illinois workers' compensation commission

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 16587 GALAS, ROBERT A DOOLING MACHINE 03/12/03 BECKER & GALANTI ROBERTS PERRYMAN BOMKAMP 2 05WC 23425 ANDERSON, WILLIAM D PRAIRIE FARMS DAIRY INC 08/20/04 KNAPP, OHL & GREEN 05WC023426 -C 3 05WC 48261 GASPAROVIC, MATTHEWE M GRANITE CITY FIRE DEPT 05/05/04 THOMAS W DUDA KEEFE & DEPAULI 05WC048262 -C 4 05WC 54089 WALTERS, REGINA OLIN CORPORATION 06/08/05 PETER BLASI LLC KEEFE & DEPAULI 09WC013839 -C 5 07WC 21630 HUNT, DAVID R NATL MAINTENANCE & REPAIR 08/12/06 BECKER & GALANTI KEEFE CAMPBELL & ASSOC LLC 6 07WC 21644 COOPER, JOHNIE SPRINGFIELD STALLIONS W 04/07/07 JEROME LEFTON LAW OFFICE 7 07WC 26321 WANN, KIMBERLYA RYAN'S FAMILY STEAK HOUSE 05/03/06 TERRY L PEEBLES RIPES NELSON BAGGOT KALOBRAT 8 07WC 29941 19B WARREN, BRYAN US STEEL 06/20/07 BECKER & GALANTI KEEFE & DEPAULI 9 07WC 30577 JONES, DONNIE ED SMITH D/B/A R&R CONSTR W 06/13/06 10 07WC 33406 COOPER, JOHNIE SPRINGFIELD STALLIONS 04/07/07 JEROME LEFTON LAW OFFICE 11 08WC 34617 WEBB, MATTHEW L TRU BILT BUILDING COMPANY 07/11/08 LAW OFFICE OF JAMES PARROT FEIRICH MAGER GREEN & RYAN 12 08WC 40472 LEVY, LISA JJR ENTERPRISES 02/01/08 KATZMAN & ASSOCIATES BOGGS AVELLINO 13 09WC 01094 19B GUITHUES, SAMUEL W GATEWAY REGIONAL MEDICAL 03/23/08 BEATTY & MOTIL WIEDNER & MCAULIFFE LTD 14 09WC 01504 ROSS, JOHN NATIONAL MAINTENANCE & RE 02/15/08 BECKER SCHROADER & CHAPMAN KEEFE CAMPBELL & ASSOC LLC 15 09WC 13990 TURNER, RICHARD A VILLAGE OF MARYVILLE 02/27/09 BECKER SCHROADER & CHAPMAN FEIRICH MAGER GREEN & RYAN 16 09WC 17494 COOK, KENNETH GUARANTEE ELECTRICAL CO 11/20/08 MCGLYNN & MCGLYNN ROBERT J HAYES LAW OFFICE 17 09WC 38614 AGLES, WILLIAM III SPECTRULITE CONCORTIUM IN 07/31/03 DAVID JEROME

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 09WC 38622 DOLLINS, WILLIAM SPECTRULITE CONSORTIUM, I 02/01/01 BROWN & BROWN 19 09WC 38623 POINTER, JEFFREY SPECTRULITE CONSORTIUM, I 07/31/02 BROWN & BROWN 20 09WC 38966 HAGEN, LINDELL SPECTRULITE CONSORTIUM IN 07/31/03 BROWN & BROWN 21 09WC 38972 HACKE, FRED JR SPECTRULITE CONSORTIUM IN 07/31/02 BROWN & BROWN 22 09WC 41522 HOOKER, DENNIS USF HOLLAND 08/17/09 FLOYD LAW FIRM HENNESSY & ROACH, PC 23 09WC 42258 MAYES, DEREK SPECTRULITE CONSORTIUM, I 01/01/98 BROWN & BROWN 24 09WC 44523 THOMA, JAMES D FREEBURG COMMUNITY SCHOOL 11/07/08 KEEFE & DEPAULI FEATHERSTUN GAUMER POSTLEWAI 022 09WC027564 -C 10WC021021 -C 25 09WC 47656 JONES, MICHAEL SPECTRULITE CONSORTIUM IN 10/01/02 BROWN & BROWN 26 09WC 47691 VOEGELE, THOMAS JR SPECTRULITE CONSORTIUM IN 10/01/02 BROWN & BROWN 27 09WC 49099 VAUGHN, WILLIE JR GATEWAY CO-PACKING 07/28/09 KEEFE & DEPAULI BRADY, CONNOLLY & MASUDA, PC 28 10WC 01974 CORMIER, JAMES PAYNECREST ELECTRIC INC 12/05/09 SCHUCHAT, COOK & WERNER EVANS & DIXON, LLC 29 10WC 06077 DONAT, BRENDA LEIGH CITY OF BELLEVILLE 02/03/09 KOPIS LAW OFFICE BECKER PAULSON & HOERNER PC 30 10WC 11640 BONE, KIMBERLY BOND COUNTY SCHOOL DISTRI 10/30/09 BROWN & BROWN ROUSE & CARY 31 10WC 13071 KELLER, LINDA K SIU EDWARDSVILLE @ 02/18/10 SL CHAPMAN LLC ASSISTANT ATTORNEY GENERAL 32 10WC 16602 OSWALD, JERAMY LOVES TRAVEL STOP 03/29/10 BROWN & BROWN RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 10WC 20990 SALVAGGIO, JOHN CASINO QUEEN 04/22/10 GLASS & KOREIN LLC BECKER PAULSON & HOERNER PC 34 10WC 25529 19B SLONE, KEVIN SR VEOLIA INDUSTRIES 05/10/10 SMITH ALLEN MENDENHALL ET INMAN & FITZGIBBONS 11WC016090 -C 35 10WC 32137 MARCRUM, DAN AMERICAN STEEL FOUNDRIES 07/10/08 GALANTI LAW OFFICES BOGGS AVELLINO 36 10WC 34665 HOPKINS, LARRY CITY OF EAST ST LOUIS 07/05/09 GLASS & KOREIN LLC CHAD A JENNINGS 37 10WC 38243 DAVIS, DARREN PJR & ASSOCIATES 06/16/10 COOK SHEVLIN YSURSA ET AL STONE & JOHNSON CHARTERED 38 10WC 41502 FULKERSON, ROBERT III LANAHAN BROTHERS W 04/04/09 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 39 10WC 41638 DE CARLO, CHERI WALGREEN'S 08/19/10 KOLKER LAW OFFICES MCANANY VANCLEVE & PHILLIPS 40 10WC 42183 GARDNER, STACEY ST OF IL DEPT OF CORRECTI @ 10/08/10 LAW OFFICE OF CELESTINE DO ILLINOIS ATTORNEY GENERAL 11WC024916 -C ILLINOIS DEPARTMENT 41 10WC 42776 MILLER, KATHIE CASINO QUEEN 09/30/10 BROWN & BROWN MICHEAL NESTER 42 10WC 44636 BECKWITH, RICKEY CONAGRA FOODS 05/12/10 HUSTAVA, JOHN H KEEFE CAMPBELL & ASSOC LLC 43 10WC 47500 DECKER, KAREN J ILLINOIS CENTER FOR AUTIS 05/30/09 CALLIS LAW FIRM ROBERT J HAYES LAW OFFICE 44 10WC 47868 CROSSEN, DAVID BECHTEL CONSTRUCTION CO 11/02/10 PERICA LAW FIRM EVANS & DIXON, LLC 45 11WC 09688 COOPER, DARLENE ILLINOIS CENTRAL SCHOOL B 02/08/11 JOHNSTON LAW OFFICES EVANS & DIXON, LLC 46 11WC 12343 HUGHES, BOBBY E SOLVAY FLUORIDES INC 04/16/08 SCHUCHAT, COOK & WERNER GALLIANNI DOELL & COZZI LTD 47 11WC 16700 KNOX, GLEASON SPECTRULITE CONSORTIUM IN 02/01/02 BROWN & BROWN 48 11WC 16721 THOMPSON, DONALD SPECTRULITE CONSORTIUM, I 06/01/96 DAVID JEROME

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 49 11WC 16724 HENDRIX, MIKE SPECTRULITE CONSORTIUM, I 02/01/02 DAVID JEROME 50 11WC 16735 PARKER, THOMAS E ST CLAIR COUNTY HIGHWAY D 02/15/11 CHATHAM & BABKA BECKER PAULSON & HOERNER PC 15WC012106 -C 51 11WC 16805 ROCKETT, CHARLES SPECTRULITE CONSORTIUM, I 12/01/93 BROWN & BROWN 52 11WC 18426 ZYWICKI, BRIAN FAIRVIEW HEIGHTS POLICE D 03/22/11 BECKER SCHROADER & CHAPMAN 53 11WC 20781 DENNIS, THOMAS CODE RED SAFETY 04/26/11 KOLKER LAW OFFICES HOLTKAMP LIESE ET AL 54 11WC 21179 19B COOK, KEVIN REBKEMPER & SON BUILDING 02/24/11 LESKERA LAW FIRM BRYCE DOWNEY & LENKOV LLC 55 11WC 21575 HOPKINS, LARRY CITY OF ST EAST LOUIS 05/23/11 GLASS & KOREIN LLC CLAYBORNE SABO & WAGNER 56 11WC 21919 UNGER, SCOTT RONALD CHERNE 01/15/11 MILLER, WILLIAM R LAW OFFI HEYL ROYSTER VOELKER & ALLEN 57 11WC 23040 EDWARDS, BONITA STATE OF ILLINOIS @ 01/25/11 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 58 11WC 23585 HEARD, BEVERLY SPECTRULITE CONSORTIUM, I 02/01/02 BROWN & BROWN 59 11WC 23852 DELFEL, JASON CHARTER COMMUNICATIONS 05/05/11 BROWN & BROWN HENNESSY & ROACH, PC 60 11WC 24328 BOYD, JOYCE CASINO QUEEN 03/27/11 GALANTI LAW OFFICES BECKER PAULSON & HOERNER PC 61 11WC 24942 COX, HOPE A GLOBAL BRASS 06/16/11 MICHAEL J BRUNTON LAW OFFI KEEFE & DEPAULI 62 11WC 29052 HOFMEISTER, CHARLES GIBCO MOTOR EXPRESS LLC 04/07/11 STRONG LAW OFFICE HINSHAW & CULBERTSON 63 11WC 30583 DICKERSON, BRADLEY ALTON MENTAL HEALTH @ 11/03/10 UNSELL, EDWARD W LAW OFFIC ASSISTANT ATTORNEY GENERAL 64 11WC 30835 19B YORK, LOUISE LA PETITE ACADEMY 07/26/11 BROWN & BROWN HENNESSY & ROACH PC 65 11WC 31066 YANCEY, LINDA THE BRADFORD NATIONAL BAN 04/22/10 CULLEY FEIST KUPPART & TAY STEPHEN H LARSON LAW OFFICE 66 11WC 35252 19B SMITH, JAMES HAYWARD BAKER 09/02/11 BEATTY & MOTIL RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 11WC 36053 NASH, JACKIE STATE OF ILLINOIS @ 02/18/11 LAW OFFICE KEITH SHORT ASSISTANT ATTORNEY GENERAL 68 11WC 38235 19B SANDIFER, TIMOTHY PIASA COMMERICAL INTERIOR 07/05/11 RICH RICH COOKSEY PC DOWD & DOWD LTD 69 11WC 42922 19B HICKEY, TRAVIS RMR CONSTRUCTION 09/29/11 HOWERTON, DORRIS & STONE THOMAS & PORTELA 70 11WC 47164 DELFEL, JASON CHARTER COMMUNICATIONS 10/21/11 BROWN & BROWN HENNESSY & ROACH, PC 71 11WC 47236 ANDERSON, LISA ILLINOIS DEPARTMENT OF @ 10/27/11 BROWN & BROWN ASSISTANT ATTORNEY GENERAL 72 11WC 47996 MEARS, BRADLEY OLIN CORPORATION 10/06/11 SCROGGINS LAW OFFICE KEEFE & DEPAULI 73 11WC 48233 JENKINS, DOUGLAS E EDWARDSVILLE TOWNSHIP HWY 07/12/11 GLASS & KOREIN LLC CRAIG & CRAIG 74 12WC 01200 CAMPBELL, RICHARD ASF-KEYSTONE, INC 09/12/11 DAVID JEROME BOGGS AVELLINO 75 12WC 02086 STERNAU, WILLIAM IDOT @ 12/06/11 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 76 12WC 02257 19B SUMMERS, DAVID REPUBLIC WASTE 10/04/11 BECKER SCHROADER & CHAPMAN LEAHY WRIGHT & ASSOC 77 12WC 02587 19B DUFRANE, CAROL CASINO QUEEN, INC. 03/31/11 BROWN & BROWN BECKER PAULSON & HOERNER PC 78 12WC 03791 DZIUROWITZ, HEINZ III DOMINOS 06/27/11 WILLIAMSON WEBSTER ET AL INMAN & FITZGIBBONS 79 12WC 07383 CRANE, CASEY PETERBILT OF ST LOUIS 02/01/12 BROWN & BROWN RUSIN MACIOROWSKI & FRIEDMAN 80 12WC 07384 BUESCHER, CHRISTOPHER S CASINO QUEEN 12/24/11 CHATHAM & BABKA BECKER PAULSON & HOERNER PC 81 12WC 08259 WILSON, MICAH TEAM INDUSTRIAL SERVICES 02/16/12 BECKER SCHROADER & CHAPMAN MCANANY VANCLEVE & PHILLIPS 82 12WC 08577 TOENISKOETTER, CHAD R CITY OF GRANITE CITY 12/03/11 STEVEN GIACOLETTO 83 12WC 09314 SULLIVAN, TIM CONSOLIDATED GRAIN & 09/11/11 HENNESSEY LAW FIRM ROUSE & CARY 84 12WC 10611 JOHNSON, LISA CHILD'S PLAY THERAPY, LLC 09/15/10 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 85 12WC 11868 BELCHER, DARRELL GLOBAL BRASS 03/29/12 GALANTI LAW OFFICES 86 12WC 13724 KING, SHARON BELLEVILLE HEALTH 03/18/12 GOLDLENBERG, HELLER, ANTOG KEEFE CAMPBELL & ASSOC LLC 87 12WC 15884 JOSEPH, KAREN POWER MAINTENANCE & 03/13/12 COOK SHEVLIN YSURSA ET AL GAROFALO SCHREIBER STORM 88 12WC 18003 STEELE, RHONDA METRO 04/11/12 GALANTI LAW OFFICES EVANS & DIXON, LLC 15WC005785 -C 89 12WC 18639 IMPASTATO, DEAN PEABODY COAL COMPANY INC 01/10/12 BROWN & BROWN KEEFE & DEPAULI 90 12WC 18751 ALBANESE, BARBARA A GMRI 05/21/12 NELSON & NELSON ROUSE & CARY 91 12WC 19082 RICHTER, KATHLEEN M PRAIRIE STATE GENERATING 07/17/11 BONIFIELD & ROSENSTENGEL P 92 12WC 19500 CHAMBERLAIN, DARNELL DEANS DAIRY HOLDING LLC 04/28/12 SCHOEN WALTON TELKEN & FOS BRADY, CONNOLLY & MASUDA, PC 93 12WC 20002 KOHRMANN, DAVID M PROFESSIONAL REBAR 05/18/12 NELSON & NELSON ROUSE & CARY 94 12WC 20974 KIRK, RYAN DNR FOUNDATION 03/28/12 BROWN & BROWN FEATHERSTUN GAUMER POSTLEWAI 95 12WC 21414 19B BOWMAN, RHONDA GATEWAY REGIONAL 05/19/12 RICH RICH COOKSEY PC WIEDNER & MCAULIFFE LTD 96 12WC 23424 APONTE, WILFREDO TEAM INDUSTRIAL SERVICES 06/09/12 SCHREINER MALLOY & ETZLER HENNESSY & ROACH, PC 97 12WC 25400 JONES, RONNIELEE IDOT 07/16/12 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 98 12WC 25436 STANKUS, TWYLA DAIRY KING 08/08/11 COOK SHEVLIN YSURSA ET AL RUSIN & MACIOROWSKI LTD 99 12WC 27304 CARROLL, SHANNON APRIA HEALTHCARE 09/28/09 GLASS & KOREIN LLC LITCHFIELD CAVO 100 12WC 28462 LINDSEY, MICHAEL D HUNTER LEASING D/B/A W 06/25/12 MORMINO,VELLOFF,EDMONDS,SN 101 12WC 28481 WELZBACHER, JOHN BELLEVILLE SEED HOUSE 06/19/12 BONIFIELD & ROSENSTENGEL P HENNESSY & ROACH, PC 102 12WC 29677 WHITEHEAD, ROBERT US STEEL 07/31/11 JOSEPH L SAMUELSON PC KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 12WC 30255 19B COOK, KEVIN REM STAFFING 07/10/12 DAVID JEROME 104 12WC 30333 DORNER, JASON CITY OF ALTON 06/22/12 WILLIAMS CAPONI & ASSOC SCHREMPF, BLAINE, KELLY & DA 105 12WC 32934 WHITE, DONALD AMERICAN STEEL 06/06/12 GOLDLENBERG, HELLER, ANTOG BOGGS AVELLINO 106 12WC 33484 BRIDGER, HARDIGREW C LFI STAFFING, INC & 05/12/12 MATEYKA & ASSOCIATES ROUSE & CARY 107 12WC 34575 CHUMBLEY, BRAD R J CORMAN RAILROAD CO LL 11/07/11 KEEFE & GRIFFITHS PC 108 12WC 36198 ALSUP, MARY JO LARRY H RAPP, DDS 11/14/11 CHATHAM & BARICEVIC LAW OFFICE CRAIG A HANSEN 109 12WC 36201 GRUBBS, DANIEL SPECTRULITE CONSORTIUM, I 03/01/01 BROWN & BROWN 110 12WC 36388 19B WASHINGTON, DARNACIO AMERICAN STEEL FOUNDRIES 05/18/12 GALANTI LAW OFFICES BOGGS AVELLINO 111 12WC 39084 JACKSON, RANDY AMERICAN STEEL 03/27/12 BOGGS AVELLINO 112 12WC 39443 CONKLIN, ROBERT J STANFORD CONTRACTOR SER 09/25/12 KIRKPARTICK LAW OFFICES HENNESSY & ROACH, PC 113 12WC 40997 ATKINS, CURTIS US STEEL 11/01/12 BROWN & BROWN KEEFE & DEPAULI 114 12WC 41223 HOLMES, DAVID BRAND INSULATION 11/15/12 GALANTI LAW OFFICES 115 12WC 41313 DARROUGH, MARY (WIDOW) PEABODY COAL CO # 08/21/11 CULLEY & WISSORE KEVIN M HAZLETT LLC 116 12WC 42322 LANGENHORST, JEROME BRADS HOME REPAIR 10/15/12 HUSTAVA, JOHN H 117 12WC 42332 THOMPSON, SHARMAINE ALTON MENTAL HEALTH 11/28/12 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 118 12WC 43867 FLEIGLE, GREGORY HERITAGE ENVIORMENTAL SER 08/21/12 CALLIS PAPA HALE & SZEWCZY MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 119 13WC 01076 HENDERSON, TRACY E LOTAWATTA CREEK 12/13/12 BROWN & CROUPPEN RODDY LAW LTD 120 13WC 01097 ADAMS, SCOTT AMERICAN DOOR GLASS & MIR 11/30/11 CULLEY FEIST KUPPART & TAY MCANANY VANCLEVE & PHILLIPS 14WC039404 -C 14WC040631 -C 15WC042650 -C 121 13WC 02840 HORD, TRUMAN SPECTRULITE CONSORTIUM IN 04/01/99 BROWN & BROWN 122 13WC 04272 GILL, DONALD JR DOOR CONTROLS ST LOUIS 08/23/12 BROWN & BROWN BROWN & JAMES, PC 123 13WC 04327 CAMPBELL, EFFIE PEABODY COAL CO # 11/06/12 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 124 13WC 04363 LYTLE, KEITH R STEAK 'N SHAKE INC 09/22/12 MORMINO,VELLOFF,EDMONDS,SN HEPLER BROOM LLC 125 13WC 04503 ECKHARDT, DAVID SOUTHERN ILLINOIS UNIVERS @ 12/18/12 BEATTY & MOTIL ELIZABETH LEAHY 126 13WC 05320 JONES, TYRES AMERICAN STEEL FOUNDRIES 12/16/12 GALANTI LAW OFFICES BONALDI CLINTON & DAVIS LTD 127 13WC 05701 VOSS, TRACEY ANDERSON HOSPITAL 07/12/10 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 128 13WC 05705 WALTZ, NANCY SOUTHERN ILLINOIS UNIVERS @ 09/13/10 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 129 13WC 06144 LEWIS, CURTIS GEORGE THOMAS @ W 12/06/12 CALLIS PAPA HALE & SZEWCZY NEAL GERBERT & EISENBERG 130 13WC 06702 STARZYK, SHERRI A STATE OF ILL ALTON MENTAL @ 01/18/12 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 131 13WC 06703 STARZYK, SHERRI A STATE OF ILL ALTON MENTAL @ 10/11/12 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 132 13WC 06859 EDWARDS, M M RENEE HELP AT HOME 09/16/12 KASSLY BONE ENGLISH ET AL ROUSE & CARY 133 13WC 08347 GEASLEY, RONNIE SAVE 10/12/12 WILLIAMS CAPONI & ASSOC BRADY CONNOLLY & MASUDA PC 134 13WC 08388 SCHAEFER, JENNIFER SAINT ANTHONY'S 10/26/12 LAW OFFICE KEITH SHORT NYHAN BAMBRICK KINZIE & LOWR 135 13WC 09452 STONER, AMY BELLEVILLE AREA SPECIAL 02/09/12 LAW OFFICE KEITH SHORT WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 