ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 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 41591 MARTZ, KAREN J RAMADA INN SOUTH 07/13/00 THOMAS R LICHTEN 4 00WC 44171 EVANS, JILL R EATON/CUTLER HAMMER 01/18/00 BERG ROBESON & CONNOR FEATHERSTUN GAUMER POSTLEWAI 5 01WC 38013 MARION, JEFF PRYCO 06/18/01 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 6 03WC 32476 BAHN, AUSTIN (CHRISTINE, LINCOLN FIRE DEPARTMENT # 06/02/02 THOMAS W DUDA RIPES NELSON BAGGOT KALOBRAT 04WC022601 -C 7 05WC 18156 19B HATCHETT, TERETHA AFSCME COUNCIL 31 11/17/04 STRONG LAW OFFICE SHARI M BRUNTON 8 07WC 03321 HIBBARD, JOSEPH B CITY OF DECATUR FIRE DEPT 10/24/04 STRONG LAW OFFICE SAMUELS MILLER SCHROEDER ETA 9 07WC 14980 DONELSON, JOHNNY DALE FREEMAN UNITED COAL MININ 09/09/04 BERG & ROBESON LIVINGSTONE MUELLER ET AL 10 07WC 20911 SMITH, GLORIA E MARY LOU'S COUNTRY ABODE, 07/13/06 KANOSKI BRESNEY RODDY LAW LTD 11 07WC 31987 ELLIS, BEN TACO BELL 05/19/07 NESSLER, FREDERIC LAW OFFI QUINN JOHNSTON HENDERSON ETA 12 07WC 46548 MADISON, ROBERT C ARCHER DANIELS MIDLAND CO 09/13/07 CALLIS LAW FIRM WINTERS FEATHERSTUN ET AL 13 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 14 08WC 05747 WATERS, CHRISTINE ST OF IL @ 09/06/07 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 08WC037145 -C 15 08WC 15993 LEDGER, EDWARD J FREEMAN UNITED COAL MININ 10/13/03 KANOSKI BRESNEY LIVINGSTONE MUELLER ET AL 16 08WC 17160 ANDERSON, ALBERT P MONTEREY COAL COMPANY 12/28/07 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 17 08WC 20604 TOWNSEND, GREGORY MONTEREY COAL CO 12/28/07 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 08WC 38430 ROSA, MICHELLE MOSCARDELLI'S MOVING & ST 03/17/08 SHAY & ASSOCIATES JAMES M KELLY 19 08WC 56244 19B SIEGLINDE, CHRISTIE UIS @ SPRINGFIELD 11/11/08 LAMARCA LAW OFFICES, PC THOMAS MAMER & HAUGHEY 20 09WC 16558 RUSSELL, EARL CATERPILLAR INC 04/07/08 LEE, MARK N LAW OFFICE CATERPILLAR 21 09WC 20623 PETRUCHA, MARK S VCNA PRAIRIE ILLINOIS INC 08/04/08 WINTERS FEATHERSTUN ET AL GAROFALO SCHREIBER STORM 22 09WC 25306 SLATER, VELBILE SECRETARY OF STATE @ 12/29/03 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 23 09WC 29284 DAY, HARLAN (WIDOWER) ST OF IL @ 03/01/09 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 24 09WC 30096 SHIRKEY, TERRY PACTIV 06/30/09 BERG & ROBESON SPIEGEL & CAHILL, PC 25 09WC 33495 WOOD, INGELORE BEMCO MATTRESS 02/19/09 KANOSKI BRESNEY LIVINGSTONE MUELLER ET AL 26 09WC 41428 19B GILBERT, LANCE SECURITAS SECURITY SERVIC 08/10/09 BERG & ROBESON INMAN & FITZGIBBONS 27 09WC 41469 BEASLEY, EASTER M DECATUR MEMORIAL HOSP 09/21/06 KANOSKI BRESNEY MACIOROWSKI SACKMANN & ULRIC 09WC041541 -C 09WC041543 -C 09WC041890 -C 28 09WC 46399 FERGUSON, BRIAN STATE OF ILLINOIS-IDOT 07/24/09 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 29 10WC 12650 DUNN, STEPHEN TRI COUNTY COAL 02/03/10 BOSHARDY LAW OFFICE PC LIVINGSTONE MUELLER ET AL 10WC013457 -C SPRINGFIELD COAL CO 10WC027221 -C 11WC013835 -C 11WC018162 -C 11WC018199 -C 30 10WC 20588 HAYES, BETTY ST OF IL SECRETARY OF STA @ 05/05/10 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 31 10WC 22168 FRITZ, ANTON MICHAEL CALCOTT ROOFING 05/19/10 DOUGLAS B. MC KECHAN, ATTY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 10WC 30363 19B ESKEW, ROBERT MATTHEW CENTRE CROWN MINING LLC 05/31/09 SGRO HANRAHAN & BLUE LIVINGSTONE MUELLER ET AL 33 10WC 31059 WILSON, KRYSTAL UNIVERSITY OF ILLINOIS 12/15/07 STRONG LAW OFFICE BRUCE WARREN 11WC014362 -C U OF I - SPRINGFIELD 15WC003939 -C 34 10WC 38133 19B GRIFFIN, WILLIAM KILIAN CORPORATION 08/31/10 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 35 10WC 39746 CREASON, TRACY ADMIN OF E OTTO BAUM 12/03/07 STRONG LAW OFFICE KNELL LAW LLC 12WC038245 -C 36 10WC 41168 19B SMITH, MARK A SPRINGFIELD SCHOOL 10/05/10 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 37 10WC 41637 CRAMER, RYAN L CRATE & PALLET COMPANY, L 09/14/10 STRONG LAW OFFICE BRUCE WARREN 10WC041817 -C 12WC018597 -C 12WC018637 -C 12WC018647 -C GRATE & PALLET PACKAGING 38 10WC 42566 BRUNER, CARMEN J MCFARLAND MENTAL HEALTH C 09/23/10 R JOHN ALVAREZ ASSISTANT ATTORNEY GENERAL 39 10WC 48192 SKAGGS, DANIEL VILLAGE OF JEROME 09/11/10 CONNOR LAW OFFICES KEEFE & DEPAULI 40 11WC 02132 19B JACOBSEN, MARY, WIDOW OF USF HOLLAND 12/13/10 JAMES M RIDGE & ASSOC PC HENNESSY & ROACH 41 11WC 04583 EDWARDS, DALLAS J ST OF IL, SECRETARY OF ST @ 07/16/09 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 42 11WC 04789 LANG, WILLIAM R IL ENVIRONMENTAL PROTECTI @ 07/22/09 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 43 11WC 05700 COCHRAN, BRENDA A HERITAGE BEHAVIOR 09/17/10 KANOSKI & ASSOCIATES KOEPKE & HILDABRAND 44 11WC 06807 HANSEN, CHERYL L STATE OF ILLINOIS @ 12/22/08 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 45 11WC 08637 SEVILLA, ASHLEY HEARTLAND 08/19/10 STRONG LAW OFFICE LIVINGSTONE MUELLER ET AL 46 11WC 11666 DEWITT, MICHAEL STATE OF ILLINOIS @ 12/24/08 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 47 11WC 16143 BEALS, DAVID BLACKS, INC W 07/30/10 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 11WC 18161 HUNTER, LUVENIA DEPARTMENT OF HUMAN SERVI @ 04/11/11 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL 49 11WC 24641 SCHULTZ, ROBERT CITY OF SPRINGFIELD 06/01/11 CONNOR LAW OFFICES LIVINGSTONE MUELLER ET AL 50 11WC 27049 DONELSON, JOHNNY DALE TRI COUNTY COAL 02/16/10 BERG & ROBESON LIVINGSTONE MUELLER ET AL 51 11WC 30665 FARMER, VASSELLAR ST OF IL DEPT OF HFS @ 03/25/09 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 52 11WC 32259 BARKER, ADAM WAL-MART 05/09/11 SHAY & ASSOCIATES WIEDNER & MCAULIFFE LTD 53 11WC 32448 EDWARDS, JAMES MASCHHOFF TRANSPORT 03/21/11 DANIELS LAW OFFICE FEIRICH MAGER GREEN & RYAN 54 11WC 36757 PORTER, PHILLIPA ST OF IL DEPT OF DISABILI @ 11/01/10 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 55 12WC 00527 HARLESS, MICHAEL D MARTIN RIDER, LLC 11/19/10 BERG & ROBESON KNELL LAW LLC 56 12WC 01835 FOX, CHARLES E SOI, ILLINOIS HISTORIC @ 07/01/10 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 57 12WC 02813 HOLLINGSEAD, JASON CATERPILLAR 05/18/11 BECKER SCHROADER & CHAPMAN CATERPILLAR 58 12WC 04947 WILLIAMSON, DARYLE CITY OF SPRINGFIELD 10/06/10 MILLS, STEVEN C 59 12WC 08127 BRIGHT, JOHN CATERPILLAR INC 01/15/10 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 60 12WC 10629 BLEDSAW, BRUCE STRATAS FOODS LLC 02/21/12 CROWLEY BUNGER PRILL NYHAN BAMBRICK KINZIE & LOWR 61 12WC 11202 BROWN, ROBERT A CATERPILLAR 01/04/11 BERG & ROBESON CATERPILLAR 12WC011203 -C 62 12WC 11850 HOWARD, JOHN LOWES 12/14/11 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 12WC011870 -C 12WC024983 -C 12WC024989 -C LOWE'S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 63 12WC 13274 PIERCE, TIM BOOTH HETING & AIR CIN. 09/28/11 SHAY & ASSOCIATES GANAN & SHAPIRO 64 12WC 13676 LEDBETTER, EARL JACKSONVILLE DEVELOPMENTA @ 09/29/11 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 12WC013677 -C 12WC034489 -C STATE OF ILLINOIS 65 12WC 14383 MOORE, SARAH STATE OF ILLINOIS @ 01/18/12 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 66 12WC 18124 MILLIGAN, MICHAEL MEMORIAL MEDICAL CENTER 01/07/12 BERG & ROBESON SORLING LAW OFFICE 67 12WC 19910 BRUHN, WILLIAM ST OF IL OFFICE OF THE @ 03/30/11 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 68 12WC 20662 BLAIR, JAMES R SPRINGFIELD PLASTICS INC 04/24/12 HOLLEY & ROSEN WIEDNER & MCAULIFFE LTD 69 12WC 23386 BARHAM, ROBERT II NUDO 06/18/12 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 70 12WC 23744 DICKSON, DEBBIE A DECATUR MEMORIAL HOSPITAL 01/26/12 KANOSKI & ASSOCIATES MACIOROWSKI SACKMANN & ULRIC 71 12WC 28335 REINACHER, MARY GASMART USA 03/15/12 BERG & ROBESON GANAN & SHAPIRO 72 12WC 28467 ESCHBAUGH, DAVID SHELBY COUNTY COMMUNITY S 03/28/12 STRONG LAW OFFICE STELLATO & SCHWARTZ 73 12WC 31592 FRAIM, BRIAN ST OF IL SECRETARY OF STA @ 08/20/12 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 74 12WC 31699 COONS, JANELLE SPRINGFIELD ARC, INC 05/25/11 BERG & ROBESON STELLATO & SCHWARTZ 75 12WC 33212 PULLIAM, DANIEL A-LERT CONSTRUCTION 08/17/11 LAW OFFICE STEVEN J SEIDMA FEATHERSTUN GAUMER POSTLEWAI 76 12WC 33871 SERBOUSEK, BROOKE L ST JOHN'S HOSPITAL 03/12/12 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 15WC002729 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 77 12WC 36275 TALBOTT, ROBERT CITY OF SPRINGFIELD FIRE 02/10/10 HAXEL LAW OFFICE LIVINGSTONE MUELLER ET AL 78 12WC 36363 SULLIVAN, TAMIRRA THE HOPE INSTITUTE 09/15/12 STRONG LAW OFFICE STELLATO & SCHWARTZ 15WC013852 -C HOPE INSTITUTE 15WC013865 -C 15WC014178 -C HOPE INSTITUTE 15WC014300 -C 79 12WC 36469 19B SCOTT VON BEHRENS, CLAYTO PREMIERE PHYSICAL THERAPY 05/01/12 BOSHARDY LAW OFFICE PC PATRICIA M CARAGHER 80 12WC 37897 TURNER, PATRICIA A MCFARLAND MENTAL HEALTH @ 05/22/12 KANOSKI & ASSOCIATES ASSISTANT ATTORNEY GENERAL 81 12WC 37930 GREER, WILLIAM BBK SERVICES 07/15/12 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 12WC037943 -C 82 12WC 38236 LILLER, ROBERT TRI-COUNTY COAL 05/24/12 CULLEY FEIST KUPPART & TAY MCBREARTY, BRIAN K 83 12WC 39713 WARREN, KRIS SPORTS AND IMPORTS 01/31/12 LAMARCA LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 84 12WC 39723 DUMMIRE, TERRY L MURRAYVILLE WOODSON 10/20/11 HOLLEY & ROSEN FEATHERSTUN GAUMER POSTLEWAI 85 12WC 44317 SLAGLE, SCOTT SR CITY OF SPRINGFIELD 08/27/12 CHERRY FRAZIER & SABIN LIVINGSTONE MUELLER ET AL 86 13WC 00591 BALDWIN, MURRELL RCL 09/27/12 STEVEN J SEIDMAN LAW OFFIC ROUSE & CARY 87 13WC 02804 BLAND, JOSH A LERT CONSTRUCTION 08/30/12 GOLDBERG WEISMAN & CAIRO L FEATHERSTUN GAUMER POSTLEWAI 88 13WC 02944 PROSSER, KAREN STATE OF ILLINOIS @ 01/12/12 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 89 13WC 04067 