ILLINOIS WORKERS' COMPENSATION COMMISSION … · 2017-10-20 · illinois workers' compensation commission page 2 c a s e ... 05/23/12 steven p glancy keefe campbell & assoc llc .

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 48730 GOODWIN, DONALD DANVILLE METAL STAMPING 09/06/02 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 02WC062790 -C 03WC056705 -C 08WC007396 -C 08WC026759 -C 2 03WC 03817 19B RICHARDS, KATHLEEN PROVENA COVENANT 06/11/02 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 06WC033725 -C 3 03WC 05729 THOMPSON, TERRY PFT ROBERSON/MYSTIC LEASI 02/11/02 THOMAS R LICHTEN 4 03WC 42264 JONES, DONALD L VITRAN EXPRESS 03/29/01 SMITH LAW LTD FEATHERSTUN GAUMER POSTLEWAI 5 05WC 23622 WORKMAN, BARBARA A CITY OF CHAMPAIGN POLICE 01/12/03 MARSZALEK AND MARSZALEK CITY OF CHAMPAIGN 6 06WC 27769 SISCO, ANGELIQUE (WIDOW BUILDERS TRANSPORATION CO # 12/11/03 SCHROEDER, JOSEPH R HINSHAW & CULBERTSON 7 06WC 55232 HOMAN, MARILYN QUAKER OATS 11/06/06 CAMERON CLARK BRUCE WARREN 8 07WC 37843 HUKILL, ROBERT F SIMONTON WINDOWS 08/24/04 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 11WC041188 -C 11WC041189 -C 16WC019803 -C 9 07WC 39640 GREEN, AARON ENVIRONMENTAL REMEDIATION 01/05/07 SAUNDERS CONDON & KENNY HEYL ROYSTER VOELKER & ALLEN 10 08WC 11812 19B CRAIG, BRADFORD PRAIRIE MATERIAL SALES, I 07/06/07 SPIROS & WALL GAROFALO SCHREIBER STORM 11 08WC 36278 MIEZIO, DENNIS UNIVERSITY OF ILLINOIS @ 01/06/65 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 08WC036568 -C ST OF IL UNIVERSITY OF IL 12 09WC 35658 HADFIELD, BRADLEY M KRUTS ELECTRIC 04/01/09 FREDERICK AND HAGLE BRUCE WARREN 13 09WC 38854 DUNDORE, DEREK S ULTIMATE SEATS INC A/K/A @ W 12/09/08 ERWIN MARTINKUS & COLE 14 09WC 39246 MATCHEM, DOMIANISHA DORS REHABILITATION CTN 02/02/07 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 15 09WC 45221 SHIRK, BRIAN UNIVERSITY OF ILLINOIS @ 10/21/09 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 10WC 06057 RIFE, MELBA UNIVERSITY OF ILLINOIS @ 06/04/08 SPIROS & WALL HEYL ROYSTER VOELKER & ALLEN 17 10WC 10880 NEWLIN, INDIA TRW 02/12/10 ASHER & SMITH HOLTKAMP LIESE ET AL 10WC034538 -C 18 10WC 29312 GRAY, RECARD MEIJER 12/14/09 WARREN E DANZ, PC KNELL & O'CONNOR 10WC029314 -C 19 10WC 36418 FIVECOAT, APRIL HOOPESTON COMMUNITY HOSPI 06/25/10 STRONG LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 20 10WC 36454 TREADWAY, PAUL VICTOR REINZ 06/26/09 PETER D CORTI LAW GROUP KEEFE CAMPBELL & ASSOC LLC 21 10WC 37639 STAGE, DIANA L EASTON-BELL SPORTS INC 08/01/08 WILSON LAW COZZI & GOGGIN-WARD 10WC037640 -C 22 10WC 45305 HINDERLITER, RICHARD UNIVERSITY OF ILLINOIS 09/15/10 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 12WC020837 -C 23 10WC 48872 BERRY, MYRENA CARLE