136 13WC 12785 RYAN, SHEILA, ESTATE ADMI JUNEAU & ASSOCIATES # 04/02/13 HUSTAVA, JOHN H PATRICIA M CARAGHER 137 13WC 13747 JOHNSON, ELLIOTT J SR ILLINOIS JACKS LLC 03/08/13 JOHN B RAFFAELLE ADELSON TESTAN & BRUNDO 138 13WC 14057 19B TAYLOR, SHANON ALTON MENTAL HEALTH 03/01/13 GALANTI LAW OFFICES DIANA E. WISE 139 13WC 15983 MONTGOMERY, EMMA AMERICAN STEEL 08/11/11 GALANTI LAW OFFICES BOGGS AVELLINO 140 13WC 16579 19B WYATT, MADONNA ARAMARK UNIFORM SERVICES 04/17/13 GALANTI LAW OFFICES EVANS & DIXON, LLC 141 13WC 18688 JONES, DARYL MANPOWER 05/28/13 BONIFIELD & ROSENSTENGEL P GOLDBERG SEGALLA LLC 142 13WC 19092 SCOTT, DANIEL GLOBAL BRASS & COPPER 06/15/12 SMITH ALLEN MENDENHALL ET KEEFE & DEPAULI 143 13WC 19455 BLUNK, ROGER IL DEPT OF REHABILITATION 05/27/13 ARMBRUSTER DRIPPS ASSISTANT ATTORNEY GENERAL 144 13WC 21688 WILLIAM, JOHN A SPECTRULITE CONSORTIUM IN # 08/29/02 BROWN & BROWN 145 13WC 24549 WYHS, JAMES CASEY'S GENERAL STORE 02/24/13 SMITH ALLEN MENDENHALL ET HEYL ROYSTER VOELKER & ALLEN 146 13WC 24732 ARNOLD, THERESA BEVERLY FARMS 11/21/12 HOLTKAMP LIESE ET AL 147 13WC 25659 GOLLIDAY, REGINALD AMSTED RALL/AMERICAN STEE 10/26/12 JOHNSON GRAY LLC BOGGS AVELLINO 148 13WC 26149 19B DEPROW, CARLOS U.S. STEEL CORP 07/09/13 BEATTY & MOTIL KEEFE & DEPAULI 13WC026181 -C US STEEL CORP 149 13WC 27148 HARRIS, CORLOTTA DHS DIVISION OF @ 06/13/13 SCHOEN WALTON TELKEN & FOS ASSISTANT ATTORNEY GENERAL 150 13WC 28781 RODGERS, TANESHIA TANF AND/OR DHS @ 04/02/13 LAW OFFICE KEITH SHORT ELIZABETH LEAHY 151 13WC 29010 19B PARKS, GARY QUALAWASH 01/03/13 GALANTI LAW OFFICES THOMAS & ASSOCIATES 152 13WC 29588 ROBY, RHONDA CHARTER COMMUNICATIONS IN 07/30/13 JUNCKER, DANIEL K PC EVANS & DIXON, LLC 153 13WC 30035 TOLL, DANIEL K SCHMITT CHEVROLET 05/23/13 BONIFIELD & ROSENSTENGEL P RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 13WC 30528 CARTER, DAVID U S STEEL 12/02/12 BECKER SCHROADER & CHAPMAN 155 13WC 31742 DUNCAN, RICKY A AMEREN ILLINOIS 09/04/13 NELSON & NELSON LEMP & ANTHONY, PC 156 13WC 32235 MAPLES, BARBARA J ALTON MENTAL HEALTH @ 02/11/13 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 157 13WC 35337 DESHON, JOSEPH OLIN/GLOBAL BRASS 05/08/13 LAW OFFICE KEITH SHORT KEEFE & DEPAULI 158 13WC 35870 HARRISON, JIMMY AMERICAN STEEL FOUNDRIES 10/21/13 GALANTI LAW OFFICES BOGGS AVELLINO 159 13WC 36478 CALHOON, JASON R SINTZEL INVESTMENTS, INC @ 10/11/11 CLAY BARKLEY ST CLAIR ASSISTANT ATTORNEY GENERAL 160 13WC 37773 SWIFT, ROBYN MADISON COUNTY SHERIFF 02/13/11 BUTLER & KEMPER SCHREMPF, BLAINE, KELLY & DA 161 13WC 37839 OLLER, CLINTON S ILLINOIS DEPARTMENT OF TR @ 10/16/13 SCHUCHAT, COOK & WERNER ASSISTANT ATTORNEY GENERAL 162 13WC 38074 19B GROSHANS, ANGELA DHS ALTON MENTAL HEALTH C @ 08/11/13 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 163 13WC 39550 LYNCH, RICK SPECTRULITE CONSORTIUM IN 05/01/02 BROWN & BROWN 164 13WC 39624 AMOS, RONNIE TELCOPRIME INC 06/05/13 BROWN & BROWN PATRICIA M CARAGHER 165 13WC 40518 MANCUSO, SUSAN SUBURBAN JOURNALS 10/30/13 GALANTI LAW OFFICES GAROFALO SCHREIBER STORM 166 13WC 40942 RAKOWSKI, ELIZABETH VIDEOJET TECHNOLOGIES 09/24/13 BOYNE, KEVIN PC WIEDNER & MCAULIFFE LTD 167 13WC 41173 STANLEY, RONALD J WILLIAM F BROCKMAN INC 06/12/13 SMITH ALLEN MENDENHALL ET PATRICIA M CARAGHER 168 13WC 42334 LAMB, JOHNNIE PETERBILT OF ST LOUIS 11/12/13 BROWN & BROWN RUSIN MACIOROWSKI & FRIEDMAN 13WC042337 -C 169 13WC 42352 HAWKINS, CYDIK METRO CONTRACT SERVICES I 12/14/13 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 170 13WC 42362 BOBBY, DALE A THE BRICKMAN GROUP 10/11/12 BROWN & BROWN RUSIN MACIOROWSKI & FRIEDMAN 171 13WC 42584 DONABY, DONNY METRO EAST INDUSTRIES INC 11/21/13 NELSON & NELSON KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 172 14WC 00810 COLLINS, EUGENE R USIC A/K/A UNITED STATES 12/31/13 BOYNE, KEVIN PC ROUSE & CARY 173 14WC 01191 LOVELACE, THERESA H MERRY MAIDS 03/21/13 WILLIAM BERRY & ASSOCIATES RODDY LAW LTD 174 14WC 02478 BREWER, RONALD DYNAMIC TRANSIT 08/07/13 BECKER SCHROADER & CHAPMAN 175 14WC 03402 WEATHERS, BRANDON METRO AG WASTE MANAGEMENT 09/26/13 KEVIN C KAUFHOLD PC THOMAS & ASSOCIATES 176 14WC 03808 PALMITER, SOMNUEK BELLEVILLE SHOE MFG CO 02/03/11 MCGLYNN & MCGLYNN EVANS & DIXON, LLC 177 14WC 04187 RICHARDSON, GWENDOLYN FOUR POINTS SHERATON 12/08/11 KOLKER LAW OFFICES 178 14WC 04366 RICHARDSON, GWENDOLYN FOUR POINTS SHERATON 07/17/12 KOLKER LAW OFFICES 179 14WC 04570 RUGGIE, GEORGE OLIN WINCHESTER 11/14/13 ARMBRUSTER DRIPPS KEEFE & DEPAULI 180 14WC 05040 CHMIELEWSKI, GENE CASINO QUEEN 11/02/13 LAW OFFICE KEITH SHORT BECKER PAULSON & HOERNER PC 181 14WC 05197 ERNST, CHARLES JET AVIATION ST LOUIS INC 01/16/14 BROWN & BROWN MATHIS MARIFIAN RICHTER ET A 182 14WC 06200 STACKER, KENDALL C AT&T 06/02/13 BONIFIELD & ROSENSTENGEL P 183 14WC 06582 MALONE, MATTHEW OLIN WINCHESTER 02/14/14 ARMBRUSTER DRIPPS KEEFE & DEPAULI 184 14WC 06960 HOWELL, RICHARD E ILLINI ENVIRONMENTAL INC 11/14/13 LESKERA LAW FIRM KNELL LAW LLC 185 14WC 08113 COMBS, MICHAEL D SR U S STEEL 02/12/14 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 186 14WC 08606 HARTLINE, DANIEL R VEE-JAY CEMENT CONTRACTIN 11/25/13 BEATTY & MOTIL KEEFE CAMPBELL & ASSOC LLC 187 14WC 11535 KING, RUTHELMA ST ELIZABETH HOSPITAL 10/13/12 THOMAS W DUDA DONOVAN ROSE NESTER 188 14WC 11658 FOSTER, EVELYN AFFORDABLE HOME HEALTH IN 11/13/13 DAVID H. BONE LLC HOLTKAMP LIESE ET AL 189 14WC 11732 HOUSTON, CATHY DCFS 03/10/14 LASHLY & BAER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 190 14WC 12208 DELRE, ROBERT P JR STOCK TRANSPORT INC 02/07/14 FISHER KERHOVER & WELGE JAMES M KELLY 191 14WC 12265 FITZWATER, JIM MR BULTS INC 03/10/14 BROWN & BROWN WIEDNER & MCAULIFFE LTD 192 14WC 12796 ORIADE AGBOOLA, TEMILADE ILLINOIS DEPARTMENT OF @ 01/21/14 WALTON TELKEN FOSTER LLC ASSISTANT ATTORNEY GENERAL 193 14WC 12932 LIEBI, ROBERT J IL DEPARTMENT OF @ 04/08/13 RIDGE & DOWNES LLC ELIZABETH LEAHY 194 14WC 12970 GROVE, GLENN EXPRESS EMPLOYMENT PROFES 03/18/14 BROWN & BROWN MC ANDREWS & NORGLE LLC 195 14WC 14064 KIOUS II, FRANKLIN PANGEA GROUP 09/30/13 BEATTY & MOTIL LAW OFFICE CRAIG A HANSEN 196 14WC 14277 VILLALOBOS, RENE HIRE QUEST 10/01/12 FOX GOLDBLATT & SINGER PC 197 14WC 14744 NIEDERHOFER, VICKI A. ILLINOIS DEPT. OF EMPLOYM 04/11/14 COOK SHEVLIN YSURSA ET AL ASSISTANT ATTORNEY GENERAL 198 14WC 14895 CANTRELL, WENDY WOLF BRANCH ELEMENTARY 03/04/14 HOLTKAMP LIESE ET AL 199 14WC 14981 NEVIUS, MIKE AMEREN ILLINOIS 01/28/14 COOK SHEVLIN YSURSA ET AL 200 14WC 15005 LAWSON, STEPHANIE Z IL DEPT OF @ 02/06/14 SGRO HANRAHAN & BLUE ASSISTANT ATTORNEY GENERAL 201 14WC 15645 PROUGH, MICHAEL JERSEY COUNTY 03/07/13 SCHOEN WALTON TELKEN & FOS BECKER PAULSON & HOERNER PC 202 14WC 16350 AGNEY, TONY WINCHESTER 04/17/14 GALANTI LAW OFFICES KEEFE & DEPAULI 203 14WC 16357 MARKULAKIS, GEORGE RUSSELL HALLEMANN CONSTRU 03/20/14 204 14WC 16359 19B DOWNARD, JANICE CAHOKIA DISTRICT 187 01/07/14 KOLKER LAW OFFICES CLAYBORNE SABO & WAGNER 205 14WC 16583 BECK, HATTIE TOUCHETTE REGIONAL HOSPIT 04/25/14 SCHOEN WALTON TELKEN & FOS 206 14WC 17742 JAMES, MICHAEL JAMES BENNETT TRUCKING @ W 04/09/14 GOLDENBERG, HELLER, ANTOGNOL 207 14WC 18876 CORNELL, PATRICIA EXTENDED STAY AMERICA 05/05/14 BROWN & BROWN RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 208 14WC 18885 TYLER, BARBARA A WOOD RIVER MOOSE 06/14/12 PERICA LAW FIRM LAW OFFICES STEVEN PILAND 209 14WC 19613 DUPREE, TOMMY L PTS OF AMERICA 12/15/13 WINTERS BREWSTER CROSBY ET HENNESSY & ROACH, PC 210 14WC 19619 JACOBER, BRENT SECURITAS SECURITY SERVIC 05/18/14 GARY W. KULLMAN MCANANY VANCLEVE & PHILLIPS 211 14WC 20023 RIGSBY, BEVERLY A KRAFT FOODS INC/CAPRI SUN 04/30/13 GLASS & KOREIN GAROFALO SCHREIBER STORM 212 14WC 20028 JOHNSON, TOM CASINO QUEEN 02/09/09 HANAGAN & MCGOVERN PC BECKER PAULSON & HOERNER PC 213 14WC 20035 TURNER, BRANDAN W ALL AMERICAN SERVICES LLC 05/21/14 CLAY BARKLEY ST CLAIR 214 14WC 20129 19B DEANGELO, MARK URS 02/25/14 WOMICK LAW FIRM CHTD HEYL ROYSTER VOELKER & ALLEN 215 14WC 20227 MILLESON, SHAWN REPUBLIC SERVICES 05/08/14 RICH RICH COOKSEY PC MCBREARTY, BRIAN K 216 14WC 20882 OGDEN, STEVE ALTON SCHOOL DISTRICT 05/05/14 GALANTI LAW OFFICES KNAPP, OHL & GREEN 217 14WC 21115 WALKER, HENRY BI-STATE DEVELOPMENT AGEN 02/02/14 HUSTAVA, JOHN H BROWN & JAMES, PC 218 14WC 21511 GREENBERG, JOSEPHT ALTON COMMUNITY UNIT SD # 05/09/14 BEATTY & MOTIL EVANS & DIXON, LLC 219 14WC 21525 KAISER, STEVEN J AT&T 05/10/12 JOSEPH E. HOEFERT HENNESSY & ROACH, PC 220 14WC 22560 MEJIA MEZA, REFUGIO JEFF BUEHNE 04/16/14 LAW OFFICE VAN-LEAR P ECKE 221 14WC 22688 MITCHELL, TED URS CORP 10/01/13 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 222 14WC 23439 OVERTON, LISA STATE OF ILLINOIS @ 06/12/14 SCHOEN WALTON TELKEN & FOS ASSISTANT ATTORNEY GENERAL 223 14WC 23567 VOYLES, RICKEY PEABODY GATEWAY SERVICES 02/28/14 CULLEY & WISSORE KEEFE & DEPAULI 224 14WC 23591 ROGERS, NATHAN ALTON STEEL 06/26/14 ARMBRUSTER DRIPPS KEEFE CAMPBELL & ASSOC LLC 225 14WC 23993 PIERSON, ALLEN AMERICAN STEEL FOUNDRIES 07/04/14 ARMBRUSTER DRIPPS BOGGS AVELLINO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 226 14WC 25159 WESTERHEIDE, MICHAEL G ST OF IL DEPT OF @ 03/21/14 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 227 14WC 25653 LEUTY, MARILYN S MEYER JENSEN P.C. 06/13/13 PERICA LAW FIRM 228 14WC 26556 TIDWELL, TIMOTHY W THE MILLER GROUP 07/01/13 GABRIEL, MCCARTNEY & WAGNE 229 14WC 26620 JOYNER, TERRAN AMSTED RAIL COMPANY 05/01/14 BOGGS AVELLINO 230 14WC 26837 WEISHAUPT, DAVID ABF FREIGHT SYSTEM INC 02/20/14 BROWN & BROWN KEEFE CAMPBELL & ASSOC LLC 231 14WC 26918 CHAPMAN, WAYNE CAHOKIA HIGH SCHOOL CUSD 08/22/13 DENNIS SHEVLIN 232 14WC 27691 ALDRICH, SHANNA D CARING FIRST NURSING HOME 05/20/14 BONIFIELD & ROSENSTENGEL P BOGGS AVELLINO 233 14WC 27772 GRANDFIELD, CLAUDE E DOYLE BROTHERS FARMS 05/01/14 RIDGE & DOWNES LLC BRADY, CONNOLLY & MASUDA, PC 234 14WC 27918 LANTER, DANNY HAAG FOODS 07/15/14 KOLKER LAW OFFICES STEPHEN H LARSON LAW OFFICE 235 14WC 28305 BIGGINS, TIMOTHY VILLAGE OF ST JACOB 06/08/14 GARY W. KULLMAN SCHREMPF, BLAINE, KELLY & DA 236 14WC 28343 BROWN, SCOTT W AMEREN IP 07/15/14 NELSON & NELSON LEMP & ANTHONY, PC 237 14WC 28544 BOSLER, VIRGINIA L DRIVE LINE 03/14/14 238 14WC 29158 PAINTER, ANDREA VILLAGE OF GLEN CARBON 04/28/12 STRONG LAW OFFICE KEEFE & DEPAULI 239 14WC 29272 LAMMY, ROGER U.S. STEEL 04/03/14 JOSEPH L SAMUELSON PC KEEFE & DEPAULI 14WC029273 -C 240 14WC 29764 RINGWOOD, BRUCE THE JUDY COMPANY 03/23/14 LAW OFFICE CRAIG A HANSEN 241 14WC 29770 STONE, JEFFREY GILSTER-MARY LEE CORP 10/10/13 LAW OFFICE KEITH SHORT FEIRICH MAGER GREEN & RYAN 242 14WC 30774 DIETZ, RODNEY GATEWAY DISTRIBUTION 12/10/13 243 14WC 31144 ALBERS, STEPHEN M PRECOAT METALS 05/28/14 SHAPIRO SPAETH & SAUER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 244 14WC 32111 JOHNSON, ERIC B CORNERSTONE HOUSING 08/14/14 BROWN & BROWN WIEDNER & MCAULIFFE LTD 245 14WC 32559 ORTIZ, RODRIGO TOTALL METAL RECYCLING 09/13/12 LESKERA LAW FIRM MCANANY VANCLEVE & PHILLIPS 246 14WC 32634 HOHE, RAYMOND L ILLINOIS-AMERICAN 12/01/13 MCGLYNN & MCGLYNN 247 14WC 33290 KIRKPATRICK, DONNA FOX MEDICAL EQUIPMENT 07/07/14 FLOYD LAW FIRM HOLTKAMP LIESE ET AL 248 14WC 33299 MARCHWINSKI, MARK A CULLIGAN WATER 10/23/13 NELSON & NELSON GAROFALO SCHREIBER STORM 249 14WC 33475 PALMER, R MARK MENARD'S 05/08/13 LASHLY & BAER PC 250 14WC 33527 RIVERA, ISRAEL AMERICAN STEEL FOUNDRES 07/17/14 BECKER SCHROADER & CHAPMAN 251 14WC 33573 MCMINN, JOHN BEELMAN TRUCK CO 05/21/14 SCHREMPF, BLAINE, KELLY & MCANANY VANCLEVE & PHILLIPS 252 14WC 33653 DRUMELLER, ELLA BOND COUNTY COMMUNITY UNI 09/25/13 ARMBRUSTER DRIPPS 253 14WC 33762 PRENZEL, VANESSA STEAK N SHAKE 05/08/14 HEPLER BROOM LLC 254 14WC 34444 DICKERSON, BRADLEY ALTON MENTAL HEALTH CENTE @ 05/09/14 UNSELL, EDWARD W LAW OFFIC ASSISTANT ATTORNEY GENERAL 255 14WC 34641 CROSSEN, MICHAEL HAAG FOOD SERVICE INC 04/28/14 BOYNE, KEVIN PC STEPHEN H LARSON LAW OFFICE 256 14WC 34905 MEZYK, ANTHONY IN-LAND TECHNOLOGIES SERV 08/20/12 PAUL STORMENT III PATRICIA M CARAGHER 257 14WC 35360 HENDRIX, CHRISTINA WELLSPRING RESOURCES 07/15/14 KOLKER LAW OFFICES NOBLE & ASSOCIATES PC 258 14WC 35505 HOOD, GARY ARROW SHEDS 08/15/14 WILLIAMSON WEBSTER ET AL HENNESSY & ROACH, PC 259 14WC 35773 HURST, MICHAEL L EAGLE FABRICATIONS 08/01/11 PERICA LAW FIRM MCANANY VANCLEVE & PHILLIPS 260 14WC 36859 BEATTIE, DANTE ST CLAIR COUNTY SHERIFFS 11/11/13 NELSON & NELSON BECKER PAULSON & HOERNER PC 261 14WC 37191 PETTY, SHARI CROTHALL HEALTH CARE INC 10/20/14 HUSTAVA, JOHN H

