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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 PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 48730 GOODWIN, DONALD DANVILLE METAL STAMPING 09/06/02 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 02WC062790 -C 03WC056705 -C 08WC007396 -C 08WC026759 -C 2 03WC 03817 19B RICHARDS, KATHLEEN PROVENA COVENANT 06/11/02 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 06WC033725 -C 3 03WC 42264 JONES, DONALD L VITRAN EXPRESS 03/29/01 SMITH LAW LTD FEATHERSTUN GAUMER POSTLEWAI 4 05WC 23622 WORKMAN, BARBARA A CITY OF CHAMPAIGN POLICE 01/12/03 MARSZALEK AND MARSZALEK CITY OF CHAMPAIGN 5 06WC 27769 SISCO, ANGELIQUE (WIDOW BUILDERS TRANSPORATION CO # 12/11/03 SCHROEDER, JOSEPH R HINSHAW & CULBERTSON 6 06WC 55232 HOMAN, MARILYN QUAKER OATS 11/06/06 CAMERON CLARK BRUCE WARREN 7 07WC 37843 HUKILL, ROBERT F SIMONTON WINDOWS 08/24/04 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 11WC041188 -C 11WC041189 -C 16WC019803 -C 8 07WC 39640 GREEN, AARON ENVIRONMENTAL REMEDIATION 01/05/07 SAUNDERS CONDON & KENNY HEYL ROYSTER VOELKER & ALLEN 9 08WC 36278 MIEZIO, DENNIS UNIVERSITY OF ILLINOIS @ 01/06/65 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 08WC036568 -C ST OF IL UNIVERSITY OF IL 14WC023862 -C 10 09WC 35658 HADFIELD, BRADLEY M KRUTS ELECTRIC 04/01/09 FREDERICK AND HAGLE BRUCE WARREN 11 09WC 38854 DUNDORE, DEREK S ULTIMATE SEATS INC A/K/A @ W 12/09/08 ERWIN MARTINKUS & COLE 12 09WC 45221 SHIRK, BRIAN UNIVERSITY OF ILLINOIS @ 10/21/09 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 13 10WC 29312 GRAY, RECARD MEIJER 12/14/09 WARREN E DANZ, PC KNELL & O'CONNOR 10WC029314 -C 14 10WC 36418 FIVECOAT, APRIL HOOPESTON COMMUNITY HOSPI 06/25/10 STRONG LAW OFFICE MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION … · 04/01/09 frederick and hagle bruce warren ... 01/29/13 dodson piraino & assoc bruce warren

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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 PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 48730 GOODWIN, DONALD DANVILLE METAL STAMPING 09/06/02 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 02WC062790 -C 03WC056705 -C 08WC007396 -C 08WC026759 -C 2 03WC 03817 19B RICHARDS, KATHLEEN PROVENA COVENANT 06/11/02 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 06WC033725 -C 3 03WC 42264 JONES, DONALD L VITRAN EXPRESS 03/29/01 SMITH LAW LTD FEATHERSTUN GAUMER POSTLEWAI 4 05WC 23622 WORKMAN, BARBARA A CITY OF CHAMPAIGN POLICE 01/12/03 MARSZALEK AND MARSZALEK CITY OF CHAMPAIGN 5 06WC 27769 SISCO, ANGELIQUE (WIDOW BUILDERS TRANSPORATION CO # 12/11/03 SCHROEDER, JOSEPH R HINSHAW & CULBERTSON 6 06WC 55232 HOMAN, MARILYN QUAKER OATS 11/06/06 CAMERON CLARK BRUCE WARREN 7 07WC 37843 HUKILL, ROBERT F SIMONTON WINDOWS 08/24/04 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 11WC041188 -C 11WC041189 -C 16WC019803 -C 8 07WC 39640 GREEN, AARON ENVIRONMENTAL REMEDIATION 01/05/07 SAUNDERS CONDON & KENNY HEYL ROYSTER VOELKER & ALLEN 9 08WC 36278 MIEZIO, DENNIS UNIVERSITY OF ILLINOIS @ 01/06/65 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 08WC036568 -C ST OF IL UNIVERSITY OF IL 14WC023862 -C 10 09WC 35658 HADFIELD, BRADLEY M KRUTS ELECTRIC 04/01/09 FREDERICK AND HAGLE BRUCE WARREN 11 09WC 38854 DUNDORE, DEREK S ULTIMATE SEATS INC A/K/A @ W 12/09/08 ERWIN MARTINKUS & COLE 12 09WC 45221 SHIRK, BRIAN UNIVERSITY OF ILLINOIS @ 10/21/09 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 13 10WC 29312 GRAY, RECARD MEIJER 12/14/09 WARREN E DANZ, PC KNELL & O'CONNOR 10WC029314 -C 14 10WC 36418 FIVECOAT, APRIL HOOPESTON COMMUNITY HOSPI 06/25/10 STRONG LAW OFFICE MACIOROWSKI SACKMANN & ULRIC

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 10WC 36454 TREADWAY, PAUL VICTOR REINZ 06/26/09 PETER D CORTI LAW GROUP KEEFE CAMPBELL & ASSOC LLC 16 10WC 37639 STAGE, DIANA L EASTON-BELL SPORTS INC 08/01/08 WILSON LAW COZZI & GOGGIN-WARD 10WC037640 -C 17 10WC 45305 HINDERLITER, RICHARD UNIVERSITY OF ILLINOIS 09/15/10 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 12WC020837 -C 18 10WC 48872 BERRY, MYRENA CARLE FOUNDATION HOSPITAL 07/26/10 WILLIAMS & SWEE BRUCE WARREN 13WC029006 -C 13WC035269 -C 14WC035509 -C 15WC006229 -C 19 10WC 49245 MROFCHAK, PAUL B ROBERSON TRANSPORTATION @ 01/10/05 KANOSKI & ASSOCIATES HINSHAW & CULBERTSON 20 11WC 16151 BILLHYMER, MICHAEL WITTE ELECTRIC COMPANY 07/10/10 LEE, MARK N LAW OFFICE 21 11WC 16154 LANDGRAVER, PATRICK WITTE ELECTRIC COMPANY 07/10/10 LEE, MARK N LAW OFFICE 22 11WC 18928 VALOUSKY, SUSAN CATERPILLAR 07/12/10 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 23 11WC 42033 CAPEL, JAMES III ILL DEPT OF NATURALRESOUR @ 06/27/11 MEYER CAPEL, PC ASSISTANT ATTORNEY GENERAL 24 11WC 42853 ROBERTS, JESSE UNIVERSITY OF ILLINOIS 10/02/11 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 25 11WC 44331 MELCHI, CYNTHIA UNIVERSITY OF ILLINOIS 12/17/10 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 14WC031940 -C 26 11WC 46610 ALLEN, HADLEY ALPHA BAKING INC 09/20/11 STRONG LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 27 11WC 47762 BESSE, MICHELE COMMERCIAL NEWS 12/25/08 TUGGLE SCHIRO & LICHTENBER THOMAS & PORTELA

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 11WC 48533 HAYS, MERLE E STATE OF ILLINOIS @ 01/19/09 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 29 12WC 05837 SPECKMAN, BART UNIVERSITY OF IL 09/15/10 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 12WC005838 -C 12WC005839 -C 13WC013362 -C 30 12WC 06582 TACKETT, LISA JANE D G RETAIL, LLC D/B/A 06/03/10 COLLISON & O'CONNOR LEAHY EISENBERG & FRAENKEL 13WC021607 -C DOLLAR GENERAL 31 12WC 11660 BROWN, DARWIN USF HOLLAND 05/04/11 MARSZALEK AND MARSZALEK HENNESSY & ROACH 32 12WC 12500 HEATH, STEPHEN UNIVERSITY OF ILLINOIS 02/15/11 LEE, MARK N LAW OFFICE 33 12WC 14248 BELL, RONNIE KNAPP-GERLACH 04/15/12 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 34 12WC 17187 UPTON, ELLEN UNIVERSITY OF ILLINOIS 04/01/12 KATZ FRIEDMAN EAGLE ET AL BRUCE WARREN 16WC026285 -C 16WC026286 -C 35 12WC 19284 STAMBAUGH, CHARLES CLIFFORD-JACOBS FORGING C 03/01/11 STEPHEN P. KELLY MACIOROWSKI SACKMANN & ULRIC 12WC019285 -C 12WC019287 -C 12WC019288 -C 36 12WC 19600 OGLE, PAUL E SIMONTON WINDOWS 05/23/12 STEVEN P GLANCY KEEFE CAMPBELL & ASSOC LLC 37 12WC 26938 WAYMOUTH, BRIAN ROAD READY INC 04/09/12 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 12WC029072 -C 13WC001023 -C 38 12WC 36476 FISHER, BARRY IDOT @ 05/24/12 ASSISTANT ATTORNEY GENERAL 39 12WC 42254 SMITH, TARA FLEX-N-GATE 03/17/12 DAVID J JEROMEY BRUCE WARREN

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 40 12WC 42865 CULP, THOMAS JIM STANDERFER ENGINEERIN 01/19/09 FINE, MARK S LAW OFFICES 41 13WC 04492 19B WILLIAMS, DAWN CHAMPAIGN SCHOOL DIST UNI 01/14/13 WOODRUFF & JOHNSON BRUCE WARREN 13WC040009 -C 14WC036953 -C 14WC036954 -C 17WC011513 -C 42 13WC 05176 WILSON, JEREMY R PEPSI MID AMERICA 08/14/12 ANESI OZMON RODIN NOVAK KO ALLEN KOPET & ASSOCIATES 43 13WC 05574 ANDREWS, ERIC L URBANA SCHOOL DISTRICT 11 12/11/12 FREDERICK & HAGLE BRUCE WARREN 44 13WC 06253 MUGHRABI, HISHAM KRAFT FOODS GROUP INC 10/11/12 DODD & MAATUKA LLC BRUCE WARREN 45 13WC 08395 ROYAL-OLMSTEAD, POLLY MC CORMICK DISTRIBUTING & 01/07/13 SCHUM LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 46 13WC 09514 OLIGER, PENNY M KIRBY MEDICAL CENTER 08/15/12 BURNETT & CARON LTD KEEFE CAMPBELL & ASSOC LLC 47 13WC 11683 MATTINGLY, PATTY S NORTH AMERICAN LIGHTING 11/28/12 ASHER & SMITH LAW OFFICES STEPHEN CARTER 48 13WC 12699 RUSHIN, JEFFREY G NEXSTAR BROADCASTING, INC 02/25/13 SPIROS LAW PC 49 13WC 13234 BRAGG, MARK CHAMPAIGN COUNTY SHERIFF 09/22/12 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 15WC006127 -C 50 13WC 14290 19B PEVERELLE, LAURA GIBSON AREA HOSPITAL 12/20/12 SPIROS LAW PC SCOPELITIS GARVIN LIGHT 51 13WC 16109 VAN LEER, GREGORY D VISCOFAN USA, INC 12/16/12 GARY JOE STOKES LAW OFFICE PAUL LARIMORE 52 13WC 18700 TONEY, LYNN REGENA UNIVERSITY OF ILLINOIS 03/19/13 FREDERICK & HAGLE GANAN & SHAPIRO 13WC023666 -C 53 13WC 19018 SAUCIER, CHARLES ALL STAR CHAMPIONS W 04/22/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 54 13WC 19392 MASON, SCOTT PLASTIPAK PACKAGING 08/20/10 WILLIAMS & SWEE LTD SMITH AMUNDSEN LLC 55 13WC 19564 ZHAO, YUAN INTEREK TESTING SERVICES 03/26/13 FREDERICK & HAGLE LIVINGSTONE MUELLER ET AL

