ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 20295 ST VINCENT, CAROL SUE CHRYSLER CORPORATION 03/03/01 THOMAS R LICHTEN WILLIAMS & MCCARTHY 02WC038639 -C 03WC037758 -C DAIMLER CHRYSLER CORPORATI 05WC005739 -C 05WC005740 -C DAIMLER CHRYSLER CORPORATI 07WC029633 -C 2 07WC 26057 MIRACLE, MARIE EYEMART EXPRESS INC 04/27/07 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 3 07WC 28559 KOSTKIEWICZ, PAWEL SEA BRIGHT INSURANCE 06/11/07 MINKOW DOMIN LITCHFIELD CAVO 4 07WC 37748 JONES, DEAN NICOR GAS 06/09/07 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 07WC037749 -C 07WC048432 -C 5 07WC 47019 ROBIN, KIMBERLY GENERAL MILLS, INC. 09/25/07 GESMER LAW OFFICES, PC PAUL A COGHLAN & ASSOC 6 08WC 10425 TAYLOR, PAULA ST OF IL - IDFPR-DPR @ 12/04/07 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 11WC009621 -C STATE OF ILLINOIS 7 08WC 46058 DIAZ, IMILDA G DANAHER MOTION 03/04/08 BLACK & JONES GILDEA & COGHLAN 8 09WC 38391 BURNELL, DAVIS S & S CARTAGE 10/11/08 BLACK, JIM LAW OFFICE HINSHAW & CULBERTSON 9 09WC 52126 CHEMELLO, JUDY CRUSANDER CLINIC 08/01/09 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 09WC052127 -C 09WC052128 -C 09WC052129 -C 10 10WC 03147 GUETTERMAN, GABRIELLA CHRYSLER LLC 12/01/09 KRETMAR BEATTY & SANDZA WIEDNER & MCAULIFFE LTD 11 11WC 20798 JOHNSON, PAUL R L LEEK 04/30/11 BLACK & JONES CHILTON YAMBERT PORTER LLP 12 11WC 22921 HIGLEY, ANGELA WALMART 1955 03/27/11 DAVID W MARTAY QUINTAIROS PRIETO WOOD & BOY 13 11WC 27138 HOWELL, MELODIE S GENERAL MILLS, GREEN GIAN 10/21/10 GREG TUITE & ASSOC PAUL A COGHLAN & ASSOC 14 11WC 33709 KRIGBAUM, KERRY CONCRETE SYSTEMS INC 08/03/11 ALEKSY BELCHER WIEDNER & MCAULIFFE LTD 15 12WC 02773 SMITH, MICHAEL CHEM TOOL INC 09/20/11 JOHN S. ELIASIK LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 12WC 03606 MURPHY, BRIANNA CHRYSLER LLC 01/20/11 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 17 12WC 04955 BOWGREN, JERRY DAVID HEEREN TRUCKING 11/24/11 COLLISON LAW OFFICES GILDEA & COGHLAN 18 12WC 07220 CUMBA, MARIBELLE JAC BELVIDERE CROSSLINK A 02/03/12 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 15WC026858 -C IAC BELVIDERE CROSSLINK 15WC026859 -C 17WC011558 -C IAC BELVIDERE CROSSLINK AK 19 12WC 11534 DOWNING, JEFFREY A FREEPORT METAL SPECIALTIE 03/09/11 GREG TUITE & ASSOC BRADY CONNOLLY & MASUDA PC 20 12WC 12635 NACHAMPASSACK, KINGKAMONE TESTORS CORPORATION 03/01/11 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 21 12WC 12636 NACHAMPASSACK, KINGKAMONE TESTORS CORPORATION 01/18/11 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 22 12WC 13666 MINARDI, ANTHONY R CARDINAL GLASS COMPANY 03/15/12 GREG TUITE & ASSOC ROBERT L. SMITH 13WC017675 -C 23 12WC 14372 SHEPPARD, DAVID SAS INC 08/26/11 ANKIN LAW OFFICE HENNESSY & ROACH PC 24 12WC 22756 LAMB, JANICE G CHRYSLER GROUP LLC 05/14/12 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 25 12WC 23178 SCHROEDER, GEOFF CHRYSLER LLC 05/31/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 26 12WC 24517 DAVIS, GERALD T STERLING COMMERCIAL ROOFI 06/04/12 CACCIATORE, WILLIAM T PAUL A COGHLAN & ASSOC 27 12WC 26445 MYHRE, JEANNE CHRYSLER LLC 05/09/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 16WC034036 -C FCA US LLC 28 12WC 26637 GREEN, THERESA ETNYRE 05/02/12 BLACK & JONES CLARK FROST 29 12WC 29417 MACAULAY, YVONNE BERNER FOOD & BEVERAGE 04/12/12 THOMAS J STIBERTH LAW OFFI CAPUANI, FRANK S 12WC036465 -C 30 12WC 29744 BOHLMAN, PAMELA FIRST STUDENT A/K/A FIRST 03/06/12 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 12WC 35294 RUSSELL, STEVE STATE OF ILLINOIS/DORS @ 08/31/12 BLACK & JONES JORDAN FRANK 32 12WC 35981 THORNTON, DEBORAH CHRYSLER, LLC 09/01/12 BLACK & JONES WIEDNER & MCAULIFFE LTD 12WC035982 -C 14WC020121 -C 33 12WC 41919 EGELSTON, SCOTT J.B. HUNT 09/14/10 BLACK & JONES COZZI & GOGGIN-WARD 34 13WC 00712 CARRILLO, KELLI LUMEA STAFFING 12/19/09 BLACK & JONES 35 13WC 03576 PATTERSON, JASON CAMRYN INDUSTRIES 10/19/12 BLACK & JONES HENNESSY & ROACH PC 36 13WC 04422 LAMB, JANICE G CHRYSLER GROUP, LLC 09/28/12 GREG TUITE & ASSOC 37 13WC 06240 HITCH, TINA GENERAL MILLS 01/15/13 BLACK & JONES PAUL A COGHLAN & ASSOC 38 13WC 11687 JACOBS, PAUL CHRYSLER ASSEMBLY PLANT 01/30/13 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 39 13WC 13504 WAWIORKO, ELIZABETH CHRYSLER LLC 11/01/12 BLACK & JONES WIEDNER & MCAULIFFE LTD 40 13WC 16325 HULTQUIST, RICHARD L ED TRNYRE & CO 01/01/11 BLACK & JONES CLARK FROST 41 13WC 17587 DIAZ, IMILDA G DANAHER MOTION 03/04/08 BLACK & JONES GILDEA & COGHLAN 42 13WC 22468 ROSKOPP, ELLEN J MC DONALDS CORP 05/11/13 GREG TUITE & ASSOC NYHAN BAMBRICK KINZIE & LOWR 43 13WC 22899 KINGPHAVONG, PHANOMPHONE TESTORS CORPORATION 02/12/13 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 44 13WC 23574 NAVARRO, FRANCISO MEYERS INDUSTRIES INC 07/15/13 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 13WC023575 -C 45 13WC 26784 MAFFEI, CARMELLA SWEDISH AMERICAN HOSPITAL 12/18/12 BLACK & JONES 46 13WC 29206 MELTON, ANTHONY DOUBLE A ROOFING W 11/04/12 BLACK & JONES 47 13WC 31344 WAINWRIGHT, DAVID CELLUSUEDE PRODUCTS 04/01/12 BLACK & JONES GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 13WC 33061 HOYLE, NANCY SWEDISH AMERICAN MEDICAL 03/04/11 BLACK & JONES WILLIAMS MCCARTHY LLP 49 13WC 36237 GOMEZ, MARCO PETERSON CLEANING 11/27/12 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 50 13WC 37157 ROGERS, ANTHONY JR CHRYSLER LLC 10/12/12 KATZ FRIEDMAN EAGLE ET AL 51 13WC 40593 GUTIERREZ, ZENON AUSTIN-WESTRAN 05/20/13 ANESI OZMON RODIN NOVAK KO RIPES NELSON BAGGOT KALOBRAT 14WC029921 -C 52 13WC 42632 DELEHANTY, GENE TH FOODS 12/12/13 FRANCINE B WHITE HOLECEK & ASSOCIATES 53 14WC 01246 SELL, BARBARA WALMART SUPERCENTER 07/21/13 CLARK FROST WIEDNER & MCAULIFFE LTD 54 14WC 01497 BILJESKOVIC, LUKA ZENITH CUTTER 12/19/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 55 14WC 06990 SOLORIO, MARIA G COURTYARD BY MARRIOTT 12/20/13 AIOSSA LAW FIRM GANAN & SHAPIRO 56 14WC 07062 ROGERS, REGINA ENTERPRISE RENT-A-CENTER 08/06/13 INMAN & FITZGIBBONS 57 14WC 07333 LUNDSTROM, JEFF HILDEN REMODELING 09/13/13 BLACK & JONES 58 14WC 08786 LANDWEHR, TERRACE L ARK LOGISTICS 05/29/13 TAMVAKIS, GEORGE L NYHAN BAMBRICK KINZIE & LOWR 59 14WC 10840 VERMIE, JOHN A AMERICAN MACHINE & ASSE 11/07/13 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 60 14WC 13274 MYERS, JUDY WINNEBAGO COUNTY HWY DEPT 12/01/13 BLACK & JONES 61 14WC 13275 MYERS, JUDY WINNEBAGO COUNTY HIGHWAY 02/25/14 BLACK & JONES 62 14WC 16768 CASINGER, GERALD WARSHAWSKY MUFFLER 03/21/14 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 63 14WC 19098 COOK, BRADLEY DEMUTH STEEL PRODUCTS 01/30/14 GREG TUITE & ASSOC QUINTAIROS PRIETO WOOD & BOY 14WC019099 -C 15WC033712 -C 64 14WC 19733 NGUYEN, HA HAMILTON SUNDSTRAND 06/01/11 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 65 14WC 20122 THORNTON, DEBORAH CHRYSLER CORP 06/17/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 66 14WC 20191 LINN, BRIGITTE ASTA CARE CENTER OF ROCKF W 05/25/14 FOHRMAN, DONALD W & ASSOCS 67 14WC 20766 PRINCE, LARRY SEIMENS 03/12/14 RIDGE & DOWNES LLC HOLECEK & ASSOCIATES 68 14WC 23671 TILLMAN, THOMAS CHRYSLER 11/26/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 15WC020568 -C 69 14WC 26695 HEITTER, CARLA J CITY OF ROCKFORD 05/01/14 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 14WC037749 -C 70 14WC 28487 PETERSON, RICHARD G COMCAST CABLEVISION 01/02/14 REESE & REESE POWER & CRONIN LTD 14WC038348 -C 15WC017127 -C 15WC038083 -C 71 14WC 29387 ORR, KIMBERLY ROCKFORD SCHOOL 01/01/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 72 14WC 29850 HALL, JOHN J CITY OF ROCKFORD 08/17/14 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 16WC024346 -C 73 14WC 33731 BAUMAN, MICHAEL D CITY OF ROCKFORD 03/05/14 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 16WC003687 -C 74 14WC 34757 MARTINEZ, REUBEN JOHN D AMERICAN DREAM HOME INC. 08/29/14 MARTIN V KUGIA COZZI & GOGGIN-WARD 75 14WC 35557 AUSTIN, KELANI OSF HOME CARE 08/18/14 BLACK & JONES HINSHAW & CULBERTSON 76 14WC 35710 PEARSON, KELLY CHRYSLER CORP 09/04/14 BLACK & JONES WILLIAMS MCCARTHY LLP 77 14WC 37054 HOWARD, TRACY JOSEPH JAMES PARTNERS 11/30/13 BLACK & JONES LEAHY EISENBERG & FRAENKEL 78 14WC 37598 MATLOCK, CHAROLETTE S WINNEBAGO COUNTY 07/25/14 O'CONNOR & NAKOS WILLIAMS MCCARTHY LLP 79 14WC 37704 HERNANDEZ, SALVADOR ARCHITECTURAL METALS LLC 08/02/13 GREG TUITE & ASSOC BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 14WC 39510 FLETCHER, JAMES WINNEBAGO COUNTY HIGHWAY 09/19/13 BLACK & JONES WILLIAMS MCCARTHY LLP 81 14WC 40334 WILSON, ROSE FIRST STUDENT 02/11/14 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 15WC018767 -C 16WC032662 -C 82 14WC 40554 JOHNSON, JAMES A PER MAR SECURITY 10/20/14 ANESI OZMON RODIN NOVAK KO COZZI & GOGGIN-WARD 83 14WC 40918 SMITH, DONALD L ACCUMENT GLOBAL TECHNOLOG 11/07/14 BLACK & JONES GAROFALO SCHREIBER STORM 84 14WC 41728 WALKER, BRITTANY CHRYSLER LLC 02/10/14 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 85 14WC 42485 HOLMES, JAMES IAC BELVIDERE CROSSLINK A 11/13/14 86 14WC 42688 TORIBIO, ALEJANDRO JAN CORTEZ/JC REMODELING W 10/22/14 BLACK & JONES 87 15WC 00031 STAMLER, CORA MENARDS 01/10/14 BLACK & JONES CHILTON YAMBERT PORTER LLP 88 15WC 00032 GRAMMER, TYLER CATCH THE WAVE 10/29/14 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 89 15WC 01086 ROSINSKI, ARTHUR F CHRYSLER GROUP LLC 01/15/12 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 90 15WC 01096 LUPONT, CYNTHIA M WOODWARD INC 05/28/13 CACCIATORE, WILLIAM T HINSHAW & CULBERTSON 91 15WC 01297 MURPHY, BRIANNA CHRYSLER LLC 12/05/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 92 15WC 01838 WRIGHT, WALTER MAHONEY ENVIRONMENT 12/18/14 PETER F FERRACUTI & ASSOCI LITCHFIELD CAVO 93 15WC 03095 HELTION, CHARLES CHRYSLER LLC 01/12/15 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 94 15WC 03281 MCLESTER, LARRY E CHRYSLER CORP 11/12/14 GREG TUITE & ASSOC WILLIAMS MCCARTHY LLP 95 15WC 04342 GLORIA, JOSEPH WALMAR C/O CLAIMS MANAGEM 02/08/14 POLANSKY & CICHON CHTD QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 96 15WC 06273 ALKHUZAI, MOHAMMAD JENA TRANSPORTATION 01/26/15 97 15WC 07510 CONRO, SUSAN M FAMILY DOLLAR STORES OF I 02/15/09 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 15WC007889 -C 17WC017037 -C 98 15WC 09360 CUEVAS, LUIS ROGERS BROTHERS INC 02/25/15 BLACK & JONES HOLECEK & ASSOCIATES 99 15WC 09735 BEAMUS, PAMELA CHRYSLER CORP. 01/19/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 15WC034471 -C 16WC004131 -C FCA US LLC 16WC004132 -C 16WC016894 -C FCA US LLC 100 15WC 10945 CARLBORG, BRIAN AT&T 09/08/14 CAPRON & AVGERINOS PC 101 15WC 11500 WILLIAMS, ROBERT DON HANNEMANN 05/31/14 LAWFIRST 102 15WC 12564 KLOEPPING, MARK WOODS EQUIPMENT CO 08/01/13 PIGNATELLI & ASSOCIATES COZZI & GOGGIN-WARD 103 15WC 12962 TAYLOR, SHERI CHRYSLER CORP 09/01/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 104 15WC 14196 RUDOLPH, BRENDA CHEMTOOL INC 01/26/15 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 105 15WC 14333 AVILA, RODRIGO R & D THIEL INC 02/17/15 GALLIANI DOELL & COZZI LTD WIEDNER & MCAULIFFE LTD 106 15WC 14631 JENSEN, STEVEN R UPS 12/27/14 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 107 15WC 15444 LEE, BRIAN AUTO RELEASING INC 02/09/15 CLARK FROST KNAPP, OHL & GREEN 15WC035077 -C 17WC025543 -C 17WC038026 -C 108 15WC 15536 BOYLE, RICHARD D SR WALMART SUPERCENTER 03/22/15 REESE & REESE QUINTAIROS PRIETO WOOD & BOY 109 15WC 15735 DAVIS, TIMOTHY AMERICOLD LOGISTICS 09/13/13 GESMER LAW OFFICES, PC HENNESSY & ROACH PC 110 15WC 16691 DREWS, LEE CHRYSLER, LLC 01/05/15 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 111 15WC 16834 DEMARS, KENNETH JR THREE HAMMER CONSTRUCTION 09/01/13 BRADY CONNOLLY & MASUDA PC 112 15WC 17938 HOTLOVAC, MURIS ROCKNELL FASTENERS 05/16/15 GESMER & REYNOLDS PC INMAN & FITZGIBBONS 113 15WC 18056 UTRZAN, ERMINA TAYLOR FREEZER 12/06/14 REESE & REESE MACIOROWSKI SACKMANN & ULRIC 114 15WC 18308 OLSON, MICHAEL M. DIZZY DOGG INDUSTRIES 07/30/14 RODDY LAW LTD 115 15WC 18311 FLETCHER, JAMES WINNEBAGO COUNTY HWY DEPT 10/28/14 BLACK & JONES WILLIAMS MCCARTHY LLP 116 15WC 18317 BEARD, ERNEST MONDELEZ INTERNATIONAL 11/01/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 117 15WC 18443 MELENAS, TONDA OSF SAINT ANTHONY 01/10/14 GESMER & REYNOLDS PC HINSHAW & CULBERTSON 15WC030498 -C 15WC030499 -C 118 15WC 20853 MCKEE, KARA SECRETARY STATE OF ILLINO @ 05/20/15 BLACK & JONES ASSISTANT ATTORNEY GENERAL 119 15WC 22576 SHORES, KEVIN SPG INTERNATIONAL LLC 07/01/12 BLACK & JONES LAW OFFICES FRANCESCA LARSEN 120 15WC 22616 ARAND-CROWE, JOAN M VAN MATRE HEALTHSOUTH 03/25/15 BARRICK SWITZER LONG ET AL SPIEGEL & CAHILL, PC 121 15WC 22756 GUTHRIE, KENNETH J SYNCREON 03/24/15 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 122 15WC 23574 AURAND, JEFF DOT FOODS 07/17/14 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 123 15WC 23583 LANEGRAFF, EDWARD KOJA CONSTRUCTION 02/04/15 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 124 15WC 24636 BECK, KAITLYN DAIRY QUEEN 04/03/15 GOLDBERG WEISMAN & CAIRO L BARRICK SWITZER LONG ET AL 125 15WC 25039 JONES, KATHY DO IT BEST 06/05/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 126 15WC 25543 FIEDLER, LORI WOODWARD GOVERNOR 11/04/14 MARKS INJURY LAW HINSHAW & CULBERTSON 127 15WC 25668 MORRISSEY, WILLIAM R JOSEPH A MORRISSEY &ASSOC 03/13/15 GESMER LAW OFFICES, PC GANAN & SHAPIRO 128 15WC 26521 PICKETT, RICK HENNIG 09/17/12 BLACK & JONES CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 129 15WC 26558 WESLEY, FELICIA DANFOSS DRIVES 07/15/12 BLACK & JONES 130 15WC 27540 CARRISON, JOHN W ACCURATE CNC MACHING INC 06/22/15 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 131 15WC 28494 QUIMBY, DAVID HOLLAND MOTOR EXPRESS 07/27/15 BLACK & JONES HENNESSY & ROACH PC 132 15WC 28561 MCGUIRE, CHARLES L ROCKFORD BOARD OF EDUCATI 06/19/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 133 15WC 28716 MORRISON, TINA M CIMINOS PIZZA RESTAURANT 04/17/15 REESE & REESE HENNESSY & ROACH PC 134 15WC 29480 MEADOWS, CARLA PRESENCE COR MARIAE 06/25/15 FRIEDMAN & SOLMOR LTD KEEFE CAMPBELL & ASSOC LLC 15WC029481 -C 135 15WC 31285 WASHINGTON, JESSE CITY OF ROCKFORD 07/28/10 THOMAS L NASH PC HEYL ROYSTER VOELKER & ALLEN 136 15WC 31875 CAREY, KEITH W CINTAS CORPORATION 01/13/15 GREG TUITE & ASSOC POWER & CRONIN LTD 137 15WC 33734 PRINNER, BROCK BLAINS'S FARM & FLEET 08/20/15 BLACK & JONES WOLFE & JACOBSON, LTD 138 15WC 33943 REDMOND, PATRICK TH FOODS 01/06/15 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 139 15WC 34397 ROFFERS, MONICA (WIDOW OF HAGEMANN TRUCKING LLC # 07/14/15 JAMES M KELLY 140 15WC 34711 MELENDEZ, BARBARA A ALPINE BANK 04/16/14 FRANCINE B WHITE HOLECEK & ASSOCIATES 15WC034712 -C 15WC034713 -C 141 15WC 34855 SMALLWOOD, GREGORY S IPSEN INTERNATIONAL INCOR 06/22/15 GREG TUITE & ASSOC GAROFALO SCHREIBER STORM 142 15WC 34870 FLOERKE, RAYMOND MORING DISPOSAL 08/07/15 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 143 15WC 34908 CONCHAS, MARIA ARAMARK UNIFORM SERVICES 10/06/15 BLACK & JONES INMAN & FITZGIBBONS 16WC015913 -C 16WC019945 -C 16WC019946 -C 144 15WC 35019 ALLEN, LAURELL K CHRYSLER 02/12/15 MARTIN V KUGIA WILLIAMS MCCARTHY LLP 15WC035020 -C 15WC035022 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 145 15WC 35090 REYES, ANA NORTHERN PRECISION PLASTI 04/21/15 BLACK & JONES 146 15WC 35270 SHULL, RYAN SYNCREON 01/07/15 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 147 15WC 35652 KLOSOWSKI, KARL J HIGHLAND PARK CVS, LLC 08/05/15 CACCIATORE, WILLIAM T HINSHAW & CULBERTSON 148 15WC 37805 MORRIS, BRAD ADVANCE AUTO PARTS 05/19/14 BLACK & JONES 149 15WC 39325 SPEARMAN, SAMMIE STPHENSON NURSING HOME 11/15/15 BLACK & JONES INMAN & FITZGIBBONS 150 15WC 41808 STREIT, KEVIN A MONDELEZ GLOBAL LLC 10/16/14 GREG TUITE & ASSOC 151 15WC 41980 O'CONNOR, MICHAEL SOUTHERN WINE & SPIRITS 10/14/15 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 152 16WC 00276 WALLACE, RONALD JR ED ENTYRE 11/24/15 BLACK & JONES CLARK FROST 153 16WC 01426 MUSSO, PENNY WALGREENS 09/07/15 BLACK & JONES GILDEA & COGHLAN 16WC016898 -C 154 16WC 01452 ROMAN, LORENA GRUPO ANTOLIN 10/22/15 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 155 16WC 03054 MEAD, WILLIAM JR. SJOSTROM & SONS 10/31/13 HEYL ROYSTER VOELKER & ALLEN 156 16WC 03501 ADAMS, ANGEL SYNCREON 10/29/15 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 157 16WC 04137 NIGHSWONGER, STEVEN TAYLOR COMPANY 12/11/15 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 158 16WC 05656 DIEHL, DAN L STATE OF IL DEPT OF TRANS @ 01/27/14 TUITE LAW ASSISTANT ATTY GENERAL 159 16WC 07471 JORDAN, TIARA DASCO PRO 02/29/16 BLACK & JONES WOLFE & JACOBSON, LTD 160 16WC 09322 DAVIS, TIMOTHY AMERICOLD LOGISTICS 02/24/16 GESMER LAW OFFICES, PC HENNESSY & ROACH PC 161 16WC 09340 CARTWRIGHT, JOHNATHAN UTC AEROSPACE SYSTEMS 12/30/15 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 162 16WC 09526 LEVSON, MARY SEPTRAN, INC. 01/04/16 HORWITZ HORWITZ & ASSOC ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 163 16WC 09569 ARNOLD, BETTY ACOSTA SALES AND MARKETIN 08/15/14 CACCIATORE, WILLIAM T GAROFALO SCHREIBER STORM 164 16WC 09573 NAYONIS, MICHAEL WOODWARD GOVERNOR CO 07/08/04 BLACK & JONES HINSHAW & CULBERTSON 16WC009574 -C 165 16WC 09764 UTRZAN, ERMINA TAYLOR FREEZER 03/15/16 REESE & REESE MACIOROWSKI SACKMANN & ULRIC 166 16WC 09803 LARA MONTENEGRO, LORENZO ESTWING MANUFACTURING COM 02/26/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 167 16WC 10879 SHARP, MICHAEL J. MILESTONE, INC. 12/01/15 TUITE LAW ACCIDENT FUND HOLDINGS 168 16WC 11058 ZUNIGA, FRANCISCA CHRYSLER CORP 01/15/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 169 16WC 11140 VEGA, REBECCA FCA USA, INC 01/21/16 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 170 16WC 11211 SPRAY, JOHN D BURKHART TRUCKING INC 03/23/16 BARRICK SWITZER LONG ET AL JAMES M KELLY 171 16WC 11386 BERUMEN, TERESA ANDROID BELVIDERE LL 07/03/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 16WC011387 -C 16WC011388 -C 16WC014469 -C 172 16WC 12529 LEWIS, MARK FCA US LLC 07/03/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 173 16WC 12930 BACON, GEANETTE CHRYSLER DIVISION FCA US 06/26/15 RICHARD O. GREENFIELD WIEDNER & MCAULIFFE LTD 174 16WC 13576 MITCHELL, JEREMY THOMAS PAGE W 12/27/15 BLACK & JONES 175 16WC 15624 FAVRETTO, WILLIAM ROCKFORD MASS TRANSIT 04/13/16 WHITESIDE & GOLDBERG LTD 176 16WC 15747 REYES, MARGARITA TH FOODS, INC. 07/07/15 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 177 16WC 15777 VOGEL, MARC CBI/STONE & WEBSTER 04/12/16 ELFENBAUM EVERS & AMARILIO RIPES NELSON BAGGOT KALOBRAT 178 16WC 15939 TREVINO, GONZALO (DECEASE WASTE CONNECTIONS # 04/28/16 THOMPSON, ROBERT J SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 179 16WC 16180 BRINKMEYER, WESLEYAN CENTRAL RUBBER COMPANY 05/16/16 RIDGE & DOWNES MC ANDREWS & NORGLE LLC 180 16WC 16487 GUZMAN, JOSE ROCK RIVER DISPOSAL 11/06/15 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 16WC016488 -C 181 16WC 16495 SMITH, JAMES D EXEL LOGISTICS 08/12/15 BLACK & JONES HENNESSY & ROACH PC 16WC016496 -C 16WC016497 -C HAGEMANN TRUCKING LLC 182 16WC 16642 PROSIO, EUGENE AMERICAN ALUMINUM EXTRUSI 03/18/16 GESMER & REYNOLDS PC RIPES NELSON BAGGOT KALOBRAT 183 16WC 16777 MERCER, TOMMY GCA SERVICES GROUP 05/12/16 GESMER LAW OFFICES, PC ASA LAW GROUP 16WC016778 -C 16WC016779 -C 16WC016780 -C 184 16WC 17270 ZACKERY, FARREN ROCK RIVER DISPOSAL 02/08/16 PETER D CORTI LAW GROUP BRADY CONNOLLY & MASUDA PC 185 16WC 17397 BYL, ROSE PECATONICA SCHOOL DISTRIC 02/24/15 BLACK & JONES RODDY LAW LTD 186 16WC 17665 HASSAN, MOHAMMED IAC BELVIDERE LLC 05/23/14 TUITE LAW 187 16WC 17676 CLAYTON, ELONDRIO PEOPLE LINK STAFFING SOLU 12/16/15 MARKS & ASSOCIATES WOLF LAW LTD 188 16WC 19400 CLARK, LISA ROCK VALLEY COLLEGE 09/03/14 TUITE LAW COZZI & GOGGIN-WARD 189 16WC 19591 PETERSEN, DONALD OSF ST ANTHONY MEDICAL CE 03/13/16 BLACK & JONES 190 16WC 19931 ZACCARD, DANIEL R CITY OF ROCKFORD FIRE DEP 04/29/16 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 191 16WC 20017 MCINTOSH, VINCENT THIESEN MASONRY 10/15/15 BLACK & JONES BRADY CONNOLLY & MASUDA PC 192 16WC 20151 MACIEL, YAYA J SLIDEMATIC PRECISION COMP 02/11/16 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK 193 16WC 20229 JONES, CHRISTOPHER ROCK RIVER DISPOSAL 07/22/13 D. RICHARD HAIME 194 16WC 20728 HUERTA, JOSE EVERGREEN IRRIGATION 05/24/16 GESMER & REYNOLDS PC CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 195 16WC 20879 HILTON, TIMOTHY WINNEBEGO CO, HIGHWAY DEP 12/19/15 REESE & REESE 196 16WC 21252 