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 262 14WC 37791 GOODMAN, ROBERT MARATHON PETROLEUM COMPAN 10/20/14 BECKER SCHROADER & CHAPMAN BRYCE DOWNEY & LENKOV LLC 263 14WC 38376 19B GAVIN, JOHN GERO FLOW PRODUCTS 06/02/14 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD 264 14WC 38721 BERRY, KATHLEEN THE TIMKEN CORPORATION 10/29/13 BEATTY & MOTIL NYHAN BAMBRICK KINZIE & LOWR 265 14WC 38737 FUCHS, DENNIS LOU FUSZ 10/17/14 LIESER LAW FIRM 266 14WC 38761 DALTON, JEFFREY OLIN CORPORATION 10/21/14 ARMBRUSTER DRIPPS KEEFE & DEPAULI 267 14WC 39000 19B HOWARD, JEFFREY III ST. CLAIR COUNTY HWY 09/17/14 RICH RICH COOKSEY PC BECKER PAULSON & HOERNER PC 268 14WC 39007 19B COLLMAN, KATRINA ST OF IL DEPT OF OFFICE O @ 05/05/14 SMITH ALLEN MENDENHALL ET ASSISTANT ATTORNEY GENERAL 269 14WC 39607 MANUEL, SYLVESTER CERRO FLOW 09/29/14 BEMENT & STUBBLEFIELD RUSIN & MACIOROWSKI LTD 270 14WC 40028 SHAW, MARIO AMERICAN STEEL FOUNDRIES 09/16/14 GALANTI LAW OFFICES BOGGS AVELLINO 271 14WC 40058 LAWRENCE, GERALDINE M BETHALTO COMMUNITY UNIT 10/09/14 NELSON & NELSON 272 14WC 40108 GARNER, DARRYL L SR FEDEX GROUND PACKAGE 10/31/14 SCHUCHAT, COOK & WERNER SCOPELITIS GARVIN LIGHT 273 14WC 40230 CHAMBERLAIN, DARNELL DEAN'S DAIRY HOLDING LLC 11/07/14 SCHOEN WALTON TELKEN & FOS 274 14WC 40309 RUDD, DONNA E ANDERSON HOSPITAL 03/15/14 WALTON TELKEN FOSTER LLC NYHAN BAMBRICK KINZIE & LOWR 275 14WC 40364 SMITH, TERESA KRAFT FOODS 11/13/14 276 14WC 40399 TAYLOR, DOLORES M CATHOLIC CHILDREN'S HOME 10/31/14 MORMINO,VELLOFF,EDMONDS,SN 277 14WC 40854 WESTERHEIDE, MICHAEL G IDOT @ 03/22/10 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 278 14WC 41004 RINEHART, CARROL III ST CLAIR COUNTY 08/20/14 THOMAS C RICH PC 279 14WC 41699 LARAMORE, STANLEY RUSH TRUCKING 10/30/14 BROWN & CROUPPEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 280 14WC 42250 THOMAS, BRITTINY ST PAUL'S HOME 08/06/14 SCHOEN WALTON TELKEN & FOS 281 14WC 42760 BLAYLOCK, RONALD G SUPERIOR EXPRESS, INC 08/07/14 PADBERG CORRIGAN APPELBAUM ARCHER LASSA & MCHUGH 282 14WC 43351 WIENEKE, LISA CITY OF JERSEYVILLE 09/30/14 EDMONDS LAW OFFICE SCHREMPF, BLAINE, KELLY & DA 283 14WC 43451 SCHMITT, THERSA SHELL OIL COMPANY 07/09/14 NELSON & NELSON THOMAS & ASSOCIATES 284 15WC 01044 ATKINS, CURTIS US STEEL CORP 08/27/14 BROWN & BROWN KEEFE & DEPAULI 285 15WC 01267 PURKAPLE, MARK SGS PETROLEUM SERVICES 12/23/14 BROWN & BROWN WIEDNER & MCAULIFFE LTD 286 15WC 01430 JACKSON, STEVEN ST OF IL DEPT OF 02/13/14 RIDGE & DOWNES ASST ATTY GENERAL 287 15WC 01868 JOHNSTON, DENNIS W SHARKEY TRANSPORTATION IN 01/29/14 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 288 15WC 02678 GREELING, STEVE BARRETT HEATING & COOLING 10/01/12 DENIS A MC GRADY, JR 289 15WC 02694 DEVINE, KAITLYN AERIE'S RIVERVIEW WINERY 09/20/14 GALANTI LAW OFFICES RUSIN & MACIOROWSKI LTD 290 15WC 02706 FERRELL, SHAUN D&J EXTERIORS AND BOBCAT 11/20/14 CHATHAM & BARICEVIC BRUCE WARREN 291 15WC 02835 WALLACE, QUEEN VITAS HOSPICE HEALTH CARE 01/03/15 RICH RICH COOKSEY PC ANCEL GLINK DIAMOND BUSH & E 292 15WC 02969 LOVSEY, CURTIS D EDWARDSVILLE SCHOOL 06/18/14 NELSON & NELSON KNAPP, OHL & GREEN 293 15WC 03701 DEADMOND, ROBERT D. CITY OF COLLINSVILLE 09/05/14 THOMAS W DUDA BECKER PAULSON & HOERNER PC 294 15WC 03740 FULLER, TAMISHA MARKA NURSING HOME 01/17/15 BOYNE, KEVIN PC 295 15WC 04509 DEPROW, CARLOS U.S. STEEL CORP 07/29/14 BEATTY & MOTIL 296 15WC 04575 KOHNEN, DENNIS IL DEPT OF TRANSPORTATION @ 05/20/14 COOK SHEVLIN YSURSA ET AL ELIZABETH LEAHY 297 15WC 04605 ROSS, JERMAINE L LABOR PARTNERS, LLC 09/24/14 BROWN & BROWN RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 298 15WC 04713 STEWART, LYNNE COPE PLASTICS INC 06/20/14 SMITH ALLEN MENDENHALL ET HENNESSY & ROACH, PC 299 15WC 05631 ORTIZ-VASQUEZ, ROER UNITRAC RAILROAD MATERIAL 01/08/15 GOLDBERG WEISMAN & CAIRO L LAW OFFICES STEVEN PILAND 300 15WC 05699 STURGEON, MELISSA K BREESE NURSING HOME 08/27/14 MILLER, WILLIAM R LAW OFFI BOGGS AVELLINO 301 15WC 05869 FRENCH, TINA LOUISE EDWARDSVILLE NURSING 08/07/14 MEEHAN LAW FIRM 302 15WC 05898 STORMER, ROSE M. WOOD RIVER-HARTFORD SCHOO 05/07/14 SCHOEN WALTON TELKEN & FOS ROSARIO CIBELLA 303 15WC 05905 WESLEY, RONNIE BEVERLY FARM FOUNDATIONS 10/06/13 KANOSKI BRESNEY 304 15WC 06120 WILLIAMS, KENNETH BRANDING IRON HOLDINGS, I 12/12/14 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 305 15WC 06386 ARNOLD, RAVEN THE MASCHHOFFS 09/30/14 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 306 15WC 06393 WILLIAMS, KENNETH BRANDING IRON HOLDINGS, I 09/30/14 BROWN & BROWN HANSEN & ENRIGHT 307 15WC 06605 SHANK, LISA BARBER VOSS HOME CARE TEA 12/05/14 ROTH LAW OFFICES GAROFALO SCHREIBER STORM 308 15WC 06666 BEAVERS, DEBORAH A WELLSPRING RESOURCES 01/28/15 WILLIAMSON WEBSTER ET AL NOBLE & ASSOCIATES PC 309 15WC 06913 DALEY, MICHAEL JONES MOTOR FREIGHT 01/23/15 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 310 15WC 07165 WOLF, HANNAH L MEMORIAL HOSPITAL 10/15/14 THE JONES LAW FIRM PC MATHIS MARIFIAN RICHTER ET A 311 15WC 07206 BLOOMER, JANE I MILLSTADT CONSOLIDATED 11/05/13 BADGLEY, BRAD L WIEDNER & MCAULIFFE LTD 312 15WC 07250 SNYDER, ED OLIN 07/11/14 LAW OFFICE KEITH SHORT KEEFE & DEPAULI 313 15WC 07876 GOURLEY, NANCY A AT&T 03/30/12 SCOTT P. HOLWITT HENNESSY & ROACH, PC 314 15WC 08204 STUDNICKI, ROBERTA J SIUE @ 01/29/15 PERICA LAW FIRM ASSISTANT ATTORNEY GENERAL 315 15WC 08465 WILLIAMS, KENNETH BRANDING IRON HOLDINGS, I 03/01/14 BROWN & BROWN LAW OFFICE CRAIG A HANSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 316 15WC 08522 JERNIGAN, ARTHUR RAND DIVERSIFIED 06/20/12 BROWN & BROWN 317 15WC 08602 GLOVER, CHERYL FIRSTSOURCE 02/12/15 BROWN & BROWN HOLTKAMP LIESE ET AL 318 15WC 08698 TALLEY, GREGORY SELECT STAFFING 12/05/14 KEEFE & GRIFFITHS PC LEAHY EISENBERG & FRAENKEL 319 15WC 08906 GAGICH, MICHAEL A CITY OF GRANITE CITY 05/19/14 LAW OFFICE OF THOMAS SCHOO KEEFE & DEPAULI 320 15WC 09023 WOODS, JUDITH A SHIVAM HOTEL, LLC 07/17/14 WILLIAMS CAPONI & ASSOC STEPHEN H LARSON LAW OFFICE 321 15WC 09033 SPIRES, WAYNE MSI CONSTRUCTION 01/30/15 DENNIS SHEVLIN KEEFE & DEPAULI 322 15WC 09156 GOODWIN, KIMBERLY TOUCHETTE REGIONAL HOSPIT 03/06/15 323 15WC 09326 WILSON, DARRELL BRANDING IRON HOLDINGS IN 07/02/14 JUNCKER, DANIEL K PC LAW OFFICE CRAIG A HANSEN 324 15WC 09655 HARRISON, JIMMY AMERICAN STEEL FOUNDRIES 01/21/15 GALANTI LAW OFFICES BOGGS AVELLINO 325 15WC 09774 LOVE, CARL WORLDWIDE TECHNOLOGY 11/19/14 HENNESSY & ROACH, PC 326 15WC 09877 MILLER, KATHIE CASINO QUEEN 09/24/12 BROWN & BROWN KRISTINE MCGEE MACK 327 15WC 09906 DOWDY, BRIAN K BELLEVILLE POLICE DEPT 09/20/14 BONIFIELD & ROSENSTENGEL P 328 15WC 10574 WINTER, MARY OLAN MILLS 05/03/09 GLASS & KOREIN MORROW WILLNAUER 329 15WC 10702 MAKAREWICZ, PAMELA CHILDREN'S HOME AND AID 05/14/14 BROWN & CROUPPEN WIEDNER & MCAULIFFE LTD 330 15WC 10764 FIKES, EARLINE CAHOKIA SCHOOL DIST 187 02/12/15 BONIFIELD & ROSENSTENGEL P CLAYBORNE SABO & WAGNER 331 15WC 10816 FOOR, SANDRA L MEYER HONDA AUTO COMPANY 04/07/14 LAW OFFICE GARY MACK WIEDNER & MCAULIFFE LTD 332 15WC 10861 KAUFFOLD, LINDSEY S CITY OF BELLEVILLE 01/19/15 KEEFE & DEPAULI BECKER PAULSON & HOERNER PC 333 15WC 10908 MANDRELL, RAYMOND BRAND ENERGY SERVICES 02/26/15 BECKER SCHROADER & CHAPMAN 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 ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 15WC 11337 BILLUPS, STEPHEN ELITE STAFFING 03/23/15 LAW OFFICES OF GAROFALO SCHREIBER STORM 335 15WC 11501 DRENNAN, KELLI SODEXO 02/25/15 RICH RICH COOKSEY PC WIEDNER & MCAULIFFE LTD 336 15WC 11727 STANISLAWSKY, RALPH OMNICARE 04/04/14 NELSON & NELSON MORROW WILLNAUER 337 15WC 11863 BULVA, WILLIAM U S STEEL CORP 04/02/15 BEATTY & MOTIL KEEFE & DEPAULI 338 15WC 12112 WASHINGTON, CARLETTE CASINO QUEEN 03/15/15 BROWN & BROWN MICHAEL NESTER 339 15WC 12248 BUSCH, ERIK STERITECH 02/02/15 KEEFE & GRIFFITHS PC PATRICIA M CARAGHER 340 15WC 12283 BUMANN, KENNETH G GOLDEN STATE FOODS CORP 02/18/15 EDWARD J FISHER BRADY CONNOLLY & MASUDA PC 341 15WC 12414 JOHNSON, WILLIE BEA SIUE HEAD START @ 04/17/13 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 342 15WC 12600 SCHMIDT, EDWARD CHALLENGE UNLIMITED 10/01/14 MEYERS & FLOWERS 343 15WC 12645 RUSSELL, FLOYD T BI STATE TRUCK REPAIR 03/11/15 BONIFIELD & ROSENSTENGEL P RODDY LAW LTD 344 15WC 12832 KEMPFER, JUSTEN DYNEGY MIDWEST 03/09/15 RICH RICH COOKSEY PC KEEFE & DEPAULI 345 15WC 12865 HEAVENS, MICHAEL AMERICAN STEEL FOUNDRIES 04/07/15 GALANTI LAW OFFICES BOGGS AVELLINO 346 15WC 13194 19B LOVE, CONNIE RGIS INVENTORY 12/23/14 RICH RICH COOKSEY PC QUINTAIROS PRIETO WOOD & BOY 347 15WC 13402 FITPATRICK, ROBERT AMSTED INDUSTRIES, INC. 02/28/15 MORMINO,VELLOFF,EDMONDS,SN 348 15WC 13567 HUMES, BRIDGETT ROMA PIZZA CO 04/01/14 KEEFE & GRIFFITHS PC STEPHEN H LARSON LAW OFFICE 349 15WC 13774 KELLER, RICHARD LFK STAFFING, INC. 12/23/14 LAW OFFICE OF THOMAS SCHOO WIEDNER & MCAULIFFE LTD 350 15WC 13797 FOSTER, MICHAEL H MEINEKE 03/14/15 NELSON & NELSON WIEDNER & MCAULIFFE LTD 351 15WC 13810 SZYMANSKI, MARK VILLAGE OF SAUGET 08/09/14 RICH RICH COOKSEY PC KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 352 15WC 13823 WADE, CHAS WOLFF CONSTRUCTION 06/27/13 PETER BLASI LLC 353 15WC 14125 FLOWERS, ROSEMARY E KRAFT FOODS CAPRI SUN PLA 10/15/12 UNSELL, EDWARD W LAW OFFIC 354 15WC 14493 KIRN, ARLENE ELITE STAFFING 04/09/15 LAW OFFICE OF JAMES PARROT 355 15WC 14977 RAINEY, TIMOTHY P CITY OF COLLINSVILLE 04/24/15 THOMAS W DUDA BECKER PAULSON & HOERNER PC 356 15WC 15002 NICHOLSON, GAYSHON CHEDDARS CASUAL CAFE 02/26/15 DAVID H. BONE LLC STEPHEN H LARSON LAW OFFICE 357 15WC 15513 OTT, JUSTIN MC CULLOUGH'S FLOORING 04/27/15 DANIEL J. GAUTHIER 358 15WC 15537 COURTRIGHT, STEVEN CHECKER CAB CO 03/28/15 BROWN & BROWN ROUSE & CARY 359 15WC 15656 HOWELL, BRIDGETTE EAST ST LUOIS SCHOOL DIST 03/18/15 HUSTAVA, JOHN H BECKER PAULSON & HOERNER PC 360 15WC 15699 SADLER, MONTY ANDERSON CORPORATION 03/18/13 LAW OFFICES OF ELLEN E MOR 361 15WC 15778 HAIR, TERRY REHKEMPER AND SON 06/19/14 HUSTAVA, JOHN H WIEDNER & MCAULIFFE LTD 362 15WC 15929 PHILLIPS, MARICA HARMONY EMGE 175 04/24/15 RICH RICH COOKSEY PC PATRICIA M CARAGHER 363 15WC 15960 GILLESPIE, LACHELL JUVENILE TRANSITIONAL 11/13/12 NELSON & NELSON HENNESSY & ROACH, PC 364 15WC 16433 MURRY, CORNELIUS ILL DEPT OF TRANSPORTATIO @ 05/29/13 BOYNE, KEVIN PC ASSISTANT ATTORNEY GENERAL 365 15WC 16480 JACKSON, KATHY ALTON MENTAL HEALTH CENTE 07/17/13 BROWN & CROUPPEN ASSISTANT ATTORNEY GENERAL 366 15WC 16523 GILLIAM, ARNETTA HOLTEN MEAT INC 04/04/15 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 367 15WC 16554 GILLIAM, ARNETTA HOLTEN MEAT INC 12/05/14 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 368 15WC 16967 SPRUELL, ANGELA SWIC 03/16/15 BROWN & BROWN BECKER PAULSON & HOERNER PC 369 15WC 16971 BOWERMASTER, WADE GENCO MWDC 10/24/14 MANDEL & MANDEL LLP ROUSE & CARY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 370 15WC 17188 MURRY, CORNELIUS STATE OF ILLINOIS @ 12/23/14 BOYNE, KEVIN PC 371 15WC 17661 COX, LAWANDA FARM & HOME SUPPLY COMPAN 04/12/15 MORMINO,VELLOFF,EDMONDS,SN KEEFE & DEPAULI 372 15WC 17780 EMBRICH, BRIAN BAXMEYER CONSTRUCTION 04/27/15 BROWN & BROWN 373 15WC 17923 THOMAS, MARK ALDI'S 05/14/14 HUSTAVA, JOHN H LYNN D BARNETT 374 15WC 17929 SPANGENBERG, LEON E DRESSLER TRUCK SERVICE 04/10/15 SCANLON, CHARLES R 375 15WC 18125 REMER, DANNY II JARDEN FARMS 05/23/14 376 15WC 18173 HOVIS, DONNIE JR. GEMINI MOTOR TRANSPORT 03/02/14 BROWN & BROWN GAROFALO SCHREIBER STORM 377 15WC 18199 SMITH, JIMMIE JR. COMMERCIAL LAND SCAPE SER 05/07/15 ROBERT J BASSETT 378 15WC 18300 GEISEN, JAMES E. THIEMS CONSTRUCTION 05/05/15 CANTOR & BURGER ROUSE & CARY 379 15WC 18347 MCAFEE, BRENT OLIN WINCHESTER 02/10/15 ARMBRUSTER DRIPPS KEEFE & DEPAULI 380 15WC 18484 FENTON, DALE FACTORY MOTOR PARTS 05/21/15 BROWN & CROUPPEN MCANANY VANCLEVE & PHILLIPS 381 15WC 18658 KIDWELL, PATRICK A LOWES 05/14/15 JOSEPH E. HOEFERT KEEFE CAMPBELL & ASSOC LLC 382 15WC 18887 COUGHLIN, TAMMY GREEN EARTH GREENHOUSES 05/09/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH, PC 383 15WC 18936 MUELLER, KATHRYN ALTON SCHOOL DISTRICT 05/11/15 ERIN M. PHILLIPS EVANS & DIXON, LLC 384 15WC 19064 SKELTON, TAMBLA LYNN ELLI ALTON MENTAL HEALTH & 02/27/15 MILLER, WILLIAM R LAW OFFI 385 15WC 19189 MURRY, CORNELIUS ILLINOIS DEPARTMENT OF @ 05/27/15 BOYNE, KEVIN PC 386 15WC 19315 DOSS, LAMAR CONTAINERS DISTRIBUTORS, 06/01/15 JEROME LEFTON LAW OFFICE HENNESSY & ROACH, PC 387 15WC 19367 DAMM, JOSHUA A HOME DEPOT 03/22/15 LAW OFFICE KEITH SHORT ADELSON TESTAN & BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 15WC 19464 GUARDIAN, SANDRA ROSE ACRE FARMS 02/28/15 JANICE K. PULVER THOMPSON & MCDONALD LAW OFFI 389 15WC 19545 KOVALY, RICHARD CASSENS TRANSPORT 01/21/15 HUSTAVA, JOHN H KNAPP, OHL & GREEN 390 15WC 19734 ANDERSON, DEAN A BROOKLYN ILL POLICE DEPT 01/14/15 JOSEPH E. HOEFERT 391 15WC 19754 BYRD, JUSTEN RAY SHAW HEAVY EQUIPMT REPAIR 01/10/14 STEGMEYER & STEGMEYER LTD BRYCE DOWNEY & LENKOV LLC 392 15WC 19815 WATT, KATIE ALDI'S 04/07/15 LAW OFFICE KEITH SHORT LYNN D BARNETT 393 15WC 19847 BROWN, LARRY WESTERN OIL INC AKA MIDWE 02/13/15 ERIN M. PHILLIPS HENNESSY & ROACH, PC 394 15WC 19932 MONROE, JEREMY FW TRUCKING 03/19/15 SCHOEN WALTON TELKEN & FOS WOLF LAW LTD 395 15WC 20114 GREGORY, GALE YALE ENFORCEMENT SERVICES # 10/17/14 CULLEY & WISSORE THOMAS & ASSOCIATES 396 15WC 20122 FRANKLIN, MICHAEL TED'S RECYCLING 02/01/14 SMITH AMUNDSEN LLC 397 15WC 20219 TUCKER, WILLIAM GLOBAL BRASS 06/08/15 ARMBRUSTER DRIPPS KEEFE & DEPAULI 398 15WC 20294 STONE JR, VERNON L YRC WORLDWIDE 11/06/14 MATTHEW CASEY HENNESSY & ROACH, PC 399 15WC 20390 POWERS, JAMES THOMAS GROPPEL D/B/A 07/20/14 NORBERT GOETTEN 400 15WC 20420 JACKSON, JOSHUA FEDERAL EXPRESS 03/27/15 BUTLER & KEMPER 401 15WC 21050 SIMS, ANTHONY POWER HOUSE CORP 05/05/15 GALANTI LAW OFFICES LAW OFFICE PAUL LARIMORE 402 15WC 21344 HILL, SUSAN ALTON MENTAL HEALTH @ 04/02/15 SMITH ALLEN MENDENHALL ET ASSISTANT ATTORNEY GENERAL 403 15WC 21427 COHOON, JEFF PEABODY COAL CO 05/23/15 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 404 15WC 21484 HIBBETS, MATT GRANITE CITY POLICE DEPT 06/18/15 GALANTI LAW OFFICES KEEFE & DEPAULI 405 15WC 21937 MORGAN, AUDREY EXTRA HELP 12/02/14 BECKER SCHROADER & CHAPMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 15WC 21946 FULTZ-KING, LISA CASINO QUEEN 02/24/15 BROWN & BROWN MICHAEL NESTER 407 15WC 21981 DALTON, JEFFREY OLIN CORPORATION 03/13/15 ARMBRUSTER DRIPPS KEEFE & DEPAULI 408 15WC 22217 DOWDY, BRIAN K CITY OF BELLEVILLE-POLICE 04/11/15 BONIFIELD & ROSENSTENGEL P BECKER PAULSON & HOERNER PC 409 15WC 22301 STONE, RONALD U.S. STEEL CORP 05/15/15 BEATTY & MOTIL KEEFE & DEPAULI 410 15WC 22303 FINCK, JESS E DAVITA DIALYSIS 01/27/15 SCROGGINS LAW OFFICE WIEDNER & MCAULIFFE LTD 411 15WC 22412 MOUSER, KYLE AMERICAN STEEL FOUNDRIES 03/11/15 412 15WC 22551 PARKS, STEPHEN R. HANSEN AND SON CONTRACTIN 05/23/14 NELSON & NELSON 413 