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 56 13WC 25292 ACREE, DEBRA JELD WEN WINDOWS AND DOOR 05/05/13 SPIROS LAW PC BRADY CONNOLLY & MASUDA PC 57 13WC 28260 COATS, MARY A SARA BUSH LINCOLN 05/07/13 KANOSKI BRESNEY MACIOROWSKI SACKMANN & ULRIC 58 13WC 35656 DONALDSON, STEPHEN UNIVERSITY OF ILLINOIS 01/29/13 DODSON PIRAINO & ASSOC BRUCE WARREN 59 13WC 38792 MC CLAIN, ORVILLE CAMAGHI TOWING AND REPAIR 08/29/13 SPIROS LAW PC 60 13WC 40148 BLACKETER, BRIAN UNIVERSITY OF ILLINOIS 06/08/12 REISMAN LAW OFFICE GANAN & SHAPIRO 61 13WC 40995 DOBSON, SHANNON R R DONNELLEY 11/04/13 LAW OFFICE MICHAEL M WOJIT CRAIG & CRAIG 62 14WC 00011 RICHARDSON, DAVID UNIVERSITY OF ILLINOIS 09/30/13 WOODRUFF & JOHNSON BRUCE WARREN 15WC037110 -C 63 14WC 01477 FORD, CHERYL G GSI LLC 10/08/13 RIDGE & DOWNES FEATHERSTUN GAUMER POSTLEWAI 64 14WC 02371 ALCORN, MICHAEL G USF HOLLAND 01/14/14 MARSZALEK AND MARSZALEK HENNESSY & ROACH 65 14WC 10946 KLEMME, CANDICE CATLIN COMMUNITY SCHOOL 10/27/11 TUGGLE SCHIRO & LICHTENBER WHITT LAW 14WC021057 -C 17WC017564 -C ARAMARK 66 14WC 11626 FONNER, LARRY W HICI, INC./DENNY RESTAURA 01/03/14 FREDERICK & HAGLE LAW OFFICE OF PAUL O WATKISS 67 14WC 12933 PANKAU, SHARON URBANA SCHOOL DIST 116 02/04/14 RIDGE & DOWNES BRUCE WARREN 68 14WC 13496 WISE, DANIEL THYSSEN KRUPP 07/14/13 FREDERICK & HAGLE 69 14WC 14999 VAUGHN, BILLY W UNIVERSITY OF ILLINOIS 02/09/14 SCHUM LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 70 14WC 17038 BELL. CARLA WHAT'S COOKING 03/26/13 SAUNDERS CONDON & KENNY QUINN JOHNSTON HENDERSON ETA

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 71 14WC 17990 JENKINS, GLEN CHAMPAIGN UNIT 4 SCHOOL D 04/03/14 WOODRUFF & JOHNSON BRUCE WARREN 72 14WC 18541 STIVERS, KATHY DENISE ADDUS HEALTHCARE 01/04/14 ASHER & SMITH HENNESSY & ROACH 15WC010694 -C 16WC010115 -C 73 14WC 20087 ROBINSON, JAMES E JR FRONTIER COMMUNICATIONS 03/15/14 TAPELLA & EBERSPACHER LLC PAUL LARIMORE 74 14WC 26973 YOUNG, RANDY COUNTY MARKET 09/21/13 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 75 14WC 30361 CARLOCK, LISLE MASTER BRAND CABINET 11/02/12 WOODRUFF & JOHNSON DUGAN & VOLAND 76 14WC 31693 DAWSON, ROBERT LYNN ILLINOIS DEPT OF CORRECTI @ 08/22/12 SMITH LAW LTD ASSISTANT ATTORNEY GENERAL 77 14WC 32482 BESCHORNER, JERRY CENTRAL TRANSPORT INC 07/14/14 LAW OFFICE OF CHRIS DOSCOT HINSHAW & CULBERTSON 78 14WC 32756 BUTTS, LORI ILL SECY OF STATE @ 09/16/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 79 14WC 34771 FAUSER, SEAN L EASTON BELL SPORTS 08/26/14 MARSZALEK AND MARSZALEK COZZI & GOGGIN-WARD 80 14WC 35677 VALDEZ, ERIKA BOWMAN ESTATES DANVILLE 09/11/14 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH 81 14WC 36640 WILSON, DARRICK UNIVERSITY OF IL @ 08/19/14 DWORKIN AND MACIARIELLO BRUCE WARREN 82 14WC 36779 GILL, KEITHER CLASSIC EVENTS CATERING 02/01/09 WOODRUFF & JOHNSON THOMAS & PORTELA 83 14WC 43282 HOOVER, JAMES US PRO UNITED SERVICES/ 06/25/14 FREDERICK & HAGLE NYHAN BAMBRICK KINZIE & LOWR 84 15WC 01160 CARTER, ROBERT UNIVERSITY OF ILLINOIS 06/01/13 MARSZALEK AND MARSZALEK BRUCE WARREN

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 85 15WC 02460 WIREMAN, STONEY F.E. MORAN FIRE PROTECTIO 11/07/13 WILLIAMS & SWEE 86 15WC 03816 HELCK, CATHERINE A. PRESENCE COVENANT 10/17/12 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 15WC003817 -C 15WC003818 -C 15WC003819 -C 15WC003820 -C 15WC003821 -C 87 15WC 04186 MILLER, DONALD COMBE LABORATORIES 07/10/14 TUGGLE SCHIRO & LICHTENBER PATRICIA M CARAGHER 88 15WC 04317 KUHL, LIGIA RR DONNELLEY & SONS 11/07/14 KATZ FRIEDMAN EAGLE ET AL CRAIG & CRAIG 89 15WC 04613 STEINER, DAVE UNIVERSITY OF ILLINOIS 11/26/14 LEE, MARK N LAW OFFICE BRUCE WARREN 90 15WC 05895 MCCALL. SHARON STATE OF ILLINOIS-DHS @ 11/26/14 BURNETT AND CARON ASSISTANT ATTORNEY GENERAL 91 15WC 07212 MCKELLIP, DIANE D N V FARMS 05/27/14 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 92 15WC 08474 SIMPSON, KEVIN PERFORMANCE FOOD GROUP 10/31/14 SPIROS LAW PC BRYCE DOWNEY & LENKOV LLC 93 15WC 09635 WILLIAMS, WESLEY BRETT STEPHENS UNDERGROUND SOLU 07/22/14 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 94 15WC 10111 REED, SERLENA LYNN UNIVERSAL HEALTH SRVCS, I 01/20/15 FREDERICK & HAGLE MC ANDREWS & NORGLE LLC 95 15WC 10248 POWELL, STEVE CRONKHITE INDUSTRIES 12/16/14 GARY JOE STOKES NYHAN BAMBRICK KINZIE & LOWR 96 15WC 10319 FOSTER, LONNIE RAY FARE FOODS, CORP. 05/12/14 HOWERTON, DORRIS & STONE WIEDNER & MCAULIFFE LTD 97 15WC 10362 WAGNER, RONDALEE VPS CONVENIENT STORE GROU 12/10/13 ANDREW J. KRIEGEL HEYL ROYSTER VOELKER & ALLEN 98 15WC 11461 BENTON, CHARLES 4MC CORP 02/08/15 ANKIN LAW OFFICE LIVINGSTONE MUELLER ET AL 99 15WC 12210 CRAVENS, TINA VERMILION COUNTY 10/09/13 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 100 15WC 12522 TESTER, ROBERT D JR PLASTIPAK PACKAGING 03/14/15 MARSZALEK AND MARSZALEK SMITH AMUNDSEN LLC 101 15WC 13484 TRYBULL, CHERIE CUMBERLAND CUSE #77 08/14/14 SPIROS LAW PC KEEFE & DEPAULI

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 102 15WC 14505 BREYMEYER, WAYNE MORRISON SECURITY 02/06/15 CORBOY & DEMETRIO PC GRANT & FANNING 103 15WC 14986 COBB, LOGAN J F ELECTRIC CO 05/21/13 MUELHAUSEN & STEFANI COZZI & GOGGIN-WARD 104 15WC 16567 WILLIAMS, DEBRA K HENSON ELECTRIC INC # 06/10/13 CHRIS WETZEL BRADY, CONNOLLY & MASUDA, PC 105 15WC 17085 DODD, RANDY UNIVERSITY OF ILLINOIS 07/30/12 LEE, MARK N LAW OFFICE BRUCE WARREN 106 15WC 17162 BROWN, TERESA PETERSEN HEALTHCARE, INC 08/23/14 KNELL LAW LLC 107 15WC 17249 SCHRUM, DONNA PLY GEM 01/03/15 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 108 15WC 17553 KIDD, ALICIA HEARTLAND APPLE 05/18/15 DODD & MAATUKA LLC 109 15WC 17756 MENDOZA, LUIS MASTERBRAND CABINETS INC 04/14/15 SPIROS LAW PC DUGAN & VOLAND 110 15WC 17935 SOMMER, RICHARD OBERLANDER ELECTRIC 12/12/14 LEE, MARK N LAW OFFICE CACCHILLO LAW GROUP LLC 111 15WC 18761 GALASSI, THEODORE EVANS-MASON, INC. 06/15/12 112 15WC 18803 HASSELBRING, BRYAN VERMILION VALLEY PRODUCE 04/15/15 TUGGLE SCHIRO & LICHTENBER RODDY LAW LTD 113 15WC 19469 WRIGHT, GREGORY ALLEN DANVILLE CARE 06/05/14 CLAPPER & CLAPPER GANAN & SHAPIRO 15WC020209 -C SECURITAS 16WC007365 -C 114 15WC 21255 KIDWELL, LISA FRANKLIN THE PAVILION 05/29/15 FREDERICK & HAGLE MC ANDREWS & NORGLE LLC 115 15WC 22040 BARTLOW, KENNETH W JR SYGMA 03/28/15 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 116 15WC 23240 WALLACE, ANGELA S NORTH AMERICAN LIGHTING 06/15/15 ASHER & SMITH LAW OFFICES STEPHEN CARTER 117 15WC 24223 STARR, TONI ALDI 05/02/15 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 15WC 25561 MARLOW, SUE SIGMA OF ALPHA DELTA 08/14/14 MEYER CAPEL, PC BRADY, CONNOLLY & MASUDA, PC 119 15WC 26454 BLACKMAN, DAWN FED EX 10/30/12 DEER & STONE PC MCANANY VANCLEVE & PHILLIPS 15WC037587 -C FEDEX 120 15WC 26566 HUNT, JORDAN STEVE LAYDEN 06/13/15 121 15WC 27754 STRUBBERG, WALTER TUGGLE, SCHIRO & 07/06/15 MARSZALEK AND MARSZALEK GILDEA & COGHLAN 122 15WC 28562 HOSKINS, JEFFREY FULL-FILL INDUSTRIES, LLC 12/17/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 123 15WC 28729 AREVALO, DIEGO B & B FRAMING 03/28/15 SCHREINER MALLOY & ETZLER ROSARIO CIBELLA 124 15WC 29180 NESBITT-CROSBY, LORRIE CHAMPAIGN-URBANA 01/27/15 FREDERICK & HAGLE 125 15WC 29679 JACKSON, PAMELA CHAMPAIGN UNIT 4 SCHOOL D 01/15/15 WOODRUFF JOHNSON BRUCE WARREN 126 15WC 29882 HEAVILIN, THOMAS J ST OF IL DOT @ 07/22/15 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 127 15WC 30483 TO, LIEM UNIVERSITY OF ILLINOIS 02/05/10 SPIROS LAW PC 128 15WC 31925 MORRIS, CATHY KHIN WOEN LAIJ DDS 02/25/14 FINE, MARK S LAW OFFICES CRAIG & CRAIG 129 15WC 31947 19B VIRES, SAMUEL PAXTON HEALTHCARE & REHAB 08/30/15 WOODRUFF & JOHNSON GANAN & SHAPIRO 130 15WC 32478 RUEDI, ANDREA L FOX DEVELOPMENT 12/03/14 HEYL ROYSTER VOELKER & ALLEN 131 15WC 32758 WAGGONER, VICKIE PEPSI MIDAMERICA 09/15/14 132 15WC 33163 PEARCY, DONALD W VILLAGE OF LERNA 11/10/13 HELLER HOLMES & ASSOC NYHAN BAMBRICK KINZIE & LOWR 15WC033167 -C 133 15WC 33200 DAWSON, GORDON A STATE OF ILLINOIS/IL @ 06/16/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 134 15WC 33397 SADLECK, THOMAS NAPLETON MOTORS, INC 05/24/14 LAW OFFICE OF PAUL E SELIN HEYL ROYSTER VOELKER & ALLEN 135 15WC 33720 VICE, DEBORAH M NORTH AMERICAN LIGHTING 09/09/15 ASHER & SMITH LAW OFFICES STEPHEN CARTER