THURMAN, MARGARET LEWIS MEMORIAL 01/13/13 HOLLEY & ROSEN INMAN & FITZGIBBONS 90 13WC 04179 JACKSON, THOMAS GREYHOUND 01/22/13 JOEL BELL BRADY CONNOLLY & MASUDA PC 91 13WC 06289 KUTZORA, BRIAN STATE OF ILL DEPT REVENUE @ 01/25/13 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 92 13WC 06749 DOBSON, TRACEY M CROSSROADS 09/10/12 KANOSKI & ASSOCIATES RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 93 13WC 06930 LYBARGER, RHINDA IVEND LIMITED 02/13/13 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 94 13WC 07489 HADDOCK, WILLIAM E GSI GROUP LLC 02/13/13 BOSHARDY LAW OFFICE PC FEATHERSTUN GAUMER POSTLEWAI 13WC007491 -C 95 13WC 10348 WHITNEY, KALEN ANDERSON ELECTRIC INC 01/09/12 BRANKEY & SMITH PC QUINN JOHNSTON HENDERSON ETA 96 13WC 12325 WIESSING, COURTNEY M THE HOPE INSTITUTE FOR 01/23/13 JAMES ACKERMAN STELLATO & SCHWARTZ 97 13WC 13035 FRESE, BRUCE CATERPILLAR INC 02/15/13 BERG & ROBESON CATERPILLAR 98 13WC 14031 CAILEY, PHILLIP G HILLSBORO COMMUNITY SCHOO 01/26/13 SCHOEN WALTON TELKEN & FOS NOBLE & ASSOCIATES PC 13WC014063 -C 99 13WC 14267 BLUM, JAMES ODESCO INDUSTRIAL SERVICE 08/11/10 BEATTY & MOTIL BROWN & JAMES, PC 100 13WC 15882 CORRIGAN, KIMBERLY STATE OF ILLINOIS @ 06/14/11 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 101 13WC 16107 EVANS, MARVIN W CROSSMARK INC 05/02/13 SHAFFER, WILLIAM C III WIEDNER & MCAULIFFE LTD 102 13WC 16115 YATES, BRENDA MONICAL'S PIZZA 02/25/13 SHAY & ASSOCIATES ROSARIO CIBELLA 14WC014575 -C 103 13WC 17640 GRAY, GLORIA (WIDOW) FREEMAN UNITED COAL # 05/22/11 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 104 13WC 19596 OWENS, ROSS ST OF IL, UNIVERSITY OF @ 01/13/12 CONNOR LAW OFFICES GANAN & SHAPIRO 105 13WC 19768 WEDDLE, PATTI CATERPILLAR 05/06/13 BECKER SCHROADER & CHAPMAN CATERPILLAR 106 13WC 21220 WHITE, TOBY MULTIBAND CORP 04/18/13 STRONG LAW OFFICE THOMAS & ASSOCIATES 15WC030630 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 107 13WC 21977 BERRY, DENISE M HELPING HANDS OF SPRINGFI 10/11/12 BLUNT & ASSOC LIVINGSTONE MUELLER ET AL 108 13WC 22049 LAGASSIE, JASON D SOUTHERN WINE AND SPIRITS 02/01/13 BOSHARDY LAW OFFICE PC MACIOROWSKI SACKMANN & ULRIC 13WC040437 -C 109 13WC 24749 SCHROEDER, PENNY L CAPITAL HEALTHCARE & REHA 06/10/13 BERG & ROBESON SPIEGEL & CAHILL, PC 13WC024750 -C TANDEM HR, INC./ CAPITAL C 110 13WC 25090 POLISTINA, MICHAEL STATE OF ILLINOIS @ 04/27/11 BERG & ROBESON 111 13WC 27270 CURRY, JOHN W CATERPILLAR INC 09/01/10 KANOSKI BRESNEY CATERPILLAR 13WC027272 -C 13WC027273 -C 112 13WC 27576 SEVILLA, ASHLEY HEARTLAND ALLIANCE 08/09/10 STRONG LAW OFFICE 113 13WC 28878 19B ADAMS, MARCUS L HI TECH INDUSTRIAL SERV I 08/09/13 KANOSKI BRESNEY HENNESSY & ROACH 114 13WC 29803 CRAVENS, THOMAS R HOSPITAL SISTERS HEALTH 02/04/13 LIVINGSTONE MUELLER ET AL HEYL ROYSTER VOELKER & ALLEN 115 13WC 30704 MC COY, ELIZABETH SYMPHONY MC KINLEY LLC D/ 06/12/13 SHAY & ASSOCIATES BRADY, CONNOLLY & MASUDA, PC 13WC030717 -C 116 13WC 30841 FOX, CHARLES E SOL, ILL HISTORIC PRESERV @ 04/04/13 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 117 13WC 31738 JOY, WARREN CROWN PLAZA 05/21/13 WARREN E DANZ, PC 118 13WC 32589 AMOUSSOV, AFI ANUKORE CARGILL MEAT SOLUTIONS 09/23/11 SHAFFER, WILLIAM C III LIVINGSTONE MUELLER ET AL 119 13WC 34434 HIGGINS, THERESA SPRINGFIELD CLINIC 09/04/13 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 120 13WC 34860 DAVIS, PETER SPRINGFIELD MASS TRANSIT 10/01/13 LEE, MARK N LAW OFFICE HINSHAW & CULBERTSON 121 13WC 35566 MCKINLEY, BRENDA L CCK AUTOMATIONS, INC. 09/23/11 BERG & ROBESON 122 13WC 35890 HILDEBRAND, JOHN J CITY OF SPRINGFIELD 01/17/13 DELANO LAW OFFICES LLC LIVINGSTONE MUELLER ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 123 13WC 37918 PHARES, RICHARD T JFOUR 09/30/13 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 124 13WC 38635 FETTERS, TIFFINI A KROGER 02/02/12 MICHAEL R GLENN 125 13WC 38702 KOHLRUS, DAVID M ST OF IL DEPT OF @ 10/02/13 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 126 13WC 39291 DICKERSON, AARON D THE WALSH GROUP DBA WASH 10/21/13 SGRO HANRAHAN & BLUE HINSHAW & CULBERTSON 127 13WC 39700 GROSS, KELLY M PREMIERE BANK OF JACKSONV 03/18/13 SCHWEICKERT & GANASSIN HENNESSY & ROACH 128 13WC 39937 GORBETT, BRIAN CHATHAM FIRE DEPT 10/21/13 THOMAS W DUDA EVANS & DIXON, LLC 129 13WC 40158 GORBETT, BRIAN CHATHAM FIRE DEPT 03/25/12 THOMAS W DUDA KEEFE & DEPAULI 130 13WC 40851 STROTHMANN, ROGER CITY OF SPRINGFIELD CWLP 10/05/11 LAMARCA LAW OFFICES, PC LIVINGSTONE MUELLER ET AL 131 13WC 41042 KIRBY, BRANDON MACON MOTOR SPORTS 11/11/12 LEE, MARK N LAW OFFICE EDWARD JANUSZKIEWICZ 14WC009035 -C 14WC009036 -C 132 13WC 41175 WOOD, MATT CITY OF SPRINGFIELD FIRE 09/06/13 CONNOR LAW OFFICES HASSELBERG GREBE SNODGRASS 133 13WC 41589 CHUMBLEY, PAMELA S CASSEYS RETAIL COMPANY 09/16/11 KANOSKI BRESNEY 134 13WC 42264 MOORE, DENNIS CWLP 08/19/13 LEE, MARK N LAW OFFICE LIVINGSTONE MUELLER ET AL 135 14WC 00794 RAINES, CHRISTOPHER JACK KRIEL CONSTRUCTION 06/24/13 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 136 14WC 02626 WILSON, DENNIS STATE OF ILL DEPT OF CORR 06/30/13 137 14WC 02894 HINTON, FLOYD K CATERPILLAR, INC 09/09/13 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 138 14WC 03126 JURASKA, GAIL LOWE'S HOME CENTERS, INC 07/18/12 GARY CLINE KEEFE CAMPBELL & ASSOC LLC 139 14WC 03636 FRESE, BRUCE F CATERPILLAR INC 03/05/13 BERG & ROBESON CATERPILLAR 140 14WC 03693 MARTIN, JENNIFER ST OF IL, AFS @ 10/31/13 ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 141 14WC 03746 JENNINGS, DAVID D ABOVE & BEYOND 12/15/13 KANOSKI BRESNEY 142 14WC 04696 GATES, KATHLEEN MEMORIAL MEDICAL CENTER 07/18/13 BOSHARDY LAW OFFICE PC SORLING NORTHRUP 143 14WC 06578 COX, STANLEY DEPARTMENT OF TRANSPORTAT @ 01/25/13 BRENT S BEEMAN SIMEON NOCKOV 144 14WC 06930 GORBETT, PAMELA ILLINOIS GAMING BOARD @ 01/30/12 ELLEN C. BRUCE ASSISTANT ATTORNEY GENERAL 145 14WC 07046 HARVELL, LARRY HUMAN FAMILY SERVICES @ 12/18/11 LYNN D BARNETT ASSISTANT ATTORNEY GENERAL 146 14WC 07259 REESE, RICK TRI COUNTY COAL 07/09/13 CULLEY & WISSORE CRAIG & CRAIG 147 14WC 07289 DURBIN, JOSEPH W LAKE LAND COLLEGE 01/09/14 KANOSKI BRESNEY KEEFE & DEPAULI 148 14WC 07748 CHANDLER, MARKELLA CARLINVILLE REHAB & 02/14/14 SMITH ALLEN MENDENHALL ET WOLFE & JACOBSON, LTD 149 14WC 07793 SIMS, LARRY ADM 12/13/12 SPIROS LAW PC FEATHERSTUN GAUMER POSTLEWAI 150 14WC 09200 TRUMBO, SHANNON ST OF IL/DEPT OF PUBLIC H @ 01/27/14 ASSISTANT ATTORNEY GENERAL 151 14WC 10003 DONELSON, DALE JOHNNY TRI COUNTY COAL LLC CROWN 12/08/11 BERG & ROBESON LITCHFIELD CAVO 152 14WC 10297 BIVENS, SHARON A ST JOHN'S HOSPITAL 11/23/11 HEYL ROYSTER VOELKER & ALLEN 153 14WC 10651 BROOKS, JAMES D PETERSBURG POWER WASHING 09/28/13 HEYL ROYSTER VOELKER & ALLEN 154 14WC 11015 RIMKUS, RENATA ST OF IL SOUTHERN ILLINOI @ 01/13/14 LIVINGSTONE MUELLER ET AL SIMEON NOCKOV 155 14WC 11357 STINSON, CONNIE L TRIOPIA COMM UNIT SCHOOL 07/22/13 MILLS, STEVEN C WHITT LAW 156 14WC 11751 BOND, CARRIE PPG 03/14/14 SHAY & ASSOCIATES MACIOROWSKI SACKMANN & ULRIC 157 14WC 12521 HALL, MICHAEL H STATE OF ILLINOIS 11/06/13 LAMARCA LAW OFFICES, PC SIMEON NOCKOV 158 14WC 12538 SNEDDON, JENNIFER TATE & LYLE 03/07/14 STRONG LAW OFFICE MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 14WC 12693 BISBY, CONNIE SPRINGFIELD SCHOOL DIST # 01/23/14 HEYL ROYSTER VOELKER & ALLEN 160 14WC 12793 CRIFASI, MICHAEL HAROLD DAN HIGGINS INDIV W 02/28/14 161 14WC 13451 FORBES, JOSHUA T MILLER FARMS 02/14/14 KATZ FRIEDMAN EAGLE ET AL 162 14WC 13481 SIMMONS, JOHN PAUL ILLINOIS ROAD CONTRACTORS 07/02/11 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 163 14WC 13557 GILLESPIE, DARREN ADM 10/08/13 SHAY & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 164 14WC 13855 WALL, FREDDIE E JR MICAR INC 11/07/13 FEATHERSTUN GAUMER POSTLEWAI 165 14WC 14290 WARNING, MARSHA K JACKSONVILLE CORRECTIONAL @ 01/03/14 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 166 14WC 15037 DIRKS, NEITA F JACKSONVILLE CORRECTIONAL @ 07/24/13 EDWARD J FANNING ASSISTANT ATTORNEY GENERAL 167 14WC 15261 SLOAN, JAMMIE RD MCMILLEN ENTERPRISES I 02/21/14 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 168 14WC 15275 WILSON, JERRY J UNIQUE PERSONNEL 03/20/14 EDMONDS LAW OFFICE STONE & JOHNSON CHARTERED 169 14WC 16766 CUNNINGHAM, KATRINA WALGREENS 11/27/13 SHAY & ASSOCIATES GILDEA & COGHLAN 14WC019209 -C 170 14WC 17344 SCHULTZ, ROBERT CITY OF SPRINGFIELD, CWLP 10/29/12 CONNOR LAW OFFICES LIVINGSTONE MUELLER ET AL 171 14WC 17502 BAYER, THERESA E SOI DECATUR CORRECTIONAL @ 10/15/12 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 172 14WC 19807 TIPPETT, ALLEN DARLING SOLUTIONS 02/19/14 HOLLEY & ROSEN MATHIS MARIFIAN RICHTER ET A 173 14WC 19812 BROWN, AMBER SPARKLE AND SHINE 07/05/12 WARREN E DANZ, PC 174 14WC 20040 FREEMAN, CAMERON ADM 06/03/14 SHAY & ASSOCIATES FEATHERSTUN GAUMER POSTLEWAI 175 14WC 20096 SULLIVAN, BRENDA R BLUE CROSS BLUE SHIELD 10/11/13 BERG & ROBESON HENNESSY & ROACH 176 14WC 20661 LONG, ROBERT D PIASA OILS TRANSPORT LLC 05/15/14 NORBERT GOETTEN INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 177 14WC 21043 JACKSON, GERALDINE WIDOW MONTEREY COAL CO # 05/19/14 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 178 14WC 21953 ANDERS, VINCENT ONE STOP AUTO SHOP 06/11/14 STRONG LAW OFFICE HENNESSY & ROACH 179 14WC 22169 TOLLIVER, DEANTHONY CRST TRUCKING 06/13/14 STRONG LAW OFFICE THOMAS & ASSOCIATES 180 14WC 22272 MOORE, RAVEN S MACON RESOURCES INC 04/01/14 KANOSKI BRESNEY BOGGS AVELLINO 181 14WC 23213 GARRETT, SHELLY KROGER 01/22/14 LEE, MARK N LAW OFFICE 182 14WC 23449 WASHINGTON, DIAN C LEWIS MEMORIAL 05/31/13 KANOSKI BRESNEY HENNESSY & ROACH 183 14WC 23490 MILLER, JIMMIE STATE OF ILLINOIS @ 06/17/14 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 184 