15WC 22600 JOHNSON, TONYA DILLARD'S 06/18/15 NELSON & NELSON MCANANY VANCLEVE & PHILLIPS 414 15WC 22655 CLOWERS, JOHN LOWE'S 04/27/15 KEEFE & GRIFFITHS PC KEEFE CAMPBELL & ASSOC LLC 415 15WC 22800 ALLSMAN, DANIEL CHARLES WILEY 11/01/14 SMITH ALLEN MENDENHALL ET 416 15WC 22896 ALEXANDER, CARVETTE TMCI TRUCKING 06/19/15 417 15WC 22910 SLAYTON, ELVIS FERALLOY CORPORATION 01/25/13 LESKERA LAW FIRM POULOS & DIBENEDETTO LAW 418 15WC 23018 HEIENS, STEVE GLOBAL BRASS 04/29/15 ARMBRUSTER DRIPPS KEEFE & DEPAULI 419 15WC 23536 RUSSELL, DENNIS W STONETRENDS, INC 04/06/15 LAW OFFICES OF MARY CREAME ARCHER LASSA & MCHUGH 420 15WC 23887 RIEDLE, RUSSELL ALTON MENTAL HEALTH @ 04/10/15 ASSISTANT ATTORNEY GENERAL 421 15WC 24617 KOLWEIER, SHELLY KELLER CONSTRUCTION # 05/28/15 SCHOEN WALTON TELKEN & FOS ROUSE & CARY 422 15WC 25192 POHLMAN, KIM LOWE'S 06/14/15 MORMINO,VELLOFF,EDMONDS,SN 423 15WC 25284 19B GERECKE, ANTHONY UNITE PARCEL SERVICE 05/15/15 BROWN & CROUPPEN MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 424 15WC 25387 NOLL, PAUL J STAFFING SYNERGIES INC 03/24/15 PATRICIA M CARAGHER 425 15WC 25662 LYNCH, JAMES ROBERT CREEDEN ASSOCIATES 01/17/12 KEEFE & GRIFFITHS PC LAW OFFICE PAUL LARIMORE 426 15WC 25759 KEHM, JOHN E LTI TRUCKING SERVICES, IN 06/09/15 ARCHER LASSA & MCHUGH 427 15WC 25779 BEAN, RONALD AMSTED INDUSTRIES INCORPO 03/10/15 CLAY BARKLEY ST CLAIR BOGGS AVELLINO 428 15WC 25800 JORDAN, JODY TERRA SOURCE GLOBAL 06/04/14 KOLKER LAW OFFICES BROWN & JAMES, PC 429 15WC 25847 GUNTER, ALLEN PEABODY GATEWAY SERVICES 11/18/13 CULLEY & WISSORE KEEFE & DEPAULI 430 15WC 26408 ZEISSET, CHARLES JR. BOEING COMPANY 06/20/14 BUTLER & KEMPER EVANS & DIXON, LLC 431 15WC 26563 HUGHES, LEONDRA AMSTED RAIL 05/20/15 KOLKER LAW OFFICES 432 15WC 26937 REEDER, RICHARD ELITE STAFFING/ELITE 07/16/15 NEUMAN LAW FIRM LLC 433 15WC 27375 GANSZ, TERRY OLIN WINCHESTER 07/27/15 EDMONDS LAW OFFICE KEEFE & DEPAULI 434 15WC 27429 JONES, CHRIS IDOT @ 08/11/15 BROWN & BROWN ASSISTANT ATTORNEY GENERAL 435 15WC 27444 BRIGGS, BRADLEY M JR GRANITE CITY SCHOOL DISTR 01/09/14 GLASS & KOREIN KNAPP, OHL & GREEN 436 15WC 27498 MARKS, JOE U.S. STEEL 04/11/15 HUSTAVA, JOHN H KEEFE & DEPAULI 437 15WC 27505 ARNOLD, RAVEN THE MASCHOFFS 08/11/14 BROWN & BROWN HANSEN & ENRIGHT 438 15WC 27507 VIVEROS-GUEVARA, JONATHAN TEK RECYCLING INC 10/01/14 LASHLY & BAER PC 439 15WC 27541 FARRELL, RICHARD SPECTRULITE CONSORTIUM IN 01/01/93 BROWN & BROWN 440 15WC 27633 GARCIA, ISRAEL NATL MAINTENANCE& REPAIR 04/25/15 HUSTAVA, JOHN H KEEFE CAMPBELL & ASSOC LLC 441 15WC 27646 MAY, GREGORY EXPRESS EMPLOYMENT 08/05/15 KEEFE & GRIFFITHS PC MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 442 15WC 27675 FOXWORTH, ROSEMARY CAJUN OPERATING COMPANY 07/31/14 NELSON & NELSON HOLTKAMP LIESE ET AL 443 15WC 27802 CORNELL, PATRICIA EXTENDED STAY AMERICA 05/19/15 BROWN & BROWN 444 15WC 28192 HAAR, LYDIA JIM'S FORMAL WEAR, LLC 05/11/15 BROWN & BROWN STEPHEN H LARSON LAW OFFICE 445 15WC 28197 KING, DUSTIN AUTO XTREME COLLISION 07/20/15 STEELE LAW OFFICE 446 15WC 28620 SMITH, BRIAN GELLY EXCAVATING & 05/29/15 COOK SHEVLIN YSURSA ET AL 447 15WC 28726 BETTORF, WILLIAM B ALTON MENTAL HEALTH 01/01/15 448 15WC 28794 BAXTON, MICHAEL JR. CITY OF EAST ST. LOUIS, I 08/18/15 THE JONES LAW FIRM PC CLAYBORNE SABO & WAGNER 449 15WC 29512 JOHNSON, MICHAEL DCS INDUSTRIES 07/11/15 ARMBRUSTER DRIPPS LAW OFFICES STEVEN PILAND 450 15WC 30074 POINTER, LARRY SUNCOKE ENERGY 04/29/15 BECKER SCHROADER & CHAPMAN MCBREARTY, BRIAN K 451 15WC 30481 STERNAU, WILLIAM A ST OF IL DEPT OF 06/21/13 BONIFIELD & ROSENSTENGEL P 452 15WC 30594 JONES, LUKE COHEN FOODS 08/11/15 BECKER SCHROADER & CHAPMAN 453 15WC 30602 RAWLINGS, DAVID ABENGOA BIO ENERGY OF IL 07/21/15 HENNESSEY LAW FIRM 454 15WC 30616 REAY, STEVEN ST CLAIR COUNTY 09/16/15 HUSTAVA, JOHN H HEYL ROYSTER VOELKER & ALLEN 455 15WC 31068 BROOKS, JAMES M TEAM INDSUTRIAL SERVICES 08/19/14 ERIN M. PHILLIPS 456 15WC 31501 JOHNSON, HELEN ANDERSON HOSPITAL 05/21/14 NOLAN DRAFAHL NYHAN BAMBRICK KINZIE & LOWR 457 15WC 31755 MILLS, JOHN U.S. STEEL 06/01/14 LAW OFFICE OF THOMAS SCHOO KEEFE & DEPAULI 458 15WC 31870 THOMPSON, VIVIAN HAZEL BLAND PROMISE CENTE 07/06/15 WILLIAMSON WEBSTER ET AL LAW OFFICES STEVEN PILAND 459 15WC 31890 KOMOROMI, ANTHONY CITY OF GRANITE CITY 08/18/16 GALANTI LAW OFFICES KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 460 15WC 32087 GILES, WALTER RUSH TRUCKING 08/07/15 LYNN D BARNETT EVANS & DIXON, LLC 461 15WC 32441 MCCUTCHEN, JAMES YRC WORLDWIDE 10/01/15 GALANTI LAW OFFICES HENNESSY & ROACH, PC 462 15WC 32981 METZE, TERRA COLLINSVILLE BUILDING & L 07/06/15 CHATHAM & BARICEVIC RUSIN & MACIOROWSKI LTD 463 15WC 33142 HOPPER, JULIE THE ATRIUM OF BELLEVILLE 09/11/15 JUNCKER, DANIEL K PC MCANANY VANCLEVE & PHILLIPS 464 15WC 33303 KAISER, STEVEN J. AT&T 07/29/15 JOSEPH E. HOEFERT HENNESSY & ROACH, PC 465 15WC 33526 RITTMEYER, AMY SAINT CLAIR 10/05/15 DENNIS SHEVLIN BECKER PAULSON & HOERNER PC 466 15WC 33709 DEVINE, WILLIAM HAAGS FOOD 09/21/15 BROWN & CROUPPEN RIPES NELSON BAGGOT KALOBRAT 467 15WC 33796 WALLACE, JERMAINE DW MERTZKE EXCAVATING & 09/17/15 HOERNER & COOPER LLC QUINTAIROS PRIETO WOOD & BOY 468 15WC 34020 NIKOLAISEN, STEVE T AIR METHODS 02/16/14 BONIFIELD & ROSENSTENGEL P QUINN JOHNSTON HENDERSON ETA 469 15WC 34023 NIKOLAISEN, STEVE T AIR METHODS 06/24/15 BONIFIELD & ROSENSTENGEL P QUINN JOHNSTON HENDERSON ETA 470 15WC 34082 FITZPATRICK, ROBERT AMSTED INDUSTRIES, INC. 10/21/14 MORMINO,VELLOFF,EDMONDS,SN 471 15WC 34091 CAIN, JACQUELINE S. PEDIATRIC HEALTHCARE UNLI 03/26/15 LAW OFFICES JOHN HOEFERT HENNESSY & ROACH 472 15WC 34175 SHAW, DARRELL EDWARDSVILLE COMMUNITY UN 03/13/15 SCHOEN WALTON TELKEN & FOS 473 15WC 34229 MOYERS, LINDELL PEABODY GATEWAY SERVICES 07/31/15 CULLEY & WISSORE 474 15WC 34341 IGLEHART, KRIS D NUPLEX RESINS, LLC 06/18/13 BONIFIELD & ROSENSTENGEL P 475 15WC 34450 OGDEN, STEVE ALTON SCHOOL DISTRICT 09/28/15 GALANTI LAW OFFICES KNAPP, OHL & GREEN 476 15WC 34763 FRIERSON, ESTELLA SNL CONCESSIONS 12/01/14 HOFFMAN & SLOCOMB ASSISTANT ATTORNEY GENERAL 477 15WC 34910 HARVEY, MICHAEL CITY OF ALTON 11/24/14 SMITH ALLEN MENDENHALL ET SCHREMPF, BLAINE, KELLY & DA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 478 15WC 34926 ROBY, HIRAM AMSTED RAIL 09/18/15 KULLMAN KLEIN & DIONEDA BOGGS AVELLINO 479 15WC 35003 BEAN, RONALD AMSTED INDUSTRIES 09/23/15 CLAY BARKLEY ST CLAIR BOGGS AVELLINO 480 15WC 35140 WASHINGTON, MYRON SCC HOUSING AUTHORITY 09/02/15 GARY L. BEMENT HEYL ROYSTER VOELKER & ALLEN 481 15WC 35212 STOLLARD, JOHN LOWE'S 03/26/15 WEIL MUENSTER & WIGGINTON KEEFE CAMPBELL & ASSOC LLC 482 15WC 35551 HAYNES, LORETTA STATE OF IL/SIU EDWARDSVI @ 10/07/15 RICH RICH COOKSEY PC ELIZABETH LEAHY 483 15WC 35711 WYLIE, AMANDA PERE MARQUETTE YOUTH CENT @ 10/10/15 KOLKER LAW OFFICES ASSISTANT ATTORNEY GENERAL 484 15WC 35949 WILLIAMS, TOMORRA ELITE STAFFING 09/30/15 SCHOEN WALTON TELKEN & FOS 485 15WC 36394 LEE, JAMES ALLEN SPECTRUMS BRANDS 09/01/13 JOHNSTON LAW OFFICE 486 15WC 36448 TIPPETT, DEBRA CAHOKIA SCHOOL DISRICT 18 05/29/14 JUNCKER, DANIEL K PC CLAYBORNE SABO & WAGNER 487 15WC 36584 HULL, RICHARD U.S. STEEL CORPORATION 05/28/15 BEATTY & MOTIL KEEFE & DEPAULI 488 15WC 37605 QUINN, SHAWN STOCK TRANSPORT, INC 10/13/15 NELSON & NELSON JAMES M KELLY 489 15WC 37728 REICHLING, JOHN L KEELEY CONSTRUCTION 10/21/15 WEIL MUENSTER & WIGGINTON MCCARTHY LEONARD KAEMMER 490 15WC 37960 SKEENS, JAMES FL SMIDTH 08/24/15 KEEFE & GRIFFITHS PC 491 15WC 38004 LINDSAY, JACOB CPC LOGISTICS 10/12/15 HANAGAN & MCGOVERN PC HARRIS DOWELL FISHER & HARRI 492 15WC 38195 NIKOLAISEN, STEVE G. AIR METHODS 10/26/15 BONIFIELD & ROSENSTENGEL P HENNESSY & ROACH, PC 493 15WC 38302 BROWN, SCOTT W AMEREN IP 04/16/15 NELSON & NELSON LEMP & MURPHY 494 15WC 38309 LAMMERS, BRYAN BREESE CARING FIRST NURSI 11/13/15 NELSON & NELSON 495 15WC 38330 MUSIAL, STANLEY F U.S. MINERALS 10/23/15 NELSON & NELSON STEPHEN H LARSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 15WC 38578 LILLER, ROBERT GENERAL MINE SERVICES REP 10/28/14 CULLEY FEIST KUPPART & TAY MCBREARTY, BRIAN K 497 15WC 38799 BREWER, JACOB KETTLER CASTING CO 10/11/15 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 498 15WC 38836 MILLS, JOHN US STEEL 02/07/15 LAW OFFICE OF THOMAS SCHOO KEEFE & DEPAULI 499 15WC 38868 IMPASTATO, DEAN PEABODY GATEWAY SVCS LLC 03/03/14 CULLEY & WISSORE KEEFE & DEPAULI 500 15WC 38952 GADDY, RYAN LABOR PARTNERS LLC 10/19/15 BEATTY & MOTIL HEYL ROYSTER VOELKER & ALLEN 501 15WC 39278 ANDERSON, ANTHONY MEMORIAL HOSPITAL 06/18/15 BECKER PAULSON & HOERNER P MATHIS MARIFIAN RICHTER ET A 502 15WC 39293 TOMPKINS, RODERICK CHALLENGE UNLIMITED INC 10/19/15 THE JONES LAW FIRM PC HEYL ROYSTER VOELKER & ALLEN 503 15WC 39558 BROWN, TANGULA METRO BI STATE 11/23/15 JEFFREY GAULT BROWN & JAMES, PC 504 15WC 39582 MACKELDEN, JESSE OLIN BRASS 04/09/15 BROWN & BROWN KEEFE & DEPAULI 505 15WC 39675 WILHELM, JAMES PEABODY COAL CO 07/05/15 BROWN & BROWN KEEFE & DEPAULI 506 15WC 39690 MORTON, TRACY GATEWAY PACKAGING 10/19/15 BROWN & BROWN LAW OFFICES STEVEN PILAND 507 15WC 39873 OVERTURF, AMANDA THE MASCHHOFFS, LLC 10/23/15 LEVENHAGEN LAW FIRM PC LAW OFFICE CRAIG A HANSEN 508 15WC 41093 GORDON, TAMARA FOUR FOUNTAINS NURSING HO 11/18/15 LASHLY & BAER PC MCANANY VANCLEVE & PHILLIPS 509 15WC 41318 REICHARDT, GEORGE ST CLAIR COUNTY 12/01/14 MANDEL & MANDEL LLP BECKER PAULSON & HOERNER PC 510 15WC 41594 CROCKETT, JOSEPH E ALORTON POLICE DEPARTMENT @ 10/19/15 MARK GEORGE NIESEN 511 15WC 41641 ARNOLD, FRANK J CITY OF COLLINSVILLE 11/07/15 THOMAS W DUDA BECKER PAULSON & HOERNER PC 512 15WC 41733 PINKERTON, LARIE JEAN DOLLAR TREE 03/21/14 ROTH LAW OFFICES BRYCE DOWNEY & LENKOV LLC 513 15WC 42073 NEAL, JOHN US STEEL 12/08/15 GALANTI LAW OFFICES KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 15WC 42165 WASHINGTON, CARLETTE CASINO QUEEN 06/24/15 BROWN & BROWN MICHAEL NESTER 515 15WC 42192 MIDDLETON, JAMES P. US STEEL 12/12/15 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 516 15WC 42217 HOWARD, MARK WW TRANSPORT, INC. 12/04/15 SCHOEN WALTON TELKEN & FOS 517 15WC 42639 HERTER, ERIC QUILLERS 11/14/15 NORBERT GOETTEN BRADY CONNOLLY & MASUDA PC 518 15WC 42653 MUCKENSTURM, DEAN ROWAN TILE 10/24/15 NELSON & NELSON BRADY, CONNOLLY & MASUDA, PC 519 16WC 00054 BOYCE, MONROE JIFFY LUBE 07/01/13 LAW OFFICE KEITH SHORT KEEFE CAMPBELL & ASSOC LLC 16WC000380 -C 520 16WC 00127 DUGAN, ANTHONY DYNEGY MIDWEST GENERATION 12/07/15 NELSON & NELSON KEEFE & DEPAULI 521 16WC 00257 DAVITZ, JEFFREY C II HAYES MECHANICAL 12/10/15 CHATHAM & BARICEVIC GAROFALO SCHREIBER STORM 522 16WC 00419 MENDOZA, ANGELA HOLTEN MEAT, INC. 10/07/15 BROWN & BROWN HANSEN & ENRIGHT 523 16WC 00420 CANNON, DEMETRIUS ELITE STAFFING 12/07/15 SCHOEN WALTON TELKEN & FOS 524 16WC 00566 THOMPSON, GERALD AMERICAN STEEL FOUNDRIES 12/22/15 GALANTI LAW OFFICES BOGGS AVELLINO 525 16WC 00640 HUSTEDDEE, TOBIE ARTHUR J LAGER 07/06/15 LIESER LAW FIRM 526 16WC 00642 MOLLET, THOMAS AMSCO MECHANICAL, INC. 06/16/15 COOK SHEVLIN YSURSA ET AL 527 16WC 00746 YOTTER, KEVIN JOSEPH STATE OF ILLINOIS @ 07/16/15 UNSELL, EDWARD W LAW OFFIC ASSISTANT ATTORNEY GENERAL 528 16WC 00765 MULDROW-REED, KIMBERLY ARAMARK 11/03/14 MARK S PEEBLES 529 16WC 00837 STRONG, LORI L SCHNUCK MARKETS INC 10/26/15 BECKER SCHROADER & CHAPMAN LEMP & MURPHY 530 16WC 00930 WOOD, JOSEPH KEELEY & SONS INC 08/24/15 GALANTI LAW OFFICES 531 16WC 01294 WILLIAMS, DARIUS SUPPLIED INDUSTRIAL SOLUT 04/20/15 SCHULTZ & MYERS LLC HENNESSY & ROACH, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 16WC 01400 PERONI, ALISSA DOLLAR TREE 07/19/15 EVANS & DIXON, LLC 533 16WC 01528 NELSON, ROGER JET AVIATION, INC. 07/29/15 WINTERS BREWSTER CROSBY ET MATHIS MARIFIAN RICHTER ET A 534 16WC 01915 FERGESEN, STEVE EATON CORP. PLC 08/07/15 WILLIAM BERRY & ASSOCIATES HENNESSY & ROACH, PC 535 16WC 02026 RUSSELL,MISTY RANDOLPH COUNTY CARE CENT 10/18/15 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 536 16WC 02171 MASSA, ROBERT U S STEEL CORPORATION 09/23/15 BEATTY & MOTIL KEEFE & DEPAULI 537 16WC 02250 BALLARD, MATT HOERNIS AUTO BODY 02/24/15 JUNCKER, DANIEL K PC 16WC026493 -C 16WC026497 -C 538 16WC 02446 GARRISON, LARRY GBW RAILCAR SVCS 01/07/16 SAUTER, SULLIVAN & EVANS HENNESSY & ROACH 539 16WC 02510 BROCK, MICHELE BRIA OF BELLEVILLE 11/29/15 MANDEL & MANDEL LLP BRADY, CONNOLLY & MASUDA, PC 540 16WC 02866 SMITH, KELLY J GOLDENBERG HELLER ANTOGNO 11/17/15 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 541 16WC 02978 BENSON, DEBORAH CENTURY CASTING CORP # 01/12/14 CULLEY & WISSORE HEYL ROYSTER VOELKER & ALLEN 542 16WC 03084 WALTERS, THOMAS ALLEN URS 01/06/16 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 543 16WC 03143 SHORT, TIMOTHY M ROBERT CHICK FRITZ INC 12/30/15 WALTON TELKEN FOSTER LLC 544 16WC 03194 CLARK, RICKY METRO EAST INDUSTRIES 11/06/15 TOMMIE A. HARSLEY III KEEFE & DEPAULI 545 16WC 03528 RODRIGUEZ, DAVID KEHRER BROTHERS ROOFING 11/14/14 RIDGE & DOWNES LAW OFFICE CRAIG A HANSEN 546 16WC 03643 RICE, RICHARD STATE OF IL/IDNR @ 11/03/15 RICH RICH COOKSEY PC AARON L. WRIGHT 16WC019345 -C 547 16WC 03903 SNYDER, DAWN SIUE @ 01/14/16 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 548 16WC 04039 ROSE, TRACY GUARANTEE CONSTRUCTION 12/02/15 ONDER SHELTON O'LEARY EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 549 16WC 04045 WILBERT, JOHN SYNCREON 01/13/16 RICH RICH COOKSEY PC STEPHEN H LARSON LAW OFFICE 550 16WC 04065 PERRY, LARRY A PRAIRIE STATE GENERATING 06/19/15 RON D COFFEL & ASSOC 551 16WC 04277 GADDY, GARY COCA COLA 10/12/15 LYNN D BARNETT 552 16WC 04443 HUBBS, BRIAN L (ESTATE OF GREG A WELLS DBA WELLS PA # 08/08/15 GALANTI LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 553 16WC 04641 STREBEL, GAIL WEEKENDS ONLY, INC. 12/10/15 KULLMAN KLEIN & DIONEDA STEPHEN H LARSON LAW OFFICE 554 16WC 04707 KABURECK, ELMER H III OTO DEVELOPMENT/HILTON GA 12/12/15 NELSON & NELSON 555 16WC 05375 MCCLAIN, JEFF KEELEY & SONS 05/01/15 DENNIS SHEVLIN CLAYBORNE SABO & WAGNER 556 16WC 05641 MATT, JOSEPH TANK TRAILER CLEANING 09/04/15 KOLKER LAW OFFICES MCANANY VANCLEVE & PHILLIPS 557 16WC 05650 CRUTCHER, JILL HOSKINS MOTO MART 01/27/16 BROWN & BROWN HENNESSY & ROACH, PC 558 16WC 05799 SMITH, JONATHAN L OZ ARC/GAS EQUIPMENT & SU 12/07/15 SCOTT P. HOLWITT MCANANY VANCLEVE & PHILLIPS 559 16WC 05806 CARTER, DEREK PREMIER AIR CENTER 06/15/15 SCHREMPF, BLAINE, KELLY & RUSIN & MACIOROWSKI LTD 16WC023857 -C 560 16WC 05884 GARRETT, CAROLYN EXTRA HELP, INC 12/01/15 SAUTER, SULLIVAN & EVANS MCANANY VANCLEVE & PHILLIPS 561 16WC 05893 FOY, ROBERT SUNRISE TRANSPORT, LLC 07/06/15 MATHIS MARIFIAN RICHTER ET 562 16WC 05905 LATHROM, TIM UNITED METHODIS VILLAGE 11/30/15 BROWN & BROWN 563 16WC 05918 BAYER, TODD ABC 02/09/16 GALANTI LAW OFFICES COZZI & GOGGIN-WARD 564 16WC 06065 FRANKE, ROBERT A ALTON FIRE DEPT 09/22/11 CONNOR LAW OFFICES SCHREMPF, BLAINE, KELLY & DA 565 16WC 06147 ABEL, RICHARD D VILLAGE OF PONTOON BEACH 05/20/15 PETER BLASI LLC 566 16WC 06667 ELLISON, JUDY HIGHLAND MACHINE SCREW 01/13/16 HUSTAVA, JOHN H