BAUMAN, MICHAEL D CITY OF ROCKFORD 04/02/16 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 197 16WC 21644 MAY, GERALD J INT'L AUTOMOTIVE COMPONEN 05/04/15 GANAN & SHAPIRO 198 16WC 21826 DAUGHERTY, JENNIFER BERGSTROM MFG CO 04/01/16 BLACK & JONES WOLFE & JACOBSON, LTD 199 16WC 21842 MAY, GERALD J INT'L AUTOMOTIVE COMPONEN 09/07/15 GANAN & SHAPIRO 200 16WC 22497 LEMBKE, JAMES MCDERMAID 08/11/14 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 201 16WC 22570 PENA, JESUS ROCKNEL FASTENERS, INC 04/18/16 BLACK & JONES INMAN & FITZGIBBONS 202 16WC 23733 ANDRADE, CONCEPCION LAWNCARE BY WALTER 06/10/16 O'CONNOR & NAKOS RIPES NELSON BAGGOT KALOBRAT 203 16WC 24038 JENSEN, STEVEN R UPS 04/16/15 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 204 16WC 24069 BROWN, EDITH TESTORS 07/12/16 BLACK & JONES 205 16WC 24377 RAINWATER, ALAN UTC AEROSPACE SYSTEMS 12/23/14 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 206 16WC 24494 BISHOP, KEVIN SEWARD SCREW PRODUCTS, IN 09/16/15 HANSON LAW OFFICE 207 16WC 24610 RILEY-STEELE, MELENDY FCA US LLC 10/07/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 208 16WC 26227 THOMAS, LUTHER SYNCREON 05/03/16 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 209 16WC 27022 MCWETHY, TANYA INTERNATIONAL AUTOMOTIC 02/07/14 STRONG LAW OFFICE GANAN & SHAPIRO 16WC027028 -C 16WC027029 -C 210 16WC 27242 19B WACKER, CARRIE B. ILLINOIS STATE TOLL @ 04/26/16 TUITE LAW GANAN & SHAPIRO 18WC011134 -C 211 16WC 27551 MIXON, TINA PAACAR PARTS 06/23/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 16WC 27755 NICOLAI, CHRISTOPHER LEMFCO 09/08/16 HENNESSEY LAW FIRM 213 16WC 28107 JACKSON, YVONNE HONEYWELL PLANT 04/15/16 BLACK & JONES RODDY LAW LTD 214 16WC 28857 RODRIGUEZ, EMILIO JR FCA US 12/11/15 HORWITZ HORWITZ & ASSOC WILLIAMS MCCARTHY LLP 215 16WC 29086 KIDD, SUSAN WOODWARD INC 10/27/15 GESMER & REYNOLDS PC HINSHAW & CULBERTSON 216 16WC 30034 BADER, KRISTIE UTC AEROSPACE SYSTEMS 04/19/16 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 217 16WC 30050 THOME, TIMOTHY BLAIN'S FARM & FLEET 09/03/16 218 16WC 30164 CREASY, JANICE SALONCENTRIC 06/30/15 GESMER & REYNOLDS PC HENNESSY & ROACH PC 219 16WC 30203 MORAZA, YUBICELA WAL-MART ASSOCIATES INC 08/28/16 CIARDELLI CUMMINGS CAMPAGN QUINTAIROS PRIETO WOOD & BOY 220 16WC 30391 BOURQUIN, CORY JO DAVIESS COUNTY HWY DEP 07/26/16 STRONG LAW OFFICE INMAN & FITZGIBBONS 221 16WC 30432 ZACKERY, FARREN ROCK RIVER DISPOSAL 08/30/16 PETER D CORTI LAW GROUP BRADY CONNOLLY & MASUDA PC 222 16WC 30522 PETSCH, JOSEPH LANE'S AUTO SERVICE, INC 03/17/16 GESMER & REYNOLDS PC 223 16WC 30751 PRESENDA, JAVIER NORTHWEST PALLET SUPPLY 06/17/14 RUBIN MACHADO ROSENBLUM 224 16WC 31046 MARTIN DUANAWAY C/O DURAND SCHOOL DISTRICT 08/29/16 BLACK & JONES GAROFALO SCHREIBER STORM 225 16WC 31460 WAWIORKO, ELIZABETH FCA US LLC 08/06/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 226 16WC 31572 MACKENZIE, THERESA C PACKAGING COORDINATORS, I 09/15/16 TUITE LAW JOSEPH MARCINIAK 227 16WC 31593 KUNTZ, JENNY NORTH AMERICAN TOOL CORP 05/24/16 DERANGO & CAIN HOLECEK & ASSOCIATES 228 16WC 31901 MUSSER, MARJORIE K KOLB-LENA, INC 10/20/13 TUITE LAW KEEFE CAMPBELL & ASSOC LLC 16WC038115 -C 229 16WC 31978 EDGREN-EARLE, DIETTA M GENERAL MILLS, INC. 08/06/16 TUITE LAW PAUL A COGHLAN & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 16WC 32240 KADHIM, SALAM LOWES 04/04/16 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 231 16WC 32909 HIRTH, COLE M REGAL PRODUCTS 02/13/15 FRANCINE B WHITE PERRY GENTILE 232 16WC 33352 WISDOM, DENNIS SCHNUCKS 09/06/16 BROWN & BROWN 233 16WC 33905 JONES, DANIELLE D FCA US LLC 09/13/16 TUITE LAW WIEDNER & MCAULIFFE LTD 234 16WC 34127 DONEGAN, DELOREAN WALMART SUPERCENTER 06/06/16 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 235 16WC 34224 DIBBIN, EDWARD WINNEGAGO COUNTY 03/19/15 GOTTREICH & GRACE 236 16WC 34269 SMITH, KEITH FCA US LLC 04/11/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 237 16WC 34271 CHIPMAN, PAMELA GE AVIATION AIR 03/10/16 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 238 16WC 35351 TAYLOR, TED BLOUNT INTERNATIONAL INC 08/02/16 SHAW, ROBERT J 239 16WC 36652 NELSON, CYNTHIA ALPINE BANK & TRUST CO 06/04/16 BLACK & JONES HOLECEK & ASSOCIATES 240 16WC 36935 THATCHER, JOHNNY M FCA US LLC 06/27/16 TUITE LAW WIEDNER & MCAULIFFE LTD 241 16WC 37055 HUBER, CYNTHIA ROCKFORD PUBLIC SCHOOL 02/18/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 242 16WC 37130 SIVERIO, EWA K WAL-MART STORES, INC. 11/23/15 TUITE LAW QUINTAIROS PRIETO WOOD & BOY 243 16WC 37379 MCMUNN, DAVID THE CALDWELL GROUP 02/23/16 BLACK & JONES HOLECEK & ASSOCIATES 244 16WC 37600 RAMSEY, DEBRA FAIR OAKS REHABILITATION 12/09/16 MC HARGUE & JONES 245 16WC 37774 PEREIRA, THERESA M FIAT CHRYSLER 08/12/16 DOUGLAS RALLO PC WIEDNER & MCAULIFFE LTD 17WC007781 -C 246 16WC 37799 LOGAN, JAMES IMAGE PROS ASPHALT MAINTE 11/10/15 BLACK & JONES CHILTON YAMBERT PORTER LLP 247 16WC 37856 JONES, ROBERT ACCURIDE CORP DBA GUNITE 07/01/16 LAWFIRST RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 16WC 37972 KESSEL, BARBARA ETNYRE INTERNATIONAL LIMT 11/28/16 CAPRON & AVGERINOS PC CLARK FROST 249 16WC 38518 SALGADO, CELIA BELTWAY HOSPITALITY LLC D 09/13/16 TUITE LAW 250 16WC 38616 BOWERS, JOHN PEPSI-COLA OF ROCKFORD 08/01/13 BLACK & JONES WOLFE & JACOBSON, LTD 251 16WC 38900 ROJAS, EFRAIN SWENSON SPREADER 10/05/16 BLACK & JONES GRANT & FANNING 252 16WC 39367 RIOS, LUIS LC AUTO SALES W 11/08/16 MC HARGUE & JONES VELLA & LUND 253 16WC 39434 NEWLAND, MARCY L ANDROID INDUSTRIES 07/26/16 ALEXANDER, PETER LTD. WIEDNER & MCAULIFFE LTD 254 17WC 00346 KOLLENG, MATTHEW SYSCO CORPORATION 11/08/16 GOLDBERG WEISMAN & CAIRO L 255 17WC 00529 VOLKEY, SHANE OAKLEY SUB ASSEMBLY 11/09/16 MARTIN V KUGIA 256 17WC 00614 GALARZA, SARAH C MACY'S RETAIL HOLDINGS IN 10/06/16 FRANKS, GERKIN & MCKENNA P ROBERT L. SMITH 257 17WC 01556 MANNING, LINDA CASEY'S GENERAL STORES, I 12/23/16 MAURICE E DUSKY PC 258 17WC 02176 RATFIELD, JERRY VENTRA PLASTICS 02/02/16 BLACK & JONES BRUCE WARREN 259 17WC 02298 MASON, GREGORY ILLINOIS BELL TELEPHONE C 10/31/16 DERANGO & CAIN INMAN & FITZGIBBONS 260 17WC 02313 GROGAN, JOHN SYNCREON 10/10/16 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 261 17WC 02348 WILSON, JACOB STRAIGHT SHOT EXPRESS 01/16/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 262 17WC 02522 ZIMMERMAN, KATHRINE VAN MATRE HEALTHSOUTH REH 07/29/16 BLACK & JONES SPIEGEL & CAHILL, PC 263 17WC 02638 HENRY, JODI SWEDISH AMERICAN HOSPITAL 11/07/16 BLACK & JONES WILLIAMS MCCARTHY LLP 264 17WC 02826 NAVA, RAQUEL VENTRA BELVIDERE LLC 11/01/16 TUITE LAW BRUCE WARREN 265 17WC 03739 COZZI, GARY T SOUTHERN CO FOMERLY NICAR 12/27/16 GALLIANI DOELL & COZZI LTD MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 266 17WC 03945 BARRERA, PASCUAL ANCO STEEL COMPANY, INC 05/12/16 KINNALLY FLAHERTY KRENTZ & 267 17WC 04231 MONTES, ROMELIA AMERICAN ALUMINUM EXTRUSI 02/01/16 JONATHAN SCHLACK RIPES NELSON BAGGOT KALOBRAT 268 17WC 04284 ENZENBACHER, DAVID FIAT CHRYSLER AUTOMOBILES 02/16/16 BART DURHAM WIEDNER & MCAULIFFE LTD 269 17WC 04750 CONTRERAS, ALEJANDRO RW DUNTEMAN CO 08/08/14 JONATHAN SCHLACK 270 17WC 05269 JONES, CHRISTINA COMPANION ANIMAL CLINIC 02/08/17 DWORKIN AND MACIARIELLO 271 17WC 05586 HARTLEY, BETH STOP-N-GO OF MADISON, INC 08/14/16 GESMER & REYNOLDS PC GANAN & SHAPIRO 272 17WC 05733 BLACKSHEAR, TOM J.P. ELECTRIC INC 02/13/17 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK 273 17WC 05876 FINK, JUDY, WIDOW OF VAN GALDER COACH USA # 01/22/17 MARKS INJURY LAW POULOS & DIBENEDETTO LAW 274 17WC 06083 WILLIAMS, EARL METRO STAFFING INCORPORAT 11/21/16 BRASSFIELD KRUEGER & RAMLO FRANCIS J DISCIPIO LAW OFFIC 275 17WC 06203 HAYES, JO ANN PARRIS ENTERPRISES INC. 05/17/16 TUITE LAW INMAN & FITZGIBBONS 276 17WC 06655 ROSE, DANIELS TARGET 09/30/16 ALEXANDER, PETER LTD. 277 17WC 07061 JONES, JERRY KENT FARMS INC 12/30/16 DWORKIN AND MACIARIELLO 278 17WC 07075 CHANCE, TINA LANDSTAR INWAY INC. 11/28/16 BLACK & JONES COZZI & GOGGIN-WARD 279 17WC 07117 CONGRAVE RUDE, CHENIN OSF ST ANTHONY MEDICAL CE 12/26/16 FRANCINE B WHITE HINSHAW & CULBERTSON 280 17WC 07880 MARONDE, JOSHUA HUGHES RESOURCES 02/24/17 BLACK & JONES SLAVIN & SLAVIN 281 17WC 07883 TIMMERMAN, MICHAEL PACCAR PARTS DIVISION 12/20/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 282 17WC 08145 SCOTT, MICHAELE UPS 02/01/17 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 283 17WC 08174 SIMPSON, WILMA D PINNACLE LOGISTICS 12/30/16 GESMER & REYNOLDS PC KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 17WC 08270 HORTON, RENEE L WILLOWGLEN ACADEMY-ILLINO 12/04/16 TUITE LAW ACCIDENT FUND HOLDINGS 285 17WC 08619 SEMINI, EDMOND MODERN PLATING CORP 07/06/15 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 286 17WC 08685 MYERS, STEVE THOMPSON'S TRANSMISSIONS 11/21/14 BLACK & JONES GILDEA & COGHLAN 287 17WC 08689 COLIZ, NOE ACCURATE METALS OF ILLNOI 02/20/17 BLACK & JONES CASSANO & ASSOCIATES 288 17WC 08728 STOVALL, BRENT ROCKFORD BOARD OF EDUCATI 01/24/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 289 17WC 09101 KASKE, JOSHUA MODERN ADVANCED MANUFACTU 12/08/15 KATZ FRIEDMAN EAGLE ET AL 290 17WC 09673 MENEFEE, DONALD D TITAN TIRE CORPORATION 01/25/16 HAUSER LAW LLC MICHAEL JASPER 291 17WC 09693 GANDER, JAMES ROCK ENERGY COOPERATIVE 12/22/16 DOUGLAS RALLO PC HEYL ROYSTER VOELKER & ALLEN 292 17WC 09697 ADRIAN, STUART YRC WORLDWIDE 11/07/16 BLACK & JONES 293 17WC 09896 LAMM, GINGER NEW MEDIA INVESTMENT GROU 02/22/17 CAPRON & AVGERINOS PC COZZI & GOGGIN-WARD 294 17WC 10114 MYLNE, MICHAEL NORTH SKYLINE MGMT 03/17/17 WOODRUFF & JOHNSON JOSEPH MARCINIAK 295 17WC 10298 MARONDE, CHRISTINA STATE OF ILLINOIS @ 11/14/16 GESMER LAW OFFICES, PC HELEN LOZANO 296 17WC 10422 HANSEN, DAVID UTC AEROSPACE SYSTEMS 03/13/17 GESMER & REYNOLDS PC MACIOROWSKI SACKMANN & ULRIC 297 17WC 10452 CRABTREE, CHERYL CLINTON CO 01/07/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 298 17WC 10598 JOHNSON, CHANTREL UDL LABORATORIES, INC 12/01/16 BLACK & JONES GRANT & FANNING 299 17WC 10725 HALLDEN, JAMES SR. KRAUTER FOREST PRODUCTS L 03/07/17 DERANGO & CAIN RODDY LAW LTD 300 17WC 10798 COOK, LLOYD K DOTY'S COLLISION CENTER 05/26/16 WARD MURRAY PACE & JOHNSON BRADY CONNOLLY & MASUDA PC 17WC035842 -C 17WC036485 -C 301 17WC 10964 