FOUNDATION HOSPITAL 07/26/10 WILLIAMS & SWEE BRUCE WARREN 13WC029006 -C 13WC035269 -C 14WC035509 -C 15WC006229 -C 24 10WC 49245 MROFCHAK, PAUL B ROBERSON TRANSPORTATION @ 01/10/05 KANOSKI & ASSOCIATES 25 11WC 16151 BILLHYMER, MICHAEL WITTE ELECTRIC COMPANY 07/10/10 LEE, MARK N LAW OFFICE 26 11WC 16154 LANDGRAVER, PATRICK WITTE ELECTRIC COMPANY 07/10/10 LEE, MARK N LAW OFFICE 27 11WC 18928 VALOUSKY, SUSAN CATERPILLAR 07/12/10 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 28 11WC 23373 CISNEY, TAMMY EVAPCO 03/24/11 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES STEVEN PILAND 29 11WC 42033 CAPEL, JAMES III ILL DEPT OF NATURALRESOUR @ 06/27/11 MEYER CAPEL, PC ASSISTANT ATTORNEY GENERAL 30 11WC 42853 ROBERTS, JESSE UNIVERSITY OF ILLINOIS 10/02/11 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 11WC 44331 MELCHI, CYNTHIA UNIVERSITY OF ILLINOIS 12/17/10 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 32 11WC 46483 CUMMINS, MENDORA DOLLAR GENERAL 08/21/11 KATZ FRIEDMAN EAGLE ET AL LEAHY EISENBERG & FRAENKEL 14WC011768 -C 33 11WC 46610 ALLEN, HADLEY ALPHA BAKING INC 09/20/11 STRONG LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 34 11WC 47762 BESSE, MICHELE COMMERCIAL NEWS 12/25/08 TUGGLE SCHIRO & LICHTENBER THOMAS & PORTELA 35 11WC 48533 HAYS, MERLE E STATE OF ILLINOIS @ 01/19/09 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 36 12WC 05837 SPECKMAN, BART UNIVERSITY OF IL 09/15/10 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 12WC005838 -C 12WC005839 -C 13WC013362 -C 37 12WC 06582 TACKETT, LISA JANE D G RETAIL, LLC D/B/A 06/03/10 COLLISON & O'CONNOR LEAHY EISENBERG & FRAENKEL 13WC021607 -C DOLLAR GENERAL 38 12WC 11660 BROWN, DARWIN USF HOLLAND 05/04/11 MARSZALEK AND MARSZALEK HENNESSY & ROACH 39 12WC 12500 HEATH, STEPHEN UNIVERSITY OF ILLINOIS 02/15/11 LEE, MARK N LAW OFFICE 40 12WC 14248 BELL, RONNIE KNAPP-GERLACH 04/15/12 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 41 12WC 17187 UPTON, ELLEN UNIVERSITY OF ILLINOIS 04/01/12 KATZ FRIEDMAN EAGLE ET AL BRUCE WARREN 16WC026285 -C 16WC026286 -C 42 12WC 19284 STAMBAUGH, CHARLES CLIFFORD-JACOBS FORGING C 03/01/11 STEPHEN P. KELLY MACIOROWSKI SACKMANN & ULRIC 43 12WC 19287 STAMBAUGH, CHARLES CLIFFORD-JACOBS FORGING C 03/07/12 STEPHEN P. KELLY MACIOROWSKI SACKMANN & ULRIC 44 12WC 19600 OGLE, PAUL E SIMONTON WINDOWS 05/23/12 STEVEN P GLANCY KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 45 12WC 20175 WEST, CAROL R SARAH BUSH LINCOLN HOSPIT 10/10/10 WOLTER BEEMAN AND LYNCH MACIOROWSKI SACKMANN & ULRIC 46 12WC 26938 WAYMOUTH, BRIAN ROAD READY INC 04/09/12 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 12WC029072 -C 13WC001023 -C 47 12WC 30738 BENDELE, PAUL D CONAIR CORP 10/11/11 WILSON LAW