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 16WC 06688 DAMPIER, DESHAUN AMSTED RAIL 11/30/15 KEEFE & GRIFFITHS PC 568 16WC 06719 WARREN, RICHARD MATTINGLY LUMBER & MILLWO 02/02/16 KOLKER & GERMEROTH WIEDNER & MCAULIFFE LTD 569 16WC 07058 SCHROEDER, LESLIE BEELMAN TRUCK COMPANY 09/23/15 NELSON & NELSON CRAIG & CRAIG 570 16WC 07130 SMITH, EDWARD G SOUTH CENTRAL FS 01/13/16 WALTON TELKEN FOSTER LLC 571 16WC 07135 ROBINSON, KASEY DEFENDER SERVICES 02/22/16 GALANTI LAW OFFICES LAW OFFICE PAUL LARIMORE 572 16WC 07142 GRUENINGER, CHOTINAN NPG 04/10/15 BROWN & BROWN BOGGS BOGGS & BATES LLC 573 16WC 07198 NELSON, JOAN ELMWOOD NURSING & REHAB 01/20/16 JEROME LEFTON LAW OFFICE 574 16WC 07382 BROCK, MICHELE BRIA OF BELLEVILLE 02/17/16 MANDEL & MANDEL LLP 575 16WC 07415 RUPPEL, DANIEL E HAAG FOOD SERVICE INC W 02/16/15 KEEFE & DEPAULI 576 16WC 07432 MARCHIO, JACK BOND COUNTY CUSD # 2 01/29/16 MCCARTHY ROWDEN & BAKER RUSIN & MACIOROWSKI LTD 577 16WC 07727 NORMAN, AARON ROBERT SANDERS WASTE SYST 07/17/15 KEEFE & GRIFFITHS PC 578 16WC 07845 JOHNSON, ALEX AMERICAN STEEL FOUNDRIES 03/01/16 GALANTI LAW OFFICES BOGGS AVELLINO 579 16WC 07846 SHIPP, BARRY GBW RAILCAR SERVICES, LLC 07/24/15 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH 580 16WC 07857 HAMANN, MATTHEW JUNG TRUCK SERVICE, INC 12/21/15 KEEFE & DEPAULI JAMES M KELLY 581 16WC 07925 SOMMERS, PATRICIA MASCOUTAH CUSD #19 09/18/15 INMAN & FITZGIBBONS 582 16WC 08185 SCHMIDT, TAMMY LANGA RESOURCES DBA LOGOL 04/29/15 HENNESSEY LAW FIRM HENNESSY & ROACH, PC 583 16WC 08394 HANNEMANN, MICHAEL IDOT @ 02/08/16 BROWN & BROWN ELIZABETH LEAHY 584 16WC 08399 MUIR, J R ELITE STAFFING 02/29/16 BROWN & BROWN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 16WC 09008 NESIMOVIC, RAZIJA SCHNUCKS 12/17/15 DENNIS SHEVLIN LEMP & MURPHY 586 16WC 09067 DREW, JOSEPH FERRELLGAS 11/21/15 GALANTI LAW OFFICES KNELL & O'CONNOR 587 16WC 09275 HARDIN, DIANA L WISE COMPANY 10/15/15 HASSAKIS & HASSAKIS LAW OFFICE CRAIG A HANSEN 588 16WC 09556 BRUMMITT, ROBERT DCA 10/27/15 BECKER SCHROADER & CHAPMAN 589 16WC 09652 FULLER, WILLIS SCHOOL DISTRICT 189 02/27/15 NEVILLE RICHARDS ET AL BECKER PAULSON & HOERNER PC 590 16WC 09687 ROMIOUS, CORTEZ USF HOLLAND, INC. 03/19/16 LESKERA LAW FIRM HENNESSY & ROACH, PC 591 16WC 09689 SHAFER, STEPHEN ALTON MENTAL HEALTH,ST. O @ 02/29/16 SMITH ALLEN MENDENHALL ET ASSISTANT ATTORNEY GENERAL 592 16WC 09695 STEELE, RHONDA METRO 02/20/16 GALANTI LAW OFFICES EVANS & DIXON, LLC 593 16WC 09763 BAXTON, MICHAEL SR. AMSTED INDUSTRIES INCORPO 04/09/15 CLAY BARKLEY ST CLAIR BOGGS AVELLINO 594 16WC 09809 LINDLEY, ROBERT JR GENERAL PARTS, INC 06/19/13 UNSELL & SCHUMAN GOLDBERG & SEGALLA LLP 595 16WC 09933 HAMILTON, LOREN IMPERIAL MANUFACTURING GR 03/09/16 WALTON TELKEN FOSTER LLC 596 16WC 09954 MULLER, JAMES ACE HARDWARE 11/13/15 THE BRADLEY LAW FIRM THOMPSON & MCDONALD LAW OFFI 597 16WC 09964 ADDISON, CINDY R BEVERLY FARM FOUNDATION, 02/16/16 SCHREMPF, BLAINE, KELLY & HOLTKAMP LIESE ET AL 598 16WC 09983 WEAVER-JOHNSON, KATHRYN PRECISION PRACTICE MANAGE 03/22/16 KEEFE & GRIFFITHS PC STEPHEN H LARSON LAW OFFICE 599 16WC 10154 SIDO, JAMES E URS 04/10/13 UNSELL, EDWARD W LAW OFFIC HEYL ROYSTER VOELKER & ALLEN 600 16WC 10185 PATKUS, TODD U S STEEL 02/04/16 KOLKER LAW OFFICES KEEFE & DEPAULI 601 16WC 10270 WANICK, BONNIE OLIN/WINCHESTER 03/31/13 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 602 16WC 10312 THOMPSON, JACK USF HOLLAND 01/11/16 FLOYD LAW FIRM HENNESSY & ROACH, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 16WC 10339 WRIGLEY, LISA COOPER B-LINE 03/27/14 ARMBRUSTER DRIPPS HENNESSY & ROACH, PC 604 16WC 10353 MC EWEN, STEVEN INTERNATIONAL MULCH 12/18/15 SMITH ALLEN MENDENHALL ET 605 16WC 10477 KNIPP, JEFF CITY OF ALTON 04/20/15 SCHUCHAT, COOK & WERNER SCHREMPF KELLY & NAPP 606 16WC 10588 YANKEY, WINDY MEMORIAL HOSPITAL 01/15/15 FISHER KERHOVER & WELGE MATHIS MARIFIAN RICHTER ET A 607 16WC 10732 BANCROFT, ELIZABETH A COLLINSVILLE COMMUNITY UN 01/20/15 NELSON & NELSON 608 16WC 10736 SULLIVAN, JAMES M II EXPRESS SERVICES, INC 02/12/16 BOYNE, KEVIN PC MC ANDREWS & NORGLE LLC 609 16WC 10939 POPPEN, CHRISTINE RED BUD REGIONAL HOSPITAL 02/13/16 NELSON & NELSON POWER & CRONIN LTD 610 16WC 11034 HOWELL, RAMON MIKE'S INCORPORATED 03/30/16 HUSTAVA, JOHN H 611 16WC 11039 WITCHER, LAWRENCE AMERICAN STEEL FOUNDRIES 02/26/16 GALANTI LAW OFFICES BOGGS AVELLINO 612 16WC 11052 LESCH, SHAMEIA LIBERTY VILLAGE 06/10/15 KEEFE & GRIFFITHS PC 613 16WC 11201 JINKERSON, TERRY W. CASINO QUEEN, INC. 08/16/14 LYNN D BARNETT BECKER PAULSON & HOERNER PC 614 16WC 11408 BYRD, MARCIA L PARENTS & FRIENDS OF 03/26/16 WILLIAMS CAPONI & ASSOC 615 16WC 11418 RUSSELL, MISTY RANDOLPH COUNTY CARE 10/18/15 GARY L. BEMENT 616 16WC 11429 KERN, WILLIAM USF HOLLAND 12/16/15 SCHREMPF, BLAINE, KELLY & 617 16WC 11561 HOWELL, JEANNIE THINGS REMEMBERED, INC. 05/08/15 NELSON & NELSON 618 16WC 11600 LIRA-GAYTEN, JOSUE AMERICAN STEEL FOUNDRIES 03/23/16 GALANTI LAW OFFICES BOGGS AVELLINO 619 16WC 11698 MOSBY, DEVANN SERVEPRO,INC. 04/02/15 SAUTER, SULLIVAN & EVANS RIPES NELSON BAGGOT KALOBRAT 620 16WC 11721 CAMPBELL-BATES, CHRISTIAN LOWE'S HOME IMPROVEMENT 03/18/16 WALTON TELKEN FOSTER LLC KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 621 16WC 11742 UJOH, CHRISTIAN ROESLEIN & ASSOCIATES INC 04/08/14 RICH RICH COOKSEY PC EVANS & DIXON, LLC 622 16WC 11894 KING, BRADLEY NATIONAL MAINTENANCE & RE 02/23/16 BECKER SCHROADER & CHAPMAN KEEFE CAMPBELL & ASSOC LLC 623 16WC 11913 BAKER, CATHY CFA STAFFING 02/01/15 MEYERS & FLOWERS 624 16WC 11976 KELLEY, BIONCA ELITE STAFFING 03/24/16 HUSTAVA, JOHN H 625 16WC 11995 DILLON, ANDREW PARAGON SYSTEMS 10/09/14 RICH RICH COOKSEY PC HENNESSY & ROACH 626 16WC 12004 NEAL, JERRY JR LOUIS DREYFUS CORPORATION 11/23/15 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 627 16WC 12017 THOMAS, ANN COMPASS TWO LLC 04/07/16 ROTH LAW OFFICES 628 16WC 12371 THORSEN, THOR ALTON MENTAL HEALTH CENTE @ 03/17/16 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 629 16WC 12483 TROECKLER, THERESA CAPTIAN D'S SEAFOOD KITCH 01/05/15 BRADLEY LAW FIRM 630 16WC 12515 SCHMIDT, BURL EDWARD INFRASOURCE CONSTRUCTION, 12/14/15 BEATTY & MOTIL 631 16WC 12519 PORTELL, RANDOLPH VEOLIA ENVIRONMENTAL SERV 06/13/13 GOLDENBERG, HELLER, ANTOGN EVANS & DIXON, LLC 632 16WC 12652 STARKS, LEWIS M SCHENKER, INC D/B/A 02/08/15 WALTON TELKEN FOSTER LLC 633 16WC 12918 STANTON, JAMES OLIN WINCHESTER 02/09/16 ERIN M. PHILLIPS KEEFE & DEPAULI 634 16WC 13198 BRAGGS, COLAN BRANDING IRON 03/12/16 MARK S PEEBLES LAW OFFICE CRAIG A HANSEN 635 16WC 13220 COPE, SANDRA SECURITAS SECURITY SERVIC 03/31/15 MILLER, WILLIAM R LAW OFFI WIEDNER & MCAULIFFE LTD 636 16WC 13225 ASHER, KEITH AT&T 12/19/15 SCOTT P. HOLWITT 637 16WC 13394 PINKSTON, DAVID OLIN WINCHESTER 03/08/16 ARMBRUSTER DRIPPS KEEFE & DEPAULI 638 16WC 13517 GOLLIDAY, ANTWYNETTE CITI TRENDS 04/08/16 STEPHEN H LARSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 639 16WC 13526 HOMES, DANIEL GENERAL ELECTRIC HEALTHCA 08/31/15 HUSTAVA, JOHN H CRAIG & CRAIG 640 16WC 13563 HURST, BRENTON EDWARDSVILLE POLICE DEPAR 04/18/16 GALANTI LAW OFFICES SCHREMPF, BLAINE, KELLY & DA 641 16WC 13829 BECKNER, RONALD CLINTON COUNTY HIGHWAY DE 01/31/06 BEATTY & MOTIL BECKER PAULSON & HOERNER PC 642 16WC 13901 SUKUP, JEFF PHILIPS INTERIOR EXTERIOR 04/18/16 KEEFE & DEPAULI HENNESSY & ROACH 643 16WC 13949 CLIFTON, MIKE USF HOLLAND 04/21/16 GALANTI LAW OFFICES HENNESSY & ROACH, PC 644 16WC 13962 ARAIZA, JORDAN A BELLEVILLE FIRE DEPARTMEN 02/10/16 THOMAS W DUDA BECKER PAULSON & HOERNER PC 645 16WC 13968 EISKANT, KENNETH EARL JR PLOCHER CONSTRUCTION CO. 07/30/15 BECKER SCHROADER & CHAPMAN KNAPP, OHL & GREEN 646 16WC 13974 DEMERY, MIKE AMERICAN STEEL FOUNDRIES 04/18/16 GALANTI LAW OFFICES 647 16WC 13979 GRAVITT, JAMES E FBK MANAGEMENT 05/07/15 BONIFIELD & ROSENSTENGEL P 648 16WC 13996 REEDER, JAMIE R&L CARRIERS 03/11/16 BROWN & BROWN SLAVIN & SLAVIN 649 16WC 14028 BYRD, LESTER IL DEPT OF PUBLIC HEALTH @ 07/07/15 THE ROBBINS LAW FIRM ASSISTANT ATTORNEY GENERAL 650 16WC 14167 OTTO, JAMIE L ROESLEIN MODULAR FABRICAT 10/08/15 GOLDENHERSH & GOLDENHERSH EVANS & DIXON, LLC 651 16WC 14276 LUNA, MIGUEL OLDCASTLE LAWN&GARDEN MID 03/29/16 SCHREMPF, BLAINE, KELLY & MCANANY VANCLEVE & PHILLIPS 652 16WC 14616 NEUBAUER, EMIL SPECTRULITE CONSORTIUM IN 12/01/99 BROWN & BROWN 653 16WC 14619 BOYD, ALBERT SPECTRULITE CONSORTIUM IN 02/01/89 BROWN & BROWN 654 16WC 14676 CHILDS, DERRICK AMERICAN STEEL FOUNDRIES 04/27/16 GALANTI LAW OFFICES BOGGS AVELLINO 655 16WC 14695 HUMMERT, PATRICIA CITIZENS COMMUNITY BANK 04/20/15 BONIFIELD & ROSENSTENGEL P BRADY, CONNOLLY & MASUDA, PC 656 16WC 15275 JACKSON, FRANCELLA DELIA CITY OF EAST ST LOUIS ILL 05/01/15 CLAYBORNE SABO & WAGNER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 16WC 15337 BECKER, SCOTT ILLINOIS STATE POLICE @ 05/05/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 658 16WC 15391 PRESSWOOD, RICHARD LIBERTY IMPROVEMENT 10/28/15 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS 659 16WC 15435 HAUGLAND, JUSTIN EATON CORPORATION 03/21/16 JOHNSTON LAW OFFICE HENNESSY & ROACH, PC 660 16WC 15488 ADAMS, NORMAN T CITY OF VENICE 03/30/16 PETER BLASI LLC 661 16WC 15535 STREATER, KESHA BI-STATE DEVELOPMENT 04/21/16 RICH RICH COOKSEY PC EVANS & DIXON, LLC 662 16WC 15569 BIRGE, SHEILA BELLEVILLE SHOE COMPANY @ 09/01/14 MELVIN J SMITH & ASSOC EVANS & DIXON, LLC 663 16WC 15576 19B MAYWEATHER, MELLOWNE RALLY'S 04/30/16 BROWN & CROUPPEN HENNESSY & ROACH, PC 664 16WC 15583 YUENGEL, MELISSA A DELI STAR CORPORATION 07/07/15 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 16WC015600 -C 665 16WC 16066 SHACKLES, EVERETT KINNEY CONTRACTORS, INC. 05/06/16 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE ET AL 666 16WC 16104 SCHMIDT, ERIC GBW RAILCAR SERVICES 04/20/16 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH 667 16WC 16108 BROWN, DIANNA ST ANTHONY'S HEALTH CENTE 02/25/16 JEROME LEFTON LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 668 16WC 16176 DENNISON, LAURA L ARROW SHEDS LLC 02/24/16 NELSON & NELSON LAW OFFICE CRAIG A HANSEN 669 16WC 16225 BOOTHMAN, JAMES MOBILE AIRE TRANSPORT 01/28/16 WALTON TELKEN FOSTER LLC 670 16WC 16235 KOCH-HARRIS, PAMELA A FIRST STUDENT 02/16/16 BROWN & BROWN 671 16WC 16282 ANDERSON, CHRISTOPHER L LABOR FINDERS 05/10/16 BONIFIELD & ROSENSTENGEL P GAROFALO SCHREIBER STORM 672 16WC 16294 HOLTMAN, CHRISTOPHER LOWE'S HOME IMPROVEMENT 03/21/16 JOHNSTON LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 673 16WC 16555 HUMPHREY, NORA ROSE ACRE FARMS, INC. 01/04/16 BROWN & BROWN THOMPSON & MCDONALD LAW OFFI 674 16WC 16629 BROWN, BERNARD DYNEGY MIDWEST GENERATION 03/23/16 WINTERS BREWSTER CROSBY ET KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 675 16WC 16641 COLLINS, JACE DYNAMIC TRANSIT COMPANY 01/24/16 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 676 16WC 16852 WILLIAMS, EARLE ILLINOIS CENTRAL SCHOOL B 04/21/16 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 677 16WC 16890 HAMON, TERRY G. NEW ATHENS POLICE DEPARTM 06/03/13 LAW OFFICE RHONDA FISS 678 16WC 17068 BRANDENBERG, NANCY E. ILLINOIS CENTRAL SCHOOL B 05/13/16 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 679 16WC 17075 COLE, SANDRA AMERICAN REDCROSS 04/25/16 BROWN & BROWN EVANS & DIXON, LLC 680 16WC 17086 JONES, JEFFREY W. GBC/GBC METALS LLC 05/09/16 LYNN D BARNETT KEEFE & DEPAULI 681 16WC 17117 BROWN, LETICIA VISION WORKS 01/31/16 BROWN & BROWN HENNESSY & ROACH, PC 682 16WC 17125 JONES, JOHN B&W POOL AND SPA WORLD 05/12/16 BROWN & BROWN KEEFE & DEPAULI 683 16WC 17217 FINLEY, CARLOS L MEDLINE INDUSTRIES, INC 05/11/16 BROWN & BROWN GAROFALO SCHREIBER STORM 684 16WC 17402 HODGES, LAURIE ST ELIZABETH HOSPITAL 10/28/14 CALLIS PAPA HALE & SZEWCZY MICHAEL NESTER 685 16WC 17671 KORTE, KURT U.S. STEEL CORPORATION 01/29/16 BEATTY & MOTIL KEEFE & DEPAULI 686 16WC 17682 FORT, KATHRYN R. DOMINO'S 05/26/16 SCHREMPF, BLAINE, KELLY & 687 16WC 17885 MURRELL, SAMUEL ELITE STAFFING 05/11/16 GALANTI LAW OFFICES 688 16WC 17893 SCOTT, HERMAN CLOVERLEAF GOLF COURSE 05/25/16 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE ET AL 689 16WC 17896 MORGAN, JEREMY KEHRER BROTHERS ROOFING 08/11/15 KEEFE & GRIFFITHS PC HOLTKAMP LIESE ET AL 690 16WC 18101 PEKINSON, PAUL D OLIN CORP 05/24/16 GLASS & KOREIN 691 16WC 18201 GIBBS, TISHOD AMERICAN STEEL FOUNDRIES 05/25/16 GALANTI LAW OFFICES BOGGS AVELLINO 692 16WC 18346 