14WC 23540 SEYMOUR, CRYSTAL D PASSAVANT AREA HOSPITAL 05/01/14 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 185 14WC 23640 DRAKE, MELINDA A REYNOLDS CONSUMER PRODUCT 06/12/14 BERG & ROBESON GAROFALO SCHREIBER STORM 186 14WC 23650 KUTZORA, GLADYS STATE OF ILLINOIS S.O.S. @ 12/26/13 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 187 14WC 23698 WATKINS, TONI STATE OF ILLINOIS IEMA @ 05/30/14 MILLS, STEVEN C ASSISTANT ATTORNEY GENERAL 188 14WC 24210 JARVIS, RUTH SOUTH FORK 02/13/14 WOODRUFF & JOHNSON 189 14WC 24960 ELLER, PENNY STATE OF IL-DEPT OF HEALT @ 07/11/14 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 190 14WC 24961 OLLIS, VALERIE HY VEE INC 05/26/14 QUINN JOHNSTON HENDERSON ETA 191 14WC 25008 PRIESTER, ADAM MULLINS AUTO PARTS & SALV 07/15/14 192 14WC 25501 GALLOWAY, STEVEN SPECTRUM PACKAGGING 05/14/14 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 193 14WC 25777 WARD, CYNTHIA J CARGILL INC 06/17/14 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 194 14WC 25953 BECK, BRYON CATERPILLAR INC 07/28/14 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 195 14WC 26078 BRASE, JOYE A STAUNTON AREA AMBULANCE 07/06/14 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD 196 14WC 27393 BROWN, NICHOLAS PACKERS SANITATION 09/20/13 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 197 14WC 27433 MCDOWELL, JOHN SANGAMON CTY. SHERIFF'S D 07/13/13 DWORKIN AND MACIARIELLO 198 14WC 27712 LITTLE-BROWNLEE, MARCELLA ILLINOIS DEPT OF HUMAN SV @ 04/29/14 SHAFFER, WILLIAM C III ASSISTANT ATTORNEY GENERAL 199 14WC 28083 LACY, DOUGLAS A NPG 07/17/12 BURNETT & CARON, LTD STEPHEN H LARSON LAW OFFICE 200 14WC 28148 VAUGHN, DESIREE M ODEL INC 07/18/14 KANOSKI BRESNEY 201 14WC 28401 REED, LARRY CPC LOGISTICS, 09/11/12 KOLKER LAW OFFICES HARRIS DOWELL FISHER & HARRI 202 14WC 28484 HORN, JOAN PEPSICO 05/06/13 WOLTER BEEMAN AND LYNCH GILDEA & COGHLAN 203 14WC 28724 VOLLMER, CHRISTOPHER SPRINGFIELD POLICE DEPT 06/19/14 SHAY & ASSOCIATES LIVINGSTONE MUELLER ET AL 204 14WC 28752 PARK, JAMES D CATERPILLAR INC 11/15/13 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 205 14WC 29301 HENRY, ALETHA CENTRAL ILLINOIS CLEANING 03/25/14 STRONG LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 206 14WC 29362 LACEY, ROSA L DECATUR CONFERENCE CNETER 05/12/14 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 207 14WC 29698 RAGSDALE, REX DECTUR FOUNDRY INC 08/20/14 WOLTER BEEMAN AND LYNCH MC ANDREWS & NORGLE LLC 208 14WC 29876 PARKS, JEFFREY D CITY OF HILLSBORO ST DEPT 03/10/14 RIDGE & DOWNES RODDY LAW LTD 209 14WC 31782 WADE, JIMMIE D FIRST STUDENT 03/24/14 KANOSKI BRESNEY BRADY, CONNOLLY & MASUDA, PC 210 14WC 31904 JORDAN, DELORES ILLINOIS DEPT OF HFS 03/14/13 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 211 14WC 32272 HODGES, BRIAN MICHEL CONCRETE CONSTRUCT 07/17/14 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 212 14WC 32392 BROWN, MICHAEL THE HOPE INSTITUTE 08/18/14 STRONG LAW OFFICE STELLATO & SCHWARTZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 213 14WC 32512 SCHAFER, NANCY STAR UNIFORMS OF ILLINOIS 01/16/12 214 14WC 32588 EDWARDS, HOWARD T DECATUR PUBLIC SCHOOL DIS 02/14/13 LANGACKER LAW FEATHERSTUN GAUMER POSTLEWAI 215 14WC 32699 JOHNSON, EDWARD INNOVATIVE STAFFING SOLUT 08/27/14 STRONG LAW OFFICE BRUCE WARREN 216 14WC 32929 WILLIS, RUSSELL MASON CITY POLICE DEPT 08/16/14 STEPHENS FIDDES MCGILL ASS RUSIN & MACIOROWSKI LTD 217 14WC 34022 MCCLANAHAN, ACE FIRST STUDENT 09/08/14 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 218 14WC 34132 DAVIS, DONA L BURGER KING CORPORATION 08/09/14 MC WARD LAW OFFICE GANAN & SHAPIRO 219 14WC 34458 GARCIA, MARIO GALASSI MASONRY CONSTRUCT 07/19/12 BRADY, CONNOLLY & MASUDA, PC 220 14WC 35167 MC CARTHY, WILLIAM CITY WATER LIGHT & POWER 02/03/12 BOSHARDY LAW OFFICE PC LIVINGSTONE MUELLER ET AL 221 14WC 35304 HUDSPETH, HARVEY H SMART CHOICE PROPERTIES L 08/29/14 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 16WC015449 -C 222 14WC 35348 WILLIAMS, IAN PACIFIC MANAGEMENT INC 07/30/14 MILLS, STEVEN C LAW OFFICES FRANCESCA LARSEN 223 14WC 36051 HUDDLESTON, HEIDI L MEREDOSIA-CHAMBERSBURG SC 03/12/14 SCANLON, CHARLES R WOLFE & JACOBSON, LTD 224 14WC 36249 MERRITT, CHRISTINE M ST OF IL DEPT OF @ 09/02/14 SGRO HANRAHAN & BLUE ASSISTANT ATTORNEY GENERAL 14WC039415 -C 225 14WC 36600 PROVINES, ROBERT UNIQUE PERSONNEL SERVICES 05/27/14 WOLTER BEEMAN AND LYNCH STONE & JOHNSON CHARTERED 226 14WC 36681 WILSON, KRISTINA HERITAGE MANOR 10/12/14 FREDERICK & HAGLE RIPES NELSON BAGGOT KALOBRAT 227 14WC 38019 HENSON, BRYAN S SPRINGFIELD POLICE DEPART 02/21/14 BUCKLIN LAW OFFICE LIVINGSTONE MUELLER ET AL 228 14WC 38562 MARTIN, MICHAEL STATE OF IL DHS @ 10/10/14 LEE, MARK N LAW OFFICE 229 14WC 38638 WILSON, ZELMA CATERPILLAR INC 07/25/10 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 230 14WC 38931 KEITH, TALANA STATE OF ILLINOIS DEPT OF @ 02/04/14 HOLLEY & ROSEN 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 MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 231 14WC 39006 OLLER, RICHARD E TRIPLE A AUTOMOTIVE SERVI 08/01/14 KANOSKI BRESNEY BRUCE WARREN 232 14WC 39420 MC CARTHY, WILLIAM CITY WATER LIGHT & POWER 11/03/14 BOSHARDY LAW OFFICE PC LIVINGSTONE MUELLER ET AL 233 14WC 39817 LUFKIN-DELAY, EVA WALMART SUPERCENTER 10/22/14 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 234 14WC 40006 HARDEN, MATHEW GSI GROUP 10/31/13 FEATHERSTUN GAUMER POSTLEWAI 235 14WC 40056 HARRISON, ARTHUR C ALL PRECISION MFG 08/25/14 236 14WC 40183 WOODLEY, HERMAN CATERPILLAR 06/17/11 TUGGLE SCHIRO & LICHTENBER CATERPILLAR 237 14WC 40186 WOODLEY, HERMAN CATERPILLAR 10/24/13 TUGGLE SCHIRO & LICHTENBER CATERPILLAR 238 14WC 40512 RHODES, ROBERT JR STATE OF IL @ 09/12/14 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL 239 14WC 41501 HOWARD, WILLIAM A STANDARDAERO 10/05/14 DELANO LAW OFFICES LLC HENNESSY & ROACH 240 14WC 42700 CLEMONS, DENNIS ST OF IL - IDOT @ 06/03/14 STRONG LAW OFFICE SIMEON NOCKOV 241 14WC 43365 SCHWAB, KEVIN BILL MILLER 08/28/12 STRONG LAW OFFICE HENNESSY & ROACH 242 15WC 00566 CHILDERS, RUTH E MORGAN THERMAL CERAMICS 01/03/13 MARTIN JANSKY LAW FIRM RUSIN & MACIOROWSKI LTD 243 15WC 00980 DAVIS, VASHEIRA WAL MART 12/10/14 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 15WC018280 -C WALMART 244 15WC 01254 BASKETT, JACKIE STATE OF IL @ 12/29/14 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL 245 15WC 01359 BASKETT, JACKIE STATE OF IL, SEC. OF STAT @ 12/02/14 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL 246 15WC 01948 DUNCAN, VICKIE ADDUS HEALTHCARE 01/07/15 LEE, MARK N LAW OFFICE 247 15WC 01992 RICHARDSON, JOSEPH CITY OF SPRINGFIELD 07/03/14 WOLTER BEEMAN AND LYNCH LIVINGSTONE MUELLER ET AL 248 15WC 02158 LEHN, AMANDA L SOI, DECATUR CORRECTIONAL @ 05/25/12 BERG & ROBESON ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 249 15WC 02649 HESTER, TINA ARAMARK 10/24/14 SHAY & ASSOCIATES INMAN & FITZGIBBONS 250 15WC 02684 SELBY, STEVEN JR B&R CONSTRUCTION 09/29/11 KATZ FRIEDMAN EAGLE ET AL 251 15WC 02836 KAYLOR, KAREN ADDUS HEALTHCARE 05/01/14 LEE, MARK N LAW OFFICE 252 15WC 02888 FLINN, CHARLES M LKQ CORPORATION 08/25/14 MILLS, STEVEN C 253 15WC 03048 BROWN, ROBERT A CATERPILLAR 04/28/12 BERG & ROBESON CATERPILLAR 254 15WC 03130 PERRY, CHERYL IL SCHOOL FOR THE DEAF @ 01/09/14 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 255 15WC 03646 HENRY, SHERYLE IL DEPT OF PUBLIC HEALTH @ 07/28/14 ELLEN C. BRUCE ASSISTANT ATTORNEY GENERAL 256 15WC 03671 CHRISTIE, SIEGLINDE UNIVERSITY OF ILLINOIS 12/18/14 LAMARCA LAW OFFICES, PC BRUCE WARREN 257 15WC 04519 HURLEY, VELINDA ST JOHN'S HOSPITAL 12/19/14 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 258 15WC 04707 HART, NANCY A STRATUS FOODS LLC 02/24/14 KANOSKI BRESNEY KEEFE CAMPBELL & ASSOC LLC 259 15WC 05697 HODGES, BRIAN MICHAEL CONCRETE CONSTRUC 02/07/14 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 260 15WC 06663 WOLTZ, FRANCIS SORRELS FARM SUPPLY 01/08/15 BERG & ROBESON JAMES M KELLY 261 15WC 06746 LUKA, ROBERT CATERPILLAR, INC. 09/22/14 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 262 15WC 06926 ROHMAN, DEBRA STATE OF IL, IFPR 12/19/13 SHAY & ASSOCIATES ASSISTANT ATTORNEY GENERAL 263 15WC 07015 KRONCKE, WILLIAM R ILLINOIS STATE POLICE @ 07/20/12 RIDGE & DOWNES 15WC007016 -C 15WC007017 -C 15WC007018 -C 264 15WC 07313 MCELFRESH, CAROL EATON CORP 12/04/14 STRONG LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 265 15WC 07334 GREENWOOD, DEBBIE L UPS 12/19/14 BERG & ROBESON NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 266 15WC 07464 WINSEL, CHARLES STATE OF ILLINOIS - HFS 02/01/15 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 267 15WC 07928 PHOENIX, CINDY L. SPRINGFIELD SCHOOL DISTRI 02/02/15 WOLTER BEEMAN AND LYNCH HEYL ROYSTER VOELKER & ALLEN 268 15WC 07977 SCHANZE, EDWARD NUDO PRODUCTS 01/26/15 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 269 15WC 08344 DAVIDSON, KEVIN ALPINE ENGINEERED 11/16/14 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 270 15WC 08618 NOWMAN, BRYAN R OAKLEAF COUNTRY CLUB 09/04/14 BERG & ROBESON GAROFALO SCHREIBER STORM 271 15WC 08787 FERNANDES, JODIE L. ILLINOIS SCHOOL FOR THE 02/06/15 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 272 15WC 08801 BAILEY, GREGORY M L & M GENERAL CONTRACTING 11/15/13 KNAPP, OHL & GREEN QUINN JOHNSTON HENDERSON ETA 273 15WC 09248 HAMILTON, DONNA ST OF IL HFS DIV 02/19/15 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 274 15WC 09666 ORUM, MICHELLE DIANE ST JOHN'S HOSPITAL 06/23/14 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 275 15WC 10096 MULACEK, FRED NORTH MAC SCHOOL DIST 09/15/14 CONNOR LAW OFFICES INMAN & FITZGIBBONS 276 15WC 10313 HARBAUGH, SHELLY L. WAL-MART 11/29/14 