COZZI & GOGGIN-WARD 48 12WC 33665 19B DAMMERMAN, DEBRA LAKELAND COLLEGE 08/21/12 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 49 12WC 36476 FISHER, BARRY IDOT @ 05/24/12 LAW OFFICE OF PAUL E SELIN ASSISTANT ATTORNEY GENERAL 50 12WC 42254 SMITH, TARA FLEX-N-GATE 03/17/12 DAVID J JEROMEY BRUCE WARREN 51 13WC 03127 MORELAND, JEFFREY S DANVILLE METAL STAMPING 12/19/12 GARY JOE STOKES BRUCE WARREN 52 13WC 04081 CLER, STEPHANIE K GUARDIAN WEST 03/08/12 WILLIAMS & SWEE BRUCE WARREN 53 13WC 04492 19B WILLIAMS, DAWN CHAMPAIGN SCHOOL DIST UNI 01/14/13 WOODRUFF & JOHNSON BRUCE WARREN 13WC040009 -C 14WC036953 -C 14WC036954 -C 17WC011513 -C 54 13WC 05176 WILSON, JEREMY R PEPSI MID AMERICA 08/14/12 ANESI OZMON RODIN NOVAK KO ALLEN KOPET & ASSOCIATES 55 13WC 05574 ANDREWS, ERIC L URBANA SCHOOL DISTRICT 11 12/11/12 FREDERICK & HAGLE BRUCE WARREN 56 13WC 06253 MUGHRABI, HISHAM KRAFT FOODS GROUP INC 10/11/12 DODD & MAATUKA LLC BRUCE WARREN 57 13WC 06848 BRENENSTUHL, JOHN ACC HOLDING 07/09/12 HENNESSEY LAW FIRM COZZI & GOGGIN-WARD 58 13WC 08395 ROYAL-OLMSTEAD, POLLY MC CORMICK DISTRIBUTING & 01/07/13 SCHUM LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 59 13WC 09496 JOHNSON, KATHY A EMPLOYMENT PLUS 03/05/12 ASHER & SMITH QUINTAIROS PRIETO WOOD & BOY 60 13WC 09514 OLIGER, PENNY M KIRBY MEDICAL CENTER 08/15/12 BURNETT & CARON LTD KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 61 13WC 11683 MATTINGLY, PATTY S NORTH AMERICAN LIGHTING 11/28/12 ASHER & SMITH LAW OFFICES STEPHEN CARTER 62 13WC 12064 WOOLRIDGE, AARON J PRECISION BUILDERS & ASSO 04/23/12 KANOSKI BRESNEY PERRY GENTILE 63 13WC 12699 RUSHIN, JEFFREY G NEXSTAR BROADCASTING, INC 02/25/13 SPIROS LAW PC 64 13WC 13234 BRAGG, MARK CHAMPAIGN COUNTY SHERIFF 09/22/12 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 15WC006127 -C 65 13WC 16109 VAN LEER, GREGORY D VISCOFAN USA, INC 12/16/12 GARY JOE STOKES LAW OFFICE PAUL LARIMORE 66 13WC 16700 HALE, LINDA BUSEY BANK 07/13/12 SHAY & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 67 13WC 18156 YORK, JAMES R MAX RECYCLING, INC 01/25/13 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO 68 13WC 18700 TONEY, LYNN REGENA UNIVERSITY OF ILLINOIS 03/19/13 FREDERICK & HAGLE GANAN & SHAPIRO 13WC023666 -C 69 13WC 19018 SAUCIER, CHARLES ALL STAR CHAMPIONS W 04/22/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 70 13WC 19215 19B WELLER, CINDY J DIVERSIFIED HEALTHCARE 03/28/13 GARY JOE STOKES GANAN & SHAPIRO 71 13WC 19392 MASON, SCOTT PLASTIPAK PACKAGING 08/20/10 WILLIAMS & SWEE LTD SMITH AMUNDSEN LLC 72 13WC 19564 ZHAO, YUAN INTEREK TESTING SERVICES 03/26/13 FREDERICK & HAGLE LIVINGSTONE MUELLER ET AL 73 13WC 21925 GARNER, LISA WALMART 02/09/13 ASHER & SMITH GANAN & SHAPIRO 74 13WC 