PIERCE, ROBERT ALLAN CENTRAL COMMUNITY HIGH SC 03/21/16 NELSON & NELSON WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 16WC 18350 PIERCE, ROBERT ALLAN CENTRAL COMMUNITY HIGH SC 01/05/16 NELSON & NELSON WIEDNER & MCAULIFFE LTD 694 16WC 18369 DEWALL, DAVID CITY OF ALTON 02/06/15 SMITH ALLEN MENDENHALL ET SCHREMPF, BLAINE, KELLY & DA 695 16WC 18434 WELLMAKER, ANTONIO AMERICAN STEEL FOUNDRIES 05/04/16 GALANTI LAW OFFICES BOGGS AVELLINO 696 16WC 18437 WASHINGTON, CEDRIC AMERICAN STEEL FOUNDRIES 05/30/16 GALANTI LAW OFFICES 697 16WC 18448 HARGRAVE, RONALD L. VEOLIA ES INDUSTRIAL 05/20/16 SAUTER, SULLIVAN & EVANS INMAN & FITZGIBBONS 698 16WC 18510 HARGRAVE, RONALD L VEOLIA ES INDUSTRIAL SRVS 05/20/16 SAUTER, SULLIVAN & EVANS INMAN & FITZGIBBONS 699 16WC 18548 GARCIA, MIKKA WILLIAM F BROCKMAN INC 08/07/15 SMITH ALLEN MENDENHALL ET 700 16WC 18597 MOORE, DANIEL CUSTOM FRAME WORK 05/25/16 BROWN & CROUPPEN THOMPSON & MCDONALD LAW OFFI 701 16WC 18696 FUENTES, JOSE IMG USA, INC 05/25/16 BOYNE, KEVIN PC LIVINGSTONE MUELLER ET AL 702 16WC 18711 CLARK, ELIJAH AMSTED RAIL 05/26/16 GALANTI LAW OFFICES 703 16WC 19045 JOHNSON, GARY W IMEL PEST CONTROL 04/12/16 JONATHAN ISBELL WIEDNER & MCAULIFFE LTD 704 16WC 19071 ROOD, SUESAN GREAT EAGLE 04/26/16 BROWN & CROUPPEN 705 16WC 19321 GILL, ROBERT KUHL LUMBER AND PALLETTE 08/03/15 HANAGAN & MCGOVERN PC 706 16WC 19354 WEST, EVONNE R. ALDI FOODS 04/10/16 JOSEPH E. HOEFERT LYNN D BARNETT 707 16WC 19356 COOK, GREGORY UNIQUE PERSONNEL CONSULTA 04/21/16 BROWN & BROWN HENNESSY & ROACH, PC 708 16WC 19397 SIMMONS, JERAME REPUBLIC ALLIED WASTE 06/13/16 JOSEPH L SAMUELSON PC WIEDNER & MCAULIFFE LTD 709 16WC 19411 ROBINSON, TAMMY R HANLEY INDUSTRIES, INC 01/12/16 NELSON & NELSON KNELL & O'CONNOR 710 16WC 19433 ANDERSON, TONY CITY OF MADISON 06/15/16 GALANTI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 16WC 19715 BOGGS, TIMOTHY MEYLAN ENTERPRISES, INC 05/04/16 BROWN & BROWN 712 16WC 19937 HILLIARD, TANYKA ILLINOIS CENTRAL SCHL BUS 05/17/16 NELSON & NELSON MCANANY VANCLEVE & PHILLIPS 713 16WC 20060 KEMPFER, JAMIE STRIPMASTERS OF ILLINOIS 06/07/16 DWORKIN AND MACIARIELLO STEPHEN H LARSON LAW OFFICE 714 16WC 20085 KELLER, SHANE HIRELEVEL POWERED BY EXTR 02/29/16 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 715 16WC 20117 EISENBEIS, JOHN AIR PRODUCTS AND CHEMICAL 11/20/15 BROWN & BROWN 716 16WC 20149 REIDELBERGER, LORNE US STEEL 01/25/16 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 717 16WC 20230 PETTIJOHN, CLAUDE LAZER SPOT 05/16/16 BROWN & BROWN 718 16WC 20313 WALLING, STEPHANIE M NORTHGATE SMALL ANIMAL HO 02/29/16 NELSON & NELSON MCANANY VANCLEVE & PHILLIPS 719 16WC 20471 CLINE, ALFRED REPUBLIC SERVICES 06/09/16 KEEFE & GRIFFITHS PC 720 16WC 20770 ANTHONY, TINA MEDASSIST/FIRST SOURCE 04/01/15 KOLKER LAW OFFICES HOLTKAMP LIESE ET AL 721 16WC 20861 FRANK, ALBERT FW TRUCKING 05/24/16 BROWN & BROWN 722 16WC 20890 JONES, CHRISTINE ST CLAIR COUNTY 03/29/16 KASSLY BONE ENGLISH ET AL BECKER PAULSON & HOERNER PC 723 16WC 21152 BEAN, PERCY SIU-TRANSPORTATION @ 03/01/16 LAW OFFICE OF CELESTINE DO 724 16WC 21209 JONES, CHARLES AMERICAN STEEL FOUNDRIES 06/29/16 GALANTI LAW OFFICES 725 16WC 21297 LAMBORN, CAROL CEDAR TRAILS 11/21/14 KEEFE & DEPAULI 726 16WC 21310 SULENTIC, LINDA SEARS HOMETOWN & OUTLET S 05/20/16 LAW OFFICE KEITH SHORT 727 16WC 21451 ADAMS, ANTHONY PSC, LLC 04/02/15 LAW OFFICE ROBERT G WATERS WOLFE & JACOBSON, LTD 728 16WC 21470 MORDIS, MICHAEL W. CEDAR CREEK CONSTRUCTION 06/24/16 LAW OFFICE KEITH SHORT BRUCE WARREN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 16WC 21723 CURRIER, KENNETH M. AG VALLEY RAILROAD 08/01/15 ANKIN LAW OFFICE 730 16WC 21809 JOHNSON, BRIANNA CHALLENGE UNLIMITED 03/12/16 ARMBRUSTER DRIPPS 731 16WC 21975 MCEWEN, DONNA FAIRMOUNT PARK RACETRACK 08/05/15 COOK SHEVLIN YSURSA ET AL 732 16WC 22122 CRUMP, LESLIE KAMADULSKI EXCAVATING 09/15/15 COOK SHEVLIN YSURSA ET AL HENNESSY & ROACH 733 16WC 22147 FURLOW, ASHLEY N. CALHOUN NURSING & REHAB 04/16/16 JOSEPH E. HOEFERT 734 16WC 22219 BURGESS JR, KENNETH CHIP & CHAN INC D/B/D 05/11/16 BADGLEY, BRAD L SCHREMPF KELLY & NAPP 735 16WC 22275 BRIDGES, KRISTIANA CASEY'S GENERAL STORE 06/22/16 GALANTI LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 736 16WC 22558 WEBER, BRITTNEY MED STAR AMBULANCE, INC 03/02/16 KATZMAN & SUGDEN RODDY LAW LTD 737 16WC 22762 MC MAHAN, RICHARD LATNER DISTRIBUTING 11/10/15 KOPIS LAW OFFICE HARRIS DOWELL FISHER & HARRI 738 16WC 22827 BARWICK, HAROLD FAYCO ENTERPRISES 03/14/16 DRUMMOND LAW OFFICE 739 16WC 22968 WAGNER, JAMES B PEABODY GATEWAY MINE SERV 05/20/15 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 740 16WC 23224 LEE, DIANE KAREN VANARODY DMV 02/20/16 ERIN M. PHILLIPS LAW OFFICES STEVEN PILAND 741 16WC 23408 MOORE-WILSON, TISHA AGENCY FOR COMMUNITY TRAN 10/02/15 BROWN & CROUPPEN 742 16WC 23442 EWING, ZARIA JIMMY JOHNS 06/09/16 RICH RICH COOKSEY PC BRUCE WARREN 743 16WC 23526 KIMBLE, JERRELL LOWE'S 08/29/15 RICH RICH COOKSEY PC KEEFE CAMPBELL & ASSOC LLC 16WC023527 -C 744 16WC 23539 HOOKER, KAREN BELLEVILLE AREA SPECIAL 04/28/16 KATZMAN & ASSOCIATES 745 16WC 23552 LUNA, MIGUEL OLDCASTLE LAWN & 11/10/15 SCHREMPF, BLAINE, KELLY & MCANANY VANCLEVE & PHILLIPS 746 16WC 23600 CARROLL, SHARON YALE ENFORCEMENT SERVICES 03/27/16 DAVID H. BONE LLC STEPHEN H LARSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 747 16WC 23670 BLACK, DIANNE COMMERCE BANK 06/09/16 NELSON & NELSON LAW OFFICE CRAIG A HANSEN 748 16WC 23863 GRANT, JOHN M. NATIONAL MAINTENANCE & RE 04/07/15 SMITH ALLEN MENDENHALL ET 749 16WC 23910 PESAVENTO, DOMINIC COAL AGE INC 05/05/14 CULLEY FEIST KUPPART & TAY MCANANY VANCLEVE & PHILLIPS 750 16WC 24019 PERKINS, DAVID TRI-FORD 10/15/15 KIRKPARTICK LAW OFFICES 751 16WC 24040 BERRY, RICHARD SHOP-N-SAVE 07/19/16 BECKER SCHROADER & CHAPMAN BOGGS AVELLINO ETAL 752 16WC 24421 GRIMES, SANDRA SUE AMERICAN WATER 07/25/16 MILLER, WILLIAM R LAW OFFI CLAYBORNE SABO & WAGNER 753 16WC 24434 BARNHART, ALLEN GRANITE CITY SCHOOL DISTR 07/15/14 DENNIS SHEVLIN 754 16WC 24484 WEST, IEHESHIA ALDI INC O'FALLON DIVISIO 03/15/16 KEVIN J. KUBITSCHEK LYNN D BARNETT 755 16WC 24535 MILLENDER, ANTONIO AMERICAN STEEL FOUNDRIES 02/18/16 GALANTI LAW OFFICES 756 16WC 24688 DIEGO, JAVIER DIXIE J HARR THOROUGHBRED 04/26/16 DEPAOLO ZADEIKIS GORE 757 16WC 24789 ECONOMY, GUS GLOBAL BRASS 04/25/16 GALANTI LAW OFFICES KEEFE & DEPAULI 758 16WC 24814 OLDHAM, CAROLYN HAND HAMPTON INN 07/30/16 MANDEL & MANDEL LLP 759 16WC 24962 WATER, JIMMY DARLING INGREDIENTS, INC 09/03/15 BECKER SCHROADER & CHAPMAN QUINN JOHNSTON HENDERSON ETA 760 16WC 25034 CONNELL, PATRICIA UNITED METHODIST VILLAGE 06/01/16 BROWN & BROWN HENNESSY & ROACH PC 761 16WC 25037 SHOEMAKER, GARY METRO EAST INDUSTRIES 07/15/16 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 762 16WC 25041 BUCKLEY, JEANETTE SCHNUCK MARKETS, INC. 07/14/16 SAUTER, SULLIVAN & EVANS 763 16WC 25175 HARRIS WILLIAMS, MONICA BI-STATE METRO 02/09/16 RICH RICH COOKSEY PC BROWN & JAMES, PC 764 16WC 25211 EILAND JR, JAMES MADISON COUNTY TRANSIT 09/27/14

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 765 16WC 25439 HOLSHOUSER, JACK T JF ELECTRIC INCORPORATED 01/01/16 NELSON & NELSON ROUSE & CARY 766 16WC 25684 TOLAN, ALVIN METRO TRANSIT 04/23/16 BRADLEY LAW FIRM EVANS & DIXON, LLC 767 16WC 25693 VOTSMIER, JAMES R. SIUE @ 07/31/13 SCHREMPF KELLY & NAPP ILLINOIS ATTORNEY GENERAL 768 16WC 25697 FETTER, RYAN PRO EXAVATING & GRADING L 08/12/16 BLUNT & ASSOC 769 16WC 25698 HODGES, DEMARCO AMERICAN STEEL FOUNDRIES 08/17/16 GALANTI LAW OFFICES 770 16WC 25719 BEYER, JOSEPH HARRISONVILLE TELEPHONE C 12/09/14 MCCARTHY ROWDEN & BAKER 771 16WC 25774 ADAMS, DANIELLE HOSPICE OF SOTHERN ILLINO 10/30/15 BROWN & CROUPPEN HOLTKAMP LIESE ET AL 772 16WC 25827 THOMAS, SCALISE KRAFT - HEINZ FOODS 06/24/16 RICH RICH COOKSEY PC 773 16WC 25860 KNOP, JACOB M ROBERT CHICK FRITZ I NC 10/26/15 MCGLYNN & MCGLYNN HEYL ROYSTER VOELKER & ALLEN 774 16WC 25879 MICHAEL, LEON KELLER CONSTRUCTION 08/24/14 GALANTI LAW OFFICES ROUSE & CARY 775 16WC 25986 SELDERS, STEPHEN ST CLAIR ALUMINUM & 07/08/16 HOLLORAN & SCHWARTZ 776 16WC 26367 RUTTER, RYAN HOLTEN MEAT COMPANY 05/13/16 CHRISTINA SUGDEN EVANS & DIXON, LLC 777 16WC 26389 WILLIAMS, LACRESHA WALGREENS DISTRIBUTION CE 04/19/16 BEATTY & MOTIL 778 16WC 26413 SHRICKENBERG, ANDREW ST ELIZABETH'S HOSPITAL 01/06/16 NELSON & NELSON MICHAEL NESTER 779 16WC 26445 SEIFFERT, GALE ALHAMBRA CARE CENTER 07/29/15 BECKER SCHROADER & CHAPMAN 780 16WC 26495 WHITE, ANDREW L.E. BERGSCHNEIDER 09/21/15 JUNCKER, DANIEL K PC MORROW WILLNAUER 781 16WC 26562 DOBY, KIERRA BRANDING IRON HOLDINGS, I 07/25/16 BROWN & BROWN 782 16WC 26899 KENLY, GARY LOWE'S 04/06/16 BOYNE, KEVIN PC KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 783 16WC 26904 GARRIS, MARK A ELLIS TRUCKING INC 04/21/16 LAW OFFICE OF ROBERT BATES KEEFE CAMPBELL & ASSOC LLC 784 16WC 27019 WARREN, CHRIS COLLINSVILLE POLICE DEPAR 08/23/16 GALANTI LAW OFFICES BECKER PAULSON & HOERNER PC 785 16WC 27080 SCHNEIDER, SHANNON UNIVERSAL PROTECTION SERV 07/30/16 GALANTI LAW OFFICES SPIEGEL & CAHILL, PC 786 16WC 27120 HEIMER, MICHAEL AECOM - URS 03/08/16 CARAWAY FISHER HEYL ROYSTER VOELKER & ALLEN 787 16WC 27157 KENLY, GARY LOWE'S 04/22/16 BOYNE, KEVIN PC KEEFE CAMPBELL & ASSOC LLC 788 16WC 27320 JORDAN, SHARON IMPERIAL MANUFACTURING GR 09/22/15 WALTON TELKEN FOSTER LLC EVANS & DIXON, LLC 789 16WC 27328 SEETS, JOHN SR METRO EAST INDUSTRIES 08/22/16 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 790 16WC 27555 BALLARD, JAMES J GATEWAY FS INC 01/21/16 JAMES STIEHL 791 16WC 27562 SHERER, KIMBERLEY D QUALITY BUSINESS SOLUTION 06/20/16 SMITH ALLEN MENDENHALL ET REED ARMSTRONG GORMAN ET AL 792 16WC 27654 COLEMAN, YOLANDA L SOUTHERN IL HEALTH- 07/21/16 GLASS & KOREIN 793 16WC 27664 KAMP, CRAIG GRANITE CITY PACKAGING 06/26/16 KOLKER LAW OFFICES WIEDNER & MCAULIFFE LTD 794 16WC 27848 ALLEN, COREY V GBW RAIL SERVICES 08/31/16 SCHREMPF KELLY & NAPP HENNESSY & ROACH 795 16WC 28028 KREUZER, ALVIN JR. SOUTHERN ILLINOIS TRANSFE 08/02/16 RICH RICH COOKSEY PC GOLDSTEIN AND PRICE 796 16WC 28088 LOPEZ, JERRY LARRY FLYNT'S 08/27/16 GALANTI LAW OFFICES KNELL & O'CONNOR 797 16WC 28131 ISAAC, OMAR C REPUBLIC SERVICES 08/19/16 COOK SHEVLIN YSURSA ET AL 798 16WC 28136 LAIR, MICHAEL ARDENT MILLS 07/14/16 BROWN & BROWN 799 16WC 28249 SAUNDERS, KAHLI B ST. ELIZABETH'S HOSPITAL 10/28/15 BONIFIELD & ROSENSTENGEL P MICHAEL NESTER 800 16WC 28370 BILLHARTZ, MICHAEL R SWIC ATS 10/24/14 NELSON & NELSON BECKER PAULSON & HOERNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 801 16WC 28565 MILLBURG, JONATHON C PRAIRIE STATE GENERATING 03/15/16 NELSON & NELSON 802 16WC 28656 PAUBEL, KEITH AIRPORT TERMINAL SERVICES 07/19/16 HUSTAVA, JOHN H 803 16WC 29163 ANDERSON, ANTHONY MEMORIAL HOSPITAL 02/18/16 BOYNE, KEVIN PC MATHIS MARIFIAN RICHTER ET A 804 16WC 29239 VAUGHN, ROBERT NELSON TREE SERVICE 03/22/16 SMITH ALLEN MENDENHALL ET 805 16WC 29247 MINOR, EDWARD LABOR READY 09/12/16 BOYNE, KEVIN PC 806 16WC 29371 WESSEL, GREGORY D & K BACKHOE SERVICE 06/11/16 COOK SHEVLIN YSURSA ET AL 807 16WC 29596 RAY, CASSANDRA BARBER CHRISTIAN HOME CAR 07/08/16 KEEFE & GRIFFITHS PC 808 16WC 29625 MANGRUM, BRANDYN KUNA FOOD SERVICES 08/03/16 BECKER PAULSON & HOERNER P POWER & CRONIN LTD 809 16WC 29730 BARRETT, MICHAEL J BLUE MARK PROPERTY MGMT, 09/13/16 WIMMER & STIEHL ROUSE & CARY 810 16WC 29745 FARES, WAEL CROWN FOOD MART 09/07/16 GLASS & KOREIN NOBLE & ASSOCIATES PC 811 16WC 29787 WILLIAMS, SEAN MCCANN CONCRETE PRODUCTS 05/20/16 HUSTAVA, JOHN H HOLTKAMP LIESE ET AL 812 16WC 29793 ROBINSON, WILLIAM RAY ILLINOIS DEPARTMENT OF 08/25/16 JOSEPH L SAMUELSON PC 813 16WC 29902 FITZGERALD, MALENA ARGOSY CASINO 05/09/16 WALTON TELKEN FOSTER LLC HEPLER BROOM LLC 814 16WC 29913 HARRISON, MARVIN AMERICAN STELL FOUNDRIES 08/30/16 PETER R BEHNKE 815 16WC 30083 SIGITE, RANDALL L SHAFER EXCAVATING 09/30/13 JESSICA KOESTER LLC BRYCE DOWNEY & LENKOV LLC 816 16WC 30134 WALLHEIMER, WALTER J AT&T 08/26/16 BONIFIELD & ROSENSTENGEL P 817 16WC 30221 KUEHNEL, RONNA REALTOR ASSOCIATION OF SW 09/18/15 ERIN M. PHILLIPS 818 16WC 30336 NICHOLS, ERIC UPS 08/07/15 GALANTI LAW OFFICES MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 819 16WC 30348 WILLIAMS, YOLANDA MADISON COMMUNITY UNIT 05/10/16 WALTON TELKEN FOSTER LLC 820 16WC 30386 JAIMET, DAVID EMPIRE COMFORT SYSTEMS 08/18/16 JUNCKER, DANIEL K PC KEEFE & DEPAULI 821 16WC 30428 PARKER, CEDRIC F PENN NATIONAL GAMING/ 02/22/16 ARMBRUSTER DRIPPS HEPLER BROOM LLC 822 16WC 30636 MASSA, JOHN CITY OF BELLEVILLE 08/04/15 BOYNE, KEVIN PC BECKER PAULSON & HOERNER PC 823 16WC 30670 SHERROD, ISAIAH N CITY OF E.ST.LOUIS-POLICE 07/09/16 BONIFIELD & ROSENSTENGEL P CLAYBORNE SABO & WAGNER 824 16WC 31042 HARRELL, DORIS M MERIDIAN VILLAGE SENIOR 05/01/16 BEATTY & MOTIL BRINKER & DOYNELLP 825 16WC 31309 SMITH, TINA M 800 DEGREES WOOD 09/17/16 RICHARD LECINSKI 826 16WC 31480 PARKER, AMANDA GENCO 09/16/16 GALANTI LAW OFFICES SPIEGEL & CAHILL, PC 827 16WC 31612 HEIDRICH, JOSHUA GREY MEYER D/B/A 09/09/16 BROWN & BROWN KEEFE CAMPBELL & ASSOC LLC 828 16WC 31698 KOSTYSHOCK, RALPH STUTZ EXCAVATING, INC 09/06/16 WALTON TELKEN FOSTER LLC WOLF LAW LTD 829 16WC 31723 MOSLEY, MARLOWE CARITAS FAMILY SOLUTIONS 10/29/14 ONDER SHELTON O'LEARY 830 16WC 31753 KUHLMAN, ROBERT OLIN 08/11/16 BECKER SCHROADER & CHAPMAN KEEFE & DEPAULI 831 16WC 31784 SYKES, CHRISTOPHER APPLEBEE'S 09/16/16 BROWN & CROUPPEN THOMPSON & MCDONALD LAW OFFI 832 16WC 31865 KRATSCHMER, LORI ROYAL LIVING CENTER 11/20/15 WILLIAMSON WEBSTER ET AL 833 16WC 31926 BROWN, RENAUDO AMERICAN STEEL FOUNDRIES 05/05/16 GALANTI LAW OFFICES 834 16WC 31954 KOHL, KELLY BRANDING IRON/HOLTEN MEAT 08/16/16 KIRKPARTICK LAW OFFICES EVANS & DIXON, LLC 835 