MC WARD LAW OFFICE EARLY & MIRANDA PC 277 15WC 10686 JORDAN, NORMA J IL CENTRAL MGMT SERVICES 01/20/15 DORSEY LAW OFFICE KRISTINA ECHOLS 278 15WC 11477 LEESMAN, STEPHANIE STATE JOURNAL REGISTER 02/23/15 LEE, MARK N LAW OFFICE KNELL LAW LLC 279 15WC 11622 GRIDER, TRAVIS MARLY'S PUB LLC @ 01/31/15 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 280 15WC 11919 KEEPERS, LEE GREYHOUND 03/25/15 WITTENBERG DOUGHERTY MAGLI 281 15WC 12058 PONCE, MARCO R & R GENERAL CONTRACTOR 02/17/15 CISNEROS & ASSOCIATES 282 15WC 13178 DE BERRY, MARLIN HECKMAN HEALTHCARE 01/06/15 283 15WC 13360 HOOTS, RHIANE ILLINOIS COLLEGE 01/28/15 WOODRUFF & JOHNSON GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 15WC 13562 BOWMAN, ALICE A DECATUR MEMORIAL HOSPITAL 03/25/15 TUGGLE SCHIRO & LICHTENBER MACIOROWSKI SACKMANN & ULRIC 285 15WC 13963 DAVIS, CHARLES R ST OF IL DEPT OF CORRECTI @ 02/09/15 JAMES ACKERMAN ASSISTANT ATTORNEY GENERAL 286 15WC 14075 SIEBERT, MICHAEL CAPITAL COMMUNITY HEALTHC 02/06/15 STRONG LAW OFFICE KNELL LAW LLC 287 15WC 14655 ROTHE, STEVEN SECRETARY OF STATE @ 12/01/14 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 288 15WC 14737 HEIL, DAVID TICA HEATING & COOLING 10/13/14 WARREN E DANZ, PC NYHAN BAMBRICK KINZIE & LOWR 15WC025520 -C 289 15WC 14886 SAULSBERRY, CONSTANCE LINCOLN PRAIRE BEHAVIOR H 01/11/15 WOLTER BEEMAN AND LYNCH MC ANDREWS & NORGLE LLC 290 15WC 14887 WILSON, ANTHONY HALVERSON CONSTRUCTION 10/06/14 LEE, MARK N LAW OFFICE STEPHEN P. KELLY 291 15WC 15048 LINDSEY, GEORGE R JR CITY OF WINCHESTER 05/19/14 BERG & ROBESON SCHREMPF, BLAINE, KELLY & DA 292 15WC 15847 MASINELLI, JASON HELPING HANDS 02/24/15 GALANTI LAW OFFICES RUSIN & MACIOROWSKI LTD 293 15WC 16119 MORROW, HAROLD "MICHAEL" CITY OF SPRINGFIELD 07/15/14 JOHN P GOGGIN 294 15WC 16934 GRAVES, DANIEL ARCH COAL VIPER MINE 05/01/15 BOSHARDY LAW OFFICE PC THOMAS & ASSOCIATES 295 15WC 17443 HOWSE, FLOYD D JR ST JOHN'S HOSPITAL 02/27/15 HEYL ROYSTER VOELKER & ALLEN 296 15WC 17663 BANTON, ERIC DOUGLAS CATERPILLAR, INC. 06/19/12 MARK A WELLS LAW OFFICE CATERPILLAR 297 15WC 17901 HANDLEY, ROBYN STATE OF ILLINOIS - HFS @ 02/05/15 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 298 15WC 18433 MAST, DAVID E. CONSOLIDATED COMMUNICATIO 10/08/14 BOSHARDY LAW OFFICE PC 299 15WC 19031 TORRES, ELIDIO CARGILL 03/12/15 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 300 15WC 19111 BALLARD, MIKE BALDWIN SHUTTLE 02/27/15 SHAY & ASSOCIATES 301 15WC 19611 BARTELHEIM, DENISE ILLINOIS DHS 05/20/15 CONNOR LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 15WC 19686 WILLIS, DEBRA STATE OF ILLINOIS @ 07/26/12 SHAY & ASSOCIATES KRISTINA ECHOLS 303 15WC 19752 THORON, JOSEPH STATE OF ILLINOIS @ 12/31/13 CULLEY & WISSORE ASSISTANT ATTORNEY GENERAL 304 15WC 21042 MORRIS, KIMBERLY ST OF IL DEPT OF @ 08/05/14 SHAY & ASSOCIATES ASSISTANT ATTORNEY GENERAL 305 15WC 21077 MORRIS, KIMBERLY ST OF IL DEPT OF MC FARLA @ 05/31/15 SHAY & ASSOCIATES ASSISTANT ATTORNEY GENERAL 306 15WC 21259 WYCKOFF, SHAILAH PANA COMMUNITY HOSPITAL 10/20/14 DENNIS ATTEBERRY NYHAN BAMBRICK KINZIE & LOWR 307 15WC 21493 HOAG, SUSAN STATE OF IL, SEC OF STATE @ 08/06/12 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL 308 15WC 22140 TREADWELL, GREGG A ADVANCE AUTO PARTS 03/23/15 KANOSKI BRESNEY 309 15WC 22339 LEE, BRANDY E MCFARLAND MENTAL HEALTH C @ 06/09/15 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 310 15WC 22471 BRITTIN, VANASA STATE OF IL DEPT OF INDEX @ 05/05/15 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 311 15WC 22726 RHODES, THOMAS J IL DEPT OF TRANSPORTATION @ 05/12/15 WOLTER BEEMAN AND LYNCH KRISTINA ECHOLS 312 15WC 23098 KOSOWSKI, TIM GEORGIA PACIFIC 07/01/15 BECKER SCHROADER & CHAPMAN 313 15WC 23336 BOLTON, CHERYL L JACKSONVILLE PUBLIC SCHOO 08/25/14 BOSHARDY LAW OFFICE PC EVANS & DIXON, LLC 314 15WC 23374 MCELROY, RICHARD D US PIPELINE INC 06/25/15 NELSON & NELSON ROUSE & CARY 315 15WC 23685 CRAWFORD, ANNETTE HERITAGE BEHAVIORAL HEALT 12/23/14 KANOSKI BRESNEY PERRY GENTILE 316 15WC 23845 LYONS, ROBERT ST OF IL DEPT OF S O S @ 05/29/15 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 317 15WC 24230 JONES-DURBIN, MARY HELP AT HOME 03/03/14 DWORKIN AND MACIARIELLO ROUSE & CARY 318 15WC 24490 HESELTON, DARRELL R. INTERNATIONAL PAPER 05/17/15 BERG & ROBESON BROWN & JAMES, PC 319 15WC 24576 NORTHROP, GREG E.L. PRUITT COMPANY 12/05/14 HOLLEY & ROSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 15WC 24763 JONES, TSIA K ILLINOIS STATE POLICE @ 08/19/13 ASSISTANT ATTORNEY GENERAL 321 15WC 24949 GERNIGIN, DEBRA COVENANT CARE DBA JACKSON 06/08/15 SGRO, HANRAHAN DURR RABIN 322 15WC 25182 DAY, TERRY D. ILLINOIS COLLEGE 03/30/15 WOLTER BEEMAN AND LYNCH MC ANDREWS & NORGLE LLC 323 15WC 25196 PARKISON, PATRICIA KEMMERER VILLAGE 04/24/14 HOLLEY & ROSEN 324 15WC 25634 THOMAS, JANELLE BLUE CROSS BLUE SHIELD OF 03/09/15 NESSLER, FREDERIC LAW OFFI HENNESSY & ROACH 325 15WC 25660 OLUSOGA, MICHAEL UNIVERSITY OF IL SPRINGFI 07/09/15 326 15WC 25913 CARDWELL, KATHY LANDES TRUCKING 02/10/15 KEEFE & GRIFFITHS PC GANAN & SHAPIRO 327 15WC 25972 ADEWUSI, KIONA CATERPILLAR, INC. 07/31/14 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 328 15WC 26487 BUCHANAN, MARK MIDWEST BLOCK AND BRICK 09/03/14 MC WARD LAW OFFICE EVANS & DIXON, LLC 329 15WC 27381 WARD, BRADLEY A. REYNOLDS CONSUMER PRODUCT 05/05/15 BOSHARDY LAW OFFICE PC KLAUKE LAW GROUP LLC 330 15WC 27695 RELEFORD, TRACY L STATE OF IL @ 06/12/15 KANOSKI BRESNEY KRISTINA ECHOLS 331 15WC 28171 THURMAN, MARGARET LEWIS MEMORIAL CHRISTIAN 01/18/13 HOLLEY & ROSEN INMAN & FITZGIBBONS 332 15WC 28185 MANNS, KAY HOPE INSTITUTE 12/10/14 STRONG LAW OFFICE 333 15WC 28200 MANNS, KAY HOPE INSTITUTE 05/31/15 STRONG LAW OFFICE 334 15WC 28203 BUTLER, BETH BLUE MOUND MEMORIAL LIBRA 11/24/14 BERG & ROBESON RUSIN & MACIOROWSKI LTD 335 15WC 28294 LAIR, DEANA A. MARX FIREPLACE & LIGHTING 07/16/15 BUCKLIN LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 336 15WC 28806 ROBBINS, JOANNA PASSAVANT AREA HOSPITAL 12/14/14 WOODRUFF & JOHNSON 337 15WC 28888 COLCLASURE, JONATHAN MICHAEL CONNELLY DBA LAKE 08/04/15 WARREN E DANZ, PC HENNESSY & ROACH, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 15WC 28897 BECKMEIER, DEBORAH WAL-MART 11/15/14 SHAY & ASSOCIATES GANAN & SHAPIRO 339 15WC 29161 LANG, WILLIAM R IL ENVIROMENTAL @ 08/04/15 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 340 15WC 29472 ANDERSON, JOHN E. PACKERS SANITATION SRVCS, 07/02/15 KANOSKI BRESNEY 341 15WC 30108 ROBERTS, ASHA HOPE SCHOOL 08/27/15 SHAY & ASSOCIATES 342 15WC 30285 DONOVAN, PATRICE SPRINGFIELD MASS TRANSIT 03/24/15 LEE, MARK N LAW OFFICE HINSHAW & CULBERTSON 343 15WC 30513 MOORE, DIXIE MILIKIN UNIVERSITY 10/28/97 ROMANUCCI & BLANDIN RUSIN & MACIOROWSKI LTD 344 15WC 30842 FRANKLIN, STEVEN D CHIRSTIAN COUNTY MENTAL H 05/08/15 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 345 15WC 31017 PICKERILL, JASON MACON COUNTY SHERIFF DEPT 04/21/15 DWORKIN AND MACIARIELLO FEATHERSTUN GAUMER POSTLEWAI 346 15WC 31232 SPECK, RANDALL CITY OF SPRINGFIELD 08/21/15 SHAY & ASSOCIATES LIVINGSTONE MUELLER ET AL 347 15WC 31341 CROSBY, JEREMY VILLAGE OF ILLIOPOLIS 10/21/14 SHAY & ASSOCIATES KEEFE & DEPAULI 348 15WC 31872 JOHNSON, SUSAN OAK TERRACE RESORT & SPA 06/17/15 LAMARCA LAW OFFICES, PC GANAN & SHAPIRO 349 15WC 32050 KNOLES, BRENT A COMPI DISTRIBUTORS, INC. 08/06/15 BERG & ROBESON STEPHEN H LARSON LAW OFFICE 350 15WC 32698 BAUMBERGER, JACOB RV HORIZONS 09/14/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 351 15WC 33053 FOLLOWELL, DAVID LAB CORP OF AMERICA 07/16/15 FRANK H BYERS II, LTD HENNESSY & ROACH 352 15WC 33162 EMMERD, MICHAEL CITY OF DECATUR 09/23/15 SCHUM LAW PC 353 15WC 33305 STAMBAUGH, JUDY L HERTZBERG NEW METHOD 06/10/15 LAMARCA LAW OFFICES, PC LIVINGSTONE MUELLER ET AL 354 15WC 33375 ALLEN, MELISSA Y CASEY'S GENERAL STORE, IN 07/17/15 BERG & ROBESON 355 15WC 33528 ALLEN, KENNETH L CATERPILLAR INC. 06/01/15 FEATHERSTUN GAUMER POSTLEW CATERPILLAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 356 15WC 34224 LAMASTER, LONNIE D ZENNOH GRAIN CORP B/B/A 01/28/15 BOSHARDY LAW OFFICE PC CAPUANI & SCHNEIDER 357 15WC 34319 HARRIS, PAULA ASPHALT PAVING & 06/26/15 JAMES ACKERMAN LIVINGSTONE MUELLER ET AL 358 15WC 34342 SATTGAST, CAMELIA C CENTRAL ILLINOIS SECURITY 04/18/15 BUTLER & KEMPER LAW OFFICES STEVEN PILAND 359 15WC 34551 SCHULTZ, RONALD SPRINGFIELD METRO 02/05/15 STRONG LAW OFFICE 360 15WC 34594 HODGES, BRIAN MICHEL CONCRETE CONSTRUCT 06/19/14 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 361 15WC 34704 PAVOLKA, KIM ILLINOIS STATE POLICE @ 10/05/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 362 15WC 35161 LOTT, TABITHA M TIMBERLAKE SUPPORTIVE 06/18/15 KANOSKI BRESNEY 363 15WC 35251 CAPERS, DAVID L ARCHER DANIELS MIDLAND CO 09/12/14 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 364 15WC 35276 DASKALOV, RACHEL AAOP 10/21/15 PARENTE & NOREM PC 365 15WC 35562 GAINES, WILLIAM MARK DEXTER MARSHALL D/B/A 09/25/15 BUCKLIN LAW OFFICE 366 15WC 35721 SHELTON, RICK L CITY OF SPRINGFIELD 05/13/15 SGRO HANRAHAN DURR RABIN LIVINGSTONE MUELLER ET AL 367 15WC 35793 PERRY, BRAXSTON L J SQUARED CARPENTRY INC 08/19/14 KANOSKI BRESNEY BRADY, CONNOLLY & MASUDA, PC 368 15WC 36135 TRETO, ANITA M HERITAGE HEALTH 10/14/14 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT 369 15WC 36726 JONES, JEANNIE L SPRINGFIELD CLINIC 07/25/14 SGRO HANRAHAN DURR RABIN 370 15WC 36782 AIELLO, THOMAS A UNIVERSITY OF ILLINOIS @ 01/16/13 GOLDBERG WEISMAN & CAIRO L 371 15WC 37115 BAKER, ROBERT IL DEPT OF CORRECTIONS @ 11/25/14 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 372 15WC 38126 HADLEY, BRIAN CATERPILLAR INC 08/17/15 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 373 15WC 38214 BERGSCHNEIDER, SHERRY