SKELTON, RANDY DAGNON BUILDING AND ROOFI W 12/03/14 BLACK & JONES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 17WC 11055 HILL, PENNEY LOWES DISTRIBUTION CTR 04/20/16 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 303 17WC 11068 BLAZER, DONALD PTO SERVICES 03/07/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 304 17WC 11388 CARRISON, JOHN W RELIANCE STEEL & ALUMINIU 01/09/17 TUITE LAW POULOS & DIBENEDETTO LAW 305 17WC 11408 SANDOVAL, ROSIO QPS STAFFING SERVICES, IN 03/16/17 BLACK & JONES WOLFE & JACOBSON, LTD 306 17WC 11628 MCVAY, JORDAN BEHR IRON METAL 06/30/14 GESMER LAW OFFICES, PC 307 17WC 11655 DUYNE, MICHAEL MIDWEST PACKAGING & CONTA 04/03/17 NASH LAW OFFICE PC COZZI & GOGGIN-WARD 308 17WC 11739 GONZALEZ, ALICIA MAUH-NAH-TEE-SEE COUNTRY 07/01/16 CLARK CASTREJO LAW FIRM BRADY CONNOLLY & MASUDA PC 309 17WC 12126 LUX, CONSTANCE BON TON DISTRIBUTON CENTE 09/11/15 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 310 17WC 12274 MARQUEZ, YESENIA PCI 03/20/17 GESMER LAW OFFICES, PC JOSEPH MARCINIAK 17WC012510 -C 311 17WC 12520 HURLEY, SCOTT HURLEY'S GREEN ENVY LAWNS 08/18/16 CLARK FROST 312 17WC 12681 JOHNSON JR, LLOYD F GCA SERVICES GROUP INC 10/01/16 ROSS TYRRELL ASA LAW GROUP 313 17WC 12830 LUNDE, JACOB ROCKFORD SPECIALTIES CO 02/28/15 BLACK & JONES WOLFE & JACOBSON, LTD 314 17WC 12984 DAVENPORT, SEAN M LOU BACHRODT CHEVEROLET C 02/16/17 TUITE LAW 315 17WC 13136 MEADORS, ERIK J CITY OF LOVES PARK - 03/13/17 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 316 17WC 13197 HARRIS, NICHOLAS R FCA US LLC 06/01/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 317 17WC 13214 CASAZZA, MEREDITH BON TON STORES, INC 10/26/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 318 17WC 13482 KRAUS, SID EXELON CORP 05/20/16 BLACK & JONES RUSIN & MACIOROWSKI LTD 319 17WC 13667 OLSEN, KATHLEEN MARSHALLS 08/22/14 BLACK & JONES BRADY CONNOLLY & MASUDA PC 17WC013668 -C 320 17WC 14085 LABRIE, PIERRE-CEDRIC ROCKFORD ICE HOGS 03/20/16 FLOYD LAW FIRM 321 17WC 14095 FINK, MICHAEL SLIDEMATIC PRECISION 04/24/17 GESMER & REYNOLDS PC JOSEPH MARCINIAK 322 17WC 14361 BELMONTES, IVAN G DAYTON FREIGHT LINES, INC 04/28/17 TUITE LAW RUSIN & MACIOROWSKI LTD 323 17WC 14385 STILTNER, ROCKY GRANE TRANSPORTATION 04/05/17 EVAN A HUGHES LAW OFFICE LITCHFIELD CAVO 324 17WC 14677 MARTINEZ, LIZ M. ROCKFORD SD #205 05/09/17 REESE & REESE WIEDNER & MCAULIFFE LTD 325 17WC 14849 WILLIAMS, LAWRENCE BOONE COUNTY AUTO BODY 10/07/16 BLACK & JONES GANAN & SHAPIRO 326 17WC 15006 HARRISON, JOSEPH P COILCRAFT 01/03/17 PIGNATELLI & ASSOCIATES HENNESSY & ROACH PC 327 17WC 15387 HECOX, TABATHA L ITW SHAKEPROOF AUTOMOTIVE 03/03/17 BLACK & JONES HENNESSY & ROACH PC 328 17WC 15446 GEHRT, COLE IDOT @ 08/19/15 FRANCINE B WHITE HELEN LOZANO 329 17WC 15508 BRANT, KRISTINA NICAA HEAD START 03/29/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 330 17WC 15513 DULL, ROBERT SERTA MATTRESS CO 04/07/17 BLACK & JONES 17WC015514 -C 331 17WC 16263 WILKINS, JENNIFER KEITH COUNTRY DAY SCHOOL 10/02/09 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK 332 17WC 16491 BROWN, DEBORAH FCA US, LLC 07/14/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 333 17WC 16853 DUNDORE, LORETTA ROCKFORD PUBLIC SCHOOL 09/15/16 KATZ FRIEDMAN EAGLE ET AL 334 17WC 16860 SHEETS, MATTHEW UNITED PARCEL SERVICE 10/14/16 ROSS TYRRELL NYHAN BAMBRICK KINZIE & LOWR 335 17WC 16949 HAMMER, LAURA HARLEM SCHOOOL DISTRICT 05/12/17 BLACK & JONES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 17WC 17254 WOODS, CYNTHIA BOYLAN CATHOLIC HIGH SCHO 12/01/15 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 337 17WC 17368 CROFFOOT, CRAIG S STEPHENSON COUNTY SHERIFF 12/20/16 HAUSER LAW LLC INMAN & FITZGIBBONS 338 17WC 17740 PELLINI, MARK BYRON MOTOSPORTS PARK W 08/07/16 BLACK & JONES 339 17WC 17820 HERDT, EVON PCI PHARMA 05/31/17 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 340 17WC 17894 SWANSON, DEBORAH BON-TON DISTRIBUTION CENT 06/02/17 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 341 17WC 17949 WILBOURN, JOHN SNAK KING CORP 11/14/16 MARKS INJURY LAW COZZI & GOGGIN-WARD 342 17WC 17994 GOMEZ-SANCHEZ, ARISTEO CPM RECYLING SERVICES 11/23/16 BLACK & JONES 343 17WC 17997 MARQUEZ, JONATHAN CHEMTOOL INC 05/07/17 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 344 17WC 18432 BUCK, KAREN WINNEBAGO COUNTY HEALTH D 02/15/17 NICHOLAS ROBERT RECCHIA WILLIAMS MCCARTHY LLP 345 17WC 18628 TAYLOR, KEITH AIRGAS STORE 10/01/16 BLACK & JONES MC ANDREWS & NORGLE LLC 346 17WC 18643 FIGUEROA, ISRAEL METRO STAFF, INC 06/09/17 TUITE LAW FRANCIS J DISCIPIO LAW OFFIC 347 17WC 18715 GOWAN, LYNWOOD MEADE ELECTRIC CO, INC 09/16/16 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 348 17WC 18841 ROBINSON, RACHEL SURISE TRANSPORTATION 02/06/17 BLACK & JONES KNELL & O'CONNOR 349 17WC 18898 ARMSTRONG, FREDERICK O HAYES BEER DISTRIBUTING C 02/10/17 FRANCINE B WHITE RODDY LAW LTD 350 17WC 18910 LUBINSKI, FRANCIS FCA US LLC 11/28/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 351 17WC 19033 LIVINGSTON, DAWN COUNTY OF WINNEBAGO 06/15/17 GESMER & REYNOLDS PC 352 17WC 19302 BUTLER, KAREN S WHEELOCK, INCORPORATED 06/13/17 TUITE LAW POWER & CRONIN LTD 353 17WC 19318 PATTERSON, JASON CAMRYN INDUSTRIES 10/19/12 BLACK & JONES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 17WC 19354 MASLIN, PETER USF HOLLAND, INC 06/29/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 355 17WC 19508 HARTMAN, MICHAEL ILL DEPT OF TRANSPORTATIO @ 01/24/17 GESMER & REYNOLDS PC ASSISTANT ATTORNEY GENERAL 356 17WC 20082 FORSTER, RANDY ANCHOR HARVEY 08/20/15 WOLFE LAW PC 357 17WC 20180 HOLTE, ELLEN AT-HOME HEALTHCARE 06/23/17 KATZ FRIEDMAN EAGLE ET AL 358 17WC 20530 SABINE, LISA ANDROID INDUSTRIES 05/16/11 BLACK & JONES WIEDNER & MCAULIFFE LTD 359 17WC 20533 COLEMAN, CYNTHIA S FAS MART 10/12/16 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 360 17WC 20746 PIPPEL, KERRY TRI-DIM FILTER CORP 09/01/16 BLACK & JONES INMAN & FITZGIBBONS 361 17WC 20882 ELLIS-GOOCHER, STEPHANI EASTER SEALS METRO 04/27/17 STORTO FINN & ROSINSKI NOBLE & ASSOCIATES PC 17WC019880 -C 362 17WC 20980 MONTES, ROMELIA AMERICAN ALUMINUM EXTRUSI 08/10/16 JONATHAN SCHLACK 363 17WC 21124 MARTIN, ERIK C FCA USA, LLC 06/14/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 364 17WC 21128 PAYNE, ROBERT STEEL FABRICATING, INC 05/12/17 BLACK & JONES GANAN & SHAPIRO 365 17WC 21408 SCHABACKER, MARK A COUNTY OF WINNEBAGO 06/27/17 TUITE LAW WILLIAMS MCCARTHY LLP 366 17WC 21594 PENA, PATRICIA MCDONALD'S CORPORATION 04/08/17 THOMAS J STIBERTH LAW OFFI HENNESSY & ROACH PC 367 17WC 22309 CLARK, TRACIE OFFICE TEAM 06/09/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC 368 17WC 22443 MCVAY, JORDAN BEHR IRON METAL 07/19/17 GESMER LAW OFFICES, PC MCBREARTY, BRIAN K 369 17WC 22577 ETHRIDGE, RONALD K MALCOLM EATON ENTERPRISES 07/11/14 HAUSER LAW LLC COZZI & GOGGIN-WARD 370 17WC 22760 HERNANDEZ, MARTINA ND INDUSTRIES INC 02/19/16 GESMER & REYNOLDS PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 371 17WC 22852 BERTUCCI, DEBORAH GALENA & ASSOC, INC DBA 04/01/16 PETER D CORTI LAW GROUP GANAN & SHAPIRO 372 17WC 23059 VARGAS GONZALEZ, ALICIA FURST STAFFING 07/20/17 BLACK & JONES ACCIDENT FUND HOLDINGS 17WC023060 -C 17WC023061 -C 373 17WC 23062 VICKERMAN, JUSTIN ONE OF A KIND WALL DESIGN 07/26/17 BLACK & JONES 374 17WC 23226 COULTER, REBECCA STATZ DELONG COMPANY, INC 07/03/17 CLARK FROST COZZI & GOGGIN-WARD 375 17WC 23564 ALSHEREFI, AHMED THE BON TON STORES INC 11/30/15 THE ROMAKER LAW FIRM LAWRENCE COZZI - LAW OFFICE 376 17WC 24101 HARING, WONDA FAMILY DOLLAR 04/07/17 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 377 17WC 24244 BEASLEY, NANCY EVOLUTION STAFFING 06/14/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 378 17WC 24690 MERSHON, CHRISTINE DAN FOSS 01/01/17 GESMER & REYNOLDS PC 379 17WC 24784 COGGINS, JERRY JR STAR MANUFACTURING 03/01/17 BLACK & JONES CAPUANI, FRANK S 380 17WC 24856 SCHULTZ, DAVID BRIDGEWAY 07/25/17 GESMER & REYNOLDS PC PERRY GENTILE 381 17WC 25038 CARLBORG, BRIAN AT&T 06/14/17 CAPRON & AVGERINOS PC 382 17WC 25088 FREE, TONYA RENT-A-CENTER 04/07/17 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 18WC006899 -C 383 17WC 25295 GIBSON, KATHRYN GRUPO ANTOLIN 05/18/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 17WC025296 -C 384 17WC 25541 O'CONNOR, MARY VISITING NURSES ASSN 04/19/17 CLARK FROST WIEDNER & MCAULIFFE LTD 385 17WC 25753 EVANS, BETTEY L PINNACLE LOGISTICS 06/15/17 GESMER & REYNOLDS PC KEEFE CAMPBELL BIERY & ASSOC 386 17WC 25941 HARRIS, JEFF MULLER PINESHURST 01/17/17 BRASSFIELD KRUEGER & RAMLO 387 17WC 26373 EDMONDS, CHARLES J EAST DUBUQUE NITROGEN 06/14/16 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 17WC 26457 TAYLOR, KEITH AIRGAS STORE 08/18/17 BLACK & JONES MC ANDREWS & NORGLE LLC 389 17WC 26466 ROOS, LAWRENCE SIMOS INSOURCING SOLUTION 08/15/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 390 17WC 26717 HANOOSH, SALIH N FURST STAFFING SERVICES, 04/23/17 CACCIAT0ORE, WILLIAM T ACCIDENT FUND HOLDINGS 391 17WC 26927 FOREMAN, ELIJAH MONDELEZ INTERNATIONAL 03/09/15 FRANCINE B WHITE WIEDNER & MCAULIFFE LTD 392 17WC 27203 WALSTON, TASHA SPEE DEE TRANSPORTATION S 08/31/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 393 17WC 27217 SWEAT, AMANDA L MERIDIAN CUSD #223 05/16/17 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 394 17WC 27295 LINDBOHM, PETTERI CHICAGO WOLVES 11/26/16 GORDON LAW OFFICES LTD 395 17WC 27823 NAVA, JESSICA DADY & HOFFMANN LLC 04/05/16 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 396 17WC 27830 HARDY, JENNIFER WALMART STORES INC 06/14/17 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 397 17WC 27988 WALKER, STEPHANIE ENLIVANT 07/06/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 398 17WC 28050 JAMES, TRAVIS GKN ROCKFORD 07/29/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 399 17WC 28373 BROACH, AMY FCA US LLC 09/01/17 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 400 17WC 28627 SCHABACKER, EUGENE S SPARKY'S ELECTRICAL 08/08/17 HOLMSTROMKENNEDY PC HEYL ROYSTER VOELKER & ALLEN 401 17WC 28772 KREPFLE, RICHARD DURAND SCHOOL DISTRICT 07/10/17 BLACK & JONES 402 17WC 28822 JACOBS SR, JAMES SUNRISE SOUTHWEST LLC 05/01/17 BLACK & JONES KNELL & O'CONNOR 403 17WC 29291 GRECH, KURT F TACO BELL OF AMERICA LLC 08/16/17 