWELL, MICHELLE RULER FOODS 02/10/19 STRONG LAW OFFICE GANAN & SHAPIRO 352 19WC 12210 SURRATT, HEATHER DOLLAR GENERAL 02/28/19 FREDERIC NESSLER & ASSOC LEAHY EISENBERG & FRAENKEL 353 19WC 12379 MCDOWELL, SHAVOSIA COMCAST CORPORATION 11/28/18 STRONG LAW OFFICE HENNESSY & ROACH PC 354 19WC 12702 MURPHY, BURT CATERPILLAR INC 02/14/19 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 355 19WC 13095 BROOKENS, STEVE DYNEGY 04/20/18 MCCARTHY ROWDEN KEEFE & DEPAULI 356 19WC 13196 HANSEL, NORMAN E E.L. PRUITT, CO 01/28/19 JAMES ACKERMAN STEPHEN H LARSON LAW OFFICE 357 19WC 13394 REDDING, CARLA STRATAS FOODS 03/21/19 MCCARTHY ROWDEN HEYL ROYSTER VOELKER & ALLEN 358 19WC 13475 STEWART, KEVIN STATE OF ILLINOIS - DCFS @ 03/20/19 MARK N LEE ASSISTANT ATTORNEY GENERAL 359 19WC 13943 ENGLE, CHERI AMERICAN RED CROSS 09/04/18 ASA LAW GROUP 360 19WC 14337 POPPENHOUSE, GERALD AGCO 04/29/19 GALANTI LAW OFFICES 361 19WC 14430 BECK, CANDY S RIVERTON CUSD 14 03/28/19 SCHUCHAT, COOK & WERNER INMAN & FITZGIBBONS 362 19WC 14584 FOWLER, TAMI DECATUR PUBLIC SCHOOL DIS 04/04/19 MCCARTHY ROWDEN FEATHERSTUN GAUMER 363 19WC 14942 DISROE, AARON ILLINOIS DEPT OF TRANSPOR @ 03/27/19 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 364 19WC 15283 DUNCAN, THERESA A ST JOHN'S HOSPITAL 06/12/18 KANOSKI BRESNEY MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 365 19WC 15798 GOODWIN, JESSICA L DECATUR MEMORIAL HOSPITAL 07/25/18 LAKE LAW FIRM FEATHERSTUN GAUMER 366 19WC 15854 WILLIAMSON, TONY CATERPILLAR 07/13/17 WARREN E DANZ, PC 367 19WC 15870 EKISS, NICOLE DECATUR PUBLIC SCHOOL DIS 04/08/19 MCCARTHY ROWDEN FEATHERSTUN GAUMER 368 19WC 15987 TRIONE, MICHAEL G&D TRANSPORTATION 01/31/19 SPIROS LAW PC LAWRENCE COZZI - LAW OFFICE 369 19WC 16088 GANSZ, CONNIE PASSAVANT HOSPITAL 01/31/19 BECKER SCHROADER & CHAPMAN HEYL ROYSTER VOELKER & ALLEN 370 19WC 16181 LEMARR, BRAD ILLINOIS STATE POLICE @ 03/16/19 RIDGE & DOWNES 371 19WC 16273 MERRIFIELD, ROBERT GRAPHIC PACKAGING 04/29/19 TUGGLE SCHIRO & LICHTENBER DOHERTY & PROGAR LLC 372 19WC 16336 SEXTON, FREDERICK NUDO PRODUCTS 04/24/19 HOLLEY & ROSEN HENNESSY & ROACH 373 19WC 16677 JUDGE, ROBERT STERICYCLE INC 03/31/19 STRONG LAW OFFICE 374 19WC 16780 CLINTON, TIM DONLEY TRUCKING INC 04/30/19 STRONG LAW OFFICE SCOPELITIS GARVIN LIGHT 375 19WC 17084 BATE, CHELSEA DECATUR MEMORIAL HOSPITAL 01/22/16 SHAY & ASSOCIATES 376 19WC 17109 GRAFF, CHERRIL CURRAN-GARDNER TOWNSHIP 01/25/19 FREDERIC NESSLER & ASSOC BRADY, CONNOLLY & MASUDA, PC 377 19WC 17113 POPPENHOUSE, LOUIS SCHEELS ALL SPORTS, INC. 09/12/18 FREDERIC NESSLER & ASSOC 378 19WC 17369 MABON, MAC ARCHER DANIELS MIDLAND CO 12/06/18 SHAY & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 379 19WC 17423 GREGORY, GINA REDSHAW ENTERPRISES DBA 06/04/18 CHRIS DOSCOTCH 380 19WC 17524 LAW, KIMBERLY DHS MCFARLAND MENTAL HEAL @ 04/23/18 MARK N LEE ASSISTANT ATTORNEY GENERAL 381 19WC 17690 RIBAUDO, ANNA ST FRANCIS CONVENT/HOSPIT 12/19/17 STEPHEN P. KELLY BRADY CONNOLLY & MASUDA PC 382 19WC 17703 DOWLING, GWEN STATE OF IL - DHS @ 05/20/19 LAMARCA LAW OFFICES, PC ILLINOIS ATTY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 383 19WC 18067 CUNNINGHAM, BRIAN O FUYAO GLASS ILLINOIS, INC 05/25/19 KANOSKI BRESNEY 384 19WC 18259 PREWITT, MEGHAN WINDOM SPRINGFIELD CITY 