25292 ACREE, DEBRA JELD WEN WINDOWS AND DOOR 05/05/13 SPIROS LAW PC BRADY CONNOLLY & MASUDA PC 75 13WC 26670 BELYEA, MICHAEL BRIDLEBROOK ADULT COMM LL 07/15/13 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 76 13WC 27163 RICHARDSON, GARY UNIVERSITY OF ILLINOIS @ 09/29/12 DODSON PIRAINO & ASSOC 77 13WC 27250 BOWMAN-STAUFFER, LESLIE UNIVERSITY OF ILLINOIS 09/30/11 WOODRUFF & JOHNSON GANAN & SHAPIRO 78 13WC 28260 COATS, MARY A SARA BUSH LINCOLN 05/07/13 KANOSKI BRESNEY MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 79 13WC 28330 THEIS-STANCOOK, MARA ADDIS HEALTH CARE INC 02/01/13 TUMMELSON BRYAN & KNOX HENNESSY & ROACH 80 13WC 29425 PETTIS, ANDREA SOLO CUP DART 06/05/13 STEVEN J SEIDMAN LAW OFFIC GAROFALO SCHREIBER STORM 81 13WC 32933 HOWARD, JANE HERSHEY CHOCOLATE & 06/08/08 FREDERICK & HAGLE CRAIG & CRAIG 82 13WC 35435 CATRON, ROBERT CHICARGO 08/06/13 DREW J FERRACUTI 83 13WC 35656 DONALDSON, STEPHEN UNIVERSITY OF ILLINOIS 01/29/13 DODSON PIRAINO & ASSOC BRUCE WARREN 84 13WC 36115 DERRICK, HEIDI R R DONNELLEY & SONS COMP 12/20/12 BRANKEY & SMITH PC CRAIG & CRAIG 85 13WC 36358 OLIVER, DONALD COMPLETE INSTALLATIONS 07/24/13 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 86 13WC 38054 WRIGHT, PATRICIA KIRBY FOODS INC 07/15/13 KANOSKI BRESNEY GANAN & SHAPIRO 87 13WC 38792 MC CLAIN, ORVILLE CAMAGHI TOWING AND REPAIR 08/29/13 SPIROS LAW PC 88 13WC 40148 BLACKETER, BRIAN UNIVERSITY OF ILLINOIS 06/08/12 REISMAN LAW OFFICE GANAN & SHAPIRO 89 13WC 40995 DOBSON, SHANNON R R DONNELLEY 11/04/13 LAW OFFICE MICHAEL M WOJIT CRAIG & CRAIG 90 13WC 42559 BEAM, DYLAN NCI BUILDING SYSTEMS 12/12/13 BRANKEY & SMITH PC 91 14WC 00011 RICHARDSON, DAVID UNIVERSITY OF ILLINOIS 09/30/13 WOODRUFF & JOHNSON BRUCE WARREN 15WC037110 -C 92 14WC 01477 FORD, CHERYL G GSI LLC 10/08/13 RIDGE & DOWNES FEATHERSTUN GAUMER POSTLEWAI 93 14WC 02371 ALCORN, MICHAEL G USF HOLLAND 01/14/14 MARSZALEK AND MARSZALEK HENNESSY & ROACH 94 14WC 03117 COFFMAN, CHARLES M POER TECHNOLOGIES VICTOR 10/10/13 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 14WC007959 -C VICTOR DANA CORP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 95 14WC 09681 TAYLOR, RACHEL HERITAGE HEALTH 02/14/14 MARSZALEK AND MARSZALEK RIPES NELSON BAGGOT KALOBRAT 96 14WC 10946 KLEMME, CANDICE CATLIN COMMUNITY SCHOOL 10/27/11 TUGGLE SCHIRO & LICHTENBER WHITT LAW 14WC021057 -C 17WC017564 -C ARAMARK 97 14WC 11626 FONNER, LARRY W HICI, INC./DENNY RESTAURA 01/03/14 FREDERICK & HAGLE LAW OFFICE OF PAUL O WATKISS 98 14WC 12407 ANTWERP, HEIDI VAN CITY OF CHAMPAIGN POLICE 11/20/12 O'CONNOR & NAKOS CITY OF CHAMPAIGN 99 14WC 12933 PANKAU, SHARON URBANA SCHOOL DIST 116 02/04/14 RIDGE & DOWNES 100 14WC 13496 WISE, DANIEL THYSSEN KRUPP 07/14/13 FREDERICK & HAGLE 101 14WC 14999 VAUGHN, BILLY W UNIVERSITY OF ILLINOIS 02/09/14 SCHUM LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 102 14WC 17038 BELL. CARLA WHAT'S COOKING 03/26/13 SAUNDERS CONDON & KENNY QUINN JOHNSTON HENDERSON ETA 103 14WC 17955 GRANT, CHRIS KIK CUSTOM PRODUCTS 04/23/13 SPIROS LAW PC POWER & CRONIN LTD 104 14WC 17990 JENKINS, GLEN CHAMPAIGN UNIT 4 SCHOOL D 04/03/14 WOODRUFF & JOHNSON BRUCE WARREN 105 14WC 18541 STIVERS, KATHY DENISE ADDUS HEALTHCARE 01/04/14 ASHER & SMITH HENNESSY & ROACH 15WC010694 -C 16WC010115 -C 106 14WC 19698 MORRIS, CONCEPCION A DG RETAIL LLC D/B/A 04/10/14 LEAHY EISENBERG & FRAENKEL 107 14WC 21239 TRIBBLE, DAVID CAPSTONE LOGISTICS 01/15/14 FREDERICK & HAGLE STEPHEN H LARSON LAW OFFICE 108 14WC 26800 WALSKI, SCOTT R VERMILLION VALLEY PRODUCT 06/05/14 FREDERICK & HAGLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 109 14WC 26973 YOUNG, RANDY COUNTY MARKET 09/21/13 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 110 14WC 28683 SCOTT, KAREN DOLLAR GENERAL 06/28/14 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 14WC043118 -C 111 14WC 30257 MATTESON, RICHARD VCNA PRAIRIE 07/07/14 FREDERICK & HAGLE GAROFALO SCHREIBER STORM 112 14WC 30361 CARLOCK, LISLE MASTER BRAND CABINET 11/02/12 WOODRUFF & JOHNSON DUGAN & VOLAND 113 14WC 30948 COTTON, GALINA MALIA UNIVERSITY OF ILLINOIS @ 10/02/13 FREDERICK & HAGLE 114 14WC 31080 BOATRIGHT, DIANNA BURNSIDES COMMUNITY HEALT 08/08/14 SMITH LAW LTD RIPES NELSON BAGGOT KALOBRAT 115 14WC 31693 DAWSON, ROBERT LYNN ILLINOIS DEPT OF CORRECTI @ 08/22/12 SMITH LAW LTD ASSISTANT ATTORNEY GENERAL 116 14WC 32482 BESCHORNER, JERRY CENTRAL TRANSPORT INC 07/14/14 LAW OFFICE OF CHRIS DOSCOT HINSHAW & CULBERTSON 117 14WC 32756 BUTTS, LORI ILL SECY OF STATE @ 09/16/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 118 14WC 34771 FAUSER, SEAN L EASTON BELL SPORTS 08/26/14 MARSZALEK AND MARSZALEK COZZI & GOGGIN-WARD 119 14WC 34827 DAVIS, THOMAS J EFFINGHAM SEWER SERVICES, 08/18/14 MORROW WILLNAUER 120 14WC 35677 VALDEZ, ERIKA BOWMAN ESTATES DANVILLE 09/11/14 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH 121 14WC 36185 MASKEL, KEVIN VERMILION CTY SHERIFF 05/16/14 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 122 14WC 36640 WILSON, DARRICK UNIVERSITY OF IL @ 08/19/14 DWORKIN AND MACIARIELLO BRUCE WARREN 123 14WC 36770 CHISM, PREASE ST JOSEPH-STANTON FIRE 08/15/13 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 15WC026387 -C ST. JOSEPH/ STANTON FIRE 124 14WC 36779 GILL, KEITHER CLASSIC EVENTS CATERING 02/01/09 WOODRUFF & JOHNSON THOMAS & PORTELA 125 14WC 38373 WILSON, CREIGHTON COUNTRYWIDE HR 09/18/14 SPIROS LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 126 14WC 39972 19B WIBBENMEYER, NATHAN