ANKIN LAW OFFICE 404 17WC 29390 ALVAREZ, NICOLE FCA US, LLC 06/19/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 405 17WC 29718 MAY, OTTO JR FCA US, LLC 07/05/15 GESMER LAW OFFICES, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 17WC 29747 VAGLE, STEPHEN STILLMAN BANK 06/26/17 BLACK & JONES 407 17WC 29982 CUELLAR, BERNARDO SURESTAFFING 08/23/17 ANGELINI & ORI LLC LOUIS MUNDY 408 17WC 30007 COLLINS, JAVAR FURST STAFFING 07/10/17 CAPRON & AVGERINOS PC 409 17WC 30302 RAISBECK, TIMOTHY STATE OF ILLINOIS/IDOT @ 09/09/16 ROSENBERG EISENBERG ASSOC ASSISTANT ATTORNEY GENERAL 17WC030303 -C 410 17WC 30327 WHITE, KATHERINE COUNTY OF WINNEBAGO 02/07/15 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 411 17WC 30346 GARSHVA, MARIAN ROCKFORD MEMORIAL HOSPITA 05/08/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 412 17WC 30424 CREVISTON, TEDDIE BUDDY'S HOME FURNISHINGS 09/19/17 BLACK & JONES HENNESSY & ROACH PC 413 17WC 30512 GRAY-UPP, DAWN MURPHY OIL USA, INC 09/25/17 GESMER LAW OFFICES, PC COZZI & GOGGIN-WARD 414 17WC 30703 INGRAM, LANETKA ALDEN PARK STRATHMOOR 08/26/17 DWORKIN AND MACIARIELLO 415 17WC 30765 MONTANA, MARIAN ROCKFOD SCHOOL DISTRICT # 07/21/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 17WC030777 -C 416 17WC 30889 ZELLNER, EDWARD C EVEN KEEL MARINE 11/02/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 417 17WC 30948 ZERKEL, SUSAN ST RITA'S CHURCH 09/12/17 WOODRUFF & JOHNSON 418 17WC 31025 WAWIORKO, ELIZABETH FCA US LLC 11/01/12 BLACK & JONES WIEDNER & MCAULIFFE LTD 419 17WC 31259 RIVERA, MARIO BARBOUR TWO-WAY LANG IMME 09/11/17 KATZ FRIEDMAN EAGLE ET AL 420 17WC 31286 TELFAIR, CRISTIE J CITY OF ROCKFORD 07/27/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 421 17WC 31292 LANE-BARRY, JERRY 3P CONSTRUCTION AND REMOD W 05/15/17 BLACK & JONES 422 17WC 31568 BRAUER, TAMRA MEIJER 10/16/17 GESMER & REYNOLDS PC KOPKA, PINKUS DOLIN, PC 423 17WC 32102 HALL, GREGORY METRO STAFFING 10/12/17 BLACK & JONES FRANCIS J DISCIPIO LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 424 17WC 32105 O'LEARY, PATRICK GREASE MONKEY INTERNATION 06/09/17 BLACK & JONES COZZI & GOGGIN-WARD 425 17WC 32251 BERGER, JAMES AXIOM FOODS INC 10/15/17 BLACK & JONES WARMOUTH LAW PC 426 17WC 32274 RIVERA, MARIO AELDRIDGE ROOFING & SIDIN 10/13/17 GESMER LAW OFFICES, PC 427 17WC 32288 TOLENTO, RAFAEL TH FOODS, INC 05/02/16 BLACK & JONES RODDY LAW LTD 428 17WC 32407 ZIMMERMAN, NICHOLE L FEDERAL EXPRESS CORPORATI 03/08/17 TUITE LAW HANSON LAW OFFICE 429 17WC 32451 MENEFEE, DONALD D TITAN TIRE CORP 08/10/17 HAUSER LAW LLC MICHAEL JASPER 430 17WC 32507 VAN BARRIGER, JOSEPH R BAY VALLEY FOODS 08/25/17 GESMER LAW OFFICES, PC 431 17WC 32563 MUHASKY, DAVE HOLLAND MOTORS 04/11/12 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 432 17WC 32796 RICHARDSON, JOHNETTA ROCKFORD HOME SERVICES DR 09/27/17 DWORKIN AND MACIARIELLO 433 17WC 32877 BERRY, THOMAS SYNCREON 10/23/17 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 434 17WC 33158 GUY, ANDREA WOODS EQUIPMENT 08/01/17 PIGNATELLI & ASSOCIATES 435 17WC 33759 RIVERA, MARIO ANGEL ORTEGA 10/13/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC 436 17WC 33858 PETERS, MARY KOLB-LENA CHEESE CO 07/29/17 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 437 17WC 34045 PECK, ANTHONY MONDELEZ INTERNATIONAL 10/12/17 LAW OFFICE PATRICK JENNETT 438 17WC 34209 CALLES, ANTONIO CARPENTER CONTRACTORSOF 10/12/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 439 17WC 34524 VOITIK, ALLEN ESTES EXPRESS LINES 09/06/17 BLACK & JONES 440 17WC 34589 SCOTT, MICHAELE UNITED PARCEL SERVICE INC 11/03/17 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 441 17WC 34666 DEERING, MELVIN TIRES PLUS 10/31/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 442 17WC 34767 TAYLOR, ROBERT FCA US LLC 09/18/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 443 17WC 34832 BASS, CODY ROCKFORD ICEHOGS 12/16/14 WOLFE LAW PC HENNESSY & ROACH PC 444 17WC 35420 COX, CAITLIN M SURV SPOUS CITY OF ROCKFORD POLICE D # 11/05/17 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 445 17WC 35450 CASSIDY, JENNIFER RR DONNELLEY 11/17/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC 446 17WC 35624 LOUDON, CHRISTOPHER VILLAGE OF LISLE 10/27/16 BARRY A KETTER RUSIN & MACIOROWSKI LTD 447 17WC 35749 LOVE, GERALD R ILLINOIS DEPARTMENT @ 03/07/17 FRANKS, GERKIN & MCKENNA P 448 17WC 35935 BOWMAN, RUSSELL P RL LEEK INDUSTRIES, INC 05/05/17 REESE & REESE 449 17WC 35971 ADAMS, BEVERLY MORGAN BUILDING MAINTENAN 10/30/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 450 17WC 36037 HOLTE, CANDICE ALDEN PARK STRATHMOORE 01/24/16 BLACK & JONES FRANCESCA LARSEN 451 17WC 36105 PRINCE, MAURICE EXPRESS EMPLOYMENT PROFES 10/16/16 BLACK & JONES MC ANDREWS & NORGLE LLC 452 17WC 36428 SAGER, RANDY BENNETT BOALS TRUCKING, I 05/30/17 BRADY CONNOLLY & MASUDA PC 453 17WC 36555 CONNER, JERRY STANDARD FORWARDING 11/02/17 LEE, MARK N LAW OFFICE 454 17WC 36565 CARDENAS, JOSE GALVAN AEROTEK 09/15/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 455 17WC 36747 HOLMES, ROGER FORTERRA, INC 05/03/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC 456 17WC 36904 KINCH, BETH ROCKFORD PUBLIC SCHOOLS 02/01/11 BLACK & JONES WIEDNER & MCAULIFFE LTD 17WC036905 -C 457 17WC 36952 MANOS, RANDY FITXGERALD EQUIPMENT 05/07/15 GESMER & REYNOLDS PC 458 17WC 37178 LOVE, GERALD R IL DEPT OF TRANSPORTATION @ 06/18/15 FRANKS, GERKIN & MCKENNA P ASSISTANT ATTORNEY GENERAL 459 17WC 37275 JOHNSON, TERESA ROCK RIVER VALLEY BLOOD C 07/19/16 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 460 17WC 37589 PRINE, BRIAN CITY OF ROCKFORD 10/12/17 GESMER LAW OFFICES, PC 461 17WC 37744 ABREGO, RONDA MATRANGA INDUSTRIES INC 10/05/17 GESMER & REYNOLDS PC JOSEPH MARCINIAK 462 17WC 37797 BUSTOS, JOANNE SYNCREON 10/14/17 STROM, NEAL B GAROFALO SCHREIBER STORM 463 17WC 37992 HERRERA, OCTAVIO MARTINEZ TRES-M-SOLUTIONS LLC 10/04/17 HAUSER LAW LLC 464 17WC 38027 CEHIC, DZEVIDA ROCKNEL FASTENER, INC 04/14/17 CLARK FROST KOPKA, PINKUS DOLIN, PC 465 17WC 38040 SCHMIDT, ANITA FCA US LLC 04/15/16 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 466 17WC 38086 ALBERT, ANGELIQUE UPS 02/04/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 467 18WC 00025 DAVIDSON, VICKEY SERVICOM 12/18/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 468 18WC 00118 BASS, CODY ROCKFORD ICEHOGS 05/26/15 WOLFE LAW PC HENNESSY & ROACH PC 469 18WC 00292 HALL, JEFFRY A COUNTY OF WINNEBAGO 07/28/17 TUITE LAW WILLIAMS MCCARTHY LLP 470 18WC 00362 LUKER, KELLEY FABRICATED STEEL PRODUCTS 09/01/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 18WC000363 -C 18WC010868 -C 471 18WC 00406 FIGURIN, LYNDA OSF ST ANTHONY MEDICAL CE 10/20/17 BLACK & JONES HINSHAW & CULBERTSON 472 18WC 00569 GILMORE, BONNIE L HOMEGOODS, INC 01/12/17 TUITE LAW 473 18WC 00575 WILSON, TRAVIS BERNER FOODS INC 07/07/16 BLACK & JONES HOLECEK & ASSOCIATES 474 18WC 00578 JOHNSON, ROCKWOOD PARKER HYDRAULIC ACCUMULA 12/14/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 475 18WC 00699 TREVINO, MARIA J SYNCREON AUTOMOTIVE 07/29/17 REESE & REESE 476 18WC 00745 HARDY, JENNIFER WALMART STORES INC 12/15/17 JAMES G AHLBERG QUINTAIROS PRIETO WOOD & BOY 477 18WC 00955 JIMENEZ, GABRIEL FCA US LLC 11/21/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 478 18WC 00960 UNDERWOOD, GLENN FCA US LLC 11/01/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 479 18WC 01073 SHERER, DAVID ANDRITZ PAPER MACHINE 11/21/17 BLACK & JONES LAWRENCE COZZI - LAW OFFICES 480 18WC 01490 SAUKA, THOMAS CENTRAL TRANSPORT, LLC 01/19/17 LOUIS A PLZAK & ASSOCIATES HINSHAW & CULBERTSON 481 18WC 01522 PEHL, SUSAN QPS STAFFING 11/03/17 GESMER LAW OFFICES, PC WOLFE & JACOBSON, LTD 482 18WC 01552 THOMPSON, ERIC COCA COLA 12/21/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 483 18WC 01566 VIEDERIS, PAT CARDINAL GLASS COMPANY 01/30/17 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 484 18WC 01702 COLE, GABRIELLE CASEYS GENERAL STORES 05/07/17 WHITESIDE & GOLDBERG LTD HEYL ROYSTER VOELKER & ALLEN 485 18WC 01863 THOAMS, MARZAVIOUS UPS 10/10/17 BLACK & JONES 486 18WC 02024 STROH, VANESSA ROCHELLE GARDENS CARE CEN 11/16/17 BLACK & JONES KNELL LAW LLC 487 18WC 02027 WASHINGTON, WARRICK CHEMTOOL INC 12/21/17 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 488 18WC 02483 PEREZ, MELISSA ARAMARK 09/18/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 489 18WC 02874 BIRD, MICHAEL OAKLEY SUB-ASSEMBLEY 12/14/17 MARTIN V KUGIA ACCIDENT FUND HOLDINGS 490 18WC 02881 ITZEN, LELAND WINNEBAGO FOUNDRY 10/11/17 BLACK & JONES GANAN & SHAPIRO 491 18WC 02909 KURSCHNER, TODD TITAN TIRE CORP 10/09/17 CAPRON & AVGERINOS PC HEYL ROYSTER VOELKER & ALLEN 492 18WC 03280 MARKS, WILLIAM ARAMARK UNIFORM SERVICES 01/16/18 BLACK & JONES INMAN & FITZGIBBONS 493 18WC 03322 MARYOTT, HOLLY M DARDEN RESTAURANTS, INC 01/13/18 TUITE LAW 494 18WC 03366 GROOMS, DANA L SWEDISH AMERICAN HOSPITAL 01/05/17 KELLY & KING WILLIAMS MCCARTHY LLP 495 18WC 03383 VAN DEN BUSCH, LARRY ACUMENT GLOBAL TECHNOLOGI 06/02/17 BLACK & JONES GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 18WC 03397 BASSETT, DANICHA EASTERSEALS ACADEMY 08/30/17 BLACK & JONES NOBLE & ASSOCIATES PC 497 18WC 03587 SIVERIO, HECTOR USF HOLLAND, INC 06/20/17 FRANKS, GERKIN & MCKENNA P 498 18WC 03593 BURMMETT, AMY RIVER BLUFF NURSING HOME 04/15/15 BLACK & JONES WILLIAMS MCCARTHY LLP 499 18WC 03596 NELSON-THOMPSON PA PETERSON OUTPATIENT RE 01/20/18 BLACK & JONES GALLIANI DOELL & COZZI LTD 500 18WC 03639 MARTINEZ-VALDEZ, MAYRA JONES NATURAL CHEWS 09/20/17 BLACK & JONES ACCIDENT FUND HOLDINGS 501 18WC 03932 LANE, RAYMOND W GENERAL MILLS, INC. 01/14/17 TUITE LAW BRYCE DOWNEY & LENKOV LLC 502 18WC 04097 DUFEK, JACQUES L BERGSTROM, INC 03/01/17 TUITE LAW WOLFE & JACOBSON, LTD 503 18WC 04397 LASHER, BRANDY ALDI, INC 11/30/17 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 504 18WC 04431 CUMBA, MARIBELLE RESOURCE MFG/PROLOGISTIX 07/07/17 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 505 18WC 04548 NAVA, NICANDRO CHRYSLER, LLC/ 11/20/17 RUEDA, IVAN A WILLIAMS MCCARTHY LLP 506 18WC 04678 BLAZER, REBEKAH MENARDS 10/14/17 DWORKIN AND MACIARIELLO 507 18WC 05095 BIRD, MICHEAL OAKLEY SUB-ASSEMBLY 12/14/17 MARTIN V KUGIA 508 18WC 05183 MARQUEZ, MONICA SLIDEMATIC PRECISION COMP 04/26/17 