06/13/19 LAMARCA LAW OFFICES, PC 385 19WC 18389 BISS, JUSTIN MCLEOD EXPRESS 01/15/19 SHAY & ASSOCIATES INMAN & FITZGIBBONS 386 19WC 18535 TUCKER, WILLIAM XTREME TREE SERVICE 07/21/18 MARK N LEE GATES, WISE & SCHOSSER 387 19WC 18615 CARLS, TRACEY D WELLS FARGO 02/14/17 WOLTER BEEMAN AND LYNCH ROSARIO CIBELLA 388 19WC 18704 BRANT, CHRIS SOI - HILLSBORO CC @ 01/27/19 CORNFIELD & FELDMAN ILLINOIS ATTY GENERAL 389 19WC 18758 PORTER, LOLITA COMMUNITY CARE SERVICE 07/26/17 WARREN E DANZ, PC LIVINGSTONE MUELLER ET AL 390 19WC 18931 DEBERRY, DAVID ADM COMPANY 02/27/18 JOHNSTON LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 391 19WC 19747 TIDWELL, TERNELL S LEWIS MEMORIAL CHRITIAN V 10/25/18 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 392 19WC 19784 JUDGE, ROBERT HORACE MANN 11/05/18 STRONG LAW OFFICE 393 19WC 20109 BOLGRIHN, JENNIFER MASON CITY AREA 10/19/18 DAVID HUNT 394 19WC 20131 BORIS, RONALD T GLOBAL SECURITY SERVICES 01/14/19 KANOSKI BRESNEY 395 19WC 20360 ANDERSON, DAVID ACE WORLD WIDE 05/13/19 GOLDFINE & BOWLES WOLFE & JACOBSON, LTD 396 19WC 20390 PIERCE, JAMES P JR. STANDARDAERO COMPANY 02/19/19 HOLLEY & ROSEN 397 19WC 20473 STALEY, JAMES MICHELES PIPELINE 05/23/19 GREGORY W. SCRONCE ROSARIO CIBELLA 398 19WC 21137 ROGERS, RICKY RICHARDSON MANUFACTURING 05/16/19 FREDERIC NESSLER & ASSOC 399 19WC 21627 FOREMAN, HARLEY ANIMAL PROTECTIVE LEAGUE 03/27/19 LAKE LAW FIRM LAWRENCE COZZI - LAW OFFICE 400 19WC 21669 LOPEZ, JORGE PSSI INC 05/23/19 DENNIS ATTEBERRY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 401 19WC 21750 YOUNG, CAROLYN J MUELLER CO. 04/08/19 KATZ FRIEDMAN EAGLE ET AL 402 19WC 21878 RHODES, JEFFREY IDOT 06/13/16 WILLIAMS CAPONI & ASSOC ASSISTANT ATTORNEY GENERAL 403 19WC 21947 HURST, GENA M CATERPILLAR INC. 01/08/19 BERG & ROBESON CATERPILLAR, INC. 404 19WC 22156 RAUFER, LINDA C DEPT OF NATURAL RESOURCES @ 09/15/17 ASSISTANT ATTORNEY GENERAL 405 19WC 22358 NEWBERRY, SHERRI HUCK'S CONVENIENT FOOD ST 01/15/19 SHAY & ASSOCIATES 406 19WC 22540 CLARK, NICHOLAS JAYNE EXCAVATING & WELDIN 06/27/19 NO ATTORNEY 407 19WC 22653 CLINGAN-JONES, JENNIE AARON'S 12/28/18 WALTON TELKEN LLC STEPHEN H LARSON LAW OFFICE 408 19WC 23116 DANIELS, JON MARTIN TRANSPORTATION SYS 02/27/19 WILLIAMS & SWEE ACCIDENT FUND HOLDINGS 409 19WC 23564 GOODE, BILL JACKSONVILLE MACHINE 10/01/18 DWORKIN AND MACIARIELLO 410 19WC 23753 BENNY, DENNIS GSI GROUP LLC 06/26/19 STRONG LAW OFFICE FEATHERSTUN GAUMER 411 19WC 23827 BOND, DEAN DECATUR PLATING AND MFG C 07/21/19 WARREN E DANZ, PC HENNESSY & ROACH, PC 412 19WC 23929 ROWE, ELVIRA HILLSBORO REHABILITATION 07/09/19 JOHNSTON LAW OFFICE 413 19WC 24161 MUGG, KAREN HARDEE'S 06/30/19 FREDERIC NESSLER & ASSOC ROSARIO CIBELLA 414 19WC 24217 ALCORN, JOCELYN ARAMARK 07/16/19 WARREN E DANZ, PC INMAN & FITZGIBBONS 415 19WC 24420 ANDERS, NICHOLAS W M & M SERVICES COMPANY 04/15/19 HEYL ROYSTER VOELKER & ALLEN 416 19WC 24424 ARMSTRONG, ANGELA CATERPILLAR INC 11/09/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 417 19WC 24458 RICE, TAMMY CARLINVILLE TRUCK EQUIPME 09/21/18 WILLIAMSON WEBSTER ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 418 19WC 24785 LAFFERTY, JAMES E JR. CITY OF GILLESPIE 04/22/19 WOLTER BEEMAN AND LYNCH 419 19WC 25276 MORRISON, WOODROW L BEELMAN TRUCKING