GRAHAM CORRECTIONAL CTR-I @ 05/01/15 DRUMMOND LAW OFFICE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 374 15WC 38329 EVANS, ANTHONY TSD LOGISTICS 04/07/14 SCHOEN WALTON TELKEN & FOS RIPES NELSON BAGGOT KALOBRAT 375 15WC 38350 WRIGHT, ANDREW MUELLERS 05/14/14 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH 376 15WC 38375 SCOTT, DENISE D SANGAMON COUNTY JUVENILE 08/25/15 BOSHARDY LAW OFFICE PC RUSIN & MACIOROWSKI LTD 377 15WC 38659 KINCAID, VICKIE DECATUR MEMORIAL HOSPITAL 08/07/15 TUGGLE SCHIRO & LICHTENBER MACIOROWSKI SACKMANN & ULRIC 378 15WC 38824 CAMPO, ANTHONY IDOT @ 07/27/15 CONNOR LAW OFFICES KRISTINA D DION 379 15WC 39253 BUCHHAAS, DON JR MCLANE MIDWEST 12/22/14 TUGGLE SCHIRO & LICHTENBER KEEFE CAMPBELL & ASSOC LLC 380 15WC 39272 GESELL, GRODON L CITY OF TAYLORVILLE 09/15/14 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD 381 15WC 39474 SULLIVAN, CASEY STATE OF ILLINOIS DEPARTM @ 10/05/15 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 382 15WC 39505 THIEL, CHARLOTTE MCLEOD EXPRESS 10/07/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 383 15WC 39555 JACKSON, JOHN PRAIRIE FARMS 09/10/15 MILLER, WILLIAM R LAW OFFI KNAPP, OHL & GREEN 384 15WC 39641 COHLMEYER, RICHARD J COMCAST 11/20/15 BOSHARDY LAW OFFICE PC POWER & CRONIN LTD 385 15WC 39665 EMBRY, JOHN DORE & ASSOCIATES 01/27/15 BROWN & BROWN ORENSTEIN & ASSOCIATES 386 15WC 39815 GREEN, EMILY G ABOVE AND BEYOND CLEANING 11/13/15 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 387 15WC 39842 YOUNG, CALVONTEA L DECATUR MANOR HEALTHCARE 08/28/15 BERG & ROBESON BRADY, CONNOLLY & MASUDA, PC 388 15WC 39862 CUNNINGHAM, ROBERT CITY OF SPRINGFIELD, CWLP 01/21/04 CONNOR LAW OFFICES LIVINGSTONE MUELLER ET AL 389 15WC 39899 WRIGHT-LEWIS, JEAN FAMILY GUIDANCE CENTERS, 01/31/13 KANOSKI BRESNEY 390 15WC 39985 WASHINGTON, JOSEPH ILL DEPT OF INSURANCE @ 11/06/15 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 391 15WC 41543 THOMPSON, DONALD DECATUR WATER MGMT 10/17/15 GALLAGHER LAW PC SAMUELS MILLER SCHROEDER ETA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 392 15WC 41748 VOELKER, EMILY DHS MCFARLAND MENTAL @ 05/02/15 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 393 15WC 42106 KROLL, RICHARD M&M SVC CO 09/09/15 DRUMMOND LAW OFFICE 394 15WC 42118 COLEMAN, VANGELA K KROGER INC. 08/24/15 DENNIS ATTEBERRY 395 15WC 42188 PISANIELLO, JENNIFER DECATUR MEMORIAL HOSPITAL 01/04/13 MARK A WELLS LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 396 15WC 42215 RAY, GARY A. HALVERSON CONSTRUCTION CO 11/05/15 DELANO LAW OFFICES LLC JAMES M KELLY 397 15WC 42238 TIPPIT, MICHELLE BEST FRIEND VET CARE 03/01/12 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES STEVEN PILAND 398 15WC 42316 BIRNBAUM, ROBERT G GATEHOUSE MEDIA 11/28/15 JAMES ACKERMAN KNELL LAW LLC 399 15WC 42423 STINE, WILLIAM G COMCAST SPOTLIGHT INC 01/22/15 WOLTER BEEMAN AND LYNCH POWER & CRONIN LTD 15WC042424 -C 400 15WC 42443 SHANKLIN, MARY CITY OF SPRINGFIELD 02/16/15 WOLTER BEEMAN AND LYNCH 401 15WC 42474 BOWERS, MARIA FRESENIUS MEDICAL CARE 06/01/15 HENNESSY & ROACH 402 15WC 42597 TEGA, JENNIFER LOGAN CORRECTIONAL CENTER @ 11/30/15 JAMES ACKERMAN ASSISTANT ATTORNEY GENERAL 403 16WC 00253 BROER, ROCKALON W CROP PRODUCTION SERVICES 04/12/14 GERALD TIMMERWILKE 404 16WC 00564 BECKMAN, MICHAEL J PATHOLOGY ASSOCS OF CENTR 04/10/13 WOLTER BEEMAN AND LYNCH LAW OFFICE PAUL LARIMORE 405 16WC 00731 DEGNER, TAMMY MEMORIAL HOSPITAL 07/01/15 CONNOR LAW OFFICES SORLING NORTHRUP 406 16WC 00902 SIMMONS, VERLA ENCOMPASS GRAIN AND RAIL 09/28/15 MARSZALEK AND MARSZALEK KNELL & O'CONNOR 407 16WC 01246 HARDEN, ADAM MUELLER INC 02/20/15 BOSHARDY LAW OFFICE PC HENNESSY & ROACH 408 16WC 01421 WAKE, RICHARD HERITAGE COAL CO 01/29/15 CULLEY & WISSORE 409 16WC 01560 JAMESON, CHRIS A. NATIONAL RENT TO OWN 06/01/15 MEYERS & FLOWERS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 410 16WC 02131 LEWIS, SKYLA OREILLYS AUTO PARTS 09/08/15 WARREN E DANZ, PC HENNESSY & ROACH 411 16WC 02260 MARTIN, DAVID CENTRAL IL STEEL CO 12/23/15 NELSON & NELSON 412 16WC 02392 CLARK, MARC BOYD MEMORIAL HOSPITAL 12/06/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 413 16WC 02783 HICKMAN, JANET C LUTHERAN CHILD AND 06/19/13 GAROFALO SCHREIBER STORM 414 16WC 02788 HICKMAN, JANET C LUTHERAN CHILD AND 04/26/13 415 16WC 02799 WILLIAMS, SCOTT H STATE OF ILLINOIS @ 05/04/15 CORNFIELD & FELDMAN KRISTINA D DION 416 16WC 02803 BRADLEY, WILLIAM P USF HOLLAND 10/08/15 BOSHARDY LAW OFFICE PC HENNESSY & ROACH 417 16WC 02844 ALEXANDER, GLADYS SPRINGFIELD MASS TRANSIT 10/09/14 KANOSKI BRESNEY HINSHAW & CULBERTSON 418 16WC 03019 PERKINTON, ROCHELLE C THE HOPE SCHOOL 11/29/15 BOSHARDY LAW OFFICE PC RUSIN & MACIOROWSKI LTD 419 16WC 03141 MOYER, JOSEPH CATERPILLAR INC 10/30/15 WALTON TELKEN FOSTER LLC CATERPILLAR 420 16WC 03407 SHADDEN, JAMES THE STATE JOURNAL REGISTE 03/01/15 DWORKIN AND MACIARIELLO 421 16WC 03503 CULVER, WALKER FRONTIER COMMUNICATIONS C 07/01/15 WILLIAMS CAPONI & ASSOC LAW OFFICE PAUL LARIMORE 422 16WC 03756 STROTHMANN, ROGER G CITY OF SPRINGFIELD CWLP 12/26/15 LAMARCA LAW OFFICES, PC 423 16WC 03757 LUNA, ULISES L JACOB'S FIELD SERVICE, IN 12/22/15 WILLOUGHBY ZACHRY & FORBES FEATHERSTUN GAUMER POSTLEWAI 424 16WC 03811 HINDS, JAMES NUDO PRODUCTS INC 11/20/15 LEE, MARK N LAW OFFICE 425 16WC 03901 LANE, TINA M ILLINOIS DEPT OF REVENUE @ 01/05/16 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 426 16WC 03926 MURRAY, TIMOTHY E. JR REPUBLIC SERVICES 10/27/15 KANOSKI BRESNEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 427 16WC 04054 BLOTEVOGEL, ANGELA ADDUS HEALTHCARE INC 08/19/15 BROWN & BROWN HENNESSY & ROACH 428 16WC 04281 HUGHES, LONNIE BOESDOEFER TRUCKING 09/26/15 CONNOR LAW OFFICES JAMES M KELLY 16WC004658 -C 429 16WC 04446 WILSON, DARNELL DECATUR MEMORIAL HOSPITAL 01/27/15 KANOSKI BRESNEY 430 16WC 04656 DAVIS, MICSHAWN R. MY FRIENDS DISCOVERY 10/01/15 KANOSKI BRESNEY HENNESSY & ROACH 431 16WC 04872 THIEN, JOHN MACOUPIN CTY ASPHALT INC 06/11/15 432 16WC 04946 ELINE, RANDY CATERPILLAR INC 01/22/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 433 16WC 05154 DAWDY, DELBERT JR CITY OF SPRINGFIELD-CWLP 12/04/13 SHAY & ASSOCIATES 434 16WC 05489 KALASKI, LINDA S DEPT OF IL HEALTH & FAMIL @ 03/12/14 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 435 16WC 05581 FISHEL, AARON DECATUR PUBLIC BLDG COMMI 11/05/15 LEE, MARK N LAW OFFICE MC ANDREWS & NORGLE LLC 436 16WC 05655 CODY, NICK SPRINGFIELD CLINIC 01/07/16 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 437 16WC 05759 GOFORTH, LEONARD DECATURPUBLIC SCHOOLS 12/28/15 LEE, MARK N LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 438 16WC 05762 RICHARDSON, JOHN CITY OF SPRINGFIELD-CWLP 09/10/14 SHAY & ASSOCIATES LIVINGSTONE MUELLER ET AL 439 16WC 06541 HOUSTON, VANDA CITY OF SPRINGFIELD 01/06/16 CONNOR LAW OFFICES 440 16WC 06675 TURNER, LOGAN SLAB MASTERS CONCRETE LEV 08/28/15 STRONG LAW OFFICE ROUSE & CARY 441 16WC 06686 FISHER, STEPHEN SPRINGFIELD PARK DISTRICT 10/27/15 STRONG LAW OFFICE 442 16WC 06723 LINDLEY, RITA L BEARDSTOWN CUSD #15 08/24/15 DELANO LAW OFFICES LLC 443 16WC 07045 EVANS, MARVIN W. SAM'S CLUB/WALMART #8215 01/02/16 SHAFFER, WILLIAM C III 444 16WC 07073 CORDERY, JIM CITY OF SPRINGFIELD 09/16/15 CONNOR LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 445 16WC 07434 LINDLEY, RITA L BEARDSTOWN CUSD #15 02/15/16 DELANO LAW OFFICES LLC 446 16WC 07747 MARTIN, ANTHONY IL SECRETARY OF STATE @ 10/07/15 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 447 16WC 07879 CAMP, SHERI CAVALLO BUS LINES, INC. 11/12/15 WALTON TELKEN FOSTER LLC 448 16WC 08206 GUTMANN, H WILLIAM CITY OF SPRINGFIELD 06/27/14 CONNOR LAW OFFICES 449 16WC 08646 WHEELER, JAMES CISCO TRUCKING COMPANY 01/20/16 BOSHARDY LAW OFFICE PC JAMES M KELLY 450 16WC 09013 LONGWELL, JACOB M. BORGIC FARMS, INC. 01/02/16 KANOSKI BRESNEY WOLFE & JACOBSON, LTD 451 16WC 09333 BERGAE, KELLEY M SANGAMON COUNTY 12/10/15 BOSHARDY LAW OFFICE PC RUSIN & MACIOROWSKI LTD 452 16WC 09475 WILSON, KRYSTAL UNIVERSITY OF ILLINOIS 12/07/15 STRONG LAW OFFICE 453 16WC 09560 WEISCOPE, HOLLY K NAPA AUTO PARTS 01/05/16 KANOSKI BRESNEY CHILTON YAMBERT PORTER LLP 454 16WC 09605 PARGA, ERIN MIDWEST ALLERGY SINUS AST 10/01/15 STRONG LAW OFFICE 455 16WC 09630 FRANKLIN, RONNIE ADM 07/08/15 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 456 16WC 09651 SUTER, GARY F. WARD PLUMBING & HEATING 10/20/15 SHAFFER, WILLIAM C III 457 16WC 09924 LOPEZ, JOSE A AMERICAN LUNG ASSOCIATION 12/17/15 BOSHARDY LAW OFFICE PC 458 16WC 10038 COFFEY, HAYDEN O. VIRGINIA WATER DEPARTMENT 09/14/15 DWORKIN AND MACIARIELLO 459 16WC 10366 GRIFFIN, DOUGLAS HI-TECH INDUSTRIAL 09/03/15 FREDERICK & HAGLE 460 16WC 10469 VANAVERY, GARY PARKE WAREHOUSE 02/12/16 SAUNDERS CONDON & KENNY MC ANDREWS & NORGLE LLC 461 16WC 10571 GILBERT, ASHLEY STATE OF IL - DOC @ 10/01/15 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 462 16WC 10602 BOAN, KATHERINE ST OF IL JACKSONVILLE COR @ 01/27/16 BOGUSZ & BOGUSZ LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 463 16WC 10702 PYLES, JERRY WILBERT BURIAL VAULT 03/11/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 464 16WC 10751 JOUETT, PAMELA S IL EPA @ 01/14/16 ASSISTANT ATTORNEY GENERAL 465 16WC 10962 RIGNEY, TERRY A. MARYAN MINING, LLC 07/18/15 SHAY & ASSOCIATES MCBREARTY, BRIAN K 466 16WC 11288 COOPER, MICHAEL A&N AUTO GLASS 02/01/16 NESSLER, FREDERIC LAW OFFI 467 16WC 11441 MC CARTHY, KATHLEEN STATE OF ILLINOIS @ 02/29/16 GREGORY W. SCRONCE ASSISTANT ATTORNEY GENERAL 468 16WC 11492 ALEXANDER, GLADYS M SPRINGFIELD MASS TRANSIT 11/04/15 STEPHEN H LARSON LAW OFFICE 469 16WC 11820 ADAMS, MATTHEW G RELIABLE ROOFING 02/12/16 KANOSKI BRESNEY 470 16WC 12009 STEVENSON, LATASHA BROTHER JAMES COURT 04/01/16 