SOSTRIN AND SOSTRIN PC JOSEPH MARCINIAK 509 18WC 05241 SANDERS, ANITA COMFORT KEEPERS 11/29/17 BLACK & JONES HENNESSY & ROACH PC 510 18WC 05245 SMITH, MARK MORNING DISPOSAL, INC 01/10/18 GESMER & REYNOLDS PC RIPES NELSON BAGGOT KALOBRAT 511 18WC 05385 FITTS, MICKEY A & B FREIGHT LINES 08/21/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 512 18WC 05577 SMITH, APRIL PARKVIEW NURSING HOME 01/22/17 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 513 18WC 05641 FLORES, LUCIA ROCKFORD MEMORIAL HOSPITA 08/05/15 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 18WC005642 -C 514 18WC 05700 STOREY, RHONDA S AJ KENT, INC DBA GOODTIME 09/17/13 TUITE LAW 515 18WC 05736 STERLING, SALLY TYLERS LANDSCAPING 01/27/18 BLACK & JONES GAROFALO SCHREIBER STORM 516 18WC 05988 AYERS, JEWELL WAL-MART 01/24/18 GESMER LAW OFFICES, PC QUINTAIROS PRIETO WOOD & BOY 517 18WC 06060 SEAGREN, LANE ESTATE OF SAFELITE AUTO GLASS 12/08/17 GESMER LAW OFFICES, PC SPIEGEL & CAHILL, PC 518 18WC 06120 ALVEY, DARLENE R HONEYWELL INTERNATIONAL I 03/05/15 TUITE LAW 519 18WC 06484 HOOKS, STEVE CURTIS METAL FINISHING 01/15/18 BLACK & JONES HENNESSY & ROACH PC 520 18WC 06601 BELLOWS, WILLIAM CINCINNATTI TOOL STEEL 02/15/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 521 18WC 06783 HORSTMAN, KEN RYDER INTEGRATED LOGISTIC 02/28/18 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 522 18WC 06843 MURPHY, CHRISTAL FCA US, LLC 02/06/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 523 18WC 06897 ALVARADO, MARIA TRI STAR METALS 08/15/17 BLACK & JONES HOLECEK & ASSOCIAT0ES 524 18WC 06939 MAY, GERALD J INTERNATIONAL AUTOMOTIVE 04/24/15 525 18WC 06942 BROOKS, JOSEPH CITY OF OREGON POLICE DEP 11/14/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 526 18WC 06999 KOHEN, JOHN J II R & D THIEL INC 08/18/17 TUITE LAW WIEDNER & MCAULIFFE LTD 527 18WC 07169 ESLING, JEFF AEROTEK 02/13/18 BLACK & JONES HENNESSY & ROACH PC 528 18WC 07172 BAKER, JAMES SOS STAFFING AGENCY 02/21/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 529 18WC 07186 SCHEPLEY, JAMES P PIERCE LAMINATED PRODUCTS 10/01/13 RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 530 18WC 07198 FOWLER, BRUCE EXELON CORPORATION 01/30/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 531 18WC 07468 ERUINS, LASHONDA ROSECRANCE, INC 09/11/17 PUMILIA LAW LLC 532 18WC 07652 HENYARD, DOMINQUE MERCY HEALTH CORPORATION 11/14/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 533 18WC 07657 ABARBANEL, KATHERINE RGIS INVENTORY SERVICES 05/10/17 BLACK & JONES ARNETT LAW GROUP 534 18WC 07802 ALVAREZ-RIVERA, EVANGELIN SLIDEMATIC INDUSTRIES, IN 01/24/18 GESMER & REYNOLDS PC 535 18WC 07862 TILLEY, KATHERINE A CARDINAL SERVICES LLC 02/01/18 GAROFALO SCHREIBER STORM 536 18WC 07882 INGLE, BRANDON AMERICAN ALUMINUM EXTRUSI 10/31/17 WOODRUFF & JOHNSON 537 18WC 08019 ORTIZ, JOSE ANDY'S PROFESSIONAL 02/06/18 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 538 18WC 08070 STRAM, JASON SPAHN AND ROSE LUMBER 11/22/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 539 18WC 08077 LEPKA, PAUL UPS FREIGHT 06/14/17 GESMER & REYNOLDS PC LAWRENCE COZZI - LAW OFFICES 540 18WC 08227 HANSERD, VIRGINIA FCA US, LLC 12/20/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 541 18WC 08511 DAUGHERTY, LISA HCR MANOR CARE/ HEARTLAND 06/19/17 GESMER & REYNOLDS PC 542 18WC 08535 MC INTYRE, SHARON LIFETOUCH PRODUCTION 12/12/17 GESMER LAW OFFICES, PC RODDY LAW LTD 543 18WC 08727 DANNO, PATRICK ILLINOIS STATE TOLL @ 02/06/18 GESMER & REYNOLDS PC NYHAN BAMBRICK KINZIE & LOWR 544 18WC 08860 WATTS, ANDREA CHRYSLER 11/11/17 RUBIN MACHADO ROSENBLUM WIEDNER & MCAULIFFE LTD 545 18WC 08891 ISHMON, DEILO MODERN PLATING 01/01/18 BLACK & JONES HOLECEK & ASSOCIATES 546 18WC 09006 ERBE, BRANDON S. CHERRY VALLEY FIRE PROTEC 01/16/18 THOMAS W DUDA 547 18WC 09076 WAHLIN, ANITA LEGACY ACADEMY OF EXCELLE 12/01/17 GESMER & REYNOLDS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 548 18WC 09262 REINE, COLLEEN ROCKFORD RIGGING, INC 10/15/17 NASH LAW OFFICE PC 549 18WC 09481 KRAUCUNAS, ROBERT ALTER TRADING CORP 05/31/17 BLACK & JONES 550 18WC 09484 ERVING, MARQUITA FCA US LLC 03/01/18 BLACK & JONES WILLIAMS MCCARTHY LLP 551 18WC 09596 REINE, COLLEEN ROCKFORD RIGGING, INC. 10/31/17 NASH LAW OFFICE PC 552 18WC 09767 PYFER, JAMES SHEET METAL CONNECTORS 06/22/16 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 553 18WC 09810 SAVALLA, DIANNA D MAGNA INTERNATIONAL INC 01/22/18 REESE & REESE POWER & CRONIN LTD 554 18WC 09954 VAUTSMEIER, JERAMYA J UNITED PARCEL SERVICE CO 03/05/18 TUITE LAW ASA LAW GROUP 555 18WC 10245 PETROS, STEVEN T E2 HAULING LLC 01/10/17 TUITE LAW RIPES NELSON BAGGOT KALOBRAT 556 18WC 10367 MAUERMAN, DUSTIN LOWE'S DISTRIBUTION CENTE 06/20/17 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 557 18WC 10579 NUNEZ, REINALDO MIDCOR SUPPLY 03/31/18 BOTTO GILBERT WIEDNER & MCAULIFFE LTD 558 18WC 10695 TATE, JUDY PCI PHARMA SERVICES 11/07/17 BLACK & JONES 559 18WC 10839 PONCE DE LEON, DAYRA MIDWEST WIRE WORKS 11/13/17 CLARK FROST LAWRENCE COZZI - LAW OFFICE 560 18WC 10860 PENCE, JOYCE M VONACHEN SERVICES, INC. 10/02/17 BLACK & JONES ACCIDENT FUND HOLDINGS 561 18WC 10864 KAMPPI, DANIEL FCA US, LLC 02/19/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 18WC010865 -C 562 18WC 11004 SMELSER, JONATHAN DCA US LLC 10/11/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 563 18WC 11071 NEMENSKI, PHILLIP R MIDSTATES CONCRETEINDUSTR 09/11/17 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM 564 18WC 11288 GELENCIR, JOHN CHRYSLER 09/06/17 BROWN & CROUPPEN WIEDNER & MCAULIFFE LTD 565 18WC 11340 BURKE, BRANDEN J CITY OF ROCKFORD 11/29/16 TUITE LAW HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 566 18WC 11373 PERSING, JEFFRY PEAK ELECTRIC 02/14/18 BLACK & JONES CAPUANI, FRANK S 567 18WC 11376 HIGGS, LARRY STEINER ELECTRIC 03/29/18 BLACK & JONES NOBLE & ASSOCIATES PC 568 18WC 11503 MINER, RAMON ROCKFORD TOOKCRAFT, INC 04/06/18 DWORKIN AND MACIARIELLO 569 18WC 11809 SWETZ, LOUIS AMTB DELIVERY INC 04/04/18 BLACK & JONES HENNESSY & ROACH PC 570 18WC 11981 HARRIS, TIMOTHY CHRYSLER 02/22/18 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 571 18WC 12164 HERNANDEZ, ERIC SALVATION ARMY 01/15/18 DERANGO & CAIN RODDY LAW LTD 572 18WC 12182 HARROLLE, JOHN NEW MEDIA INVESTMENT GROU 03/05/18 CLARK FROST KNELL LAW LLC 573 18WC 12517 MENKE, JOHN CITY OF FREEPORT 09/01/17 GOLDBERG WEISMAN & CAIRO L 574 18WC 12541 STRYSIK, CASEY UNIVERSAL DIRECT MARKETIN 04/16/18 BRIAN J MC MANUS & ASSOC, ASSISTANT ATTORNEY GENERAL 575 18WC 12681 HOLLINGSWORTH, JOHN APRIL SHOWERS, LLC 03/22/18 MARKS INJURY LAW 576 18WC 12773 ILIC, SLOBODANKA WAL-MART 02/11/17 GESMER & REYNOLDS PC QUINTAIROS PRIETO WOOD & BOY 577 18WC 12779 CARON, JENNIFER M ROCKFORD PARK DISTRICT 03/07/18 LAWFIRST HENNESSY & ROACH PC 578 18WC 12946 JOHNSON, BRANDON S HOMES NOW 11/10/17 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 579 18WC 12949 STOHR, IAN EMERY AIR, INC. 11/29/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 580 18WC 12953 ZELLNER, EDWARD WINNEBAGO COUNTY 12/18/16 BLACK & JONES WILLIAMS MCCARTHY LLP 581 18WC 12956 SAYGO, LATRICIA GUNITE CORP 07/16/15 BLACK & JONES 582 18WC 13115 YATTONE, TAMMY STEPPING STONES 03/01/16 GESMER & REYNOLDS PC BRYCE DOWNEY & LENKOV LLC 583 18WC 13193 SMELTZER, MARK EXELON CORP 04/19/18 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 584 18WC 13225 BENNETT, JEFFREY WILSON ELECTRIC 04/21/18 BLACK & JONES HENNESSY & ROACH PC 585 18WC 13230 ASTANEDA-ARCE, YADIRA SLIDEMATIC PRECISION COMP 04/16/18 COPLAN & CRANE, LTD WOLFE & JACOBSON, LTD 586 18WC 13433 ELSASSER, DREW UNITED POWER 11/18/15 DWORKIN AND MACIARIELLO 587 18WC 13694 CALDERA, MARIBEL DIVERSIFIED MAINTENANCE 03/27/18 BLACK & JONES HARRIS DOWELL FISHER & HARRI 588 18WC 13909 BYERS, PAMELA FCA US LLC 02/11/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 589 18WC 13923 SMITH, DESTINY CARDINAL SMITH 04/26/18 GESMER & REYNOLDS PC HENNESSY & ROACH PC 590 18WC 13978 DUFEK, JACQUES L BERGSTROM INC 01/03/18 TUITE LAW 591 18WC 14083 PRICE, CEDRICK E FEDEX GROUND PKG SYSTEMS 04/21/18 TUITE LAW KOPKA, PINKUS DOLIN, PC 592 18WC 14093 LABBE-ASSELIN, DYLAN MINNESTOTA WILD 04/02/16 FLOYD LAW FIRM 593 18WC 14130 PHILLIPS, MYRNA BERNER FOODS 05/05/18 DWORKIN AND MACIARIELLO 594 18WC 14290 WAGENKNECHT, CINDY DELTA POWER 03/14/18 BRASSFIELD KRUEGER & RAMLO 595 18WC 14319 GUMS, WANDA SAVENCIA CHEESE LLC 11/01/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 596 18WC 14396 BILLINGSLY, BARBARA FCA US LLC 01/25/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 597 18WC 14671 MASUNAS, LYLE MIKE THIELING CONSTRUCTIO 03/03/18 KATZ FRIEDMAN EAGLE ET AL 598 18WC 14818 KING, EDWARD L CITY OF ROCKFORD POLICE D 05/03/18 REESE & REESE 599 18WC 14924 LANDWEHR, VALERIE ED ETNYRE & CO 05/03/18 BLACK & JONES CLARK FROST 600 18WC 15008 MCLAIN, JOHN NEW MEDIA INVESTMENT GROU 08/09/17 CLARK FROST KNELL LAW LLC 18WC015009 -C 601 18WC 15087 WIRTH, KEITH W HOME DEPOT USA, INC. 05/05/18 TUITE LAW ADELSON TESTAN BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 602 18WC 15104 CALLAHAN, KATHLEEN VAN MATRE HEALTH SOUTH RE 11/07/17 BLACK & JONES SPIEGEL & CAHILL, PC 603 18WC 15129 LOPEZ, AMANDA CARDINAL STAFFING 04/19/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 604 18WC 15229 MCGHEE, DECARLES ROCKFORM CARBIDE 12/13/17 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 605 18WC 15236 MCGHEE, DECARLES ROCKFORD CARBIDE 10/02/17 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 606 18WC 15271 GARCIA, LUIS ROMAN HENNIG, INC 03/15/18 BLACK & JONES HENNESSY & ROACH PC 607 18WC 15565 FONSECA, GERMAN ANDROID II 09/29/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 608 18WC 15577 AGUILERA, JUAN AMERICOLD LOGISTICS 10/20/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 609 18WC 15624 LEVERTON, DAVID REYES HOLDINGS, LLC 10/02/17 KATZ FRIEDMAN EAGLE ET AL 610 18WC 15761 SCHUENKE, KEITH AUTOZONE DEVELOPMENT, LLC 08/18/17 CLARK FROST GILDEA, COGHLAN & REGAN LTD. 611 18WC 15799 CASTANEDA-ARCE, YADIRA QPS EMPLOYMENT GROUP 04/16/18 GESMER & REYNOLDS PC 612 18WC 15851 CIMINO, ALDO MIDWEST PACKAGING & CONTA 06/19/17 GESMER & REYNOLDS PC LAWRENCE COZZI - LAW OFFICE 613 18WC 15910 TRUCKENMILLER, DARRYL STEPHENSON SERVICE CO 03/05/18 