COMPANY 02/11/19 STEPHEN P. KELLY HENNESSY & ROACH 19WC029327 -C 420 19WC 25582 FELTY, BURL W PANHANDLE COMMUNITY UNIT 06/06/19 KANOSKI BRESNEY INMAN & FITZGIBBONS 421 19WC 25750 BRANNAN, DAVID AEROTEK- BLOOMINGTON 02/12/19 COSTA IVONE LLC 422 19WC 25845 CONNER, JERRY STANDARD FORWARDING 07/17/19 MARK N LEE HENNESSY & ROACH 423 19WC 25878 EVANS, DINA K BLUE CROSS BLUE SHIELD 04/02/19 KANOSKI BRESNEY STEPHEN CARTER 424 19WC 26153 HARSZY, DIANA MACO MANAGEMENT COMPANY I 01/03/19 SHORT AND DAUGHERTY 425 19WC 26634 DAWSON, TAYLA CATERPILLAR INC 07/25/19 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 426 19WC 26831 CONSTANT, GARY REDBIRD TRANSIT LLC 01/12/18 MARK A WELLS LAW OFFICE INMAN & FITZGIBBONS 427 19WC 26851 MAJEWSKI, WALTER A MENARDS HOME IMPROVEMENT, 08/17/18 JAMES ACKERMAN 428 19WC 27121 PEDDYCOART, PHILLIP CITY OF SPRINGFIELD 11/25/18 SGRO, HANRAHAN DURR RABIN LIVINGSTONE MUELLER ET AL 429 19WC 27198 KELLER, RANDY J ARCHER DANIELS MIDLAND CO 03/04/19 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 430 19WC 28074 BEITEL, RYAN EXPRESS EMPLOYMENT 03/06/19 WALTON TELKEN LLC MC ANDREWS & NORGLE LLC 431 19WC 28103 CONLEY, AIMEE J LUTHERAN CHILDAND FAMILY 07/28/19 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 432 19WC 28165 MCFARLAND, LORETTA COMMUNITY CARE SYSTEMS 09/03/19 NOLL LAW OFFICE LIVINGSTONE MUELLER ET AL 433 19WC 28276 FINLEY, JEFF MCLEOD EXPRESS 09/15/19 MOSS & MOSS PC INMAN & FITZGIBBONS 434 19WC 28431 SIMS, LISA STATE OF ILLINOIS @ 05/28/19 STEPHEN P. KELLY 435 19WC 28439 STEINER, CHRISTOPHER RONCHETTI DISTRIBUTING 02/15/18 BROWN & CROUPPEN BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 436 19WC 28447 MEHMOOD, SADIA MEMORIAL MEDICAL CENTER 06/07/19 JAMES ACKERMAN SORLING NORTHRUP 437 19WC 28530 PETERSON, TARVARSE SWIFT TRANSPORTATION 06/06/19 FOSSIER LAW WIEDNER & MCAULIFFE LTD 438 19WC 28702 GARRETT, JAMES ST OF IL DEPT OF AGRICULT @ 08/04/19 GREGORY W. SCRONCE ASSISTANT ATTORNEY GENERAL 439 19WC 28854 HENSON, MARK CITY OF SPRINGFIELD, CITY 05/31/19 ELLEN C. BRUCE 440 19WC 28875 SCOTT, DANIEL J WILLIAMS NATIONALEASE LTD @ 08/02/19 JAMES ACKERMAN BRADY, CONNOLLY & MASUDA, PC 441 19WC 29020 WRIGLEY, KENNETH KINKOS 09/11/19 STRONG LAW OFFICE 442 19WC 29086 ALLBRITTON, JEFFIE KENCO LOGISTICS 07/22/19 FREDERIC NESSLER & ASSOC BRYCE DOWNEY & LENKOV LLC 443 19WC 29142 RAGSDALE, MAKAYLA APERION CARE CAPITOL 09/07/17 MANDEL & MANDEL LLP 444 19WC 29176 MC GOVERN, BREANNA LIFESTAR AMBULANCE 09/06/19 HOLLEY & ROSEN GAROFALO SCHREIBER STORM GRA 445 19WC 29200 UTINSKE, ALEXIS VILLA HEALTH CARE CENTER 08/25/19 GREGORY W. SCRONCE 446 19WC 29308 ESTLER, JORDAN A JBS 03/04/19 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 447 19WC 29345 GALLEGOS, JESUS LCV STAFFING 09/24/19 CULLEN HASKINS NICHOLSON LITCHFIELD CAVO 448 19WC 29477 YOUNG-THOMAS, SYMPHONI MARION COUNTY HORIZON CEN 05/06/19 449 19WC 29505 TUNE, EVELYN NABISCO/MONDELEZ GLOBAL L 06/10/19 WOLTER BEEMAN AND LYNCH WIEDNER & MCAULIFFE LTD 450 19WC 29623 LEDBETTER, WANDA M WAL-MART 06/03/19 KANOSKI BRESNEY QUINTAIROS PRIETO WOOD & BOY 451 19WC 30141 DAVIS, DANIEL S CONSOLIDATED READY MIX, L 02/26/18 THE STOKES LAW OFFICE 452 19WC 30304 HOUSTON, MICHELE DECATUR MEMORIAL HOSPITAL 02/12/19 MARK N LEE 453 19WC 30341 JOHNSON, JEFFREE