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 136 15WC 33805 MERRIWEATHER, TERRY BUNGE 04/27/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 137 15WC 34217 HINCHMAN, DEREK ST OF IL DEPT OF CORRECTI @ 06/03/15 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 138 15WC 36308 PADILLA, JOEL COUNTY MATERIALS 07/06/15 HENNESSY & ROACH 139 15WC 36924 ROMERO, JUAN FREIGHT CAR AMERICA, INC. 12/23/14 KARLIN FLEISHER & FALKENBE SPIEGEL & CAHILL, PC 140 15WC 38573 CARMER, MARY CARLE PHYSICIANS GROUP 04/24/12 STEPHEN P. KELLY BRUCE WARREN 141 15WC 39666 GRAY, ROBERT FIRST STUDENT 11/24/15 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 142 15WC 41087 ANTUNA, JORGE A LEEMON ENTERPRISE INC 07/16/14 FREDERICK & HAGLE BRADY, CONNOLLY & MASUDA, PC 143 15WC 41275 SMITH, ALDAVID US GRANT MOTEL 01/25/15 DANIELS WILZBACH PC GAROFALO SCHREIBER STORM 144 15WC 41515 MILLER, KELLIE O KC SUMMERS INC 10/17/15 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 145 15WC 42134 LAWSON, PATRICIA NORTH AMERICAN LIGHTING 10/30/15 TUGGLE SCHIRO & LICHTENBER LAW OFFICES STEPHEN CARTER 146 15WC 42150 BARNEY, TODD SYGMA 11/06/14 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 147 15WC 42259 STEWART, WILLIAM UNIV OF ILLINOIS 06/01/14 LEE, MARK N LAW OFFICE BRUCE WARREN 148 15WC 42405 MONTGERARD, SHIRLEY DANVILLE PAPER SUPPLY 01/26/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 149 16WC 00345 BAKER, TRACIE EIASE 11/06/15 SMITH LAW LTD 150 16WC 00390 BOLDEN, KEVAN A UNIVERSITY OF ILLINOIS @ 11/17/15 FREDERICK & HAGLE BRUCE WARREN 151 16WC 00956 GUNDY, JANET VAN MASTERBRAND CABINETS 09/08/15 HELLER HOLMES & ASSOC DUGAN & VOLAND 152 16WC 01383 MOSLEY, TRACI NO AMERICAN LIGHTING 12/15/15 SPIROS LAW PC LAW OFFICES STEPHEN CARTER 153 16WC 03114 HEATH, ADAM UNIVERSITY OF IL @ 11/24/15 STRONG LAW OFFICE GANAN & SHAPIRO

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 16WC 04424 HESSELMANN, SARAH HEARTLAND HEALTH CARE CEN 12/13/15 SPIROS LAW PC 155 16WC 05035 KOCHER, BRIAN J REX VAULT & MAUSOLEUM 02/03/16 WOODRUFF & JOHNSON HENNESSY & ROACH 156 16WC 05267 SHAW, GREGORY S MCLANE MIDWEST 01/19/16 CLAPPER & CLAPPER KEEFE CAMPBELL & ASSOC LLC 157 16WC 05322 CROCKETT, TERRELL HENKELS & MCCOY 06/19/15 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 158 16WC 05796 COSAT, CHERYL AMERICAN EAGLE AIRLINES I 07/25/13 CHRIS WETZEL 159 16WC 06897 REYNOLDS, GORDON COLES-MOULTRIE ELECTRIC 05/28/15 FINE, MARK S LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 160 16WC 07000 GRIMES, MELISSA SYGMA CORPORATION 09/28/15 HENNESSY & ROACH 161 16WC 07123 RILEY, DANNY FEDEX GROUND 10/27/15 RON D COFFEL & ASSOC 162 16WC 08573 GUTIERREZ, MARIA LIBMAN CO 11/08/15 REISMAN LAW OFFICE LUCY T. UNGER 163 16WC 08726 GREEN, DENNIS CABOT CORPORATION 11/17/14 SPIROS LAW PC SAMUELS MILLER SCHROEDER ETA 164 16WC 09590 POULOS, PETRO VISCOFAN 11/22/15 SPIROS LAW PC HENNESSY & ROACH 165 16WC 09789 NIGRA, MEGHAN HUMANE SOCIETY OF DANVILL 03/12/16 SPIROS LAW PC GANAN & SHAPIRO 166 16WC 10136 RHODES, JUSTIN NEW WAVE COMMUNICATION 12/29/15 MARSZALEK AND MARSZALEK STEPHEN H LARSON LAW OFFICE 167 16WC 10302 SHAW, TIMOTHY B EVAPCO MID WEST 10/24/14 TIMOTHY SHAW LAW OFFICES STEVEN PILAND 168 16WC 10577 HARRIS, ADAM CONTRACTOR'S SERVICE FOR 01/13/16 SPIROS LAW PC 169 16WC 10723 STANLEY, DEBBIE A UNIVERSITY OF ILLINOIS 01/27/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 170 16WC 10952 RODGERS, JACKIE UNIVERSITY OF ILLINOIS @ 03/06/16 TUGGLE SCHIRO & LICHTENBER BRUCE WARREN 171 16WC 11814 COLE, LARRY DEE SECURITAS SECURITY 12/26/15 FREDERICK & HAGLE WIEDNER & MCAULIFFE LTD

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 172 16WC 12341 TRUEBLOOD, LINDA VICTOR DANA CORP 11/25/15 RIDGE & DOWNES 173 16WC 12531 SEAFLER, DALTON MANPOWER 03/23/16 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH, PC 174 16WC 12890 QUALLS, DAVID A CITY OF CHAMPAIGN 11/04/15 BACH, ROBERT W 175 16WC 14270 HUTSON, MARTHA AUTOZONE 02/05/16 TUGGLE SCHIRO & LICHTENBER QUINN JOHNSTON HENDERSON ETA 176 16WC 14480 TOWNSEND, JASON UNIVERSITY OF ILLINOIS 06/15/15 LEE, MARK N LAW OFFICE GANAN & SHAPIRO 177 16WC 14621 PHETCHAREUNE, VIRATH UNIVERSITY OF ILLINOIS 11/01/14 WALTON TELKEN FOSTER LLC HEYL ROYSTER VOELKER & ALLEN 178 16WC 15257 MATTHEWS, DARRYL AFFENBERG HYUNDAI 07/23/15 BROWN & BROWN EVANS & DIXON, LLC 179 16WC 15951 ROBBINS, ROBERT D POSTAL FLEET SERVICES INC 05/03/16 FREDERICK & HAGLE WOLF LAW LTD 180 16WC 16319 PIATT, DENVER C USF HOLLAND, INC. 03/02/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH 181 16WC 16395 BAER, MARYELLEN DAVID S PALMER ARENA 02/27/14 QUINN JOHNSTON HENDERSON ETA 182 16WC 17432 KUNKEL, KEITH UNIVERSITY OF ILLINOIS 10/10/15 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 183 16WC 17693 RUIZ, FRANCISCO EZ TRAIL INC 06/23/14 DODD & MAATUKA LLC LAW OFFICES STEVEN PILAND 16WC017694 -C EX TRAIL, INC 184 16WC 19237 HARDIN, MICHAEL BUNGE 08/15/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 185 16WC 19435 RAMSEY, REMONA MC DONALDS, USA LLC 11/04/14 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 186 16WC 20030 OLINGER, DOUGLAS PERRY, PATRICK @ W 03/04/16 MARSZALEK AND MARSZALEK 187 16WC 20209 POLL, DANIEL PERFORMANCE FOOD GROUP CO 04/22/16 FREDERICK & HAGLE INMAN & FITZGIBBONS 188 16WC 20303 BROWN, DAVID IL COMMUNITY ALTERNATIVE 01/15/16 MARSZALEK AND MARSZALEK SPIEGEL & CAHILL, PC 189 16WC 20860 NETTLES, KENNETH KELLY SERVICES INC 06/15/16 SPIROS LAW PC BRADY, CONNOLLY & MASUDA, PC

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 190 16WC 20963 KENNEDY, KYM D. MCLANE MIDWEST 06/03/16 KANOSKI BRESNEY KEEFE CAMPBELL & ASSOC LLC 191 16WC 21650 VAUGHN, ANTHONY WILLIAMS BROTHERS CONSTRU 06/25/14 LEE, MARK N LAW OFFICE KNELL LAW LLC 192 16WC 21860 HUFF, SHEILA HERITAGE JUNIOR HIGH @ 10/13/15 WOODRUFF & JOHNSON GANAN & SHAPIRO 193 16WC 22272 HACQUET, JULIA DANVILLE METAL STAMPING 03/28/15 SPIROS LAW PC BRUCE WARREN 194 16WC 22454 JORDAN, JENNIFER PRESENCE COVENANT MEDICAL 05/18/15 FREDERICK & HAGLE INMAN & FITZGIBBONS 195 16WC 23001 PETERS, ERVIN ITW HI-CONE 06/14/16 LAW OFFICE MICHAEL M WOJIT HENNESSY & ROACH 196 16WC 24425 BATES-MARTIN, JEAN A. DANVILLE MASS TRANSIT 06/15/16 GARY JOE STOKES RODDY LAW LTD 197 16WC 24491 THOMPSON, CRYSTAL NORTH AMERICAN LIGHTING, 04/22/16 MOSS & MOSS PC LAW OFFICES STEPHEN CARTER 198 16WC 24925 MILLER, DARRELL ROLAND REALTY 06/16/16 SPIROS LAW PC BRUCE WARREN 199 16WC 24963 POE, THOMAS ARAMARK UNIFORM SERVICES 05/11/16 BURNETT & CARON, LTD 200 16WC 25133 CLARK, DAKOTA TOTAL GRAIN MARKETING 06/01/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 201 16WC 25334 FRAISER, GILBERT SDG GLOBAL INC 07/31/16 JOHN E LUSAK GRANT & FANNING 202 16WC 26057 EHLEY, EARL UNIVERSITY OF IL @ 08/06/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 203 16WC 26439 KIDDOO, DIANE K UNIVERSITY OF ILLINOIS @ 01/10/16 GREGORY L. RYAN LAW OFFICE GANAN & SHAPIRO 16WC028353 -C 204 16WC 26560 BRIGGS, SHANNON READYLINK HEALTHCARE 07/23/16 KEEFE & GRIFFITHS PC REED ARMSTRONG GORMAN ET AL 205 16WC 26898 CROW-AMICHE, KATHERINE WALGREENS STORE #9965 08/13/16 FREDERICK & HAGLE EVANS & DIXON, LLC 206 16WC 26901 WITHERSPOON, ROSIE WILLOWBROOK OF SAVOY 09/25/15 BURNETT & CARON, LTD 207 16WC 26985 RODRIGUEZ, RAFAEL ANTONIO FERNANDO PAYAN MAINTENANC 07/20/15 SCHUM LAW PC BRADY, CONNOLLY & MASUDA, PC