16WC 31973 CANTER, JAMIE SWIFT TRANSPORATION 09/12/16 BOYNE, KEVIN PC WIEDNER & MCAULIFFE LTD 836 16WC 32396 VALENTINE, VINCENT R UNITED STATES STEEL 03/02/15 BOSSLET & O'LEARY KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 837 16WC 32471 BOWERS, PATRICIA A WEXFORD HEALTH SOURCES 06/22/16 BONIFIELD & ROSENSTENGEL P RUSIN & MACIOROWSKI LTD 838 16WC 32475 SNEED, EUGENE W CDS 06/17/16 LAW OFFICE OF SUSAN GRAMME 839 16WC 32513 ALLEN, ANDREA BJC 04/07/16 GALANTI LAW OFFICES HOLTKAMP LIESE ET AL 840 16WC 32578 SMITH, LARRY CERRO FLOW PRODUCTS 05/21/16 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD 841 16WC 32666 WARREN, GEORGE RURAL KING SUPPLY 06/22/15 BEMENT & STUBBLEFIELD THOMPSON & MCDONALD LAW OFFI 842 16WC 32775 EVANS, DIANNAH ST OF IL TRI STAR RISK MG @ 05/19/16 843 16WC 32890 LUDGATE, WILLIAM V QUALITY RAIL SERVICE 09/06/16 RICH RICH COOKSEY PC 844 16WC 33014 WYNN, ARDITH R K TEN, LLC 05/03/16 CROWDER & SCOGGINS LTD HEYL ROYSTER VOELKER & ALLEN 845 16WC 33089 SMITH, CLAUDE E II MORRISSEY CONSTRUCTION CO 10/24/16 BECKER SCHROADER & CHAPMAN 846 16WC 33093 EDWARDS, MELVIN AMERICAN STEEL FOUNDRIES 09/16/16 GALANTI LAW OFFICES BOGGS AVELLINO 847 16WC 33208 JONES, CHANGA K EMPIRE COMFORT SYSTEM 04/04/16 THOMAS W DUDA 16WC033209 -C 848 16WC 33231 CARTA, DOROTHY CHALLENGE UNLIMITED 08/22/16 PERICA LAW FIRM HEYL ROYSTER VOELKER & ALLEN 849 16WC 33303 JACKSON, JOHN PRAIRIE FARMS DAIRY 10/04/16 MILLER, WILLIAM R LAW OFFI KNAPP, OHL & GREEN 850 16WC 33390 FLETCHER, RONNIE NIGHT HAWK COAL 04/04/16 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 851 16WC 33405 VILLEGAS-CORTEZ, CUTBERTO LFI STAFFING/ 10/18/16 JOHN M CICHELERO PC WIEDNER & MCAULIFFE LTD 852 16WC 33495 SCHMIDT JR., DONALD L ALTON SCHOOL DISTRICT 04/09/14 853 16WC 33597 BASTING, JOSHUA T PRAIRIE STATE GENERATING 10/10/16 HARRIS & JONES EVANS & DIXON, LLC 854 16WC 33671 MCKENZIE, SHERINA BRANIDING IRON HOLDINGS, 01/27/16 NELSON & NELSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 855 16WC 33883 FRYE, JOHN CERRO FLOW PRODUCTS 11/06/14 BROWN & BROWN RUSIN & MACIOROWSKI LTD 856 16WC 33904 HICKS, JONATHAN IDOT @ 09/22/16 BECKER SCHROADER & CHAPMAN ELIZABETH LEAHY 857 16WC 33937 SCHREDER, DAVID BRUCE CONCRETE CONSTRUCTI 07/01/16 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 858 16WC 34055 SWIFT, BRIAN HOFFMAN HOME IMPROVEMENT 11/15/14 LAW OFFICE RHONDA FISS 859 16WC 34182 NELSON, JUSTIN AMAZON 10/23/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 860 16WC 34498 HARRISON, CONSTANCE 4M BUILDING SOLUTIONS 10/04/16 RICH RICH COOKSEY PC STEPHEN H LARSON LAW OFFICE 861 16WC 34998 FLAXBEARD, KEITH MI SUPPORT SERVICES 09/28/16 MILLER, WILLIAM R LAW OFFI HENNESSY & ROACH, PC 862 16WC 35171 BUGG, MARY FIRST STUDENT 08/30/16 GALANTI LAW OFFICES 863 16WC 35246 KING, BRIAR PAPA JOHN'S PIZZA 01/28/15 BROWN & BROWN 864 16WC 35289 HARRIS, DEITRA ANN AMERICAN WATER 05/05/15 MILLER, WILLIAM R LAW OFFI 865 16WC 35411 FLOYD, KIMBERLYN F ST PAUL HOME FOR THE AGED 10/27/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 866 16WC 35430 HILL, DELVIN L METRO DEVELOPMENT AGENCY 08/29/16 KEEFE & GRIFFITHS PC BROWN & JAMES, PC 867 16WC 35434 PRYOR, MELISSA IMPERIAL MANUFACTURING GR 09/28/16 LAW OFFICE DONNA CLARK FRA 868 16WC 35449 ROBISON, LESTER HEADWATER 10/01/16 RICH RICH COOKSEY PC LAW OFFICE CRAIG A HANSEN 869 16WC 35460 WILLIS, TERRASHA HOLTEN MEAT, INC 10/03/16 BROWN & BROWN EVANS & DIXON, LLC 870 16WC 35469 RIVAS, JUAN ST LOUIS AUTO SHREDDING, 10/26/16 WALTON TELKEN FOSTER LLC RUSIN & MACIOROWSKI LTD 871 16WC 35476 HARRIS, DEITRA ANN AMERICAN WATER 09/27/16 MILLER, WILLIAM R LAW OFFI 872 16WC 35549 YOUNG, TAMEKA ISS FACILITY SERVICES INC 11/11/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 873 16WC 35565 JOHNSON, IVORY BEST MEDICAL TRIP, INC 10/12/16 KEEFE & GRIFFITHS PC 874 16WC 35589 SWINK, DEON SPAETH WELDING INC 08/18/16 875 16WC 35706 LACY, TERRY GLOBAL BRASS 08/08/16 GALANTI LAW OFFICES KEEFE & DEPAULI 876 16WC 35827 URBANSKI, STEPHEN RMR CONSTRUCTION 10/21/16 NELSON & NELSON 877 16WC 35863 LACY, TERRY GLOBAL BRASS 08/08/16 GALANTI LAW OFFICES KEEFE & DEPAULI 878 16WC 35935 SMITH, THOMAS M BELLEVILLE SHOE COMPANY 11/05/15 NELSON & NELSON EVANS & DIXON, LLC 879 16WC 36213 WATERSON, SCOTT SEARS APPLIANCE & 10/27/16 HENNESSEY LAW FIRM 880 16WC 36225 MC DONALD, RICHARD SOUTHWESTERN ILLINOIS CC @ 10/25/16 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 881 16WC 36260 MAYO, AARON PRAIRIE STATE 11/09/16 KEEFE & DEPAULI 882 16WC 36405 BURGESS, NORMAN EXPRESS EMPLOYMENT 11/14/16 GALANTI LAW OFFICES MC ANDREWS & NORGLE LLC 883 16WC 36495 SIDWELL, JOHN MAHONEY ASPHALT, LLC 09/01/16 KHOURI LAW FIRM 884 16WC 36779 DUNCAN, JONATHAN GBW RAILCAR SERVICES, LLC 11/11/16 JOHNSTON LAW OFFICE HENNESSY & ROACH 885 16WC 37042 WILSON, MARSHALL CITY OF BELLEVILLE 05/25/16 SCHULTZ & MYERS LLC BECKER PAULSON & HOERNER PC 886 16WC 37068 WYROSTEK, THOMAS MISSISSIPPI VALLEY INGERG 08/11/12 LIESER LAW FIRM 887 16WC 37164 HILL, EDDIE ADECCO STAFFING 11/13/16 BROWN & BROWN HENNESSY & ROACH, PC 888 16WC 37370 SNIPES, CHERYL ALTON SCHOOL DISTRICT #11 10/24/16 PERICA LAW FIRM 889 16WC 37608 JACKSON, CATHERINE RTE 3 LIQUORS INC 09/26/16 BROWN & BROWN COZZI & GOGGIN-WARD 890 16WC 37624 PIERSON, WILLIAM DET ALTON POLICE DEPT 12/01/16 JOSEPH E. HOEFERT SCHREMPF KELLY & NAPP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 891 16WC 37637 SULLIVAN, WESTLEY J STANDARD LABORATORIES INC 06/02/15 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 892 16WC 37716 ANDERSON, JOHN TRANSPORT LABOR CONTRACT/ 08/05/16 MATTEA, BRUCE 893 16WC 37775 MULLEN, DAVID HARVEST TRANSPORT SERVICE 11/26/16 RICH RICH COOKSEY PC KEEFE & DEPAULI 894 16WC 37784 SCOTT, KELEE WILLIAM BEDELL ARC 02/10/16 PERICA LAW FIRM 895 16WC 37807 GREEN, EARL AMAZON 09/26/16 HUSTAVA, JOHN H WIEDNER & MCAULIFFE LTD 896 16WC 37850 STEPHENS, ERIC BELLEVILLE SHOE COMPANY 10/27/16 NELSON & NELSON 897 16WC 37854 SMITHSON, ERIC FASTENAL 09/02/16 JOHNSTON LAW OFFICE 898 16WC 37923 MOSS, RODNEY POWER MAINTENANCE 04/18/10 HUSTAVA, JOHN H 899 16WC 37932 SANDERS, MICHAEL ILLINOIS EPA @ 05/31/16 GALANTI LAW OFFICES ELIZABETH LEAHY 900 16WC 38157 WATKINS, BRYAN REDNOUR STEEL ERECTORS 09/21/16 ONDER SHELTON O'LEARY INMAN & FITZGIBBONS 901 16WC 38249 GILLIAM, ARNETTA HOLTEN MEAT, INC 11/28/16 BROWN & BROWN EVANS & DIXON, LLC 902 16WC 38395 ANDERSON, TIFFANY L OTO DEVELOPMENT, LLC 10/02/16 NELSON & NELSON 903 16WC 38522 MOORE, DANON AMERICAN STEEL FOUNDRIES 11/29/16 GALANTI LAW OFFICES 904 16WC 38535 SMITH, STEPHEN F CITY OF BELLEVILLE 04/19/16 SCHUCHAT, COOK & WERNER BECKER PAULSON & HOERNER PC 905 16WC 38592 NOWAK, JAMIE R CITY OF BELLEVILLE 09/20/16 KEEFE & DEPAULI BECKER PAULSON & HOERNER PC 906 16WC 38599 RUSHING, TONI ILLINOIS CENTER FOR AUTIS 09/28/16 JOHNSTON LAW OFFICE WIEDNER & MCAULIFFE LTD 907 16WC 38662 VINSON, LAMONT HOME DEPOT 01/21/16 BROWN & CROUPPEN 908 16WC 38719 HOSMAN, PARVIN PRAIRIE STATE GENERATING 05/12/16 CULLEY & WISSORE EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 909 16WC 39008 HARRIS, TRACY AMAZON 12/15/16 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 910 16WC 39099 NAYLOR, JERRY HOLY FAMILY HOSPITAL 10/11/15 RICH RICH COOKSEY PC GAROFALO SCHREIBER STORM 911 16WC 39115 ARNOLD, RAVEN THE MASCHHOFFS 10/30/16 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 912 16WC 39120 SINGLETON, CHRIS MARINE POLICE DEPARTMENT 12/19/16 GALANTI LAW OFFICES KEEFE & DEPAULI 913 16WC 39149 DAIKER, KENNETH R ELLINGSON TRENCHLESS 12/16/16 JOSEPH E. HOEFERT STEPHEN H LARSON LAW OFFICE 914 16WC 39275 GREEN, ANDREW ABBOTT 09/28/16 GALANTI LAW OFFICES ARNETT LAW GROUP 915 16WC 39281 OWOSENI, BABATUNDE PARAGON SYSTEMS, INC 12/15/16 GALANTI LAW OFFICES HENNESSY & ROACH, PC 916 16WC 39291 ALBL, TERRY A SEARS HOLDING CORP 05/02/15 GLASS & KOREIN 917 16WC 39446 BURTON, DEREK AMAZON 12/09/16 SAUTER, SULLIVAN & EVANS 918 16WC 39451 PACHECO, MANUEL PAUL CRAYNE 11/07/16 LESKERA LAW FIRM 919 17WC 00032 HALAVONICH, DAVID L VEOLIA ENVIRONMENTAL SERV 06/11/16 DOUGLAS B MCKECHAN EVANS & DIXON, LLC 920 17WC 00183 GEARS, DAVID SPECTRULITE CONSORTIUM, I 02/01/02 BROWN & BROWN 921 17WC 00184 MAYVILLE, JOHN CITY OF BELLEVILLE 09/02/16 KEEFE & DEPAULI BECKER PAULSON & HOERNER PC 922 17WC 00211 CLAYPOOL, KELLY MEDSTAR AMBULANCE 11/30/16 RICH RICH COOKSEY PC RODDY LAW LTD 923 17WC 00226 BEARD, TERRENCE HIRE LEVEL 12/20/16 SAUTER, SULLIVAN & EVANS 924 17WC 00522 SWINK, KIMBERLY SAVE-A-LOT 12/10/16 NELSON & NELSON BOGGS AVELLINO ETAL 925 17WC 00653 CLARK, ELIJAH AMSTED RAIL 05/25/16 GALANTI LAW OFFICES 926 17WC 00720 RODRIGUEZ, JOHN DARLING INTERNATIONAL, IN 01/08/14 SCROGGINS LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 927 17WC 00889 SMITH, KEITH US STEEL CORP 12/22/16 BEATTY & MOTIL KEEFE & DEPAULI 928 17WC 00911 HARDY, VICTORIA J STIFEL 09/07/16 MILLER/SALSBURY LAW FIRM STEPHEN H LARSON LAW OFFICE 929 17WC 00969 COOPER, TROY AT&T 11/30/15 JOSEPH L SAMUELSON PC 930 17WC 00972 SMITH, ELMER EXPRESS SERVICES INC 11/08/16 CROWDER & SCOGGINS 931 17WC 01070 CLAYTON, LEE AMAZON.COM INC STL 6 10/24/16 THE FISCHER LAW FIRM LLC WIEDNER & MCAULIFFE LTD 932 17WC 01135 LAZANTE, CYNTHIA MASCOUTAH SCHOOL DISTRICT 02/08/16 BROWN & CROUPPEN INMAN & FITZGIBBONS 933 17WC 01151 STORK, LARRY SPARTA HIGH SCHOOL 09/28/15 BROWN & CROUPPEN 934 17WC 01155 DARR, DENNIS C OLIN CORPORATION 11/17/15 JOSEPH E. HOEFERT KEEFE & DEPAULI 935 17WC 01160 MOORE, JENNIFER THE MASCHHOFFS LLC 01/02/17 BOYNE, KEVIN PC 936 17WC 01218 MC CRACKEN, RANDY METRO 02/19/16 BROWN & BROWN EVANS & DIXON, LLC 937 17WC 01538 SNYDER, BARBARA TONKA CLIPPERS 05/02/16 MICHAEL J BRUNTON LAW OFFI QUINN JOHNSTON HENDERSON ETA 938 17WC 01539 WRIGHT, SHANEK'E FIRST STUDENT, INC 12/19/16 WIMMER & STIEHL 939 17WC 01549 STROUD, LAVERNE, WIDOW OF FREEMAN UNITED COAL # 11/20/16 CULLEY FEIST KUPPART & TAY 940 17WC 01652 TWIGGS, STEPHEN CONCRETE CORING CO 10/13/16 WILLIAMSON WEBSTER ET AL WIEDNER & MCAULIFFE LTD 941 17WC 01685 SMITH, CHARLES HEYES MECHANICAL 10/27/16 KIRKPARTICK LAW OFFICES GAROFALO SCHREIBER STORM 942 17WC 01836 KROEGER, BROC W MAINS TREE SVC 05/31/16 CHATHAM & BARICEVIC ROUSE & CARY 943 17WC 02031 COLBERT, CASSANDRA HOELSCHER INTERIORS 12/21/16 BECKER SCHROADER & CHAPMAN JELLIFFE FERRELL DOERGE PHEL 944 17WC 02046 WILLIAMS, DEBORAH METRO/BISTATE DEVELOPMENT 12/13/16 CARAWAY FISHER BROWN & JAMES, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 945 17WC 02082 BARKER, PAUL SYNCREON 09/19/16 BROWN & CROUPPEN STEPHEN P. KELLY 946 17WC 02225 HOEFERT, JOHN WOOD RIVER POLICE DEPARTM 07/28/16 JOSEPH E. HOEFERT KEEFE & DEPAULI 947 17WC 02356 LAWRENCE, KRISTINA GREAT CLIPS/MODERN DAY CL 10/11/16 NELSON & NELSON QUINN JOHNSTON HENDERSON ETA 948 17WC 02539 FOULKS, HENRY RHEKEMPER & SON, INC. 12/08/16 BROWN & BROWN 949 17WC 02629 NEAL, JERRY JR LOUIS DREYFUS CORPORATION 11/26/16 BROWN & BROWN LAW OFFICE CRAIG A HANSEN 950 17WC 02834 DAIKER, KENNETH ELLINGSON TRENCHLESS LLC 12/16/16 NORBERT GOETTEN STEPHEN H LARSON LAW OFFICE 951 17WC 02890 ROBINSON, KARA FIRST SOURCE SOLUTIONS 01/17/17 GOLDENHERSH & GOLDENHERSH 952 17WC 02900 STOBBS, CRAIG RED BUD IGA 12/09/15 HAMMOND SHINNERS TURCOTTE 953 17WC 03046 NEUMEYER, VICKIE EAST ST LOUIS SCHOOL DIST 01/01/17 CHATHAM & BARICEVIC BECKER PAULSON & HOERNER PC 954 17WC 03052 POWERS, ERICA AMAZON.COM INC 10/11/16 WALTON TELKEN FOSTER LLC WIEDNER & MCAULIFFE LTD 955 17WC 03060 PIERCE, ANGELA AMAZON 12/22/16 PETER BLASI LLC WIEDNER & MCAULIFFE LTD 956 17WC 03095 GILLIAM, ARNETTA HOLTEN MEAT, INC 01/03/17 BROWN & BROWN EVANS & DIXON, LLC 957 17WC 03152 GOLLIDAY, ALVIN JR EMPIRE COMFORT SYSTEM 08/25/16 BROWN & BROWN KEEFE & DEPAULI 958 17WC 03265 RICHTER, DONNA SOUTHERN ILLINOIS BUILDER 08/01/16 ARMBRUSTER DRIPPS 959 17WC 03481 TUCKER, STEVEN GATEWAY FABRICATORS, INC. 10/19/16 LAW OFFICES STEVEN PILAND 960 17WC 03632 ZOTZ, BRETT RURAL KING * 08/31/16 BOYNE, KEVIN PC KEEFE CAMPBELL & ASSOC LLC 961 17WC 03634 MCKAY, MICHAEL GLOBAL BRASS 12/11/16 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 962 17WC 03999 SPARKS, CAROLYN LOWES 10/15/16 WILLIAM BERRY & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 963 17WC 04086 DODSON, DWAYNE SPARTAN LIGHT METALS 10/04/16 NELSON & NELSON 964 17WC 04092 DAVIS, TYLER INTEGRITY STAFFING SOLUTI 01/12/17 WALTON TELKEN FOSTER LLC SLAVIN & SLAVIN 965 17WC 04099 HANELINE, JENNIFER R HIGHER LEVEL 01/23/17 JOSEPH E. HOEFERT 966 17WC 04104 STANDLEY, ROBERT PEABODY COAL 11/18/16 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 967 17WC 04123 POOLE, ASHLEY ALTON MEMORIAL HOSPITAL 12/12/16 MORMINO,VELLOFF,EDMONDS,SN HOLTKAMP LIESE ET AL 968 17WC 04136 CAVE, KENNETH SONNY PAST AUTO BODY * 12/15/16 LAW OFFICE OF THOMAS SCHOO 969 17WC 04150 ADAMS, JONATHAN SOUTHWESTERN IL CC @ 07/09/16 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 970 17WC 04241 GERLACH, STAN A SVANDA CHEVROLET BUICK GM 12/20/16 BONIFIELD & ROSENSTENGEL P 971 17WC 04434 FRENCH, RICHARD A GODFREY ANIMAL CONTROL 07/02/13 JOSEPH E. HOEFERT EVANS & DIXON, LLC 972 17WC 04465 CLARK, NOEL J.K. COMPANIES 01/22/14 ONDER SHELTON O'LEARY 973 17WC 04547 IIIFF, DANA SCHNUCKS 08/25/16 974 17WC 04616 BAKERT, TOMMY AXCESS STAFFING 01/31/17 BECKER SCHROADER & CHAPMAN BRADY, CONNOLLY & MASUDA, PC 975 17WC 04728 KECK, MICHAEL T AMEREN 01/10/17 NELSON & NELSON CLAYBORNE SABO & WAGNER 976 17WC 04821 CAMPBELL, JANET ILLINOIS VALLEY ECONOMIC * 10/20/16 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 977 17WC 04836 DAHM, JAMES F CITY OF BELLEVILLE-POLICE 02/17/16 BONIFIELD & ROSENSTENGEL P BECKER PAULSON & HOERNER PC 978 17WC 04848 LITTRELL, ROBERT MASCOUTAH COMMUNITY SCHOO 01/05/17 BROWN & BROWN 979 17WC 04861 SMITH, CHELSEA GRANITE CITY SCHOOL 01/05/17 J JUSTIN MEEHAN 980 