LINCOLN PRAIRIE 02/22/19 FREDERIC NESSLER & ASSOC MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 454 19WC 30400 GLEICH, SHERRI G CASEY'S GENERAL STOER 03/28/19 DELANO LAW OFFICES LLC JAMES M KELLY 455 19WC 30547 CONNER, JERRY STANDARD FORWARDING 09/25/19 MARK N LEE 456 19WC 31021 CREEK, RICHARD HALVERSON CONSTRUCTION 08/19/19 GREGORIO & MARCO 457 19WC 31132 CUSHMAN, MELISSA ST OF IL/DEPT OF VETERAN' @ 09/30/19 STEPHEN P. KELLY ASSISTANT ATTORNEY GENERAL 458 19WC 31359 SLATER, BUTCH CITY OF SPRINGFIELD 09/21/19 STEVEN C MILLS 459 19WC 31466 TRAN, TERESA GATEHOUSE MEDIA 09/17/19 SHAY & ASSOCIATES KNELL LAW LLC 460 19WC 31539 REISCHE, KURT CMS @ 02/20/19 WOODRUFF JOHNSON ILLINOIS ATTY GENERAL 461 19WC 31632 ELVERS, DALE CATERPILLAR INC 10/08/19 KATZ FRIEDMAN EISENSTEIN CATERPILLAR, INC. 462 19WC 31679 HARGETT, TAMEKO HERITAGE HEALTH 10/17/19 SHORT AND DAUGHERTY RIPES NELSON BAGGOT KALOBRAT 463 19WC 31711 LESTER, HELEN COMMUNITY CARE SYSTEMS IN 08/24/19 STRONG LAW OFFICE 464 19WC 31824 TAYLOR, DOROTHY L FIRST STUDENT 09/26/19 NO ATTORNEY WIEDNER & MCAULIFFE LTD 465 19WC 31848 HARRIS, JEANETTE SOLOMON COLORS 08/06/19 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 466 19WC 31881 LONG, LISA ATHENS CUSD 213 02/11/19 SGRO HANRAHAN DURR 467 19WC 31934 HANRAHAN, ETHAN CITY OF MT VERNON 09/25/18 INMAN & FITZGIBBONS 468 19WC 32348 HANSMEIER, JOYCE REYNOLDS CONSUMER PRODUCT 09/24/19 WOODRUFF JOHNSON KEEFE CAMPBELL BIERY & ASSOC 469 19WC 32749 PROCTOR, JEREMY HAYES MECHANICAL 04/11/18 KIRKPARTICK LAW OFFICES WIEDNER & MCAULIFFE LTD 470 19WC 32980 LERCH, KEVIN STATE OF IL SECRETARY OF @ 07/18/19 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 471 19WC 33066 EVGRAFOVA, TATYANA ST OF IL- SECRETARY OF ST @ 02/04/19 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 472 19WC 33183 SPERRY, TIMOTHY E STATE OF ILLINOIS-IDOT @ 09/09/19 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 473 19WC 33482 BELL, JACOB W VIPER MINE 09/05/19 SGRO HANRAHAN DURR 474 19WC 33543 PAINTER, MARK A MIKE WEYBRIGHT CONSTRUCTI 10/23/18 MCCARTHY ROWDEN GAROFALO SCHREIBER STORM GRA 475 19WC 33569 ZUR, JOSEPH CONFIE SEGUROS HOLDING CO 12/10/18 FREDERIC NESSLER & ASSOC CRAIG A HANSEN 476 19WC 33657 JOHNSON, CHRIS JACKSONVILLE POLICE DEPT 09/11/19 WOODRUFF JOHNSON 477 19WC 33692 KING, DENNIS COVENANT CARE MIDWEST 05/06/19 BROWN & BROWN HENNESSY & ROACH 478 19WC 33790 ARCHER, AMY S BLUE CROSS BLUE SHIELD OF 12/07/18 KANOSKI BRESNEY STEPHEN CARTER 479 19WC 34024 HERSCHELMAN, MARCUS C JENNMAR SERVICES 05/30/19 KANOSKI BRESNEY THOMAS & ASSOCIATES 480 19WC 34031 CHISOM, DESTANY WALMART 09/29/18 HOLLEY & ROSEN GANAN & SHAPIRO 481 19WC 34061 LIVINGOOD, RANDIE ST MARY'S HOSPITAL 09/27/19 SHAY & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 482 19WC 34093 NORMAN, TAWNY D NIEMANN FOODS INC 05/21/19 KANOSKI BRESNEY 483 19WC 34096 GRIDER, RAY SPRINGFIELD FIRE DEPT 11/27/15 HAXEL LAW OFFICE 484 19WC 34282 MCMAHON, MICHAEL A LITCHFIELD COUNTRY CLUB 10/29/19 WALTON TELKEN LLC 485 19WC 34342 DEARDEUFF, NICOLAS STAFFQUICK 11/20/19 ARMBRUSTER DRIPPS HENNESSY & ROACH PC 486 19WC 34701 DENNISON, CHAD CITY OF SPRINGFIELD 07/25/18 SGRO, HANRAHAN DURR RABIN 487 19WC 34827 PHILLIPS, DAVID D HOLIDAY INN EXPRESS 08/22/19 KANOSKI BRESNEY ROUSE & CARY 488 