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 208 16WC 27245 NEWMAN, MARIANA ILLINOIS SECRETARY OF STA @ 08/25/16 PETER T BORICH ASSISTANT ATTORNEY GENERAL 209 16WC 27319 FISCUS, ANTHONYS H&L CONSTRUCTION 07/27/16 SCHROEDER, JOSEPH R GAROFALO SCHREIBER STORM 210 16WC 27451 BRYAN, BRIANNE MEIJER 06/21/16 TUGGLE SCHIRO & LICHTENBER KNELL & O'CONNOR 211 16WC 27592 FIFER, STACEY THE LIBMAN COMPANY 08/08/16 WOODRUFF & JOHNSON LAW OFFICES STEVEN PILAND 212 16WC 27674 SMYSER, CYNTHIA M CCAR INDUSTRIES 06/02/14 KEVIN L GEISLER HEYL ROYSTER VOELKER & ALLEN 213 16WC 28369 FITTON, DOUG OPEN ROAD PAVING 06/07/15 FREDERICK & HAGLE PERRY GENTILE 214 16WC 28491 LANKSTER, STEPHEN PARIS COMMUNITY HOSPITAL 01/14/16 WOODRUFF & JOHNSON MACIOROWSKI SACKMANN & ULRIC 215 16WC 28560 CARTWRIGHT, JOANNE TEASDALE FOODS 05/18/16 SPIROS LAW PC QUINN JOHNSTON HENDERSON ETA 216 16WC 28585 DIGBY, RYAN HOBBICO 08/21/16 TUGGLE SCHIRO & LICHTENBER KNELL LAW LLC 217 16WC 28980 PALOMAKI, SOOQEONG MASIJTA GRILL 08/26/16 218 16WC 29397 WOOTERS, GREGORY VILLAGE PANTRY, LLC 01/07/14 COLLISON & O'CONNOR 219 16WC 29767 SISK, HEATHER L CARLE 10/20/15 KANOSKI BRESNEY BRUCE WARREN 16WC029768 -C 220 16WC 29854 DEMKO, JOSH CHAMPAIGN COUNTY SHERIFF @ 06/12/15 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 221 16WC 29903 NORDER, NORMAN IL DEPT OF TRANSPORTATION @ 05/25/16 LAW OFFICE OF PAUL E SELIN ASSISTANT ATTORNEY GENERAL 222 16WC 30329 DJAKOVICH, KENNETH FEDEX FREIGHT, INC. 01/29/16 MOSS & MOSS PC QUINTAIROS PRIETO WOOD & BOY 17WC016253 -C 223 16WC 30621 THOMAS, NATASHA CHAMPAIGN COUNTY NURSING 08/31/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 224 16WC 30780 JACKSON, MARILYN GARDENVIEW MANOR 06/25/16 TUGGLE SCHIRO & LICHTENBER BRADY, CONNOLLY & MASUDA, PC 225 16WC 31799 DIDIORE, KIRK CARRY TRUCKING SERVICES L 06/23/16 FREDERICK & HAGLE

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 226 16WC 32063 KENDALL, SAMANTHA ADDUS HEALTHCARE 09/14/16 ASHER & SMITH HENNESSY & ROACH 227 16WC 32313 THOMPSON, CRYSTAL NORTH AMERICAN LIGHTING, 06/15/14 MOSS & MOSS PC LAW OFFICES STEPHEN CARTER 228 16WC 32540 PRATHER, QUENTIN LITANIA SPORTS GROUP, INC 09/06/16 WOODRUFF & JOHNSON PERRY GENTILE 229 16WC 32822 NELSON, BRENDA ILLINOIS SECRETARY OF STA @ 09/06/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 230 16WC 32960 BELL, ESSIE KIK CUSTOM PRODUCTS 09/28/16 DE SALVO, SCOTT D LAW OFFI POWER & CRONIN LTD 231 16WC 33366 WHEELER, LORI MENARDS 10/14/16 FREDERICK & HAGLE 232 16WC 33772 PRUETT, BONNIE SERV-PRO 08/04/16 SPIROS LAW PC 233 16WC 33828 WITHERSPOON, ROSIE WILLOWBROOK OF SAVOY 09/04/16 BURNETT & CARON, LTD HENNESSY & ROACH 234 16WC 33881 HINES, LADAROL SUPERVALU 02/05/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 235 16WC 34071 KEAN, KENNETH MOHANAN FILAMENTS 10/26/16 STRONG LAW OFFICE KNELL LAW LLC 236 16WC 34665 HOLLEY, DERRICK CONAIR CORP 03/12/14 WOODRUFF & JOHNSON 237 16WC 36153 MAYBACK, TRUDIE LAKEWOOD VILLAGE 10/19/16 STRONG LAW OFFICE KNELL LAW LLC 238 16WC 36619 HAMILTON, HAROLD DAVID FITZGERALD EQUIPMENT 09/02/15 LAW OFFICE PATRICK JENNETT WIEDNER & MCAULIFFE LTD 239 16WC 37128 BUYNO, JAMES J HERZOG TRUCKING 03/23/16 BURNETT & CARON, LTD SCOPELITIS GARVIN LIGHT 240 16WC 37149 SCHMITZ, CASEY CARLE 09/25/16 RONALDSON & KUCHLER BRUCE WARREN 241 16WC 37416 JACKSON, LAURA URBANA SCHOOL DISTRICT 11 10/05/16 WOODRUFF & JOHNSON 242 16WC 38165 AKINS, STEVE KIK 09/18/15 TUGGLE SCHIRO & LICHTENBER POWER & CRONIN LTD 243 16WC 38252 HOLLAND, DONALD SPECCHIO FARMS 12/19/13 KANOSKI BRESNEY INMAN & FITZGIBBONS

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 244 16WC 38652 POLK, WILLARD D JR VISCOFAN USA INC 07/26/16 GREG LIETZ 245 16WC 38734 LOOK, KATHERINE R WELLS FARGO BANK, NA 12/01/15 ERWIN MARTINKUS & COLE 246 16WC 38950 HOWEY-GAY, LIANA MBR CENTRAL IL PIZZA, LLC 12/11/16 SPIROS LAW PC 247 16WC 39095 WRIGHT, JOHN R MASTERBRAND CABINETS INC. 07/07/16 SHAY & ASSOCIATES DUGAN & VOLAND 248 16WC 39109 CUMMINS, JAMES S EXPRESS EMPLOYMENT 07/06/16 249 16WC 39188 LANMAN, DANIEL COCHRANE ENTERPRISE 11/01/16 BRISKMAN BRISKMAN GREENBER 250 16WC 39274 CRAIL, RICK DON BOWEN 10/15/16 CRAIG & CRAIG 251 16WC 39448 PASLEY, TROY CORT FURNITURE 07/26/16 TUGGLE SCHIRO & LICHTENBER LAW OFFICES STEVEN PILAND 252 17WC 01214 WINFREY, VICTORIA ILLINI UNION 08/22/16 WARREN E DANZ, PC GANAN & SHAPIRO 253 17WC 01387 ROSINE, AMANDA MARS PETCARE 11/18/16 DWORKIN AND MACIARIELLO 254 17WC 01689 MILLS, JOHN R CITY OF CHAMPAIGN, FIRE D 06/01/16 CONNOR LAW OFFICES CITY OF CHAMPAIGN 255 17WC 01938 TANNER, LISA MARIE RENT-A-CENTER 09/23/16 MOSS & MOSS PC 256 17WC 02895 PIZANA, EVERARDO MAC CONSTRUCTION & ROOFIN 06/24/16 MC HARGUE & JONES STEPHEN H LARSON LAW OFFICE 257 17WC 02973 SHUMATE, JOHN DAVID SILGAN CLOSURES 08/08/16 FREDERICK & HAGLE BRADY, CONNOLLY & MASUDA, PC 258 17WC 03571 WOODS, DEREK SENCO CONSTRUCTION INC 11/29/16 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 259 17WC 03839 HANTON, ELLASHATA ARTHUR HOME 09/11/16 KATZ FRIEDMAN EAGLE ET AL 260 17WC 03950 CLARK, PHILIP UNIVERSITY OF ILLINOIS @ 01/26/16 DODSON PIRAINO & ASSOC HEYL ROYSTER VOELKER & ALLEN 261 17WC 04157 CARTER, JAMES LUTECH RESOURCES 02/02/16 GOLDFINE & BOWLES RIPES NELSON BAGGOT KALOBRAT

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 262 17WC 04819 JONES, GERALDINE CHAMPAIGN UNIT 4 SCHOOLS 02/01/17 WOODRUFF & JOHNSON BRUCE WARREN 263 17WC 04851 VISEL, BETH UNIVERSITY OF ILLINOIS @ 01/12/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 264 17WC 04930 BOSTON, MATTHEW BUNGE MILLING 01/12/17 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 17WC006074 -C 17WC006075 -C 17WC006076 -C 17WC017496 -C 265 17WC 05095 ROSALES, SOTO, LEONEL AMIGO CONSTRUCTION 02/07/17 SCHUM LAW PC 266 17WC 05197 FREEMAN, JOSEPH BAIE AND BAIE TRUCKING 03/25/16 BLACK & JONES INMAN & FITZGIBBONS 267 17WC 05615 FISCHER, MICHELLE HEARTLAND NURSING CENTER 01/04/17 FREDERICK & HAGLE BOGGS AVELLINO 268 17WC 06024 JACKSON, MICAH HOGAN TRANSPORTATION 02/08/17 GALANTI LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 269 17WC 06049 MCNEAL, BOBBY GCA SERVICES GROUP 01/22/17 FREDERICK & HAGLE POWER & CRONIN LTD 17WC006053 -C 17WC006057 -C 270 17WC 06201 NIDEY, JESSICA HERITAGE HEALTH- ROBINSON 10/04/16 MOSS & MOSS PC RIPES NELSON BAGGOT KALOBRAT 17WC011307 -C 17WC011308 -C 271 17WC 06325 ROSINE, AMANDA MARS PETCARE 02/26/17 DWORKIN AND MACIARIELLO 272 17WC 06377 MORGAN, DEREK J MULTIBAND FIELD SERVICES 02/08/17 KANOSKI BRESNEY 273 17WC 06647 CLARK, THERESA L NORTH AMERICAN LIGHTING, 08/05/16 ASHER & SMITH LAW OFFICES STEPHEN CARTER 274 17WC 07310 DODD, THERESA RANTOUL CITY SD 137 11/18/16 KATZ FRIEDMAN EAGLE ET AL NOBLE & ASSOCIATES PC 275 17WC 07632 TEGELER, MAKENZIE NICOLE RURAL KING 08/12/16 ASHER & SMITH HENNESSY & ROACH 276 17WC 07968 WILLS, BONNIE PAXTON HEALTHCARE & REHAB 07/08/16 TUGGLE SCHIRO & LICHTENBER 277 17WC 08264 GRAVELY, DANNY R PLASTIPAK PACKAGING, INC 12/19/16 FREDERICK & HAGLE SMITH AMUNDSEN LLC