17WC 04890 STANDAL, DANIEL B AT&T * 08/31/16 SCOTT P. HOLWITT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 981 17WC 04895 REMELIUS II, JOHN H WEIR PARTS CENTER * 01/25/17 BADGLEY, BRAD L 982 17WC 04909 CRUTCHER, DANA BI-STATE DEVELOPMENT * 01/13/17 RICH RICH COOKSEY PC KORTENHOF MCGLYNN 983 17WC 05036 REUTER, CRAIG ELECTRO DOOR SYSTEMS * 04/28/16 RICH RICH COOKSEY PC LIVINGSTONE MUELLER ET AL 984 17WC 05049 WATSON, CHARLENE FAMILY DOLLAR * 09/24/16 LIESER LAW FIRM 985 17WC 05071 STACKER, ADRIENNE EAST ST LOUIS SCHOOL DIST * 01/30/17 KEEFE & DEPAULI 986 17WC 05092 WASHINGTON, BENETTA Y INTEGRITY STAFFING * 12/01/16 DAVID H. BONE LLC SLAVIN & SLAVIN 987 17WC 05190 HAMOR, ALLAN R ILMO PRODUCTS CO * 06/11/15 WENDLER LAW PC 988 17WC 05726 IRVIN, SHANE A GREENSCAPE LAWNCARE & * 09/19/16 WENDLER LAW PC 989 17WC 05749 TEER, LEE ANGELA BELLEVILLE SHORE MFG COMP * 02/10/17 SAUTER, SULLIVAN & EVANS 990 17WC 05790 WORLEY, THOMAS U.S. STEEL CORP * 12/19/15 BEATTY & MOTIL KEEFE & DEPAULI 991 17WC 05863 HAWKES, JANET MAGNESIUM ELEKTRON * 10/26/16 BECKER SCHROADER & CHAPMAN BRADY, CONNOLLY & MASUDA, PC 992 17WC 05869 BOSTIC, SHAKESHIA CUSTOMIZED DISTRIBUTION S * 01/30/17 LAW OFFICE KEITH SHORT LAW OFFICES STEVEN PILAND 993 17WC 05878 BLOOMQUIST, DAMIEN DOMINO'S PIZZA * 10/12/16 JUSTIN B MATTEA 994 17WC 05891 WIRTH, WILLIAM TIGER HEATING & * 12/12/16 JUSTIN B MATTEA LAW OFFICE PATRICK JENNETTEN 995 17WC 06026 GREENLEE, LAEN AMAZON * 02/05/17 BOYNE, KEVIN PC WIEDNER & MCAULIFFE LTD 996 17WC 06065 FERNANDEZ, JASON U.S. STEEL CORPORATION * 01/28/17 BEATTY & MOTIL 997 17WC 06361 CHAPMAN, DARRYL S AMK HEATING & COOLING INC * 01/31/17 SCHREMPF KELLY & NAPP 998 17WC 06390 GREER, TYRONE H DB SCHENKER * 02/14/17 BONIFIELD & ROSENSTENGEL P LAW OFFICE PAUL LARIMORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 999 17WC 06395 RHODES, DEBORAH COMPASS GROUP D/B/A MORRI * 10/26/16 SMITH ALLEN MENDENHALL ET 1000 17WC 06428 BAIOTTO, DAN MENASHA CORP * 02/02/17 BECKER SCHROADER & CHAPMAN 1001 17WC 06536 ROTH, KEITH DYNEGY MIDWEST GENERATION * 10/10/14 CARAWAY FISHER 1002 17WC 06691 BRENNER, BLAKE UNITED STATES COLD STORAG * 09/12/16 SPIROS LAW PC 1003 17WC 07072 ARRENDONDO, JUAN EAGLES STONE MASONRY WORK * 07/24/16 SCHREMPF KELLY & NAPP 1004 17WC 07088 POOL, MICHAEL U.S. STEEL CORPORATION * 02/18/17 BEATTY & MOTIL KEEFE & DEPAULI 1005 17WC 07093 BOYER, VICKI M BEVERLY FARMS FOUNDATION * 12/05/16 SMITH ALLEN MENDENHALL ET HOLTKAMP LIESE ET AL 1006 17WC 07151 CROUCH, THOMAS CAHOKIA SCHOOL DISTRICT * 11/04/16 RICH RICH COOKSEY PC KNAPP, OHL & GREEN 17WC007150 -C 1007 17WC 07333 HAYES, MARIA METRO * 02/06/17 JEFFREY GAULT EVANS & DIXON, LLC 1008 17WC 07393 LITTLE, CRYSTAL AMAZON * 11/16/16 WALTON TELKEN FOSTER LLC WIEDNER & MCAULIFFE LTD 1009 17WC 07399 LACK, TIMOTHY S ALLISON CONCRETE, INC. * 02/17/17 BECKER SCHROADER & CHAPMAN 1010 17WC 07410 REED, FELICIA A BI-STATE DEVELOPMENT AGEN * 07/30/15 NELSON & NELSON BROWN & JAMES, PC 1011 17WC 07432 VALLE, JOHN AMERICAN CENTRAL PORT * 02/16/17 HUSTAVA, JOHN H 1012 17WC 07479 ZIRKELBACH, DEREK UNITED IRON WORKERS, INC * 04/26/16 CARAWAY FISHER 1013 17WC 07609 CALLIES, TERESA ALTON SCHOOL DISTRICT #11 * 02/16/16 GALANTI LAW OFFICES 1014 17WC 07614 LEWIS, PAUL CITY OF JERSEYVILLE * 01/31/16 GALANTI LAW OFFICES 1015 17WC 07778 MATHIAS, ED IDOT * 02/16/17 GALANTI LAW OFFICES 1016 17WC 07784 WALKER, TONY L METRO EAST INDUSTRIES, IN * 10/17/16 DENNIS SHEVLIN KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1017 17WC 07796 KAMPMANN, KIRSTINA EDWARDSVILLE NURSING & RE * 12/05/16 GALANTI LAW OFFICES 1018 17WC 07833 WRIGHT, DEONTE METRO EAST INDUSTRIES * 11/28/16 HUSTAVA, JOHN H KEEFE & DEPAULI 1019 17WC 07888 TUETKEN, MARVIN IDOT @ * 12/16/16 JOSEPH L SAMUELSON PC ELIZABETH LEAHY 1020 17WC 07959 STEELE, KATHY DOLLAR GENERAL * 02/25/16 WILLIAMS CAPONI & ASSOC LEAHY EISENBERG & FRAENKEL 1021 17WC 07962 WAGNER, MARK A SUIZA DAIRY GROUP * 01/13/17 SCHUCHAT, COOK & WERNER 1022 17WC 07977 RUSSELL, RANDY TERRA SOURCE GLOBAL * 01/30/17 CARAWAY FISHER FEIRICH MAGER GREEN & RYAN 1023 17WC 08026 ERNST, SCOTT VEOLIA ENVIRONMENTAL SERV * 04/16/14 GOLDENBERG HELLER ANTOGNOL EVANS & DIXON, LLC 1024 17WC 08191 D'AGOSTINO, MARC MRC GLOBAL, INC * 08/03/16 LESKERA LAW FIRM 1025 17WC 08314 NOLL, BRITTANY GIGGLES AND GRINS INC * 01/03/17 HUSTAVA, JOHN H 1026 17WC 08435 CURLOVIC, ANDREA ALTON MENTAL HEALTH CENTE @ * 02/26/17 ARMBRUSTER DRIPPS ASSISTANT ATTORNEY GENERAL 1027 17WC 08557 LUSHER, RALPH F MAVERICK TRANSPORTATION, * 03/26/14 LIESER LAW FIRM 1028 17WC 08729 FLOWERS, DAVID NATIONS FOOD SRVC & EQUIP * 02/20/17 BROWN & CROUPPEN 1029 17WC 09013 RAUB, ERIK OLIN/WINCHESTER * 03/10/17 MILLER, WILLIAM R LAW OFFI KEEFE & DEPAULI 1030 17WC 09052 CUSTER JR, DONALD GLOBAL BRASS & COPPER,INC * 10/18/16 SMITH ALLEN MENDENHALL ET KEEFE & DEPAULI 1031 17WC 09110 WEBER, EDWARD WASTE MANAGEMENT * 04/22/15 RICH RICH COOKSEY PC GAROFALO SCHREIBER STORM 1032 17WC 09197 ARCEGA, RANDY JIM'S FORMAL WEAR LLC * 06/13/16 NELSON & NELSON KEEFE & DEPAULI 1033 17WC 09247 GRAELISH, IDELLA BELLEVILLE EAST LAUNDROMA * 01/24/17 BROWN & BROWN 1034 17WC 09251 RICHARDS, MARY US STEEL * 02/01/17 BECKER SCHROADER & CHAPMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1035 17WC 09260 MCINTYRE, ANNETTE TOUCHETTE REGIONAL HOSPIT * 01/10/17 1036 17WC 09325 BRASS, MICHELE MACY'S * 03/04/17 GLASS & KOREIN ROBERT L. SMITH 1037 17WC 09457 MCCOY, CHARLES R WILLIAM F. BROCKMAN CO. * 12/29/15 JOSEPH E. HOEFERT EVANS & DIXON, LLC 1038 17WC 09481 BLASSINGAME, MARY (MOTHER TAVERN ON MAIN * 02/25/17 BROWN & BROWN 1039 17WC 09523 HORN, DEBORAH DIEBERGS MARKET * 08/02/15 GALANTI LAW OFFICES HEPLER BROOM LLC 1040 17WC 09555 LEWIS, ROBERT DEAN FOODS * 12/02/15 COOK SHEVLIN YSURSA ET AL 1041 17WC 09570 MURRAY, MARION CARLISLE CONSTR MATERIALS * 09/06/16 BROWN & BROWN 1042 17WC 09574 CONNORS, MONTE STEVE CRAWFORD TRUCKING I * 03/20/17 NELSON & NELSON ARCHER LASSA & MCHUGH 1043 17WC 09672 KANE, JAMES RENT-A-CENTER * 07/15/15 COOK SHEVLIN YSURSA ET AL EVANS & DIXON, LLC 1044 17WC 10060 REYNOLDS, JOSHUA M EXPRESS PROFESSIONALS * 03/20/17 JOSEPH E. HOEFERT MC ANDREWS & NORGLE LLC 1045 17WC 10075 JENSEN, JEFFREY J CITY OF BELLEVILLE * 05/19/16 KEEFE & DEPAULI BECKER PAULSON & HOERNER PC 1046 17WC 10159 MITCHELL, BRANDY DSW INC * 08/05/16 LIESER LAW FIRM 1047 17WC 10195 JOHNSON, AMANDA MANPOWER * 10/10/16 GARY L. BEMENT 1048 17WC 10234 MEYER, STEVEN ALTON STEEL * 02/21/17 GALANTI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 1049 17WC 10245 PUGH II, WILLIAM PUGH II, WILLIAM * 07/20/16 GALANTI LAW OFFICES 1050 17WC 10253 BUSS, RUTH PEABODY COAL CO # * 10/08/16 CULLEY & WISSORE KEEFE & DEPAULI 1051 17WC 10288 LITTLE, WAYNE A WAYNE A LITTLE * 02/24/17 WALTON TELKEN FOSTER LLC 1052 17WC 10305 KING, TREVOR BELLEVILLE BOOT COMPANY * 10/13/16 BROWN & BROWN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1053 17WC 10319 CHEATHAM, CHRIS LKQ * 06/08/16 JUNCKER, DANIEL K PC 1054 17WC 10324 KELLER, MELISSA BASSC * 08/26/16 KIRKPARTICK LAW OFFICES 1055 17WC 10355 PRESLEY, TIMOTHY JOSEPH L BERLINGERI CARPE * 02/22/17 KING LAW FIRM HENNESSY & ROACH 1056 17WC 10364 RUSSELL, SEAN S&L INDUSTRIES * 01/30/17 JOHNSTON LAW OFFICE 1057 17WC 10463 RECKLEIN, PERRY MICHAEL COLLINSVILLE TOWNSHIP HWY * 06/07/16 MATTEA, BRUCE 1058 17WC 10585 BESAW, ROBERT FRITO LAY, INC * 03/09/16 MORMINO,VELLOFF,EDMONDS,SN 1059 17WC 10640 BARGE, DARON ILLINOIS STATE POLICE @ * 12/16/16 RIDGE & DOWNES 1060 17WC 10704 DEBOURGE, DAVID ROBERT CHICK FRITZ INC * 06/10/15 BROWN & CROUPPEN 1061 17WC 10734 SKAGGS, ALVIN SECURITAS * 01/20/17 BECKER SCHROADER & CHAPMAN STONE & JOHNSON CHARTERED 1062 17WC 10740 BRANDMEYER, JEFFREY REHKEMPER & SONS, INC * 01/25/17 KATZMAN & SUGDEN 1063 17WC 10748 MEYENBURG, ROYCE STEIN STEEL MILL SERVICES * 05/18/15 RICH RICH COOKSEY PC 1064 17WC 10749 COTTRELL, JAMES NU WAY RENTALS * 06/27/16 GALANTI LAW OFFICES 1065 17WC 10797 BRINKMANN, RICHARD P KIRBY-SMITH MACHINERY * 05/31/16 LYNN D BARNETT 1066 17WC 10805 LEWIS, BENNY C CAHOKIA UNIT SCHOOL * 02/15/17 LAW OFFICE JASON GOING 1067 17WC 10848 COX, STEPHANIE YALE ENFORCEMENT SERVICE * 02/17/17 CARAWAY FISHER 1068 17WC 10936 LASK, MARK CITY OF EDWARDSVILLE * 02/26/17 BEATTY & MOTIL SCHREMPF KELLY & NAPP 1069 17WC 10970 ALLEN, GERALD SCOTT CITIZENS UTILITY BOARD * 03/03/17 NESSLER, FREDERIC LAW OFFI 1070 17WC 11087 DACHSTEINER JR, CHARLES W GUARENTEE ELECTRICAL * 02/09/17 CLAY BARKLEY ST CLAIR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1071 17WC 11330 MEYER JR, VERNON UNITED STATES STEEL CORP * 03/08/17 RICH RICH COOKSEY PC KEEFE & DEPAULI 1072 17WC 11403 DANIELS, ETHYLENE CDS * 11/06/16 REED & BRUHN, PC 1073 17WC 11477 BROWN, BLAKE M AMAZON.COM * 11/29/16 SMITH ALLEN MENDENHALL ET WIEDNER & MCAULIFFE LTD 1074 17WC 11563 RICHARDSON, MARLO ILLINOIS YOUTH CENTER @ * 03/19/17 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 1075 17WC 11576 TILLEY, DENNIS PRAIRIE STATE GENERATIGN * 07/01/16 RICH RICH COOKSEY PC 1076 17WC 11606 MCGEE, KATRINA SEARS * 04/11/17 CHATHAM & BARICEVIC 1077 17WC 11622 MCGUIRE, REBECCA SCOTT CREDIT UNION * 02/07/17 SMITH ALLEN MENDENHALL ET 1078 17WC 11636 FAULKNER, JOHN PROLOGISTIX * 03/20/17 SMITH ALLEN MENDENHALL ET 1079 17WC 11854 STONE, JEREMY VILLAGE OF MARYVILLE * 06/17/14 RUSIN & MACIOROWSKI LTD 1080 17WC 11977 EZELL, DAWN SHUETTE'S MARKET * 03/07/17 LAW OFFICE JOSHUA KARMEL 1081 17WC 12122 LINDER, DANIEL E&A DRYWALL * 03/09/17 SMITH ALLEN MENDENHALL ET 1082 17WC 12145 FRANKLIN, WARREN P DEAN FOODS * 03/15/17 NELSON & NELSON 1083 17WC 12195 TROY, ALICIA M ADVANCED AUTO PARTS * 01/30/17 WALTON TELKEN FOSTER LLC 1084 17WC 12202 BRUNSMAN, ERIC CDS, INC * 10/07/16 WALTON TELKEN FOSTER LLC 1085 17WC 12268 WEGRZYN, WALTER KNIPP ROOFING, INC * 04/05/16 MATHIS MARIFIAN RICHTER ET 1086 17WC 12331 WILSON, JOE GMS MINE REPAIR & MAINT I * 11/15/16 CULLEY FEIST KUPPART & TAY 1087 17WC 12419 WOODS, LUTHER CITY OF E ST LOUIS POLICE * 02/17/17 RICH RICH COOKSEY PC 1088 17WC 12430 HARVEY, ARNETT CAHOKIA SCHOOL DISTRICT * 02/25/16 RICH RICH COOKSEY PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1089 17WC 12450 PANNIER, RICHARD TOM'S ROOFING * 11/30/16 BROWN & CROUPPEN 1090 17WC 12498 FLEMING, WENDY METRO * 04/05/17 BROWN & BROWN 1091 17WC 12555 THRONTON, DAVID T HIRE LEVEL * 03/13/17 JOSEPH E. HOEFERT 1092 17WC 12742 JUNGE, FLETA DRIVE LINE RETAIL * 04/06/17 LAW OFFICE KEITH SHORT 1093 17WC 12756 HARTMAN, BILLY SPEEDWAY SALVAGE, INC. * 08/10/15 HENNESSY & ROACH, PC 1094 17WC 12785 GRIFFIN, TYEASHA CEDAR RIDGE HEALTH & REHA * 03/13/17 WALTON TELKEN FOSTER LLC 1095 17WC 12815 PHILLIPS, CASEY BELLEVILLE AREA HUMANE SO * 04/21/17 GALANTI LAW OFFICES 1096 17WC 12992 ALTEVOGT, JOSEPH HIGHLAND MACHINE & SCREW * 02/21/17 RICH RICH COOKSEY PC 1097 17WC 12998 JOHNSON, DESHALL INTEGRITY HEALTHCARE * 03/13/17 JOSEPH E. HOEFERT 1098 17WC 13018 HUDSON, CRAIG USF HOLLAND * 03/16/17 SCANLON, CHARLES R 1099 17WC 13139 DAKE, JAMES W RICH LOGISTICS * 04/11/17 PETER BLASI LLC 1100 17WC 13268 SMITH, LISA KRAFT HEINZ CO * 04/05/17 NELSON & NELSON GAROFALO SCHREIBER STORM 1101 17WC 13279 KAEMMERER SR., DEVIN A CARGILL * 05/09/14 MCGLYNN & MCGLYNN 1102 17WC 13283 COLLINS, DAVID NELSON TREE SERVICE INC * 04/14/17 1103 17WC 13445 BOEDEKER, BRIAN CHARTER * 02/07/17 MILLER, WILLIAM R LAW OFFI 1104 17WC 13463 RICE, GREGORY PEDESTAL FOODS * 04/14/17 THE FISCHER LAW FIRM LLC 1105 17WC 13479 ROE, WILLIAM OLIN BRASS * 08/13/16 KEEFE & DEPAULI 1106 17WC 13542 LOVELESS, TRESEA HERITAGE ENVIRONMENTAL * 04/18/17 GALANTI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1107 17WC 13584 TITLEY, DIANE M SAM'S CLUB-WALMART STORES * 05/14/15 EARLY & MIRANDA PC 1108 17WC 13598 BAGLEY, JANA J SPARTAN LIGHT METAL PRODU * 04/17/17 FISHER KERKHOVER & COFFEY 1109 17WC 13794 WILLIAMS, DENERIO HEALTHCARE SERVICE GROUP * 03/14/17 RICH RICH COOKSEY PC 1110 17WC 13798 KNEELAND, VALERIE SUN BASKET * 03/08/17 BROWN & BROWN 1111 17WC 13801 EMSHOUSEN, MARK S STATE OF ILLINOIS * 07/21/16 LESKERA LAW FIRM 1112 17WC 13816 BRAND, JEROME BUILDER'S BLOC * 07/19/16 MATTEA, BRUCE 1113 17WC 13841 BERTSCHINGER, GREGORY AFTON CHEMICAL * 04/04/17 CHATHAM & BARICEVIC 1114 17WC 13866 WETZEL, LUCAS ROTHMAN FURNITURE * 08/08/16 NELSON & NELSON 1115 17WC 14076 FORD, FRANK D MINNESOTA LIMITED, LLC * 11/23/15 THE FAULSTICH LAW FIRM 1116 17WC 14092 JOHNSON, JAMES GATEWAY BRONCO * 04/02/17 GALANTI LAW OFFICES 1117 17WC 14112 LAUB, GREGORY ILLINOIS DEPT OF @ * 12/23/15 ELIZABETH LEAHY 1118 17WC 14114 ROBINSON, SANDRA ILLINOIS STATE POLICE @ * 07/15/16 ELIZABETH LEAHY 1119 17WC 14149 EDWARDS, DAWN AMAZON * 02/02/17 MCCARTHY ROWDEN & BAKER 1120 17WC 14243 RUDD, DONNA ANDERSON HOSPITAL * 01/21/17 GALANTI LAW OFFICES 1121 17WC 14248 RUSH, GLORIA PAPA JOHN'S INTERNATIONAL * 01/13/17 LAW OFFICE OF THOMAS SCHOO 1122 17WC 14632 EMMERT, DONNIE M KELLER CONSTRUCTION * 04/20/17 MILLER, WILLIAM R LAW OFFI 1123 17WC 14664 MCINTYRE, ANNETTE TOUCHETTE REGIONAL HOSPIT * 01/10/17 1124 17WC 14671 VOIGHT, GERALD AECOM-URS * 05/04/17 CARAWAY FISHER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR COLLINSVILLE 53003 ON 06/19/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1125 17WC 14739 JOHNSON, GARY W IMEL PEST CONTROL * 04/26/17 WENDLER LAW PC 1126 17WC 14746 TARTER-MCCLAIN, BONNIE AMAZON * 03/15/17 JOHNSTON LAW OFFICE 1127 17WC 14794 REINHARDT, JACQUELINE INTERNATIONAL PAPER * 05/09/17 BECKER SCHROADER & CHAPMAN 1128 17WC 14811 COOPER, CASSANDRA LAND OF LINCOLN LEGAL ASS * 12/02/16 RICH RICH COOKSEY PC 1129 17WC 14821 GREEN, JOHN JR PEOPLELEASE CORPORATION * 03/06/17 CANTOR & BURGER 1130 17WC 14856 ROSS, DARLENE BASSC * 06/28/16 CARAWAY FISHER 1131 17WC 14867 BROWN, CHRISTINA AMAZON * 01/30/17 SMITH ALLEN MENDENHALL ET