19WC 35022 EVANS, VERONICA HSHS ST JOHNS 11/10/18 STRONG LAW OFFICE MC ANDREWS & NORGLE LLC 489 19WC 35032 FARMER, ANGELA US BANK 10/11/19 KARCHMAR & STONE MORROW WILLNAUER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 490 19WC 35763 PERKINS, ANDREA L HELP AT HOME 08/03/19 KANOSKI BRESNEY 491 19WC 35777 KAISER, HEIDI GSI GROUP 06/27/18 MCCARTHY ROWDEN FEATHERSTUN GAUMER 492 19WC 35912 MOND, GREGORY GRAPHING PCKAGING INTRNAT 11/10/19 TUGGLE SCHIRO & LICHTENBER 493 19WC 35938 BELL, JACOB W VIPER MINE 03/28/17 SGRO HANRAHAN DURR 494 19WC 35948 REEVES, NANCY STATE OF ILLINOIS @ 12/15/17 FREDERIC NESSLER & ASSOC ASSISTANT ATTORNEY GENERAL 495 19WC 36089 KUZMIAK, EUGENE ILLINOIS STATE POLICE @ 10/04/19 RIDGE & DOWNES ILLINOIS ATTY GENERAL 496 19WC 36246 WOOD, DANNY AECOM ENERGY & CONSTRUCTO 12/05/19 TURCYCHUTE LLC 497 19WC 36358 JOHNSON, CONNER L KIM'S AUTOBODY, INC 10/19/19 KANOSKI BRESNEY 498 19WC 36397 REKESIUS, JACQUELYN ST OF IL PROPERTY TAX @ 07/01/19 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 499 19WC 36448 WHITE, TIM U.S. MINERALS 04/03/19 WARREN E DANZ, PC ROSARIO CIBELLA 500 19WC 36564 JACKSON, TYLER ROOFING ASSOCIATES LLC 11/25/19 NOLL LAW OFFICE 501 19WC 36600 MENGE, NICOLE REYNOLDS 07/22/19 WOODRUFF JOHNSON KEEFE CAMPBELL BIERY & ASSOC 502 19WC 36791 PERKINS, BILLY J PRAIRIE FARMS 09/08/19 MILLERKING LLC KNAPP, OHL & GREEN 503 19WC 36903 LOUDEN, DORISTEIN HORACE MANN 05/01/19 STRONG LAW OFFICE 504 19WC 36945 SPELLMAN, RICK D LOWE'S 06/21/19 KANOSKI BRESNEY KEEFE CAMPBELL BIERY & ASSOC 505 19WC 37011 SCOTT, ANGELA EXPRESS SERVICES 07/09/19 THE DONOHOO LAW FIRM MC ANDREWS & NORGLE LLC 506 19WC 37034 FOTH, BRAD THOMAS BLAKLEY HEATING COOLING & 08/16/19 WOLTER BEEMAN AND LYNCH 507 19WC 37058 MOORE, HARRIETTE MARLENE HY-VEE INC. 10/21/19 JOHN LESAGANICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 508 19WC 37154 STOKES, GABE MARYAN MINING 02/22/19 JOHNSTON LAW OFFICE 509 19WC 37464 YOUNG, ANTONIO ADM 08/19/19 KATZ FRIEDMAN EISENSTEIN HEYL ROYSTER VOELKER & ALLEN 510 19WC 37541 FRABKLIN, KELLY PRAIRIE FARMS DAIRY 04/18/19 MCCARTHY ROWDEN KNAPP, OHL & GREEN 511 19WC 37566 WRIGHT, CAROLYN STATE OF IL IEPA @ 08/08/19 LAMARCA LAW OFFICES, PC 512 20WC 00541 KINKADE, GREG ARAMARK 08/28/19 WOLTER BEEMAN AND LYNCH 513 20WC 00739 MARFELL, JEROD CITY OF SPRINGFIELD 11/18/19 SGRO, HANRAHAN DURR RABIN 514 20WC 00837 RUTHERFORD, TIMOTHY ARCHER DANIELS MIDLAND 12/19/19 MARK N LEE HEYL ROYSTER VOELKER & ALLEN 515 20WC 00899 FLAGG, DEVON CATERPILLAR INC 08/04/19 KATZ FRIEDMAN EISENSTEIN CATERPILLAR, INC. 516 20WC 00987 LITTLE, ROBERT KLH HOMES INC 07/24/19 MCCARTHY ROWDEN NYHAN BAMBRICK KINZIE & LOWR 517 20WC 01214 ASHCRAFT, DESTINY ARENA FOOD SERVICE INC 12/27/19 FREDERIC NESSLER & ASSOC LAWRENCE COZZI - LAW OFFICE 518 20WC 01289 WASHINGTON, STEVEN A JBS 02/07/19 KANOSKI BRESNEY KNELL O'CONNOR DANIELWICZ 519 20WC 01543 WHITLOW, JOHN STATE OF IL - DOC 03/21/19 STRONG LAW OFFICE 520 20WC 01568 SMITH, DEREK UPS 12/24/19 STRONG LAW OFFICE MCANANY VANCLEVE & PHILLIPS 521 20WC 01646 SHELTON, DANTE L NUDO PRODUCTS 12/03/19 DELANO LAW OFFICES LLC 522 20WC 01924 OSTERMEIER, TRAVIS W CITY OF TAYLORVILLE 01/29/18 KANOSKI BRESNEY 523 20WC 02056 NEEDHAM, LORI L ST. JOHN'S HOSPITAL 07/09/19 