HOLLEY & ROSEN WIEDNER & MCAULIFFE LTD 471 16WC 12099 RADFORD, QUINTON WACHTER, INC. 02/22/16 BERG & ROBESON FEATHERSTUN GAUMER POSTLEWAI 472 16WC 12102 SCHELDT, DENNIS MONTEREY COAL COMPANY 08/03/15 JOSEPH L SAMUELSON PC LIVINGSTONE MUELLER ET AL 473 16WC 12303 WEAVER, KATHY M WARRENSBURG LATHAN CUSD # 03/17/16 KANOSKI BRESNEY 474 16WC 12474 MUSGROVE, MINEIYA DMK ENTERPRISE 04/09/16 STRONG LAW OFFICE INMAN & FITZGIBBONS 475 16WC 12528 CHERRY, RANDY ADM 04/04/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 476 16WC 12578 SUMMERS, SCOTT DOUBLE D EXPRESS INC 03/17/15 INMAN & FITZGIBBONS 477 16WC 12659 PEAVY, PAUL L MARTIN TRANSPORTATION SYS 10/15/15 KANOSKI BRESNEY PERRY GENTILE 478 16WC 13026 BROWN, ROXIE A HILLSBORO REHABILITATION 04/12/15 BOSHARDY LAW OFFICE PC HENNESSY & ROACH, PC 479 16WC 13255 KITE, PHIL CATERPILLAR INC 02/11/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 480 16WC 13518 OSTREM, DANIEL RUBY ELECTRIC, INC 05/21/15 JAMES ACKERMAN HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 481 16WC 13832 JONES, DEBORAH S. BARD OPTICAL 01/05/16 KANOSKI BRESNEY LAW OFFICES STEVEN PILAND 482 16WC 13990 REEVES, ANDREW WERNER ENTERPRISES, INC 01/23/16 STRONG LAW OFFICE SMITH AMUNDSEN LLC 483 16WC 14020 GLOSSOP, JOHN DENBY QUEST DIAGNOSTICS 09/04/15 BOSHARDY LAW OFFICE PC STEPHEN H LARSON LAW OFFICE 484 16WC 14041 CLYNE, ALEXANDER LOWE'S 11/06/15 LEE, MARK N LAW OFFICE 485 16WC 14316 BROWN, ANTHONY BEELMAN TRUCKING 04/22/16 CROWLEY BUNGER PRILL ROSARIO CIBELLA 486 16WC 14402 ADE, VICTORIA JO BINS 24/7 12/26/14 BOSHARDY LAW OFFICE PC GAROFALO SCHREIBER STORM 487 16WC 14711 HEBERLING, DONNIE WEST SAND AND TRUCKING LL 10/06/15 LAW OFFICE DAVID HUNT 488 16WC 15222 SETTLES-BALLARD, SCOTT IL DEPT OF TRANSPORTATION @ 02/18/16 WOODRUFF & JOHNSON KRISTINA D DION 489 16WC 15840 DENNING, JEFFREY A ILLINOIS STATE POLICE DIS @ 05/07/16 FIGLIOLI, DAVID ASSISTANT ATTORNEY GENERAL 490 16WC 15940 PURDON-MENKE, JANENE THE HOPE INSTITUTE FOR 10/03/14 STRONG LAW OFFICE 491 16WC 16128 MOSER, JANET M. FIRST STUDENT, INC. 11/05/15 WOLTER BEEMAN AND LYNCH WIEDNER & MCAULIFFE LTD 492 16WC 16170 HICE, DIANE MCLEOD EXPRESS 04/14/16 KEEFE & GRIFFITHS PC WILLIAMS VENKER SANDERS 493 16WC 16184 BUMGARDNER, LARRY D STATE OF ILLINOIS-HISTORI @ 05/16/16 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 494 16WC 16288 CRUMPLER, TIFANIE RUSH ENTERPRISES 02/09/16 LAMARCA LAW OFFICES, PC GAROFALO SCHREIBER STORM 495 16WC 16342 OVERBY, SHANE CITY OF SPRINGFIELD POLIC 04/15/16 HOLLEY & ROSEN 496 16WC 16647 ADAMS, ALICIA MEMORIAL MEDICAL CENTER 12/19/14 LEE, MARK N LAW OFFICE 497 16WC 16846 HOUSEMAN, DAVID A R & R GENERAL CONTRACTORS 09/30/15 HARVEY & STUCKEL FEATHERSTUN GAUMER POSTLEWAI 498 16WC 17221 SCHNEPPER, BARBARA PRAIRIE VILLAGE HEALTH CA 05/07/16 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 499 16WC 17231 BEATTY, JONATHAN THE BOAT DOCK 10/26/15 KEEFE & GRIFFITHS PC HEYL ROYSTER VOELKER & ALLEN 500 16WC 17334 THORNTON, AARON C MBM CORPORATION 05/13/16 BOSHARDY LAW OFFICE PC 16WC017335 -C 501 16WC 17351 PADGETT, DARLENE JAN MASTERS CLEANING 05/11/16 WARREN E DANZ, PC QUINN JOHNSTON HENDERSON ETA 502 16WC 17407 SHULTS, JASON ANIMAL PROTECTIVE LEAGUE 04/22/16 LEE, MARK N LAW OFFICE 503 16WC 17700 SHULTS, JASON ANIMAL PROTECTIVE LEAGUE 04/02/16 LEE, MARK N LAW OFFICE COZZI & GOGGIN-WARD 504 16WC 17787 SCHULTZ, RONALD SPRINGFIELD METRO SANITRY 10/15/12 STRONG LAW OFFICE 505 16WC 17808 SYNDER, DALE A. JR. SIC RECYCLING, INC. 01/15/16 ELLEN C. BRUCE 506 16WC 17824 MCNEIL, ROOSEVELT WAL-MART 02/11/16 STRONG LAW OFFICE GANAN & SHAPIRO 16WC021474 -C WALMART SUPERCENTER 507 16WC 17829 SMITH, KATHRYN CASEY'S GENERAL STORE 01/08/16 DENNIS ATTEBERRY HEYL ROYSTER VOELKER & ALLEN 508 16WC 18102 MCNEAL, MICHAEL TCI TIRE CENTERS 11/30/15 STRONG LAW OFFICE 509 16WC 18108 SMITH, KATHRYN CASEY'S GENERAL STORE 05/28/16 DENNIS ATTEBERRY HEYL ROYSTER VOELKER & ALLEN 510 16WC 18531 NICODEMUS, MARY L MEDSPEED 03/30/16 HAXEL LAW OFFICE PERRY GENTILE 511 16WC 18705 MORRIS, ROBERT A. ILLINOIS SECRETARY OF STA @ 12/21/15 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 512 16WC 18766 BOLTZ, GREGORY A. INTERNATIONAL PAPER 05/21/16 SMITH LAW LTD BROWN & JAMES, PC 513 16WC 18872 SAUNDERS, MICHAEL ILLINOIS DEPT OF AGRICULT @ 08/25/15 JASON YOUNG LAW OFFICE ASSISTANT ATTORNEY GENERAL 514 16WC 19316 PISHCHKE, MELISSA S. LIFE'S JOURNEY SENIOR LIV 05/26/16 KANOSKI BRESNEY GANAN & SHAPIRO 515 16WC 19343 PRUITT, AMANDA S. COVENANT CARE MIDWEST INC 11/03/15 WALTON TELKEN FOSTER LLC HENNESSY & ROACH 516 16WC 19404 WILLIAMS, BEVERLY MIDSTATE SPECIAL EDUCATIO 02/11/16 STRONG LAW OFFICE WHITT LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 517 16WC 19545 PICKETT, TANISSHA L DOLLAR GENERAL 06/13/16 BOSHARDY LAW OFFICE PC LEAHY EISENBERG & FRAENKEL 518 16WC 20127 WALKER-CAMPBELL, NISHELLE STATE OF IL DEPT OF CORRE @ 06/20/16 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 519 16WC 20240 GARNER, THELMA J. TAYLORVILLE MEMORIAL HOSP 04/26/15 DENNIS ATTEBERRY NYHAN BAMBRICK KINZIE & LOWR 520 16WC 20617 GARNER, ISAAC K SPRINGFIELD LAWN BARBER 05/25/16 KANOSKI BRESNEY 521 16WC 20766 COREY, CARLA SANGAMON COUNTY SHERIFF'S 04/04/16 JAMES ACKERMAN 522 16WC 20878 WATKINS, GAIL S HERTZBERG-NEW METHOD INC 06/29/16 BOSHARDY LAW OFFICE PC 523 16WC 21218 DONALDSON, LACIE TAYLORVILLE CARE CENTER 06/18/16 BROWN & BROWN 524 16WC 21296 MEHLBERG, BRENDA HILLSBORO COMMUNITY SCHOO 04/22/16 KEEFE & DEPAULI 525 16WC 21350 COLLINS, MACKENZIE HERITAGE HEALTH 08/07/15 RICH RICH COOKSEY PC RIPES NELSON BAGGOT KALOBRAT 16WC039097 -C 526 16WC 21366 SCHWENKER, JOHN L KEELEY CONSTRUCTION CO 05/25/16 LEE, MARK N LAW OFFICE 527 16WC 21633 CARSON, JULIE L CHAMPAIGN RENTALS LLC 03/30/16 KANOSKI BRESNEY GANAN & SHAPIRO 528 16WC 21652 DODD, JASON HENDERSON CONSTRUCTION OF 10/20/15 GREGORY W. SCRONCE HEYL ROYSTER VOELKER & ALLEN 529 16WC 21791 MCCRORY, TERRANCE OLIVE GARDEN 04/11/16 STRONG LAW OFFICE 530 16WC 22006 MORGAN, JAMES CATERPILLAR INC 02/10/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 531 16WC 22077 SHANNON, TINA HAMPTON INN 06/21/16 DWORKIN AND MACIARIELLO RODDY LAW LTD 532 16WC 22108 LIGON, MARSHA N. EAGLE RIDGE OF DECATUR 04/22/15 SGRO HANRAHAN DURR RABIN HENNESSY & ROACH 533 16WC 22128 DOTY, CHARLES L. III WIN PRODUCTION, LLC 07/07/16 KANOSKI BRESNEY 534 16WC 22249 SCHIENSCHANG, ANTHONY C OTTO BAUM CO, INC 05/27/15 KANOSKI BRESNEY KNELL LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 535 16WC 22448 BERNINGER, ANNALEE STATE OF IL DEPT OF CORRE @ 06/09/16 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 536 16WC 22520 MORRELL, HEATHER AFSCME COUNCIL 31 @ 03/14/16 LEE, MARK N LAW OFFICE 537 16WC 22612 TOBIAS, KORY W WEIDNER REFRIGERATION 03/03/15 SGRO HANRAHAN DURR RABIN GAROFALO SCHREIBER STORM 538 16WC 22662 BARBEE, JERRY L WELLMAN LAWN CARE 07/06/16 BOSHARDY LAW OFFICE PC HENNESSY & ROACH 539 16WC 22857 DJAFALO, LELENG CARGILL MEAT SOLUTIONS 04/27/15 CROWLEY BUNGER PRILL NYHAN BAMBRICK KINZIE & LOWR 540 16WC 22900 ZEITLER, PETER H DESIGN CORRUGATING CO 06/01/16 SGRO HANRAHAN DURR RABIN 541 16WC 22932 KNIPFER, SHONTE SECRETARY OF STATE @ 05/17/16 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 542 16WC 23069 CHEEK, LEIGH A. STATE OF ILLINOIS JACKSON @ 08/13/15 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 543 16WC 23092 NATION, EVERT TAYLORVILLE POLICE DEPART 10/26/15 DENNIS ATTEBERRY 544 16WC 23202 WILLIAMS, JOSHUA SERVICE MASTER DBA 04/27/16 STRONG LAW OFFICE RODDY LAW LTD 545 16WC 23211 BACON, WILLIAM BRADLEY SMOKY JENNINGS CHEVROLET 08/04/14 WOLTER BEEMAN AND LYNCH 546 16WC 23343 CRAIG, ROBERT SPRINGFIELD SCHOOL 06/01/15 BOSHARDY LAW OFFICE PC 547 16WC 23406 MARTEN, ERNEST STATE OF IL/SOUTHWESTERN @ 01/12/16 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 16WC034814 -C 548 16WC 23520 SUTTON, CHARLES FUYAO GLASS 07/06/16 STRONG LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 549 16WC 23679 KOVALY, LORAN CITY OF STAUNTON 05/12/15 UNSELL, EDWARD W LAW OFFIC 550 16WC 23770 BENNETT, CAROL J ST OF IL DEPT OF ENVIRONM @ 12/10/14 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 551 16WC 23822 WUBKER, STEPHEN E CITY OF BEARDSTOWN 10/24/14 BOSHARDY LAW OFFICE PC INMAN & FITZGIBBONS 552 16WC 23984 LINN, SEAN A MIZEUR TRUCKING, LLC 05/31/16 WOLTER BEEMAN AND LYNCH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 553 16WC 24364 ADAMS, JAMES R AMEREN 07/27/15 TAMVAKIS, GEORGE L 554 16WC 24545 TOLLEY, ROBERT GREEN TOYOTA 02/16/16 HOLLEY & ROSEN GAROFALO SCHREIBER STORM 555 16WC 24851 THOMAS, BRETT VCNA PRAIRIE MATERIAL 06/22/16 SAUNDERS CONDON & KENNY 556 16WC 24912 BLACK, LEANNETTE STATE OF ILLINOIS HFS @ 12/09/15 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 557 16WC 25111 BROCKWAY, CHASTITY SIERRA INTERNATIONAL INC 03/02/16 HARVEY & STUCKEL BRADY, CONNOLLY & MASUDA, PC 558 16WC 25442 SAMS, JOEL STATE OF ILLINOIS @ 05/28/16 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 559 16WC 25720 FROST, LORELEI STATE OF IL @ 12/18/15 DENNIS ATTEBERRY 560 16WC 25760 CARPENTIER, CRAIG A ST OF IL DEPT OF @ 05/28/15 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 561 16WC 25956 JEFFRIES, JAMES SPACE AGE CONSTRUCTION 06/29/16 SHAY & ASSOCIATES CRAIG & CRAIG 562 16WC 25965 SPEIS, JAMES R ILLINOIS SECRETARY OF STA @ 07/22/16 SGRO HANRAHAN DURR RABIN 563 16WC 26006 CORDLE, MICHAEL J BRITTANY MC CORP 06/26/16 BUCKLIN LAW OFFICE 564 16WC 26015 CAMPBELL, LETICIA CATERPILLAR INC 07/01/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 565 16WC 26059 HYMES, AMANDA PIZZA HUT 05/17/16 WOODRUFF & JOHNSON 566 16WC 26144 GAVIN SR, BARRIS L CATERPILLAR INC 01/15/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 567 16WC 26344 STEPHEN, RHONDA WHITE HALL NURSING 06/26/16 