SENCO CONSTRUCTION 10/20/14 GOLDENBERG, HELLER, ANTOGN WIEDNER & MCAULIFFE LTD 127 14WC 42350 DEMOSS, CINDY A REGIS CORPORATION 12/07/14 GAROFALO SCHREIBER STORM 128 14WC 42585 SWINFORD, ERWIN APL ENGINEERED MATERIALS 03/13/14 STRONG LAW OFFICE LAW OFFICE PAUL LARIMORE 129 14WC 43001 LASSITER, RANDALL DOWNTOWN DINER 12/05/14 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 130 14WC 43282 HOOVER, JAMES US PRO UNITED SERVICES/ 06/25/14 FREDERICK & HAGLE NYHAN BAMBRICK KINZIE & LOWR 131 14WC 43453 BALKEY, EDWARD PANCHEROS 10/17/14 COZZI & GOGGIN-WARD 132 15WC 00019 BLOODWORTH, TIMOTHY E BLOODWORTH PAINTING INC 12/22/14 ASHER & SMITH QUINN JOHNSTON HENDERSON ETA 133 15WC 01160 CARTER, ROBERT UNIVERSITY OF ILLINOIS 06/01/13 MARSZALEK AND MARSZALEK BRUCE WARREN 134 15WC 01857 SMITH, ANTHONY BUNGE 02/12/13 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 135 15WC 02460 WIREMAN, STONEY F.E. MORAN FIRE PROTECTIO 11/07/13 WILLIAMS & SWEE 136 15WC 02929 SMITH, MARY UNIT FOUR SCHOOL DISTRICT 10/15/14 KATZ FRIEDMAN EAGLE ET AL BRUCE WARREN 137 15WC 03667 BROOKS, MARSHA CARLE FOUNDATION HOSPITAL 06/27/14 TUGGLE SCHIRO & LICHTENBER BRUCE WARREN 138 15WC 03816 HELCK, CATHERINE A. PRESENCE COVENANT 10/17/12 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 15WC003817 -C 15WC003818 -C 15WC003819 -C 15WC003820 -C 15WC003821 -C 139 15WC 04186 MILLER, DONALD COMBE LABORATORIES 07/10/14 TUGGLE SCHIRO & LICHTENBER PATRICIA M CARAGHER 140 15WC 04317 KUHL, LIGIA RR DONNELLEY & SONS 11/07/14 KATZ FRIEDMAN EAGLE ET AL CRAIG & CRAIG 141 15WC 04613 STEINER, DAVE UNIVERSITY OF ILLINOIS 11/26/14 LEE, MARK N LAW OFFICE BRUCE WARREN 142 15WC 05895 MCCALL. SHARON STATE OF ILLINOIS-DHS @ 11/26/14 BURNETT AND CARON ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 143 15WC 05977 WOOD, SARA RR DONNELLEY 12/21/14 KATZ FRIEDMAN EAGLE ET AL 144 15WC 07004 LECHER, GAYLEN UNIVERSITY OF ILLINOIS 01/10/15 SPIROS LAW PC BRUCE WARREN 145 15WC 08257 STORY, KEITH L KRAFT FOODS 01/02/15 146 15WC 08474 SIMPSON, KEVIN PERFORMANCE FOOD GROUP 10/31/14 SPIROS LAW PC 147 15WC 09083 WAMBACH, DEBORA RCCSEC 02/12/15 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 148 15WC 09307 HEATH, MICHAEL R CUSTOM SERVICE CRANE INC 01/15/13 HEYL ROYSTER VOELKER & ALLEN 149 15WC 09635 WILLIAMS, WESLEY BRETT STEPHENS UNDERGROUND SOLU 07/22/14 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 150 15WC 10101 WITTMAN, PETER C-U MTD 12/23/14 FREDERICK & HAGLE BRUCE WARREN 151 15WC 10111 REED, SERLENA LYNN UNIVERSAL HEALTH SRVCS, I 01/20/15 FREDERICK & HAGLE MC ANDREWS & NORGLE LLC 152 15WC 10131 ISSAC, BOB BUNGE MILLING CORP 07/10/14 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 153 15WC 10248 POWELL, STEVE CRONKHITE INDUSTRIES 