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 524 20WC 02069 JACKSON, LAWRENCE REYNOLDS CONSUMER PRODUCT 10/15/18 BERG & ROBESON WIEDNER & MCAULIFFE LTD 525 20WC 02134 DOWERS, GARY CAFE MOXO 12/16/19 STRONG LAW OFFICE LIVINGSTONE MUELLER ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 526 20WC 02225 DURBIN, CAROLYN WAL-MART 12/07/19 DRUMMOND LAW OFFICE WIEDNER & MCAULIFFE LTD 527 20WC 02297 GREER, KIM CATERPILLAR INC 10/28/19 KATZ FRIEDMAN EISENSTEIN CATERPILLAR, INC. 528 20WC 02491 JULIUS, DAVID HSHS ST JOHN'S HOSPITAL 04/07/19 DWORKIN AND MACIARIELLO HEPLER BROOM LLC 529 20WC 02755 WRIGHT, NADIA JBS 11/26/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 530 20WC 03072 HAMPTON, BRIAN W HOI VENDING 07/31/19 KANOSKI BRESNEY 531 20WC 03151 GARDNER, DIANE D HERITAGE HEALTH 07/21/18 SGRO HANRAHAN DURR 532 20WC 03155 LINN, SEAN L STANDARD FORWARDING 10/04/19 KANOSKI BRESNEY HENNESSY & ROACH 533 20WC 03187 BLEYER, RONALD ALPLY INSULATED PANELS, L 01/06/20 DRUMMOND LAW OFFICE 534 20WC 03296 MURPHY, MARTA NATIONAL FOOD WORKS SERVI 11/30/19 DWORKIN AND MACIARIELLO LUCY T. UNGER 535 20WC 03360 RICHARDS, HARVEY CITY OF SPRINGFIELD 10/05/17 HAXEL LAW OFFICE 536 20WC 03900 ECK, FREDERICK SHOP N SAVE 05/24/18 SGRO, HANRAHAN DURR RABIN LEAHY EISENBERG & FRAENKEL 537 20WC 04301 CAMPBELL, DREW NSMG SHARED SERVICES 03/08/19 DWORKIN AND MACIARIELLO ROUSE & CARY 538 20WC 04421 BOCKEWITZ, JASON BARNHART CRANE & RIGGING 10/22/19 PATRICK JENNETTEN 539 20WC 04515 BARBEE, BEVERLY G SPRINGFIELD SCHOOL DIST # 09/26/17 DELANO LAW OFFICES LLC 540 20WC 04518 BARNES, GRANT SPRINGFIELD POLICE DEPART 01/22/19 NOLL LAW OFFICE 541 20WC 04825 CALVIN, RANDY JBS 05/29/18 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 542 20WC 04909 ROCHKES, LAWRENCE WADE SLOAN IMPLEMENT 03/09/17 MCCARTHY ROWDEN 543 20WC 04963 PUCCETTI, MARK A STATE OF IL - SECRETARY O @ 09/15/17 HASSAKIS & HASSAKIS PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 544 20WC 04982 TAPLEY, KATHY CALVARY BAPTIST CHURCH 08/19/19 ARMBRUSTER DRIPPS ROSARIO CIBELLA 545 20WC 05144 RHODES, JAMES SMS STAFFING SOLUTIONS 11/30/18 DAMON YOUNG 546 20WC 05211 PETERS, CHARLES B JR. CITY OF SPRINGFIELD- 01/10/20 WOLTER BEEMAN AND LYNCH 547 20WC 05236 GAFFNEY, DEANDRE JBS 10/04/19 MCCARTHY ROWDEN KNELL O'CONNOR DANIELWICZ 548 20WC 05337 RISKE, JAMES EXPRESS EMPLOYMENT PERSON 11/27/19 STRONG LAW OFFICE MC ANDREWS & NORGLE LLC 549 20WC 05359 LINDGREN, TAMMY R MCDONALD'S RESTAURANT 08/15/19 KANOSKI BRESNEY ROSARIO CIBELLA 550 20WC 05422 RAY, DAVID IL DEPT OF NATURAL RESOUR @ 02/13/20 RIDGE & DOWNES 551 20WC 05591 LYSAGHT, MARLON DEPARTMENT OF CORRECTIONS @ 01/07/20 WOODRUFF JOHNSON ASSISTANT ATTORNEY GENERAL 552 20WC 05637 PRYOR, ANDREA STATE OF ILLINOIS @ 06/27/18 WOLTER BEEMAN AND LYNCH 553 20WC 05663 BLACK, RITA HAT TRICK OF CENTRAL IL 12/19/19 NO ATTORNEY ACCIDENT FUND HOLDINGS 554 20WC 05744 KELLY, THOMAS STRATUS CONSTRUCTION 09/24/19 GOLDFINE & BOWLES HENNESSY & ROACH 555 20WC 05794 CRAVENS, ALLEN GSI GROUP, LLC 12/12/19 SGRO HANRAHAN DURR RABIN 556 20WC 05959 WATKINS, ANTRIA AMEREN ILLINOIS 08/03/18 MCCARTHY ROWDEN HOLTKAMP LIESE 557 20WC 05974 PLUMMER, TIMOTHY CITY OF SPRINGFIELD 09/03/19 ELMORE & REID 558 20WC 06002 SPENGLER, LOREN J WILLIAMS CONSTRUCTION, 10/14/19 LAWRENCE COZZI - LAW OFFICE 