ARMBRUSTER DRIPPS BRADY, CONNOLLY & MASUDA, PC 568 16WC 26363 EUBANKS, TRACY BODINE ELECTRIC 06/30/15 TUGGLE SCHIRO & LICHTENBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 569 16WC 26547 BOWN, DEBORA S JBS USA FOODS 09/17/15 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 570 16WC 26669 FENTON, JONATHAN CENTRAL IL TURF INC 09/19/14 CORNFIELD & FELDMAN HEYL ROYSTER VOELKER & ALLEN 16WC026674 -C 16WC026679 -C 571 16WC 26817 GRAY, DANIEL STATE OF IL, ILLINOIS RIV @ 11/09/15 REHN & SKINNER LLC ASSISTANT ATTORNEY GENERAL 572 16WC 26875 SCHLEIFENBAUM, MICHAEL WEISE USA 11/24/15 SAUNDERS CONDON & KENNY 573 16WC 26919 COLE, ROBIN SMART GRID SOLUTIONS 07/27/16 MUELHAUSEN & STEFANI LAW OFFICES STEVEN PILAND 574 16WC 26987 FRAZIER, GREGORY O NATL RENT-TO-OWN 04/09/15 SCHUCHAT, COOK & WERNER 575 16WC 27122 SCHUECKING, RON STATE OF ILLINOIS DEPARTM @ 03/09/16 GREGORY W. SCRONCE KRISTINA D DION 576 16WC 27172 PHILLIPS, JOSEPH CITY OF SPRINGFIELD 07/28/16 CONNOR LAW OFFICES 577 16WC 27230 GROESCH, KEITH CITY OF SPRINGFIELD, CWLP 04/06/15 CONNOR LAW OFFICES 578 16WC 27416 SAUNDERS, MINA LABOR READY 12/09/15 WARREN E DANZ, PC 579 16WC 27442 MILLER, RICHARD NUDO PRODUCTS 08/11/16 LEE, MARK N LAW OFFICE LAW OFFICE CRAIG A HANSEN 580 16WC 27587 SHIRLEY, KEVIN J ADM TRUCKIGN INC 01/12/15 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 581 16WC 27598 GRAVES, JAMES C MAGRO'S PROCESSING INC 02/22/16 WOLFE & JACOBSON, LTD 582 16WC 28039 JONES, TAMEKIA MACON RESOURCES 08/30/16 WARREN E DANZ, PC GANAN & SHAPIRO 583 16WC 28100 SCHUECKING, RON STATE OF IL DOT @ 08/02/16 GREGORY W. SCRONCE 584 16WC 28420 HIPPEARD, RANDALL ARENA FOOTBALL ONE LLC 06/18/16 GORDON & CENTRACCHIO LLC 585 16WC 28458 JOHNSON, MORRIS ADM MECHANICAL DEPARTMENT 03/20/16 DWORKIN AND MACIARIELLO FEATHERSTUN GAUMER POSTLEWAI 586 16WC 28561 DENNISON, ROBERT LOVE'S TRAVEL STOPS & COU 08/27/16 STRONG LAW OFFICE GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 587 16WC 28667 BIALAS, BRETT A DYNEGY 12/13/15 BOSHARDY LAW OFFICE PC KEEFE & DEPAULI 588 16WC 28688 HOPPER, KENNETH UNIQUE PERSONNEL CONSULTA 08/17/16 LAW OFFICE KEITH SHORT HENNESSY & ROACH 589 16WC 29135 SNELL, DAVID D JOSEPH CONSTRUCTION CO 06/26/15 STRONG LAW OFFICE LAW OFFICE PATRICK JENNETTEN 590 16WC 29166 SHEA, JOHN WILLIAM SPRINGFIELD POLICE DEPART 11/02/15 BUCKLIN LAW OFFICE LIVINGSTONE MUELLER ET AL 591 16WC 29253 SANTANA, PILAR HOPE SCHOOL 05/06/16 LAMARCA LAW OFFICES, PC 592 16WC 29262 WOODLAND, JAMES JACOBS FIELD SERVICES 07/20/16 SHAY & ASSOCIATES 593 16WC 29366 GUINAN, PATRICK VILLAGE OF CHATHAM 09/06/16 CONNOR LAW OFFICES RUSIN & MACIOROWSKI LTD 594 16WC 29586 KILLEBREW, DAVID IL DEPT OF CORRECTIONS 04/07/16 WOODRUFF & JOHNSON 595 16WC 29618 TAYLOR, ANNETTE MOSIAC OF SPRINGFIELD 07/28/16 SHAFFER, WILLIAM C III HENNESSY & ROACH 596 16WC 29700 KLEMAIER, SARA M SPRINGFIELD SCHOOL 02/17/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 597 16WC 29720 ALEXANDER, DINESSTEE JJ PROPERTY MANAGEMENT 06/21/16 KOLKER LAW OFFICES PERRY GENTILE 598 16WC 29772 ROBERTS, STEVEN ORCHARD PARK APARTMENTS 07/05/16 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 599 16WC 29933 MURPHY, LUANNE ILLINOIS SCHOOL FOR THE @ 08/26/15 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 600 16WC 29946 ORTEGA, MARTIN C JACKSONVILLE CORRECTIONAL @ 02/10/15 SHAFFER, WILLIAM C III ASSISTANT ATTORNEY GENERAL 601 16WC 30123 ORR, PATRICIA K STATE OF IL MCFARLAND MEN @ 04/20/16 THOMSON, MCNEELY & TOBIN ASSISTANT ATTORNEY GENERAL 602 16WC 30163 ACKERMAN, KENNETH BRANDT CONSOLIDATED, INC 08/24/15 THOMPSON & MCDONALD LAW OFFI 603 16WC 30339 SHIPMAN, JODY A REYNOLDS CONSUMER PRODUCT 02/12/16 KANOSKI BRESNEY GAROFALO SCHREIBER STORM 604 16WC 30340 FULTON, DAVID L THERMO KING 09/13/16 DELANO LAW OFFICES LLC STEPHEN H LARSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 605 16WC 30430 STACK, RANDALL CHELTENHAM CONSTRUCTION S 08/03/16 SCHREMPF KELLY & NAPP HEYL ROYSTER VOELKER & ALLEN 606 16WC 30455 HIGGASON, DEBRA DYNEGY, INC 09/27/16 BOSHARDY LAW OFFICE PC KEEFE & DEPAULI 607 16WC 30504 BARNARD, TERRY P CITY OF SPRINGFIELD 08/29/16 DELANO LAW OFFICES LLC 608 16WC 30615 BODENDIECK, BRIAN WICK BUILDINGS 08/24/16 DWORKIN AND MACIARIELLO 609 16WC 30916 FRANKE, LARRY O BLDD ARCHITECTS, INC. 03/05/15 BOSHARDY LAW OFFICE PC 610 16WC 31029 SAMSON, DEREK LEGACY GRAIN COOP 09/29/16 DWORKIN AND MACIARIELLO 611 16WC 31090 LOFTON, JONNIE L CHELP @ 04/21/16 KANOSKI BRESNEY COZZI & GOGGIN-WARD 612 16WC 31482 BARTON, KRISTINA HERITAGE NURSING HOME 03/05/16 LAW OFFICE KEITH SHORT RIPES NELSON BAGGOT KALOBRAT 613 16WC 31521 MILLER, THERESA HERITAGE ENTERPRISES, INC 04/04/16 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 614 16WC 31588 LOGUE, JUSTIN ASSURED APPLICATORS 09/28/16 WARREN E DANZ, PC GAROFALO SCHREIBER STORM 615 16WC 31791 AYRE, KEITH CITY OF SPRINGFIELD FIRE 09/23/16 CONNOR LAW OFFICES 616 16WC 31800 ROBBINS, ARANYA P JBS 05/06/16 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 617 16WC 31853 LARCK, JACQUELINE CENTRAL ILLINOIS CLEANING 10/21/14 SHAY & ASSOCIATES INMAN & FITZGIBBONS 618 16WC 31995 DURBIN, JAMES GSI GROUP 05/25/16 DRUMMOND LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 619 16WC 32032 GRANT, ROBIN LOWE'S 10/03/16 BOSHARDY LAW OFFICE PC KEEFE CAMPBELL & ASSOC LLC 620 16WC 32065 ANANIAS, BIANCA REGENCY 07/28/16 SHAY & ASSOCIATES 621 16WC 32348 POE, PAUL DHL/ AKA EXCEL 05/10/16 HAMMOND SHINNERS TURCOTTE HENNESSY & ROACH 622 16WC 32481 MYERS, ROGER AMEREN IL 06/01/15 LEMP & MURPHY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 623 16WC 32517 KAPUAY, FISTON K JBS, USA 08/22/16 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 624 16WC 32583 DODD, BARON CUSTOM CURBS INC D/B/A 10/04/16 STRONG LAW OFFICE 625 16WC 32673 WILDER, RUBY ST MARY'S HOSPITAL 10/05/16 NESSLER, FREDERIC LAW OFFI HEYL ROYSTER VOELKER & ALLEN 626 16WC 32740 GATES, KATHLEEN MEMORIAL MEDICAL CENTER 10/18/16 BOSHARDY LAW OFFICE PC SORLING NORTHRUP 627 16WC 32772 HARDING, KEVIN INDEPENDENT IRON WORKS IN 03/16/16 STRONG LAW OFFICE 628 16WC 32824 STEVENS SR, NICHOLAS J STATE OF IL - CMS @ 09/20/16 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 629 16WC 32898 MOAKE, WILLIAM TRI COUNTY COAL 12/20/13 CULLEY & WISSORE MCANANY VANCLEVE & PHILLIPS 630 16WC 32983 WILLIAMS, HEATHER HOLIDAY INN EXPRESS & SUI 06/04/16 WOODRUFF & JOHNSON ROUSE & CARY 631 16WC 33104 VAUGHN, WESLEY VILLAGE OF CHAPIN 09/07/16 DORDEK ROSENBURG & ASSOCIA KEEFE & DEPAULI 632 16WC 33296 EVANS, RONALD PJP AUTO ENTERPRISES 10/10/16 WOLTER BEEMAN AND LYNCH 633 16WC 33345 ALLEN, PAT CHS 07/14/16 HUSTAVA, JOHN H 634 16WC 33406 REDPATH JR., CHARLES L SPRINGFIELD POLICE DEPT 09/22/16 HOLLEY & ROSEN 635 16WC 33417 WILLIS, DEBRA IDOT @ * 08/30/16 SHAY & ASSOCIATES KRISTINA D DION 636 16WC 33462 EASLEY-MILLER, SAMANTHA DALE COX CONSTRUCTION, IN 03/11/14 HOLLEY & ROSEN BRADY, CONNOLLY & MASUDA, PC 637 16WC 33653 ADAMS, BRIAN CRATE & PALLET PACKAGING 01/19/16 WOLTER BEEMAN AND LYNCH SPONSLER BISHOP 638 16WC 33682 KELLEMS, JUDY SCHNUCK'S MARKET 09/26/16 THE KARMEL LAW FIRM LEMP & MURPHY 639 16WC 33900 BOOTH, MARK D ICG ILLINOIS, LLC 06/15/15 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD 640 16WC 33972 DRAKE, JASON MASTEC, INC DBA 09/15/16 SCHWEICKERT & GANASSIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 641 16WC 34480 MASON, SHERMAN SPRINGFIELD HOUSING AUTHO 07/25/16 LEE, MARK N LAW OFFICE 642 16WC 34530 THOMPSON, STACEY L ST FRANCIS HOSPITAL 06/18/13 HEYL ROYSTER VOELKER & ALLEN 643 16WC 34954 WARREN, DARRELL ADM 11/03/16 LEE, MARK N LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 644 16WC 34959 HOCQ, TRAVIS DECATUR AMBULANCE 11/02/16 LEE, MARK N LAW OFFICE 645 16WC 35038 WILSON, RANDLE CITY OF LITCHFIELD 04/19/16 STRONG LAW OFFICE INMAN & FITZGIBBONS 646 16WC 35049 HALL, JENNIFER CORE HEALTH, LLC 10/13/14 SMITH LAW LTD HENNESSY & ROACH 647 16WC 35070 SIMMONS, JAMIE CATERPILLAR, INC 10/21/16 LEE, MARK N LAW OFFICE CATERPILLAR 648 16WC 35105 BURGETT, SAMALEE CATERPILLAR, INC 05/16/16 CATERPILLAR 649 16WC 35184 SPENCER, JESSICA THE HOPE INSTITUTE FOR 08/25/14 STRONG LAW OFFICE INMAN & FITZGIBBONS 650 16WC 35270 BROWN, RAYMOND CAPITAL CITY THERMO KING 08/08/16 JOSEPH L SAMUELSON PC STEPHEN H LARSON LAW OFFICE 651 16WC 35355 ELLER, BRIAN L ARCHER DANIELS MIDLAND CO 12/07/15 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 652 16WC 35395 KLEIST, JAMES A ILLINOIS STATE POLICE @ 08/17/16 KANOSKI BRESNEY 653 16WC 35436 BIEN, ERIC TERMINIX 10/18/16 BROWN & CROUPPEN LAW OFFICE CRAIG A HANSEN 654 16WC 35448 BARBER, MATTHEW STATE OF IL SEPT OF MILIT @ 10/12/16 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 655 16WC 35495 BUTTON, SARA R BCBS OF IL 05/10/16 BERG & ROBESON HEPLER BROOM LLC 656 16WC 35578 MCCAWLEY, HAYLE HEALTH AT HOME, INC 07/09/16 WILLIAMS & SWEE 657 16WC 35925 BREUCHAUD, KENT L SIERRA, INC 11/16/15 MORMINO,VELLOFF,EDMONDS,SN HEYL ROYSTER VOELKER & ALLEN 658 16WC 35938 DAVIS, JAMES WALMART ASSOCIATES 10/10/16 BRIAN STOKES GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 659 16WC 35951 FITZGERALD, DANIELLE AS W VILLAGE OF SOUTH JACKSONV # * 03/04/16 NOLL LAW OFFICE SCHREMPF KELLY & NAPP 660 16WC 35978 WILDER, LOUELLA ARCHER DANIELS MIDLAND CO 12/11/13 MARK A WELLS LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 661 16WC 36066 CRADDOCK, GEORGIA BOUND TO STAY BOUND BOOKS 05/23/16 WOODRUFF & JOHNSON THOMPSON & MCDONALD LAW OFFI 662 16WC 36069 KESSINGER, DAVID BUSTER SANITATIONS SERVIC 04/16/15 WOODRUFF & JOHNSON BRADY, CONNOLLY & MASUDA, PC 663 16WC 36252 REXROAD, TREVOR BOWMAN HYDRAULICS, INC 09/14/16 HOLLEY & ROSEN 664 16WC 36307 SCHOFIELD, BRENDA K REYNOLDS CONSUMER 11/06/14 KANOSKI BRESNEY 665 16WC 36466 THEOBALD, SANDRA DECATUR PUBLIC TRANSIT 09/28/16 