12/16/14 GARY JOE STOKES NYHAN BAMBRICK KINZIE & LOWR 154 15WC 10319 FOSTER, LONNIE RAY FARE FOODS, CORP. 05/12/14 HOWERTON, DORRIS & STONE WIEDNER & MCAULIFFE LTD 155 15WC 10362 WAGNER, RONDALEE VPS CONVENIENT STORE GROU 12/10/13 ANDREW J. KRIEGEL HEYL ROYSTER VOELKER & ALLEN 156 15WC 11461 BENTON, CHARLES 4MC CORP 02/08/15 ANKIN LAW OFFICE LIVINGSTONE MUELLER ET AL 157 15WC 12013 HARRIS, MICHAEL G S I 11/01/13 SMITH LAW LTD FEATHERSTUN GAUMER POSTLEWAI 158 15WC 12401 KIETZMAN, MICHAEL CISSNA PARK CO OP, INC. 03/16/15 SPIROS LAW PC EVANS & DIXON, LLC 159 15WC 12522 TESTER, ROBERT D JR PLASTIPAK PACKAGING 03/14/15 MARSZALEK AND MARSZALEK SMITH AMUNDSEN LLC 160 15WC 12665 PETERS, DENNIS UNIVERSITY OF ILLINOIS 01/16/15 LEE, MARK N LAW OFFICE BRUCE WARREN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 161 15WC 13069 HEINTZ, TIMOTHY JON CITY OF CHAMPAIGN 03/06/14 HOLLEY & ROSEN 162 15WC 13350 SPANGLER, THOMAS A SECURITAS USA 03/14/14 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 163 15WC 13484 TRYBULL, CHERIE CUMBERLAND CUSE #77 08/14/14 SPIROS LAW PC KEEFE & DEPAULI 164 15WC 14315 HICKS, MICHAEL COLMAC COIL 03/18/15 FREDERICK & HAGLE HENNESSY & ROACH 165 15WC 14505 BREYMEYER, WAYNE MORRISON SECURITY 02/06/15 JARED S. KOSOGLAD GRANT & FANNING 166 15WC 14986 COBB, LOGAN J F ELECTRIC CO 05/21/13 MUELHAUSEN & STEFANI COZZI & GOGGIN-WARD 167 15WC 16567 WILLIAMS, DEBRA K HENSON ELECTRIC INC # 06/10/13 CHRIS WETZEL BRADY, CONNOLLY & MASUDA, PC 168 15WC 17085 DODD, RANDY UNIVERSITY OF ILLINOIS 07/30/12 LEE, MARK N LAW OFFICE BRUCE WARREN 169 15WC 17162 BROWN, TERESA PETERSEN HEALTHCARE, INC 08/23/14 KNELL LAW LLC 170 15WC 17249 SCHRUM, DONNA PLY GEM 01/03/15 SPIROS LAW PC 171 15WC 17382 BUTLER, KATHY GOWIN ESTATES 02/12/15 KATZ FRIEDMAN EAGLE ET AL 172 15WC 17553 KIDD, ALICIA HEARTLAND APPLE 05/18/15 DODD & MAATUKA LLC 173 15WC 17756 MENDOZA, LUIS MASTERBRAND CABINETS INC 04/14/15 SPIROS LAW PC DUGAN & VOLAND 174 15WC 18054 MALONE, ADAM TWILIGHT LOUNGE, INC. 05/13/15 SPIROS LAW PC 175 15WC 18761 GALASSI, THEODORE EVANS-MASON, INC. 06/15/12 176 15WC 18803 HASSELBRING, BRYAN VERMILION VALLEY PRODUCE 04/15/15 TUGGLE SCHIRO & LICHTENBER RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 177 15WC 19033 CHRISTENSON, SCOTT CUSD UNIT 4 04/09/15 WOODRUFF & JOHNSON 178 15WC 19469 WRIGHT, GREGORY ALLEN DANVILLE CARE 06/05/14 CLAPPER & CLAPPER GANAN & SHAPIRO 15WC020209 -C SECURITAS 16WC007365 -C 179 15WC 20218 FUNKHOUSER, ROBERT D IL DEPT OF TRANSPORTATION @ 11/05/14 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 180 15WC 21063 CUNNINGHAM, SHELBY K CENTRAL ILLINOIS BANK 05/23/15 MANION JANOV & DEVENS LTD LAW OFFICES STEVEN PILAND 181 15WC 21255 KIDWELL, LISA FRANKLIN THE PAVILION 05/29/15 