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 278 17WC 08498 GIBSON, SHAWN ILLINOIS DEPT OF CORRECTI @ 02/20/17 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 279 17WC 08560 WRIGHT, MITCHELL CLARK LINDSAY VILLAGE 02/26/17 LAW OFFICE MICHAEL M WOJIT PERRY GENTILE 280 17WC 08857 BACHERT, RANDALL UNIVERSITY OF ILLINOIS 03/31/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 281 17WC 09474 RILEY, JIMMY FLEX-N-GATE 07/19/16 SPIROS LAW PC BRUCE WARREN 282 17WC 09691 DRUM, KELLY R LYONS, LLC 03/10/17 ASHER & SMITH 283 17WC 10348 ANGLIN, VICTORIA MENARDS, INC 02/23/17 FREDERICK & HAGLE QUINN JOHNSTON HENDERSON ETA 284 17WC 10814 FAGG, JOHN D JR AMBULANCE MANAGEMENT SERV 04/15/15 ASHER & SMITH KOPKA, PINKUS DOLIN, PC 285 17WC 10932 CROWLEY, CLIFFORD D CHAMPAIGN COUNTY HIGHWAY 10/11/16 SCHUM LAW PC HEYL ROYSTER VOELKER & ALLEN 286 17WC 11338 LEE FOX, CARRIE BILL ABBOTTS 03/13/17 BRIAN T. SCHURTER NOBLE & ASSOCIATES PC 287 17WC 11587 DARNELL, CHASITY WIDOW OF BUNGE # 03/23/17 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 288 17WC 11717 STEWART, BRENT ESTATE OF, ILLINI FS # 04/21/14 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 289 17WC 12332 OBERMAN, RAUN BROTKE WELL & PUMP 08/03/16 BROWN & BROWN GANAN & SHAPIRO 290 17WC 12508 ANDERSON, TAMIKA CHAMPAIGN COUNTY NURSING 03/12/17 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 291 17WC 12788 PRESTON, ANN CHAMPAIGN COUNTY NURSING 11/16/16 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 292 17WC 13012 BLACKBURN, JUSTIN D CHAMPAIGN A & K INSULATIO 09/06/16 HARVEY & STUCKEL HENNESSY & ROACH 293 17WC 13207 DAVIS, WANDA EXPRESS EMPLOYMENT 01/04/17 NESSLER, FREDERIC LAW OFFI 294 17WC 13338 PEPPERDINE, DEE M EASTERN ILLINOIS UNIVERSI @ 03/29/17 SMITH LAW LTD ASSISTANT ATTORNEY GENERAL 295 17WC 13351 LUYANDO JR., NELSON DSC LOGISTICS 11/28/16 REISMAN LAW OFFICE MC ANDREWS & NORGLE LLC

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 296 17WC 13459 TEMPLES, MARY JANE ADDUS HEALTHCARE 09/09/15 KANOSKI BRESNEY HENNESSY & ROACH 297 17WC 13501 ROSE, ALONZO HARDEE'S 11/25/14 STRONG LAW OFFICE GANAN & SHAPIRO 298 17WC 13985 BOWEN, JOSH CHI OVERHEAD DOORS 04/05/17 KATZ FRIEDMAN EAGLE ET AL FRANCESCA LARSEN 299 17WC 14213 WELLS, KENNETH VISCOFAN USA 06/22/16 WOODRUFF & JOHNSON 300 17WC 14404 CAGLER, NANCY UNIVERSITY OF ILLINOIS @ 10/11/16 BRIAN T. SCHURTER BRUCE WARREN 301 17WC 14970 WOODS, KIMMY CONAIR CORPORATION 05/02/17 STEVEN A CRIFASE, LTD COZZI & GOGGIN-WARD 302 17WC 15032 SCHERBRING, MARVIN F VILLAGE OF RANTOUL 12/31/15 SCHUM LAW PC RODDY LAW LTD 303 17WC 15065 MORLAN, LAWRENCE E DANVILLE METAL STAMPING 12/03/15 SPIROS LAW PC BRUCE WARREN 304 17WC 15180 FOLKERTS, KATHERINE ILLINOIS DEPARTMENT @ 04/28/17 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 305 17WC 15261 ROBECK, CHERYL UNIVERSITY OF ILLINOIS 10/05/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 306 17WC 15413 JENSEN, RITCHIE HERFF JOENS 05/18/17 WOODRUFF & JOHNSON 307 17WC 15939 MILLER, WALTER KRAFT FOODS 12/01/15 WILLIAMS & SWEE 308 17WC 16196 SAUNDERS, KENT SUPERVALU, INC 11/12/16 MEYERS & FLOWERS HEYL ROYSTER VOELKER & ALLEN 309 17WC 16396 NASIR, NASIR 2 BROTHERS TRUCKING 03/25/17 MOSS & MOSS PC NYHAN BAMBRICK KINZIE & LOWR 310 17WC 16471 STRICKLETT, DANIEL J ST OF ILLINOIS-DOT @ 04/12/17 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 311 17WC 16662 DAVIS, KATHLEEN ADECCO EMPLOYMENT SERVICE 04/13/17 SCHUM LAW PC HENNESSY & ROACH 312 17WC 16845 OAKLEY, MARTY A STATE OF IL - IDOT @ 06/14/16 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 313 17WC 16871 OLINGER, DOUGLAS MARTIN HIGH & CONSTANCE H @ W 03/04/16 MARSZALEK AND MARSZALEK THIELEN, FOLEY & MIRDO LLC

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 314 17WC 17453 MACIEL, MIGUEL VALOR TECHNOLOGIES INC 05/26/17 CHEPOV & SCOTT LLC LITCHFIELD CAVO 315 17WC 17669 BAILLON, ERNIE LOMAN-RAY INSURANCE GROUP 05/04/17 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 316 17WC 17756 DERRICKSON, RON ILLINOIS DEPT OF CORRECTI 05/01/17 TUGGLE SCHIRO & LICHTENBER 317 17WC 17828 HOPKINS, AURA THE ARTHUR HOME 07/13/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 318 17WC 17992 TRAN, DUYEN CONAIR 02/07/17 BRIAN T. SCHURTER COZZI & GOGGIN-WARD 319 17WC 18019 JONES, RYAN OLD DOMINION FREIGHT LINE 06/12/15 SPIROS LAW PC RODDY LAW LTD 320 17WC 18248 GONES III, JOHN ALTORFER 08/29/16 FREDERICK & HAGLE 321 17WC 18343 YOUNT, MATTHEW LOWE'S OF DANVILLE 04/19/17 SPIROS LAW PC 322 17WC 18354 HALL, CALEB CREATIVE CONSTRUCTION @ 11/10/16 SPIROS LAW PC ASSISTANT ATTORNEY GENERAL 17WC020998 -C LOWE'S 323 17WC 18733 MCGRATH, MICHAEL DUPONT 05/16/17 WARREN E DANZ, PC LITCHFIELD CAVO 324 17WC 18776 HOLLEY, KEVIN LEBANON SEABOARD 04/27/17 TUGGLE SCHIRO & LICHTENBER COZZI & GOGGIN-WARD 325 17WC 18801 JOHNSON, JASON A ALBIN HOMES, INC. 05/24/17 GREG LIETZ BRADY, CONNOLLY & MASUDA, PC 326 17WC 18859 BLAN, ROBERT O'BRIEN'S AUTO PARK 07/27/15 FREDERICK & HAGLE 327 17WC 19025 COLE, RODNEY TODD BRASHEAR D/B/A CLARK W 10/03/16 ASHER & SMITH 328 17WC 19256 JOHNSON, CLAYTON EDGARD COUNTY SHERIFF'S O 06/08/17 WOODRUFF & JOHNSON 329 17WC 19284 HOBBS, ANDY K&K COATING 09/14/16 LAW OFFICE OF CHRIS DOSCOT MACIOROWSKI SACKMANN & ULRIC 330 17WC 19334 PEASLEE, MARSHALL VISCOFAN USA, INC 04/22/17 GARY JOE STOKES 331 17WC 19710 LIKINS, MICHELLE D MASTERBAND CABINETS 04/04/16 LAW OFFICE MICHAEL M WOJIT

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 332 17WC 20168 ROBISON, STACY S HEARTLAND COCA-COLA BOTTL 04/09/17 ASHER & SMITH EVANS & DIXON, LLC 333 17WC 20386 ONEY, TIMOTHY EXPRESS EMPLOYMENT 05/12/17 DWORKIN AND MACIARIELLO 334 17WC 20393 ANDERSON, MICHAEL P & P CONSTRUCTION 07/28/14 MARK A WELLS LAW OFFICE LIVINGSTONE MUELLER ET AL 335 17WC 20430 RODRIGUEZ, NAILYN EXPRESS EMPLOYMENT 11/07/16 REISMAN LAW OFFICE MC ANDREWS & NORGLE LLC 336 17WC 20604 KUHRING, AUSTIN STATE OF IL IDOT 03/01/17 BURNETT & CARON, LTD 337 17WC 20762 SMITH, SAMANTHA PREMIUM PACKAGING CORP 01/16/17 TAPELLA & EBERSPACHER LLC BRADY, CONNOLLY & MASUDA, PC 338 17WC 20929 DILLAVOU, KATHERINE M. CHAMPAIGN COMM UNIT SD 4 12/19/16 WOODRUFF & JOHNSON BRUCE WARREN 339 17WC 21249 DAUGHERTY, JOY LIBMAN COMPANY 06/16/17 FAJARDO LAW GROUP LAW OFFICES STEVEN PILAND 340 17WC 21348 BYNDOM, KATRINA CREATIVE DINING 06/05/17 STEVEN A CRIFASE, LTD 341 17WC 21488 PICKFORD, RAY BPI TESTING 03/07/17 LEE, MARK N LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 342 17WC 21709 LEONETTI, RICHARD IDOT @ 05/31/17 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 343 17WC 21820 WATSON, ELIZABETH LOWE'S COMPANIES, INC 06/27/17 SCHUM LAW PC KEEFE CAMPBELL & ASSOC LLC 344 17WC 21962 VISEL, BETH UNIVERSITY OF ILLINOIS 06/22/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 345 17WC 22299 MANN, ASHLEY S MASTERBRANDS CABINETS 04/21/17 KANOSKI BRESNEY 346 17WC 22375 WINSTON, RICHARD PRESENCE COVENANT MEDICAL 06/25/17 WALTON TELKEN LLC INMAN & FITZGIBBONS 347 17WC 22580 FIGGINS, WAYNE L MASTERBRAND CABINETS, INC 07/28/16 HELLER HOLMES & ASSOC DUGAN & VOLAND 348 17WC 22809 NOYES, VICKI B CHARLES INDUSTRIES, LTD 10/02/14 ASHER & SMITH INMAN & FITZGIBBONS 349 17WC 22981 BOLL, CARLENE F SINCLAIR BROADCAST GROUP # 06/26/17 WOLTER BEEMAN AND LYNCH BRADY, CONNOLLY & MASUDA, PC