LEE, MARK N LAW OFFICE 666 16WC 36614 HAMILTON, ROY ADM 10/11/16 WARREN E DANZ, PC NYHAN BAMBRICK KINZIE & LOWR 667 16WC 36834 PAWELCZYK, DAVE YRC, INC D/B/A YRC FREIGH 05/05/16 BRIAN STOKES HENNESSY & ROACH 668 16WC 36894 LARCK, JACQUELINE CENTRAL ILLINOIS CLEANING 11/16/16 SHAY & ASSOCIATES BRUCE WARREN 669 16WC 36911 BROWN, TIMMY J DYNEGY MIDWEST GENERATION 09/12/16 KANOSKI BRESNEY KEEFE & DEPAULI 670 16WC 37114 DAVIDSON, COURTNEY N REGENCY HEALTHCARE 11/12/16 HAXEL LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 671 16WC 37172 AMBROSE, KENNETH ADM 05/01/16 LEE, MARK N LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 672 16WC 37231 FORD, SHAIN R MCLEOD EXPRESS 11/29/16 DELANO LAW OFFICES LLC 673 16WC 37367 MARTI, TERESA A SPRINGFIELD SCHOOL DIST # * 07/28/16 DELANO LAW OFFICES LLC 674 16WC 37447 HERNANDEZ, NANNIE L THE HOPE INSTITUTE FOR * 02/24/16 DELANO LAW OFFICES LLC 675 16WC 37614 YOUNG, PAMELA GAIL ADDUS HEALTHCARE * 05/11/16 CULLEY FEIST KUPPART & TAY 676 16WC 37772 PHELPS, EUGENE BUNN-O-MATIC CORP. * 11/11/16 DUDLEY & LAKE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 677 16WC 37805 HALL, KIMBERLY A STATE OF ILLINOIS-DEPARTM @ * 10/18/16 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 678 16WC 37859 CRAWFORD, ANTHONY SPRINGFIELD SD 186 * 09/21/16 NESSLER, FREDERIC LAW OFFI 679 16WC 38133 HEFLIN, SAMUEL W SOUTH FORK SCHOOL DIST #1 * 09/12/16 WOLTER BEEMAN AND LYNCH HENNESSY & ROACH 680 16WC 38156 RATHGEBER, KIRK NUDO PRODUCTS * 07/05/16 LEE, MARK N LAW OFFICE 681 16WC 38164 MOORE, RACHEL IYC WARRENVILLE @ * 10/13/15 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 682 16WC 38166 FRAIM, BRIAN ILLINOIS SECRETARY OF STA * 08/20/12 WARREN E DANZ, PC 683 16WC 38223 BRADLEY, JOSEPH ST OF IL - MCFARLANDS MEN * 12/16/15 STRONG LAW OFFICE 684 16WC 38244 KINK, JOSEPH R ILLINOIS STATE POLICE @ * 11/17/16 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 685 16WC 38366 RUSSELL, LESLIE J VAE NORTRAK NORTH AMERICA * 04/27/16 KANOSKI BRESNEY COZZI & GOGGIN-WARD 686 16WC 38489 BOWMAN, ASHLEY HSHS ST JOHN'S HOSPITAL * 07/30/15 MILLS, STEVEN C HEYL ROYSTER VOELKER & ALLEN 687 16WC 38516 BROOKSHIER, BRENDA GRAHAM CORRECTIONAL CTR @ * 12/01/15 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 688 16WC 38548 WILLIAMS, ROBERT ALERT CONSTRUCTION SVCS * 11/14/16 STRONG LAW OFFICE 689 16WC 38586 SHELTON, MICHAEL STATE OF IL HISTORIC @ * 11/22/16 SGRO HANRAHAN DURR RABIN 690 16WC 38648 WILHAM, KARLA M LINCOLN LAND COMMUNITY CO * 02/01/14 JAMES ACKERMAN POWER & CRONIN LTD 691 16WC 38664 BROWNLOW, ELISHA FUYAO GLASS AMERICA * 03/13/16 WARREN E DANZ, PC MACIOROWSKI SACKMANN & ULRIC 692 16WC 38857 HOWARD, SHARON K HSHS HOME HEALTH * 05/27/15 SGRO HANRAHAN DURR RABIN HEYL ROYSTER VOELKER & ALLEN 693 16WC 38863 FERRIS, RICHARD SANGAMON VALLEY LANDFILL * 11/25/16 HOLLEY & ROSEN 694 16WC 38880 DUNCAN, JOSEPH A-LERT CONSTRUCTION SERVI * 12/19/16 DWORKIN AND MACIARIELLO FEATHERSTUN GAUMER POSTLEWAI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 695 16WC 38991 SISTI, MICHAEL B STATE OF ILLINOIS @ * 11/15/16 696 16WC 39094 ELIZONDO, PATRICIA PAT SIERRA INTERNATIONAL * 11/08/16 LAMARCA LAW OFFICES, PC 697 16WC 39104 HARP, MATTHEW A BOB AND RON'S SERVICE INC * 02/29/16 SGRO HANRAHAN DURR RABIN 698 16WC 39128 GREEN, SHAUNDELL A UPS * 07/11/16 SGRO HANRAHAN DURR RABIN 699 16WC 39194 DUNCAN, WILLIAM PRECISION PIPELINE LLC * 10/19/16 DWORKIN AND MACIARIELLO 700 16WC 39445 FLORES, EDUARDO COAL FIELD CONSTRUCTION C * 12/13/16 JEROME LEFTON LAW OFFICE 701 17WC 00224 OWENS, ROSS STATE OF IL/UNIV OF IL @ * 07/30/14 CONNOR LAW OFFICES GANAN & SHAPIRO 702 17WC 00230 BURKE, THOMAS KEVIN BREHM @ * 10/13/16 SHAY & ASSOCIATES 703 17WC 00311 TURNER, LAJUAN ARCHER DANIELS MIDLAND CO * 12/07/16 DWORKIN AND MACIARIELLO 704 17WC 00400 CHAMPION, WENDY REGENCY CARE * 10/02/16 STRONG LAW OFFICE 705 17WC 00634 MANCI, ANITA J RUBY'S CAFE * 11/29/16 BERG & ROBESON 706 17WC 00669 GRAY, DAVID W DECATUR MEMORIAL HOSPITAL * 01/04/16 LAKE LAW FIRM 707 17WC 00714 CHAMPION, WENDY PARENTECH, LLC * 02/02/14 STRONG LAW OFFICE 708 17WC 00887 OLUWOLE, ADEOLA UNITED CEREBRAL PALSY * 11/16/16 NESSLER, FREDERIC LAW OFFI 709 17WC 00891 SNYDER, DEANDRA OLIVE GARDEN * 08/18/16 SHAY & ASSOCIATES 710 17WC 01132 MATTHEWS, COZETTE ARAMARK * 12/17/16 SHAY & ASSOCIATES 711 17WC 01145 JOHNSON, JANET F DECATUR PUBLIC TRANSIT * 04/25/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 712 17WC 01200 DANIELS, JEFF REYNOLDS CONSUMERS * 12/23/16 GALANTI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 713 17WC 01213 LEBON, KURT E JACOB'S FIELD SERVICE * 06/28/16 BOSHARDY LAW OFFICE PC 714 17WC 01588 BEAL JR., ROBERT E M HANDY TRANSPORT INC * 08/02/15 HOLLEY & ROSEN 715 17WC 01644 BOONE, CAROL J AUBURN COMMUNITY SCHOOL D * 09/09/16 BERG & ROBESON 716 17WC 01672 MCCORMICK, JEFF SKEFF DIST * 11/15/16 717 17WC 01801 CLIFF, JOHNNY DECATUR MANOR HEALTHCARE * 10/20/16 JOHNSON CHILIGIRIS WEATHER 718 17WC 01840 LUCCHESI, JOHN M CITY OF SPRINGFIELD * 04/12/16 DELANO LAW OFFICES LLC 719 17WC 01900 CAMERER, LEWIS IL DEPART OF TRANSPORTATI @ * 09/27/16 WOODRUFF & JOHNSON 720 17WC 01932 KELLY, FRANKLIN D JR ADVANCED TECHNOLOGY SERVI * 04/16/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 721 17WC 01973 ROYER, ANGELA CITY OF SPRINGFIELD * 12/18/16 CONNOR LAW OFFICES 722 17WC 02044 OSHODI, OLUTOKE STATE OF IL/DEPT OF HUMAN @ * 01/28/16 HOLLEY & ROSEN 723 17WC 02096 BULLOCK, STEPHANIE T DECATUR MEMORIAL HOSPITAL * 06/21/16 SHAY & ASSOCIATES 724 17WC 02280 FULTZ, BYRON ATLANTIC PLANT MAINTENANC * 12/02/16 LAW OFFICE MICHAEL M WOJIT MACIOROWSKI SACKMANN & ULRIC 725 17WC 02352 WHICKER, ROBERT CATERPILLAR INC * 03/02/16 CATERPILLAR 726 17WC 02371 HARRIS, DAVID M SPRINGFIELD PARK DIST. * 07/05/15 BERG & ROBESON 727 17WC 02380 SPERRY, TIMOTHY E STATE OF ILLINOIS @ * 06/16/16 KANOSKI BRESNEY KRISTINA D DION 728 17WC 02499 ROADS, TRENA M STATE OF IL - MCFARLAND @ * 10/27/16 THOMSON, MCNEELY & TOBIN ASSISTANT ATTORNEY GENERAL 729 17WC 02667 SCHUMAN, CYNTHIA ONITA PLACE * 05/24/16 RUBENS AND KRESS 730 17WC 02734 SIX, SHARON A BOUND TO STAY BOUND BOOKS * 12/13/16 BOSHARDY LAW OFFICE PC THOMPSON & MCDONALD LAW OFFI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 731 17WC 02822 ROBINSON, JERRY L SEARS HOLDINGS CORPORATIO * 01/04/17 KANOSKI BRESNEY 732 17WC 03070 DUNK, RICKY L SPRINGFIELD CLINIC * 02/24/16 BOSHARDY LAW OFFICE PC 733 17WC 03164 OTT, RANDY ADM * 10/10/16 LEE, MARK N LAW OFFICE 734 17WC 03269 LEMARR, LOLA FIRST STUDENT * 12/06/16 DELANO LAW OFFICES LLC 735 17WC 03280 MARVIN, JODI STARCREST CLEANERS * 11/15/16 STRONG LAW OFFICE 736 17WC 03404 CARTER, LAURIE INTERNATIONAL PAPER * 05/28/16 WOODRUFF & JOHNSON 737 17WC 03501 HARDEN, ADAM MUELLER INC * 09/29/16 BOSHARDY LAW OFFICE PC HENNESSY & ROACH 738 17WC 03849 BURROWS, MELINDA JACKSONVILLE SCHOOL DIST * 09/06/16 RIDGE & DOWNES 739 17WC 04058 LEE, PENNY L ARAMARK * 01/10/17 KANOSKI BRESNEY 740 17WC 04132 ANDERSON, DANIEL M SMART CHOICE PROPERTIES, * 12/16/16 KANOSKI BRESNEY 741 17WC 04196 STROUD, DARLA LEEANN MALONE'S EARLY LEARNING C * 05/02/14 HOWERTON, DORRIS & STONE 742 17WC 04435 ANTHONY, REX AMEREN IL * 03/04/05 LEMP & MURPHY 743 17WC 04626 TIPTON, NOAH DECATUR PUBLIC SCHOOLS * 02/24/16 LEE, MARK N LAW OFFICE 744 17WC 04638 WILLIAMS, ANDRE AMEREN * 01/27/17 LEE, MARK N LAW OFFICE 745 17WC 04715 DURBIN, SHELBY ANIMAL EMERGENCY CLINIC * 01/21/17 NESSLER, FREDERIC LAW OFFI 746 17WC 04814 EDWARDS, JACOB RENT-A-CENTER * 01/23/17 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 747 17WC 04842 BRUEGGEMANN, GARY MUELLER CO * 11/01/15 WILLOUGHBY ZACHRY & FORBES 748 17WC 04854 ROBLES ARECHE, JHOVANNY JBS * 01/25/16 TUGGLE SCHIRO & LICHTENBER NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 749 17WC 04900 WILSON, JASMINE FIRST STUDENT * 01/12/16 STRONG LAW OFFICE 750 17WC 05044 JONES, JENNA L MHPI INC * 08/18/16 KANOSKI BRESNEY 751 17WC 05097 MILLER, JAMES L STATE OF ILLINOIS/DCFS @ * 08/06/15 BOSHARDY LAW OFFICE PC 752 17WC 05368 DAWDY, CHRISTOPHER WHITE HALL NURSING & REHA * 03/07/16 BRADY, CONNOLLY & MASUDA, PC 753 17WC 05588 SNYDER, SCOTT ELKHART GRAIN ELEVATOR * 05/20/16 CONNOR LAW OFFICES EVANS & DIXON, LLC 754 17WC 05606 COX, GLEN AMEREN IL * 03/31/15 LEMP & MURPHY 755 17WC 05625 FRAZIER, TOM CATERPILLAR INC * 03/15/15 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 756 17WC 05720 RING, CHARLES MACOUPIN COUNTY ADOPT-A-P * 11/07/16 HUSTAVA, JOHN H 757 17WC 05735 WILSON, RANDLE CITY OF LITCHFIELD * 07/09/14 STRONG LAW OFFICE 758 17WC 05754 EVANS, RYAN CITY OF SPRINGFIELD, * 03/09/16 CONNOR LAW OFFICES 759 17WC 05837 KINSER, MARY BETH STATE OF ILLINOIS @ * 12/16/16 WOODRUFF & JOHNSON 760 17WC 05908 KIRK, ROBERT BRYAN MIDWEST TECHNICAL INSTITU * 12/06/16 GREGORY W. SCRONCE 761 17WC 06090 HOOVER, ANDREA G EXPRESS EMPLOYMENT * 04/20/16 BOSHARDY LAW OFFICE PC MC ANDREWS & NORGLE LLC 762 17WC 06219 GRAHAM, WILLIAM V STATE OF ILLINOIS CENTRAL * 01/24/17 HOLLEY & ROSEN 763 17WC 06451 FITZGERALD, DANIELLE LEE VILLAGE OF SOUTH JACKSONV # * 03/04/16 NOLL LAW OFFICE 764 17WC 06488 BROWN, MIYON HERITAGE ENTERPRISE INC * 12/27/16 WOLTER BEEMAN AND LYNCH 765 17WC 06693 SMALL, CHRISTOPHER D STATE OF ILLINOIS-DEPARTM @ * 02/23/17 DELANO LAW OFFICES LLC 766 17WC 06840 MILLER, TOD W CITY OF DECATUR * 01/05/16 SAMUELS MILLER SCHROEDER ETA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR SPRINGFIELD 46001 ON 04/12/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 767 17WC 07079 LOGAN, KEN MIDWEST FIBER * 10/11/16 MCCARTHY ROWDEN & BAKER 768 17WC 07128 MC CONNELL, HERMAN ADM * 12/16/16 LEE, MARK N LAW OFFICE 769 17WC 07158 DAMM JR., JOHN LANDIS TRUCKING * 12/18/16 HOLLEY & ROSEN 770 17WC 07167 FELSTEAD, BETTE WEBSTER CANTRELL HALL * 09/08/16 SHAY & ASSOCIATES