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 614 18WC 15930 RAMOS, GUADALUPE BEAVER CREEK NURSERY, INC 04/26/17 FRANKS, GERKIN & MCKENNA P CAPUANI, FRANK S 615 18WC 16071 ERNST, ROBERT NAVAJO EXPRESS INC. 02/06/18 WOLFE LAW PC HOLECEK & ASSOCIATES 616 18WC 16083 CANADA, BRIAN CARDINAL STAFFING SERVICE 08/20/17 BLACK & JONES 617 18WC 16475 WHITMORE, JOANNA BYRON SCHOOL DISTRICT #22 11/02/17 OWENS & LAUGHLIN LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 618 18WC 16573 AVELLANEDA, ADAN BON TON STORESINC 10/10/16 BLACK & JONES LAWRENCE COZZI - LAW OFFICE 619 18WC 16578 MUNCH, ALLISON EASTERSEALS ACADEMY 11/22/16 BLACK & JONES DENNIS J NOBLE & ASSOC 18WC016579 -C 18WC021082 -C 620 18WC 16581 HARRIS, ANTWON FURST STAFFING 04/15/18 BLACK & JONES ACCIDENT FUND HOLDINGS 621 18WC 16587 CLUKEY, CAROL RESTORIX 07/31/17 BLACK & JONES HOLECEK & ASSOCIATES 622 18WC 16718 ALLEN, ANDRE WINNEBAGO COUNTY JAIL 01/19/17 BLACK & JONES WILLIAMS MCCARTHY LLP 623 18WC 16891 TRICKIE, ADAM W RRB FABRICATION INC 05/17/18 TUITE LAW 624 18WC 16897 HARRIS, THIMOTHY COUNTY OF WINNEBAGO RIVER 04/15/18 TUITE LAW 625 18WC 16964 GONZALEZ, INGRID CRUSADER COMMUNITY HEALTH 04/01/18 ADRIAN MURATI WOLFE & JACOBSON, LTD 626 18WC 16980 WESSMAN, KRISTEN FCA US LLC 11/28/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 627 18WC 17035 SKAKAVAC, DANICA WAL-MART ASSOCIATES, INC. 03/14/18 GESMER & REYNOLDS PC GANAN & SHAPIRO 628 18WC 17121 BOSSANY, MICHAEL J DISTINCTIVE ROOFING, INC 05/16/18 COHN LAMBERT RYAN & SCHNEI 629 18WC 17318 RIESEN, DAVID THERMOPLASTIC INC. 01/25/18 BLACK & JONES JOSEPH MARCINIAK 630 18WC 17321 KAMPMEIER, TABATHA AKA HE ITW SHAKEPROOF 03/03/17 BLACK & JONES 631 18WC 17378 THOMAS, ERICK A ANFENG AUTOMOTIVE INTERIO 04/30/18 KATZ FRIEDMAN EAGLE ET AL 632 18WC 17647 DOBSON, DAVID WILLIAM CHARLES INVESTMEN 01/16/18 DERANGO & CAIN HOLECEK & ASSOCIATES 633 18WC 17756 ONG, JONAS ENVIRONMENTAL SPECIALTIES 05/11/18 BLACK & JONES 634 18WC 17759 CARMACK, MARY FCA US LLC 04/21/18 BLACK & JONES WILLIAMS MCCARTHY LLP 635 18WC 17762 GUZMAN, MARCO ROCK RIVER DISPOSAL 05/08/18 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 636 18WC 17765 SCOTT JR, JACKIE RAY FORRESTVILLE VALLEY SD 22 02/16/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 637 18WC 17768 HERNANDEZ, ALEJANDRA HELP AT HOME 01/09/18 BLACK & JONES INMAN & FITZGIBBONS 638 18WC 17778 AVELLANEDA, ADAN BON TON STORES INC 05/29/18 BLACK & JONES 639 18WC 17869 COIL, JAMES MARTIN & CO EXCAVATING 06/01/18 GOLDBERG WEISMAN & CAIRO L WOLF LAW LTD 640 18WC 18147 LOUIS, ANTHONY ROCKFORD ICE HOGS 11/10/17 GORDON LAW OFFICES LTD 641 18WC 18424 SALDANA, PEDRO BRYNOLF MFG, INC 10/09/17 PEDRO SALDANA GAROFALO SCHREIBER STORM 642 18WC 18504 APARICIO, MARIA ELIASAR MCDONALDS 06/01/18 BLACK & JONES 643 18WC 18507 FOSTER, BRENDA HERITAGE WOODS OF ROCKFOR 04/10/17 BLACK & JONES GOLDBERG SEGALLA LLC 18WC018508 -C 644 18WC 18514 FOLEY, HEATHER FORRESTON FIRE PROTECTION 10/26/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 645 18WC 18517 MAY, GERALD IAC 09/07/15 BLACK & JONES 646 18WC 18751 GARCIA, RICARDO THORNE ASSOCIATES, INC 03/01/18 GOLDBERG WEISMAN & CAIRO L 647 18WC 19173 ZUNIGA, AMY YANFENG AUTOMOTIVE 10/28/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC 648 18WC 19267 MELENDEZ, MIRCA I LOWE'S HOME CENTERS, LLC 11/05/16 TUITE LAW KEEFE CAMPBELL BIERY & ASSOC 18WC019268 -C 649 18WC 19305 COCHRAN, SHEILA SAS RETAIL SERVICES 03/26/18 POLANSKY & CICHON CHTD 650 18WC 19328 MALLEN, SUSAN ALLIED UNIVERSAL SECURITY 01/21/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 651 18WC 19455 HINRICHS, ANNE SNAK KING 06/04/18 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 652 18WC 19462 NAVARRETE, FRANCISCO ZEI DECORATING, INC, JIM W 03/24/17 BLACK & JONES 653 18WC 19465 COOPER, COLLIES GUNITE CORP 05/23/18 BLACK & JONES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 654 18WC 19567 MURRAY, JAMIE K CUSTOM CYLINDER, INC 05/22/18 ALEXANDER, PETER LTD. 655 18WC 19648 KERO, TANNER CHICAGO BLACK HAWKS 02/18/18 GORDON LAW OFFICES LTD 656 18WC 19770 KESSLER, ROBERT ROLLING HILLS TRADING 01/10/18 BLACK & JONES RODDY LAW LTD 657 18WC 20120 KEMPKE, WILL MR. ALBERT J TILFORD DBA 05/22/18 BLACK & JONES 658 18WC 20144 COLWELL, ROBERT L NATIONAL HEADER DIE CORP 06/11/18 TUITE LAW 659 18WC 20160 PATTEN, PAMELA MACLELLAN INTEGRATED SVCS 03/25/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 660 18WC 20245 WELLBORN, CHRISTOPHER LUTHERAN OUTDOOR MINISTRI 05/24/18 TURNER & SACKETT LLC ROSARIO CIBELLA 661 18WC 20280 WILLIAMS, MICHELLE GENERAL MILLS 01/11/16 GESMER & REYNOLDS PC 662 18WC 20287 PETERSON, JOHN SCOTT EVOLUTION STAFFING 02/23/18 BLACK & JONES HENNESSY & ROACH PC 663 18WC 20290 HERTZNER, PAMELA FCA US LLC 06/08/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 664 18WC 20405 BENYO, JASON M WODA COOPER COMPANIES, IN 11/14/17 REESE & REESE 665 18WC 20511 NORDHEIM, BRIANA FCA US LLC 02/02/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 666 18WC 20575 BALLUFF, KEVIN FAMILY DOLLAR 04/27/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 667 18WC 20617 RODRIGUEZ, JOSE THOMPSON PIPE GROUP 05/30/18 GESMER & REYNOLDS PC LEAHY EISENBERG & FRAENKEL 668 18WC 20660 WEEDE, MICHAEL J & R RENTAL, INC 01/11/18 QUINTAIROS PRIETO WOOD & BOY 669 18WC 20675 POSLEY, LILLIE SYNCREON NORTH AMERICA 07/03/15 GAROFALO SCHREIBER STORM 670 18WC 20828 ROCHON, SERGE NATIONWIDE INBOUND, INC 12/12/17 GESMER & REYNOLDS PC RUSIN & MACIOROWSKI LTD 671 18WC 20890 TOVAR, ORMARI AEROTEK 06/26/18 FOOTE MIELKE CHAVEZ O'NEIL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 672 18WC 20942 DAY, THOMAS GROENWOLD FUR & WOOL CO. 01/26/17 HAUSER LAW LLC RIPES NELSON BAGGOT KALOBRAT 673 18WC 21078 TORRES, MIGUEL LUCHA CANTINA INC 10/14/17 GESMER & REYNOLDS PC 674 18WC 21084 HEMLOCK, JOSEPH LAWN CARE BY WALTER 06/21/18 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 675 18WC 21113 SANDS, NIKKI STATE OF IL @ 03/16/18 BLACK & JONES ASSISTANT ATTORNEY GENERAL 676 18WC 21309 KUHNWALD, APRIL M T.Q.M. INC BELVIDERE 03/30/18 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 677 18WC 21498 DALLAS, LEE SWEDISH AMERICAN HOSPITAL 06/27/18 VASILATOS & COTTER LLC WILLIAMS MCCARTHY LLP 678 18WC 21710 JONES, JEFF S&H NURSERY 06/22/18 BLACK & JONES HEYL ROYSTER VOELKER ALLEN 679 18WC 21839 GUADALUPE-REYES, MARIA ROCK HOSPITALITY, LLP 06/05/18 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 680 18WC 21924 MURO, ROSA TH FOODS 06/08/18 BOTTO GILBERT 681 18WC 22026 BAKER, ANN C WALGREENS 06/20/17 TUITE LAW 682 18WC 22064 HAVLOVIC, MICHELE NORTH BOONE COMMUNITY UNI 07/12/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 683 18WC 22227 LAMB, JANICE FCA US LLC 11/23/16 BLACK & JONES 684 18WC 22416 METZ, AARON ROGERS PRECISION MACHININ 09/04/17 CAPRON & AVGERINOS PC 685 18WC 22673 BAILEY, BRANDON L AEROTEK INC 06/23/18 TUITE LAW 686 18WC 22694 YOUNG, SHANEKA GUNITE CORPORATION 07/25/18 DWORKIN AND MACIARIELLO 687 18WC 22784 ROSS, ROBERT INDUSTRIAL MOLDS INC 07/03/18 BLACK & JONES 688 18WC 22787 HUGHART, THOMAS BLAIN'S FARM & FLEET 01/01/75 BLACK & JONES 689 18WC 22857 RODRIGUEZ, IRMA SURESTAFF, INC 08/22/17 BRASSFIELD KRUEGER & RAMLO LOUIS MUNDY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 690 18WC 23035 BOSSIER, ROBERT TIMBER LAKE RESORT 05/14/18 SAUNDERS CONDON & KENNY QUINTAIROS PRIETO WOOD & BOY 691 18WC 23219 THEISEN, SUZY HARLEM CONSOLIDATED SCHOO 02/16/18 GESMER & REYNOLDS PC 692 18WC 23225 VANGORKUM, EMILY COBALT MEDPLANS 07/26/18 FRANKS, GERKIN & MCKENNA P EDWARD J. KOZEL 693 18WC 23255 SLAVIC, BRANIMIR MAGNA EXTERIORS 07/05/18 BLACK & JONES POWER & CRONIN LTD 694 18WC 23258 MOORE, DEBRETTA FCA US LLC 04/14/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 695 18WC 23261 FOREMAN, WHITNEY FCA US LLC 05/11/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 696 18WC 23322 BRAUN, ANTHONY PEOPLE READY 07/27/18 DAVID W MARTAY 697 18WC 23479 ENTMEIER, CINDY SUE ARAMARK EVS 01/25/18 BLACK & JONES STONE & JOHNSON CHARTERED 698 18WC 23556 VOGT, CONNIE HONEYWELL INTERNATIONAL 06/01/18 BLACK & JONES RODDY LAW LTD 699 18WC 23767 MORRIS, TESS AEROTEK 05/20/18 DWORKIN AND MACIARIELLO 700 18WC 23972 BECK, BASIL P PEI OHIO INC 06/21/18 TUITE LAW 701 18WC 24013 LANDWEHR, VALERIE ED ETNYRE & CO. 07/27/18 BLACK & JONES 702 18WC 24210 BRANDT, BEVAN AMS MECHANICAL SYSTEMS, I 06/27/18 NILSON STOOKAL GLEASON CAP GAROFALO SCHREIBER STORM 703 18WC 24377 CARTER, JOE METRO STAFFING 07/31/18 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 704 18WC 24382 FRANK, NEIL TITAN TIRE 12/22/16 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 705 18WC 24434 RAHM, ANDREW QUANEX BUILDING PRODUCTS 07/06/18 BLACK & JONES BRADY CONNOLLY & MASUDA PC 706 18WC 24609 LETCHER, LAWRENCE PIZZA HUT 08/03/17 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 707 18WC 24826 LEMUS, JESUS DAN DALPRA PROPERTY MANAG 05/12/18 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 708 18WC 24852 BRAVO, ALFONSO TOP DIE CASTING CO INC 04/11/18 LEONARD LAW GROUP LLC 709 18WC 24859 O'HARA, KENNETH DHL EXPRESS USA INC 07/27/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 710 18WC 24965 MCGEE, JAMAL CINTAS CORP 08/07/18 BLACK & JONES POWER & CRONIN LTD 711 18WC 25118 HOWARD, LENISHA ROSEWOOD CARE CENTER 06/06/18 DWORKIN AND MACIARIELLO 712 18WC 25284 BAYLOR, TERESA CASEY'S GENERAL STORE 03/30/18 GESMER & REYNOLDS PC 713 18WC 25633 YOUNG, DANIELLE FCA ASSEMBLY PLANT 08/17/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 714 18WC 25671 GORDON, KATIE ROCK VALLEY CREDIT UNION 02/06/18 DWORKIN AND MACIARIELLO 715 18WC 25690 JOHNSON, JAMES JESSE MID STATES CONCRETE 08/09/18 BLACK & JONES GAROFALO SCHREIBER STORM 716 18WC 25851 HILL, TAMEKA FCA CHRYSLER 06/01/18 ARGIONIS & ASSOCIATES LLC WILLIAMS MCCARTHY LLP 717 18WC 25878 PEYTON, CHRISTINE FCA US LLC 10/03/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 718 18WC 26000 NISSEN, DAVID EXELON- COMMONWEALTH ED. 05/10/18 BLACK & JONES HENNESSY & ROACH PC 719 18WC 26134 TORREZ, ELOY M ZENITH CUTTER CO 11/20/17 TUITE LAW LAWRENCE COZZI - LAW OFFICE 720 18WC 26144 STEELE, MARK A VIKING CHEMICAL COMPANY 11/27/17 TUITE LAW 721 18WC 26194 FEHR, DOUG FCA US LLC 10/05/17 BLACK & JONES WILLIAMS MCCARTHY LLP 722 18WC 26197 MORRISSEY, WILLIAM (BILL) AFLAC 08/17/16 BLACK & JONES INMAN & FITZGIBBONS 723 18WC 26239 