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 350 17WC 23048 WELLUM, ROBERT STATE OF IL/DEPT OF @ 06/16/17 HELLER HOLMES & ASSOC 351 17WC 23275 LESLIE, PENNY E CUNNINGHAM CHILDREN'S HOM 05/16/17 FREDERICK & HAGLE HENNESSY & ROACH 352 17WC 23480 CORZINE, CHRISTOPHER C UNIVERSITY OF IL 05/24/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 353 17WC 24073 BENSON, LARRY EDWARD DON & COMPANY 06/29/17 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 354 17WC 24174 POTTER, CHRIS USF HOLLAND TRUCKING 04/28/17 BURNETT & CARON, LTD HENNESSY & ROACH 355 17WC 24338 CROSS, KIMBERLY LHC GROUP 05/18/17 SPIROS LAW PC INMAN & FITZGIBBONS 356 17WC 24430 THOMAS, DAWANNA UNIVERSITY OF ILLINOIS 07/28/17 WOODRUFF & JOHNSON GANAN & SHAPIRO 357 17WC 24557 CROSS, ED FIBERTEQ 02/10/17 TUGGLE SCHIRO & LICHTENBER MACIOROWSKI SACKMANN & ULRIC 358 17WC 24662 ROMO, SANDRA MASTERGUARD 08/09/17 DWORKIN AND MACIARIELLO 359 17WC 24700 RIMMER, KELSEY M RESOURCE MFG 08/11/16 JAMES RUPPERT 360 17WC 24754 GOODLING, RODNEY PREMIER COOPERATIVE, INC. 05/12/17 FREDERICK & HAGLE CAPUANI, FRANK S 361 17WC 25000 GOODE, DAVID A MICROSURFACING CONTRACTOR 05/31/17 O'CONNOR & NAKOS 362 17WC 25355 GORMAN, MAURICE G UNIVERSITY OF ILLINOIS 05/11/17 FREDERICK & HAGLE 17WC033851 -C 363 17WC 25531 LONG, KELLY COUNTRY HEALTHY CARE & RE 05/26/16 SPIROS LAW PC 364 17WC 25579 NEAL, JOHN PLASTIPAK 09/13/16 TUGGLE SCHIRO & LICHTENBER 365 17WC 25893 LAMPLEY, LORI LSC COMMUNICATIONS 06/18/17 KATZ FRIEDMAN EAGLE ET AL 366 17WC 26203 BURNETT, KAREEM A KIK CUSTOM PRODUCTS, INC 07/24/17 FREDERICK & HAGLE POWER & CRONIN LTD 367 17WC 26233 VANCE, WILLIAM P THYSSENKRUPP 07/11/17 BURNETT & CARON, LTD WOLFE & JACOBSON, LTD

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 368 17WC 26413 ROESCH, DAVID L STARK EXCAVATING, INC. 06/20/17 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 369 17WC 26510 DAVIS, STEVE STARK EXCAVATING 08/12/17 GREGORIO & MARCO 370 17WC 26650 COLUNGA, AMADEO JR SCHUMACHER ELECTRIC COMPA 06/28/17 KATZ FRIEDMAN EAGLE ET AL 371 17WC 26710 CORTES, PEDRO A HOBBICO, INC. 12/10/15 PETER T BORICH KNELL LAW LLC 372 17WC 26921 DODSON, COURTNIE FEDEX GROUND 05/06/17 SPIROS LAW PC KOPKA, PINKUS DOLIN, PC 373 17WC 27021 LANG, STUART A MIDSTATE TANK 05/04/17 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 374 17WC 27078 FREEZELAND, PHILLIP CHARLESTON US LLC 11/16/16 DANIELS WILZBACH PC 375 17WC 27375 WILLIAMS, CESARIO T RANOUTL FOODS, LLC 08/04/17 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 17WC027376 -C RANTOUL FOODS, LLC 376 17WC 27515 NELSON, THOMAS RV HORIZONS, INC 06/27/17 RIDGE & DOWNES 377 17WC 27700 SIMS, ROBERT MANITO TRANSIT 07/16/17 LAW OFFICE DAVID HUNT 378 17WC 28323 SMITH, SANTEZ SUPERVALU 07/20/17 GARY JOE STOKES HEYL ROYSTER VOELKER & ALLEN 379 17WC 28662 SANTANA, ROSA N BELL SPORTS NKA VISTA OUT 01/16/16 SCHUM LAW PC GRANT & FANNING 380 17WC 28692 LOCKETT, ERNEST L SODEXO, INC 04/25/17 FREDERICK & HAGLE INMAN & FITZGIBBONS 381 17WC 28827 LOMAX, DANIEL EXPRESS EMPLOYMENT 07/11/17 SPIROS LAW PC MC ANDREWS & NORGLE LLC 382 17WC 29233 LANKSTER, ASHLEY GENPACT 06/15/17 SPIROS LAW PC LAW OFFICE PAUL LARIMORE 383 17WC 29701 BROWN, DAVID SECURE TRUCKING INC 07/22/16 SPIROS LAW PC INMAN & FITZGIBBONS 384 17WC 29704 BROWN, DAVID GOLDEN RULE TRUCKING 04/25/16 SPIROS LAW PC NYHAN BAMBRICK KINZIE & LOWR 385 17WC 30021 SAVAGE, FALON CHAMPAIGN COUNTY NURSING 05/19/17 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 386 17WC 30149 DOWDY, DAVID USF HOLLAND 09/23/17 GALANTI LAW OFFICES HENNESSY & ROACH 387 17WC 30219 EICHINGER, ANNA M NORTH AMERICA LIGHTING 01/10/17 TAPELLA & EBERSPACHER LLC STEPHEN CARTER 388 17WC 30506 LODICE, JAN ADDUS HOMECARE INC 08/03/17 SPIROS LAW PC HENNESSY & ROACH 389 17WC 30527 IODICE, JAN ADDUS HOMECARE, INC. 08/03/17 FREDERICK & HAGLE 390 17WC 30568 FARTHING, TODD VAN HORN, INC 02/07/17 NESSLER, FREDERIC LAW OFFI KNELL & O'CONNOR 391 17WC 30577 PAWLAK, KEVIN EXPRESS EMPLOYMENT 09/27/17 SPIROS LAW PC MC ANDREWS & NORGLE LLC 392 17WC 30691 BICKERS, KARA HERITAGE HEALTH 03/20/17 MUELHAUSEN & STEFANI 393 17WC 30833 HANNAH, TAMMIE D OASIS OUTSOURCING, INC 06/29/17 BRIAN T. SCHURTER 394 17WC 30903 GOSS, LISA M CASEY'S GENERAL STORES 08/08/17 HEYL ROYSTER VOELKER & ALLEN 395 17WC 30945 CREMEENS, GAYLE HEARTLAND HEALTH CARE CEN 10/10/17 PETER D CORTI LAW GROUP 396 17WC 31037 WEBB, LEE PHIL GUD CLEANING SPECIAL 08/15/17 PRILLAMAN & MOORE 397 17WC 31255 MEINERS, GEORGE D AIR METHODS 09/26/15 MATHIS MARIFIAN RICHTER ET BRYCE DOWNEY & LENKOV LLC 398 17WC 31448 SMITH, ALMA FIRST STUDENT, INC 09/07/17 NESSLER, FREDERIC LAW OFFI 399 17WC 31578 JACKSON, DUSTIN COUNTRYMAN CONSTRUCTION 07/24/17 TUGGLE SCHIRO & LICHTENBER 400 17WC 31804 JENKINS, TERRY L AUTO ZONE 03/29/17 KANOSKI BRESNEY QUINN JOHNSTON HENDERSON ETA 401 17WC 31850 ETNIRE, STEVE SENIOR LIFE STYLE 09/12/17 FREDERICK & HAGLE PERRY GENTILE 402 17WC 32476 ARMOLD, DAN CAVALLO BUS LINES INC 03/22/17 SMITH ALLEN MENDENHALL ET 403 17WC 32638 BLOCK, DAVID R DAN BLOCK ELECTRIC 09/01/15 LAKE LAW FIRM HEYL ROYSTER VOELKER & ALLEN

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 404 17WC 33179 WENDELL, DEREK ALADDIN ELECTRIC 10/16/17 LEE, MARK N LAW OFFICE CHILTON YAMBERT PORTER LLP 405 17WC 33485 BABBS, BRIAN D PINNACLE FOODS CORP/ 08/28/17 ASHER & SMITH INMAN & FITZGIBBONS 406 17WC 33752 ALBERS, SARAH MEATHEADS BURGERS AND FRI 10/08/17 SPIROS LAW PC GANAN & SHAPIRO 407 17WC 33882 SHORE, KELLY EXPRESS EMPLOYMENT PROFES 01/25/17 SPIROS LAW PC MC ANDREWS & NORGLE LLC 408 17WC 33934 SLEIGH, DALE A & R MECHANICAL 10/30/16 SPIROS LAW PC 409 17WC 34018 COLLEEN, DEBRA L DANVILLE METAL STAMPING 08/17/15 KANOSKI BRESNEY 410 17WC 34204 JONES, ALISON COTTAGE GARDENS 06/29/17 HELLER HOLMES & ASSOC 411 17WC 34485 HOBBS, CURTIS VCNA 06/27/17 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 412 17WC 34662 ELDER, RYAN WILLARD HELMETH CONSTRUCT 11/07/17 DWORKIN AND MACIARIELLO 413 17WC 34711 MCGARIGLE, PATRICK WILLIAMS BROTHERS CONSTRU 07/21/17 TUGGLE SCHIRO & LICHTENBER KNELL LAW LLC 17WC034712 -C 414 17WC 34929 WISHARD, JASON ANIXTER INTERNATIONAL, IN 08/03/16 MUELHAUSEN & STEFANI 415 17WC 35142 MARTINEZ, FEDERICO PIONNER HI-BRED INT, INC 07/04/17 CORNFIELD & FELDMAN 416 17WC 35471 BERG, MARY MEN'S WEARHOUSE 10/27/17 HAXEL LAW OFFICE 417 17WC 35871 SEALS, ELVIS HUDSON TECHNOLOGIES 10/27/17 DWORKIN AND MACIARIELLO 418 17WC 35959 BALL, BRANDON KELLER GRAIN & LIVESTOCK, 06/14/17 SMITH LAW LTD GAROFALO SCHREIBER STORM 419 17WC 36139 HEADLEY, DENISE J CIRCLE K 11/09/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 420 17WC 36241 SEXTON, JAMES PARIS FAMILY RESTAURANT 11/16/17 DWORKIN AND MACIARIELLO 421 17WC 36511 SAYON, ROLAND RANTOUL FOODS 12/07/17 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 422 17WC 36561 RIVERA, NEIDA ELITE STAFFING, INC 09/14/17 PETER T BORICH 423 17WC 36586 ARIZU, BEULAH I SYNERGY HOMECARE OF CENTR 11/18/16 KANOSKI BRESNEY 424 17WC 36656 MORRIS, TIMOTHY R KRD TRUCKING 03/10/17 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 425 17WC 36795 LASCAREZ, EFREN PLASTIC CONTAINER CORP 11/06/17 JOHN S. ELIASIK 426 17WC 36888 MATYAS, MICHAEL CHIEFTAIN CONTRACT SERVIC 11/01/17 BECKER SCHROADER & CHAPMAN PERRY GENTILE 427 17WC 37077 RAYMER, JENNIFER RAJESHWARIKRUPA INC D/B/A 04/05/17 SPIROS LAW PC 428 17WC 37086 HUBERT, BRIDGIT SAVE A LOT 01/05/17 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 429 17WC 37216 SIMMONS, JOSH SYNERGY LABOR SOLUTIONS 11/15/17 FREDERICK & HAGLE HENNESSY & ROACH 430 17WC 37437 ZELLERS, CORINA DAVIS MAIL SERVICE 04/27/17 GREGORY L. RYAN LAW OFFICE HENNESSY & ROACH 431 17WC 37775 KOISSABA, BEN AMBER GLEN ALZHEIMER'S 08/11/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 432 17WC 38099 LAUGHLIN, GREG RUCKER CANDY 08/02/17 LAW OFFICE OF CHRIS DOSCOT KNELL & O'CONNOR 433 18WC 00288 CODDING, JAMES A JB HUNT TRANSPORTATION 06/15/17 JOHN LESAGANICH GRANT & FANNING 434 18WC 00533 DEAVENS, MICHAEL MAN POWER 11/05/17 WOODRUFF & JOHNSON 435 18WC 00554 HOFFMAN, JEREMY PEPSI COLA CU BOTTLING CO 07/04/17 FREDERICK & HAGLE 436 18WC 00693 JEFFRIES, STEVEN G FEDEX 07/27/17 KANOSKI BRESNEY 437 18WC 00810 BLAZAITIS, ADAM PEPSICO 05/09/17 GARY JOE STOKES THOMAS MAMER & HAUGHEY 438 18WC 00937 HARDWAY, COURTNEY M PEPSI MID AMERICA 05/07/15 KANOSKI BRESNEY 439 18WC 00999 HAWN, TERESA PAPA JOHN'S PIZZA 12/14/17 DAVID W MARTAY