559 20WC 06132 HOLLINGSHEAD, PAULA S HERITAGE OPERATIONS GROUP 11/10/17 MCCARTHY ROWDEN 560 20WC 06149 BOYLE, ZACHARY SPRINGFIELD POLICE DEPART 01/22/20 NOLL LAW OFFICE 561 20WC 06198 RICHARDSON, RICKEY FORNOFF FERTILIZER SERVIC 06/28/19 DAVID HUNT MCDONALD & BOGDAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 562 20WC 06399 MIKULA, WILLIAM BRADCO INC 10/19/19 STRONG LAW OFFICE GANAN & SHAPIRO 563 20WC 06491 KETCHUM, DAVID M NIEMANN FOODS, INC 03/08/19 JAMES ACKERMAN 564 20WC 06632 JONES, TONI ARAMARK 02/07/20 STEPHEN P. KELLY 565 20WC 06705 BUERK, RAYMOND CHRISTIAN CNTY FARMERS SU 10/01/19 SGRO HANRAHAN DURR RABIN 566 20WC 06843 JENNINGS, LINDA STATE OF ILLINOIS DEPT OF @ 11/15/18 MARK A WELLS LAW OFFICE ASSISTANT ATTORNEY GENERAL 567 20WC 06918 2000S, DEWAYNE E AUTO ZONE 01/03/20 KANOSKI BRESNEY QUINN JOHNSTON HENDERSON ETA 568 20WC 07181 KREOGER, RYAN SPRINGFIELD PLASTICS, INC 10/22/19 DRUMMOND LAW OFFICE 569 20WC 07356 NOVOTNY, JOHN GRAPHIC PACKAGING 02/21/20 SMITH LAW LTD 570 20WC 07474 TAYLOR, TERESA ARCHER-DANIELS MIDLAND CO 03/26/19 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 571 20WC 07625 ROBERTSON, LARRY GRAPHIC PACKAGING INT'L I * 07/01/19 TAPELLA & EBERSPACHER LLC DOHERTY & PROGAR LLC 572 20WC 07657 HOLLINGSWORTH, DEARIUS STAFFQUICK OF SPRINGFIELD * 02/25/20 WOLTER BEEMAN AND LYNCH HENNESSY & ROACH PC 573 20WC 07843 JOHNSON, TYRONE STRATAS FOODS * 09/03/19 FREDERIC NESSLER & ASSOC HEYL ROYSTER VOELKER & ALLEN 574 20WC 07870 BROWN, DAVONTE JBS * 03/17/20 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 575 20WC 07992 BARGHOORN, PAMELA J CRAWFORD, MURPHY & TILLY, * 02/01/19 SGRO HANRAHAN DURR HEYL ROYSTER VOELKER & ALLEN 576 20WC 08017 SKELTON, SHAUN PETERSON TRANSPORT, INC * 05/08/19 SGRO, HANRAHAN DURR RABIN 577 20WC 08111 WALKER, NIKYA CEC ENTERTAINMENT INC * 08/27/19 STRONG LAW OFFICE 578 20WC 08182 HUCKSTEAD, TROY GRAPHIC PACKAGING INTL IN * 03/06/20 SMITH LAW LTD 579 20WC 08208 NEWMAN, BERNARD O'REILLY AUTO PARTS * 03/09/20 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 580 20WC 08245 MCGILL, RAYMOND VIPER MINE * 09/18/19 SGRO HANRAHAN DURR 581 20WC 08388 BOLT, JOSEPH MADISON COUNTY * 03/28/19 KEEFE & DEPAULI 582 20WC 08393 HENINGTON, MARLA DECATUR PUBLIC TRANSIT * 11/05/19 MARK N LEE 583 20WC 08756 WINKELMAN, MICHAEL E JBS * 12/16/19 KANOSKI BRESNEY KNELL O'CONNOR DANIELWICZ 584 20WC 08797 ODELL, HAYDEN RALLY'S * 03/28/20 DWORKIN AND MACIARIELLO 585 20WC 08886 DAVIDAGE, ANGELA L ST JOHNS HOSPITAL * 12/17/19 JAMES ACKERMAN HEYL ROYSTER VOELKER & ALLEN 586 20WC 08919 MEYER, DAVID ADM * 02/23/19 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 587 20WC 08952 DERUCKI, RACHELL E COMCAST CABLE COMMUNICATI * 12/13/19 JAMES ACKERMAN 588 20WC 08965 TURNER, KEVIN MA RYAN MINING * 02/25/20 SHORT AND DAUGHERTY 589 20WC 09232 JUDD-GOODBRED, DORY DECATUR CORRECTIONAL CENT * 10/03/19 BECKER SCHROADER & CHAPMAN ILLINOIS ATTY GENERAL 590 20WC 09247 LEWIS, JERRY M ARCHER DANIELS MIDLAND CO * 04/09/19 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 591 20WC 09258 USHMAN, JOSHUA DEPT OF STATE POLICE @ * 02/28/20 STEVEN C MILLS ILLINOIS ATTY GENERAL 592 20WC 09417 CULP, CHRISTOPHER DECATUR FIRE DEPT * 06/12/17 HAXEL LAW OFFICE SAMUELS MILLER SCHROEDER ETA 593 20WC 09532 HENRY, KENT