MACIEL, VERONICA VAN MATRE HEALTHSOUND REH 07/01/18 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 724 18WC 26243 STEWARD, MYLON BERNER FOODS INC 07/25/18 BLACK & JONES HOLECEK & ASSOCIATES 725 18WC 26365 ROBINSON, MICHAEL FCA US LLC 07/30/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 726 18WC 26449 MILES, FRANCES ROSS DRESS FOR LESS 08/25/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 727 18WC 26553 FRY, MATTHEW AMERICAN AXLE 08/23/18 GESMER & REYNOLDS PC 728 18WC 26681 KNECHT, MICHAEL R USF HOLLAND INC 05/21/18 TUITE LAW HENNESSY & ROACH PC 729 18WC 26702 FLAHERTY, CASEY ROCKNEL FASTENER INC 08/21/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 730 18WC 26734 BILLUPS, NATASHIA C FCA US LLC 09/18/17 WIEDNER & MCAULIFFE LTD 731 18WC 26817 KENNINGTON, ANDREW ROCKFORD POLICE ADMINISTR 05/22/18 BLACK & JONES 732 18WC 26873 SAUCEDO-CAMPOS, GONZALO ANCHOR HARVEY COMPONENTS, 08/18/18 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 733 18WC 26919 WILLIAMS, BRITTANY LOWE'S DISTRIBUTION CENTE * 07/30/18 BLACK & JONES 734 18WC 26922 CULLINS, ERIC GUNITE CORP * 04/15/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 735 18WC 26925 STONECIPHER, DAWN ARAMARK UNIFORM SERVICES * 08/03/18 BLACK & JONES 736 18WC 27070 CUSHMEER, ALONZO J BRENNTAG GREAT LAKES @ * 12/27/17 NO ATTORNEY 737 18WC 27277 DUNN, THOMAS SCOTT C. CONFER * 03/07/17 GILDEA, COGHLAN & REGAN LTD. 738 18WC 27388 GOEDERT, RACHEL MEIJER * 05/07/18 MC HARGUE & JONES KOPKA, PINKUS DOLIN, PC 739 18WC 27461 LAUER, BRAD CHRYSLER CORPORATION * 04/05/18 CAPRON & AVGERINOS PC WILLIAMS MCCARTHY LLP 740 18WC 27700 RAY, DARRELL W US XPRESS, INC * 05/13/18 TUITE LAW HENNESSY & ROACH PC 741 18WC 27792 CHRISTOPHER, ANISSA LANDSTAR * 08/17/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 742 18WC 27815 BENTON, JONATHAN A JR. QPS STAFFING SERVICES INC * 08/16/18 TUITE LAW 743 18WC 27838 JONES, DAVID YANGFENG AUTOMOTIVE INTER * 08/19/18 BLACK & JONES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 744 18WC 27875 ST VINCENT, ROBERT FCA US LLC * 12/09/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 745 18WC 28183 BARTLETT, DAN FCA US LLC * 09/05/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 746 18WC 28201 VARGAS, DAVID MIDWEST PACKAGING & CONTA * 07/02/18 HANNIGAN & BOTHA, LTD 747 18WC 28359 HOIUM, JORDY M FCA US LLC * 09/03/17 TUITE LAW WIEDNER & MCAULIFFE LTD 748 18WC 28410 MOSE, LAURIE ARMOR GORILLA * 08/24/18 BLACK & JONES 749 18WC 28413 COOK, ROME PA PETERSON AT THE CITADE * 07/06/18 BLACK & JONES 750 18WC 28530 VON GILLERN, JEAN H MACY'S RETAIL HOLDINGS IN * 06/18/18 TUITE LAW BRYCE DOWNEY & LENKOV LLC 751 18WC 28556 PETERSEN, DONALD OSF ST ANTHONY MEDICAL CE * 03/13/16 BLACK & JONES 752 18WC 28560 FREEMAN, BERNYCE WESLEY WILLOWS * 08/15/18 BRASSFIELD KRUEGER & RAMLO 753 18WC 28654 CASTANON, PAULINA ANDROID INDUSTRIES * 03/01/18 KATZ FRIEDMAN EAGLE ET AL 754 18WC 28668 LYNCH, JASON AMERICAN ALUMINUM * 07/26/18 SCHAFER DERANGO & CAIN 755 18WC 28764 COPPERNOLL, MICHELE CR ASSOCIATES * 08/18/18 GESMER & REYNOLDS PC 756 18WC 28961 DUO, GEORGE ROCKNEL FASTENER * 09/06/18 GESMER & REYNOLDS PC 757 18WC 29103 LETCHER, DINEEN BBS GROUP, INC * 08/24/18 DWORKIN AND MACIARIELLO 758 18WC 29129 CROSSER, MARK PRECISION PIPELINE * 07/31/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 759 18WC 29217 WILLIAMS, FRANCESCA FCA US LLC * 06/16/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 760 18WC 29614 JACKSON, YVONNE HONEYWELL * 09/18/18 BLACK & JONES RODDY LAW LTD 761 18WC 29675 SAENZ, MASEDONIO PYRAMID PLASTICS * 08/07/18 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 762 18WC 29748 PARRINELLO, ANTHONY FCA US, LLC * 07/10/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 763 18WC 29928 NEVAREZ, XHAVIER OAKLEY SUB ASSEMBLY * 08/10/18 MARTIN V KUGIA 764 18WC 29941 DIEHL, STEPHANIE YANFENG AUTOMOTIVE INTERI * 09/26/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 765 18WC 29942 DIEHL, STEPHANIE YANFENG AUTOMOTIVE INTERI 09/13/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 766 18WC 30015 TEDRICK, REBECCA S MERCY HEALTH SYSTEM CORP * 03/01/18 TUITE LAW 767 18WC 30041 RONAN, TIM WESTPHAL & COMPANY, INC. * 06/12/17 GESMER & REYNOLDS PC RIPES NELSON BAGGOT KALOBRAT 768 18WC 30184 AMBORN, RICHARD A USF HOLLAND 05/10/18 HENNESSY & ROACH PC 769 18WC 30220 SWANSON, GINGER WAL-MART STORES, INC * 11/12/17 QUINTAIROS PRIETO WOOD & BOY 770 18WC 30291 BARMORE, GEORGE GUNITE/ACCURIDE * 02/02/18 RUSIN & MACIOROWSKI LTD 771 18WC 30392 HORTON, JOHNNY E CONCENTRIC ROCKFORD, INC * 11/16/16 TUITE LAW 772 18WC 30491 HANSON LISA BALSEY & DAHLBERG * 01/08/18 NO ATTORNEY RUSIN & MACIOROWSKI LTD 773 18WC 30581 CAUTHEN, JEFFERY FURST STAFFING * 08/22/18 GESMER & REYNOLDS PC ACCIDENT FUND HOLDINGS 774 18WC 30666 COLBY, WILLIAM "BILL" FCA US LLC * 08/01/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 775 18WC 30766 BAGGENSTOSS, JAMIE AEROTEC * 07/30/18 KATZ FRIEDMAN EAGLE ET AL 776 18WC 30946 PANSANO, JOSEPH SYSTEM ONE * 09/06/18 BRASSFIELD KRUEGER & RAMLO MC ANDREWS & NORGLE LLC 777 18WC 31012 CLARDIE, JEREMY SPECTRUM * 10/09/18 DWORKIN AND MACIARIELLO 778 18WC 31090 CARDENAS, SANDRA FERNANDE ANDROID INDUSTRIES * 07/13/17 KATZ FRIEDMAN EAGLE ET AL 779 18WC 31116 CURRAN, ANTHONY R CITY OF ROCKFORD POLICE D * 09/18/18 REESE & REESE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 780 18WC 31217 KELLEMS-AMEN, CARLA BELOIT HEALTH SYSTEM * 01/01/18 BLACK & JONES 781 18WC 31245 SNIPES, CLIFFORD EVOLUTION STAFFING * 09/17/18 BLACK & JONES HENNESSY & ROACH PC 782 18WC 31269 CAUTHEN, JEFFERY FREEPORT SCHOOL DISTRICT * 12/15/16 GESMER & REYNOLDS PC 783 18WC 31298 BRADSHAW, LORRAINE LOESCHER CLEANING * 10/10/16 BRADY CONNOLLY & MASUDA PC 784 18WC 31341 STUKENBERG, KIMBERLY OREGON COMM UNIT S.D. #22 * 05/29/18 SEIDMAN MARGULIS & FAIRMAN 785 18WC 31384 PESCHANG, EDWARD H CITY OF ROCKFORD * 02/28/17 GESMER & REYNOLDS PC 786 18WC 31428 MYERS, BROOKE FCA US LLC * 07/03/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 787 18WC 31613 ODOM, PEGGY WALMART SUPERCENTER * 05/19/17 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 788 18WC 31616 SHERER, DAVID ANDRITZ PAPER MACHINE * 01/26/18 BLACK & JONES 789 18WC 31704 EDGESTON, JULIUS PHELPS INDUSTRIES * 08/08/18 BLACK & JONES 790 18WC 31709 CARDENAS, SANDRA FERNANDE ANDROID INDUSTRIES * 09/10/18 KATZ FRIEDMAN EAGLE ET AL 791 18WC 31799 GOBER, MELISSA FCA US, LLC * 02/15/18 BLACK & JONES 792 18WC 31941 STRATTON, MARYL D MILESTONE, INC * 04/29/17 TUITE LAW 793 18WC 31951 SIMMONS, BRADLEY USF HOLLAND * 10/04/18 BLACK & JONES 794 18WC 31954 BARNES, BRANDON CARPENTER CONTRACTORS * 05/18/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 795 18WC 32010 CARLSON, DANIEL FCA US LLC * 09/10/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 796 18WC 32107 OWENS, ROCHELLE STEPPING STONES OF ROCKFO * 10/22/18 DWORKIN AND MACIARIELLO 797 18WC 32209 KOELLER, JUSTIN BERNER FOODS INC * 04/16/17 BLACK & JONES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 798 18WC 32212 JOHNSON, JEREMY SPHERION STAFFING SERVICE * 08/24/18 BLACK & JONES 799 18WC 32373 VENTRE, FRANK WINNEBAGO COUNTY SHERIFFS * 05/15/18 BLACK & JONES 800 18WC 32384 MCDONOUGH, BRENDA PNC BANK * 10/21/16 NASH LAW OFFICE PC 801 18WC 32464 SINGMOUANGTHONG, TOON CITY OF ROCKFORD * 09/13/18 GESMER & REYNOLDS PC 802 18WC 32499 MARK, LISA FCA US LLC * 06/18/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 803 18WC 32666 VOSS, RODNEY SCHNEIDER NATIONAL * 01/24/18 BLACK & JONES 804 18WC 32677 MILNE, NATHAN W CITY OF ROCKFORD POLICE D * 11/12/17 REESE & REESE 805 18WC 32844 GOMEZ, MARIA E MARTINEZ GALENA LODGING VENTRURES * 09/08/18 COSTA IVONE LLC 806 18WC 32886 THOMPKINS, OMAR PEPSI-COLA BOTTLING COMPA * 07/18/18 BLACK & JONES 807 18WC 33015 FINKLEA, TASHA L PRESENCE LIFE CONNECTIONS * 08/03/18 TUITE LAW 808 18WC 33072 ROGERS, ROYE OSF ST ANTHONY'S MEDICAL * 08/23/18 LIPKIN & HIGGINS LAW OFFIC 809 18WC 33163 TAYLOR, ZACHARY MZI GROUP, INC. * 12/14/17 CAPUANI, FRANK S 810 18WC 33243 HOBSON, REGINA ROCKFORD HOUSING AUTHORIT * 08/01/18 BLACK & JONES GILDEA, COGHLAN & REGAN LTD. 811 18WC 33255 ORTEGA, SERGIO CENTRAL RUBBER CO * 07/23/18 BOTTO GILBERT MC ANDREWS & NORGLE LLC 812 18WC 33398 DAME, EDWARD NORTH AMERICAN MIDWAY 06/12/17 HENNESSY & ROACH PC 813 18WC 33465 TAPIA, JOHN FCA US LLC * 09/17/18 KATZ FRIEDMAN EAGLE ET AL 814 18WC 33753 TENNIN, BEN PREMIUM TRANSPORTATION * 02/26/18 BLACK & JONES WOLFE & JACOBSON, LTD 815 18WC 33771 JIMENEZ, JESUS ROCKFORT FASTENERS, INC * 03/15/18 ANESI OZMON RODIN NOVAK KO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 01/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 816 18WC 33898 HILLIARD, CHOWAN UNITED AIRLINES * 11/01/18 TAXMAN POLLOCK 817 18WC 34186 REICHARD, BENJAMIN B ILLINOIS STATE POLICE * 03/12/18 RIDGE & DOWNES 818 18WC 34250 LEWIS, QUANTRELL ASSURED STAFFING INC * 10/18/18 GESMER & REYNOLDS PC 819 18WC 34303 VALERIO, MARCOS TREE CARE ENTERPRISES, IN * 06/13/17 RIPES NELSON BAGGOT KALOBRAT 820 18WC 34377 MC LIN, ROSETTA FCA US, LLC * 06/01/18 KATZ FRIEDMAN EAGLE ET AL 821 18WC 34437 MARTIN, CYNTHIA CHILDREN'S HOME & AID * 01/24/18 ACCIDENT FUND HOLDINGS 822 18WC 34509 MELCHOR, SEBASTIAN VENUS PAINTING CO, C/O * 08/13/18 HETHERINGTON KARPEL BOBBER MACIOROWSKI SACKMANN & ULRIC 823 18WC 34618 PHINNESSEE, ROBERT MODERN ADVANCED MANUFACTU * 06/07/18 DWORKIN AND MACIARIELLO 824 18WC 34737 WALLACE, DONALD DURAND COMMUNITY UNIT * 09/24/18 KATZ FRIEDMAN EAGLE ET AL 825 18WC 34974 BARNES, WILLIAM COMBINED ROOFING, INC * 10/25/18 STEPHANIE WEISSMAN 826 18WC 35135 BOWERSOCK, BOBBY BARTLETT MANAGEMENT SRVS, * 04/25/18 NASH LAW OFFICE PC 827 18WC 35238 GRIFFIN, JAVNAULT FCA * 09/17/18 ACEVES & PEREZ PC 828 18WC 35335 SAUKA, THOMAS CENTRAL TRANSPORT LLC * 11/02/18 LOUIS A PLZAK & ASSOCIATES 829 18WC 35403 SNUGGERUD, LUC ROCKFORD ICE HOGS * 11/02/18 GORDON LAW OFFICES LTD 830 18WC 35517 ESTRELLA, DAVID ML FARM SYSTEMS, INC * 11/16/18 COSTA IVONE LLC 831 18WC 35566 CORNELIUS, JONATHON R MORING DISPOSAL INC. * 10/16/18 TUITE LAW 832 18WC 35627 EDWARDS, MICHAEL P CITY OF ROCKFORD POLICE D * 10/08/18 REESE & REESE 833 18WC 35697 SCHWARTZ, MICHELLE M CITY OF BELVIDERE * 09/18/18 BOYD, SCOTT M 834 18WC 35747 MARTINEZ, ELADIO CARRASCO V & B TRUCKING, INC. * 08/11/18 STEVEN B SALK & ASSOC LTD