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 440 18WC 01163 ESSEX, ROBERT HEEL TO TOE 01/02/18 DWORKIN AND MACIARIELLO 441 18WC 01385 STIDHAM, ADRION CHARLES INDUSTRIES 02/15/16 THOMAS R LICHTEN INMAN & FITZGIBBONS 442 18WC 01892 PEEBLES, JENNIFER CHRISTENSEN FARMS & 05/31/16 TAPELLA & EBERSPACHER LLC LEAHY EISENBERG & FRAENKEL 443 18WC 01985 HARPER, JEROME VERSUVIUS USA 11/03/16 LAW OFFICE MICHAEL M WOJIT QUINN JOHNSTON HENDERSON ETA 444 18WC 02041 GRAHAM, CORTEZ RANTOUL FOODS 12/09/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 445 18WC 02197 HARMON, DEANA L CENTRAL ILLINOIS 08/26/17 KANOSKI BRESNEY LAWRENCE COZZI - LAW OFFICES 446 18WC 02348 HERNANDEZ, FRANKLIN SK EXTERIORS 12/20/17 WALTON TELKEN FOSTER LLC 447 18WC 02356 MYRICK, GLENDA JEAN DANVILLE METAL STAMPING 11/06/17 GARY JOE STOKES BRUCE WARREN 448 18WC 02562 HOWARD, MONICA ALDI 11/25/17 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 449 18WC 02617 SOUTHERN, BRADLEY R PAR TECHNOLOGY CORPORATIO 09/07/17 THOMSON & WEINTRAUB STEPHEN H LARSON LAW OFFICE 450 18WC 02804 BIDDLE, ROBERT STAFFQUICK 11/16/16 PARK LAW OFFICE HENNESSY & ROACH 451 18WC 03006 PARK, JEFFERY L MASTERBAND CABINETS 10/23/17 HELLER HOLMES & ASSOC DUGAN & VOLAND 452 18WC 03180 BELL, LINDA HERITAGE HEALTH & REHAB 12/29/17 WOODRUFF & JOHNSON 453 18WC 03241 CROSS, DEBRA NIEMANN FOODS 10/25/16 SPIROS LAW PC 454 18WC 03265 HOMES, KATHERINE FAIRFIELD INN 08/30/17 FREDERICK & HAGLE 455 18WC 03324 SWARMS, JAYMON SYNERGY LABOR SOLUTIONS 09/05/17 FREDERICK & HAGLE HENNESSY & ROACH 456 18WC 03512 GOODWIN, MERIDETH ODD FELLOW REBEKAH HOME 01/15/18 FREDERICK & HAGLE RIPES NELSON BAGGOT KALOBRAT 457 18WC 03964 MCCAFFERTY, PATRICIA VISTA OUTDOORS 12/14/17 WOODRUFF & JOHNSON LEAHY EISENBERG & FRAENKEL

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 458 18WC 04102 PIERCE, CHAD MASTERBRAND CABINETS 06/27/17 SHAY & ASSOCIATES 459 18WC 04117 LAKE, STEVEN ADECCO 09/19/17 DAMISCH & DAMISCH LTD HENNESSY & ROACH 460 18WC 04341 FUDGE, WILLIAM GSI GROUP 06/07/17 DWORKIN AND MACIARIELLO FEATHERSTUN GAUMER POSTLEWAI 461 18WC 04715 LOGSDON, CHARLES VESUVIUS USA 09/05/17 MICHAEL M WOJITAS QUINN JOHNSTON HENDERSON ETA 462 18WC 04785 EICHELBERGER, BRAD UNIVERSITY OF ILLINOIS 10/23/17 WOODRUFF & JOHNSON GANAN & SHAPIRO 463 18WC 04862 WOOLARD, SANDRA DOCASTERS MECO 04/08/16 HELLER HOLMES & ASSOC 464 18WC 05108 WIMSETT, MARY S FIRST FINANCIAL 07/12/17 ASHER & SMITH 465 18WC 05298 TALBOTT, TYLER DEDICATED MGMT GROUP 06/22/17 SPIROS LAW PC INMAN & FITZGIBBONS 466 18WC 05344 WALTERS, ERIC LAKESIDE CLASSICS COMMUNI 05/01/17 TUGGLE SCHIRO & LICHTENBER 467 18WC 05461 NASH, CARLA THE HERSHEY COMPANY 03/17/16 MUELHAUSEN & STEFANI WIEDNER & MCAULIFFE LTD 468 18WC 05531 WIMMER, THERESA SPRINKMANN INSULATION, IN 01/04/18 SPIROS LAW PC 469 18WC 05669 STHAY, DRUCILLA EVAPCO, INC 01/19/18 KEEFE & GRIFFITHS PC 470 18WC 05734 GIBBS, CHARLES COLLEGE CHEFS 01/22/18 SPIROS LAW PC PAUL LARIMORE 471 18WC 05754 BOYCE, GERALD 13 BROADBAND 02/10/18 DWORKIN AND MACIARIELLO 472 18WC 05776 DOEDEN, JUDY WATCHFIRE SIGNS 03/13/15 TUGGLE SCHIRO & LICHTENBER 473 18WC 05868 BAKER, JOSEPH CLEAN STREAK AND CO 01/19/18 SPIROS LAW PC 474 18WC 06366 MC CLURE, BERNIE BUNGE MILLING 03/20/17 TUGGLE SCHIRO & LICHTENBER 475 18WC 06440 GATES, TERRY CITY OF PARIS 09/16/15 MOSS & MOSS PC INMAN & FITZGIBBONS

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 476 18WC 06562 BROWN, DAVID GOLDEN RULE TRUCKING 02/12/18 SPIROS LAW PC INMAN & FITZGIBBONS 477 18WC 06627 MC KOWN, TONYA HELP AT HOME 01/10/18 TUGGLE SCHIRO & LICHTENBER 478 18WC 06791 CROSS, BONITA CHAMPAIGN COUNTY HEAD STA @ 02/21/18 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 479 18WC 06896 KELLEY, AMELIA SARAH BUSH LINCOLN 08/24/16 TAPELLA & EBERSPACHER LLC MACIOROWSKI SACKMANN & ULRIC 480 18WC 07135 SCHLENSKER, ERIC COLMAC COIL 10/26/17 DWORKIN AND MACIARIELLO 481 18WC 07341 SPIDLE, TIM CITY OF MATTOON 02/28/17 KATZ FRIEDMAN EAGLE ET AL 482 18WC 07786 KELLER, CHARLES COLES MOULTRE ELECTRIC CO 06/14/17 MUELHAUSEN & STEFANI HEYL ROYSTER VOELKER & ALLEN 483 18WC 07804 CHAMBLISS, CATHY HOOSIER CARE INC./SWANN 03/25/17 FREDERICK & HAGLE 484 18WC 08062 COOK, RICK TOTAL GRAIN MARKETING, LL 09/23/17 SMITH LAW LTD HEYL ROYSTER VOELKER & ALLEN 485 18WC 08382 KEELE, MARK EAGLE WINGS INDUSTRIES, I 03/15/16 TUGGLE SCHIRO & LICHTENBER NYHAN BAMBRICK KINZIE & LOWR 486 18WC 08638 TURNER, BARBARA CARRIAGE CROSSING CHAMPAI 01/08/18 BECKETT LAW OFFICE 487 18WC 08865 BRANDT, AMY NORTH AMERICAN LIGHTING I 12/05/17 STRONG LAW OFFICE STEPHEN CARTER 488 18WC 08876 LA REAU, DARREN UNIVERSITY OF ILLINOIS @ 12/11/17 MEYER CAPEL, PC 489 18WC 08904 DENNIS, BEATRICE J DOLLAR TREE 01/11/16 MCCARTHY ROWDEN & BAKER BRYCE DOWNEY & LENKOV LLC 490 18WC 09085 SPECKETER, KEVIN A TOSHIBA GLOBAL COMMERCE * 08/25/17 HARVEY & STUCKEL RODDY LAW LTD 491 18WC 09414 MC CLURE, BERNIE BUNGE MILLING 03/20/17 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 492 18WC 09585 DAVIS, AMY CHAMPAIGN UNIT #4 SCHOOL @ 09/02/16 SPIROS LAW PC 493 18WC 09841 WILLIAMS, NICHOLAS DANVILLE DASHERS 02/12/18 STRONG LAW OFFICE