TAYLOR DECATUR INDSTRIAL ELECTRI * 06/19/18 KEYS LAW OFFICES WOLF & LAUDICINA LTD 594 20WC 09550 PRICE, CLINTON IDOT @ * 08/06/18 SAUNDERS CONDON & KENNY JOSEPH MOORE 595 20WC 09846 WINKELMAN, MICHAEL E JBS * 12/16/19 KANOSKI BRESNEY 596 20WC 10006 GLENN, CHRISTOPHER R ROSCH COMPANY * 12/13/19 HARVEY & STUCKEL 597 20WC 10067 THOMAS, NOLAN SANGAMON MASS TRANSIT DIS * 03/31/20 MARK N LEE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 598 20WC 10081 RAMEY, KEVIN MID CENTRAL MEDICLA INC, * 10/31/19 DELANO LAW OFFICES LLC 599 20WC 10305 WINFERT, ISAIAH PAPA JOHNS * 04/24/20 DWORKIN AND MACIARIELLO 600 20WC 10507 FARRIS, ELVIN VECTOR CONSTRUCTION, INC * 08/03/18 DWORKIN AND MACIARIELLO 601 20WC 10639 JOHNSON, MAGGIE CITY OF SPRINGFIELD * 07/10/19 WARREN E DANZ, PC 602 20WC 10706 PETERS, MICHAEL S MARK A SHAFFER DBA * 08/21/17 BRADY, CONNOLLY & MASUDA, PC 603 20WC 10842 BROZIO, DILLON CHATHAM SEAMLESS GUTTERS * 04/25/20 DWORKIN AND MACIARIELLO QUINN JOHNSTON HENDERSON ETA 604 20WC 10914 MCCLELLAN, VANESSA M KENCO * 03/04/20 KANOSKI BRESNEY 605 20WC 10998 STRUMPHER, STERLING HSHS DECATUR AMBULANCE * 05/28/19 SAUNDERS CONDON & KENNY 606 20WC 11195 VOGEL, ANDREW SPRINGFIELD AIRPORT AUTHO * 08/24/19 STRONG LAW OFFICE 607 20WC 11198 SNOW, GENA GSI GROUP, LLC * 01/01/19 SGRO HANRAHAN DURR RABIN 608 20WC 11416 REYNOLDS, ANGELA HYMAN'S SPECIALTY PAINT * 11/06/19 MCCARTHY ROWDEN 609 20WC 11476 CHRANS, DENNIS M JR SPRINGFIELD PARK DISTRICT 01/10/20 KANOSKI BRESNEY LIVINGSTONE MUELLER ET AL 610 20WC 11645 RYKHUS, MICHAEL CHRISTIAN COUNTY HWY DEPT * 01/23/20 MARK N LEE 611 20WC 11684 ROBERSON, KIMBERLY FKG OIL * 03/14/20 KEEFE & GRIFFITHS PC 612 20WC 11749 BERNSTEIN, SHARON HOSPITAL SISTERS * 06/11/19 SGRO HANRAHAN DURR RABIN 613 20WC 11779 FAJDICH, NIKOS ILLINOIS STATE POLICE @ * 10/18/18 SPIROS LAW PC 614 20WC 11874 SUDDUTH, MARY BOB EVANS * 03/30/20 DWORKIN AND MACIARIELLO 615 20WC 11970 CONEY, MELVIN JBS * 10/14/19 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 07/22/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 616 20WC 12191 DEFORD, ADAM CASS COMMUNICATIONS MNGMN * 08/02/18 GANAN & SHAPIRO 617 20WC 12219 SKEETERS, CRAIG HAROLD O'SHE BUILDERS, IN 03/14/19 HEYL ROYSTER VOELKER & ALLEN 618 20WC 12345 ROSSINI, CHARLES AMREN ILLINOIS * 06/21/18 HOLTKAMP LIESE 619 20WC 12488 MARTINEZ, ALMA CARPENTER STREET HOTEL * 03/17/20 DAVID W MARTAY 620 20WC 12708 TATE, DONALD D FRJ CORPORATION * 07/15/19 HEYL ROYSTER VOELKER & ALLEN 621 20WC 12957 HUTTON, TENA UNITED GILSONITE LABORATO * 02/26/20 STEPHEN P. KELLY 622 20WC 13064 MCDERMITH, THOMAS L MOSER PEST MANAGEMENT INC * 02/20/20 KANOSKI BRESNEY 623 20WC 13096 WILLIAMS, JOHN ENIDAN ENTERPRISE * 12/27/17 LAMARCA LAW OFFICES, PC 624 20WC 13180 MENGES, KIM ST MARY'S HOSPITAL * 08/24/19 HEYL ROYSTER VOELKER & ALLEN 625 20WC 13330 BRYANT, CARL E REPUBLIC SERVICES * 05/13/19 CHERRY FRAZIER & SABIN 626 20WC 13480 SCHILD, JOHN GREENE COUNTY * 10/10/19 KNAPP, OHL & GREEN 627 20WC 13534 JACKSON, ERNEST J BAUM CHEVROLET-BUICK * 12/07/19 KANOSKI BRESNEY 628 20WC 13601 JONES, LINDA MCLEOD EXPRESS * 08/13/18 FREDERICK & HAGLE 629 20WC 13651 MILLER, TODD SPRINGFIELD CLINIC * 07/23/19 SHAY & ASSOCIATES 630 20WC 13675 KOVSKI, KELLY HOOSIER TIRE MIDWEST * 02/19/17 WOLTER BEEMAN AND LYNCH