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 494 18WC 10099 RATH, CHANDOEUN DART CONTAINER 02/08/18 BURNETT & CARON, LTD GAROFALO SCHREIBER STORM 495 18WC 10175 ARCHER, CORDARIO GLOBAL SECURITY SVCS 03/09/18 WALTON TELKEN FOSTER LLC 496 18WC 10506 ELLIS, TONY R CITY OF GEORGETOWN * 12/31/17 GARY JOE STOKES RODDY LAW LTD 497 18WC 10635 EDWARDS, DONNA FORTUNE BRANDS HOME & SCE * 11/30/16 DAVID W MARTAY 498 18WC 10931 MATHEWS, CHARLES MOWREY AUCTION CO * 09/05/17 CAPRON & AVGERINOS PC 499 18WC 11024 WOLSKI, JEFFREY CUBA TOWNSHIP * 02/08/18 JOHN E LUSAK BRADY CONNOLLY & MASUDA PC 500 18WC 11124 COOPER, JENNIFER LITTLE CAESARS PIZZA * 03/23/18 BEARD LAW FIRM BRADY, CONNOLLY & MASUDA, PC 501 18WC 11193 MIEZIO, DENNIS UNIVERSITY OF ILLINOIS * 12/08/17 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 502 18WC 11255 WEISER, KRISTINA DART CONTAINER * 08/04/17 PAUL E SELIN GAROFALO SCHREIBER STORM 503 18WC 11395 KEYS, CHARLES R MERIDIAN SENIOR LIVING VI * 11/13/17 ASHER & SMITH 504 18WC 11515 BROCKETT, BRYANT DS SERVICES OF AMERICA, I * 01/01/16 SPIROS LAW PC CHILTON YAMBERT PORTER LLP 505 18WC 11722 MCDONALD, JIMMIE T CHAMPAIGN UNIT 4 SCHOOL D * 01/13/18 BOSHARDY LAW OFFICE PC 506 18WC 11912 HERNANDEZ, LIZBETH M VISTA OUTDOOR * 03/03/16 PETER T BORICH 507 18WC 11973 SIPES, CHRISTINA WALMART * 07/03/15 FREDERICK & HAGLE GANAN & SHAPIRO 508 18WC 11983 SMITH, DAVID A DONCASTERS MECO * 02/14/18 HELLER HOLMES & ASSOC 509 18WC 12324 POLK, WILLARD JR. VISCOFAN USA INC * 11/29/17 GARY JOE STOKES 510 18WC 12463 JOHNSON, JAMIE KIRBY FOODS IGA SUPERMARK * 06/18/17 DWORKIN AND MACIARIELLO 511 18WC 12534 DUNHAM, DALE BACON AND VAN BUSKIRK * 03/12/18 BURNETT & CARON, LTD GANAN & SHAPIRO

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 512 18WC 12621 LEFFLER, EVERETT JUSTRITE MANUFACTURING CO * 03/09/18 SMITH LAW LTD 513 18WC 12670 TURNER, ARTHUR LAKE LAND COLLEGE * 04/17/17 COLLISON LAW OFFICES 514 18WC 12759 RAY, HAROLD G STEAK N SHAKE * 03/27/18 GARY JOE STOKES HEYL ROYSTER VOELKER & ALLEN 515 18WC 13128 GRAHAM, ABIGAIL KELLY SERVICES * 02/12/18 SPIROS LAW PC BRADY, CONNOLLY & MASUDA, PC 516 18WC 13244 GORRELL, CHRISTY COUNTRY HEALTH CARE REHAB * 10/02/17 SPIROS LAW PC 517 18WC 13468 HOSKINS, JEFFREY FULL-FILL INDUSTRIES, LLC * 06/30/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 518 18WC 13735 ALLEN, ROGER ALLEN'S FARM QUALITY MEAT * 11/23/16 TUGGLE SCHIRO & LICHTENBER 519 18WC 13944 HESTER, SCOTT UNIVERSITY OF ILLINOIS * 03/21/18 WOODRUFF & JOHNSON 520 18WC 13979 BRYAN, ZACHARIAH MID-ILLINOIS CONCRETE * 03/30/18 FREDERICK & HAGLE 521 18WC 14038 BROOKS, MICHAEL STAR CORP LLC * 04/16/18 TUGGLE SCHIRO & LICHTENBER 522 18WC 14286 REYNOLDS, CHRISTOPHER R TOWN OF NORMAL FIRE DEPAR * 09/07/17 KANOSKI BRESNEY 523 18WC 14481 NAIL, GARY SOI, DEPT OF TRANSPORTATI @ * 05/22/17 ASSISTANT ATTORNEY GENERAL 524 18WC 14804 GRAVES, KEVIN DEVONSHIRE VILLAGE * 02/15/18 TUGGLE SCHIRO & LICHTENBER 525 18WC 14911 MILLER, EDDIE RYDER * 05/04/18 GOLDFINE & BOWLES 526 18WC 15211 COLLINS, STANLEY YRC WORLDWIDE * 03/24/18 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 527 18WC 15233 ROBINSON, SHELONDRA FIRST STUDENT * 05/08/18 MCCARTHY ROWDEN & BAKER 528 18WC 15248 RUBIO, MARIA DANVILLE METAL STAMPING I * 03/12/18 FREDERICK & HAGLE 529 18WC 15411 BOLEN, HAROLD E INDUSTRIAL SRVCS OF ILLIN * 10/16/17 FERGUSON, MARK E LTD

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 530 18WC 15713 BLAKE, ALVIN ROBINSON CORRECTIONAL CEN @ * 04/05/18 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 531 18WC 15765 MINGUS, THOMAS EXPRESS PERSONNEL SERVICE * 07/21/17 TAPELLA & EBERSPACHER LLC MC ANDREWS & NORGLE LLC 532 18WC 15860 FRANCIS, JACQUELINE SINCLAIR BROADCASTING * 01/19/18 SPIROS LAW PC 533 18WC 16084 BELCHER, DENISE R SARAH BUSH LINCOLN HEALTH * 04/05/16 KEVIN L GEISLER MACIOROWSKI SACKMANN & ULRIC 534 18WC 16092 REIDY, DIANNA M CARLE FOUNDATION HOSPITAL * 03/31/18 KANOSKI BRESNEY 535 18WC 16243 STRAWSER, COLE KIK * 04/09/18 BECKER SCHROADER & CHAPMAN POWER & CRONIN LTD 536 18WC 16262 JOHNSON, JAMES SYGMA * 02/26/16 SPIROS LAW PC 537 18WC 16334 LEFFLER, EVERETT JUSTRIE MFG, LLC * 01/10/18 SMITH LAW LTD 538 18WC 16396 SIMMS, BRANDEN MASTER BRAND CABINETS INC * 05/17/18 DWORKIN AND MACIARIELLO 539 18WC 16438 GULA, CLINT CARRY TRUCKIGN SERVICES, * 10/13/17 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 540 18WC 16560 GORRELL, CHRISTY COUNTRY HEALTH CARE AND R * 04/05/17 SPIROS LAW PC 541 18WC 16640 JAMES, JASON RAMSHAW REAL ESTATE * 08/12/15 COLLISON LAW OFFICES QUINN JOHNSTON HENDERSON ETA 542 18WC 16656 MCPHERON, SHANE CHAMPAIGN COUNTY SHERIFF * 11/25/17 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 543 18WC 16879 KASPER, RUSSELL LINCOLN'S CHALLENGE * 10/10/17 SPIROS LAW PC 544 18WC 16958 HARDY, RUTH WALMART * 04/05/18 WOODRUFF & JOHNSON GANAN & SHAPIRO 545 18WC 17185 GARTH, JOHN JR. UPS, INC. * 03/06/18 FREDERICK & HAGLE NYHAN BAMBRICK KINZIE & LOWR 546 18WC 17307 SHAFFER, SCOTT KRAFT FOODS, INC. * 05/10/18 PAUL E SELIN 547 18WC 17349 HAMBURG, JOHN ZF AUTOMOTIVE * 09/08/17 ASHER & SMITH HOLTKAMP LIESE ET AL

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 548 18WC 17732 CROSLOW, CHRISTOPHER MASTERBRAND CABINETS * 04/12/18 FREDERICK & HAGLE DUGAN & VOLAND 549 18WC 17782 HELCK, CATHERINE A PRESENCE COVENANT * 07/02/16 MARSZALEK AND MARSZALEK 550 18WC 17785 HELCK, CATHERINE A PRESENCE COVENANT * 08/04/16 MARSZALEK AND MARSZALEK 551 18WC 17976 SIMPSON, WILLIE CHAMPAIGN COUNTY NURSING * 01/29/18 TUGGLE SCHIRO & LICHTENBER 552 18WC 18054 PRUNKARD, BRANDON DANVILLE CORRECTIONAL CTE * 04/20/17 GARY JOE STOKES 553 18WC 18348 SPAIN, TRAVIS CITY OF DANVILLE * 02/14/18 SPIROS LAW PC 554 18WC 18382 THOMPSON, KENNETH A EXPRESS EMPLOYMENT * 08/08/17 KANOSKI BRESNEY 555 18WC 18498 LORENZ, DONALD DART CONTAINER INC * 06/11/18 FREDERICK & HAGLE GAROFALO SCHREIBER STORM 556 18WC 18624 WEBB, TRACY MASTERBRAND CABINETS, INC * 02/23/18 MICHAEL M WOJITAS 557 18WC 18792 ROYSE, DAVID SPARKLE PRO WINDOW * 09/14/17 BRADY, CONNOLLY & MASUDA, PC 558 18WC 18855 LOES, NOMEL M I & B MIDWEST ENTERPRISE * 06/19/18 WEISS & WEISS LAW OFFICES 559 18WC 19040 PETRILLI, THOMAS CITY OF CHAMPAIGN * 10/03/16 CITY OF CHAMPAIGN 560 18WC 19116 STEPHENS, GREGORY C ROCKWELL AUTOMATION * 05/17/18 KANOSKI BRESNEY 561 18WC 19290 WHELCHEL, CHRISTOPHER CITY OF URBANA POLICE DEP * 05/30/18 WOODRUFF JOHNSON 562 18WC 19364 POFFINBARGER, SHEILA EASTERN ILLINOIS UNIVERSI * 09/26/17 SAUNDERS CONDON & KENNY 563 18WC 19458 CHANEY, APRIL TOWNPLACE SUITES BY MARRI * 05/27/18 DWORKIN AND MACIARIELLO 564 18WC 19560 MOORE, ANDRE IRON TORCHMEN CUT METALS, * 10/25/17 TUGGLE SCHIRO & LICHTENBER 565 18WC 19795 CLICK, KATHY MASTER BRAND CABINETS INC * 02/12/18 STRONG LAW OFFICE

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 URBANA 48002 ON 08/17/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 566 18WC 19890 ELROD, DOUGLAS N EASTERN ILLINI ELECTRIC C * 07/01/17 HEYL ROYSTER VOELKER & ALLEN 567 18WC 19915 WILLIAMS, CHAMIRA GARDENVIEW MANOR * 06/12/18 TUGGLE SCHIRO & LICHTENBER 568 18WC 19985 SCARBROUGH, SUSAN FED EX GROUND 04/25/18 MCCARTHY ROWDEN 569 18WC 20042 LAGE, ASA ALAMO GROUP * 12/06/17 WILLIAMS & SWEE 570 18WC 20215 TAPIA, MARIA EXPRESS EMPLOYMENT * 02/01/18 DAVID W MARTAY 571 18WC 20285 GOSSAR, MARY A DANVILLE CARE CENTER * 05/10/18 KANOSKI BRESNEY 572 18WC 20501 LUNA, ARNOLD MIDWESET UNDERGROUND TECH * 12/14/17 WOODRUFF JOHNSON 573 18WC 20583 KINCADE, JAMES DANIEL L RIBBE TRUCKING * 05/18/18 TUGGLE SCHIRO & LICHTENBER