FREDERICK & HAGLE MC ANDREWS & NORGLE LLC 182 15WC 21496 JONES, YOLANDA LINCOLNS CHALLENGE ACADEM @ 01/14/15 SPIROS LAW PC ASSISTANT ATTORNEY GENERAL 183 15WC 22032 DUNLAP, DANIELLE DANA CORP/VICTOR PRODUCTS 06/03/13 PETER D CORTI LAW GROUP KEEFE CAMPBELL & ASSOC LLC 15WC022033 -C 15WC022034 -C 184 15WC 22040 BARTLOW, KENNETH W JR SYGMA 03/28/15 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 185 15WC 22114 DIERKER, JEFFREY C BIRDSLEY ELECTRIC INC 03/27/15 GOLDBERG WEISMAN & CAIRO L 186 15WC 23240 WALLACE, ANGELA S NORTH AMERICAN LIGHTING 06/15/15 ASHER & SMITH LAW OFFICES STEPHEN CARTER 187 15WC 24223 STARR, TONI ALDI 05/02/15 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 188 15WC 24708 MONTY LOVELESS CASEY'S 10/13/14 DWORKIN AND MACIARIELLO 189 15WC 25214 CARLETON, CHRISTOPHER CONCRETE STRATEGIES INC 03/04/15 JOHN F GREGORIO & ASSOC LITCHFIELD CAVO 190 15WC 25561 MARLOW, SUE SIGMA OF ALPHA DELTA 08/14/14 MEYER CAPEL, PC BRADY, CONNOLLY & MASUDA, PC 191 15WC 26454 BLACKMAN, DAWN FED EX 10/30/12 DEER & STONE PC SCOPELITIS GARVIN LIGHT 15WC037587 -C FEDEX 192 15WC 26566 HUNT, JORDAN STEVE LAYDEN 06/13/15 193 15WC 28562 HOSKINS, JEFFREY FULL-FILL INDUSTRIES, LLC 12/20/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 15WC 28729 AREVALO, DIEGO B & B FRAMING 03/28/15 SCHREINER MALLOY & ETZLER ROSARIO CIBELLA 195 15WC 28891 JONES, DYLLAN EFFINGHAM EQUITY 04/15/15 MOSS & MOSS PC KEEFE CAMPBELL & ASSOC LLC 196 15WC 29091 SEILHYMER, MICHAEL THYSSENKRUPP CRANKSHAFT C 10/18/14 SPIROS LAW PC GAROFALO SCHREIBER STORM 197 15WC 29180 NESBITT-CROSBY, LORRIE CHAMPAIGN-URBANA 01/27/15 FREDERICK & HAGLE 198 15WC 29444 WELLER, CINDY J DIVERSIFIED HEALTHCARE SE 10/27/14 GARY JOE STOKES GANAN & SHAPIRO 199 15WC 29556 BIELERT, BRAD D URBANA PARK DISTRICT 07/14/15 ERWIN MARTINKUS & COLE RUSIN & MACIOROWSKI LTD 16WC008352 -C 200 15WC 29679 JACKSON, PAMELA CHAMPAIGN UNIT 4 SCHOOL D 01/15/15 MARSZALEK AND MARSZALEK BRUCE WARREN 201 15WC 29882 HEAVILIN, THOMAS J ST OF IL DOT @ 07/22/15 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 202 15WC 29980 HERNANDEZ, ANGELA ANIMAL HEALTHCARE CENTER 08/03/15 STRONG LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 16WC013843 -C 203 15WC 30483 TO, LIEM UNIVERSITY OF ILLINOIS 02/05/10 SPIROS LAW PC 204 15WC 30562 DANNER, DEBORAH UNIVERSITY OF ILLINOIS 07/25/15 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 15WC030563 -C 205 15WC 31888 COOPER, RITA WALMART 06/29/15 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 206 15WC 32478 RUEDI, ANDREA L FOX DEVELOPMENT 12/03/14 HEYL ROYSTER VOELKER & ALLEN 207 15WC 32758 WAGGONER, VICKIE PEPSI MIDAMERICA 09/15/14 208 15WC 33163 PEARCY, DONALD W VILLAGE OF LERNA 11/10/13 HELLER HOLMES & ASSOC NYHAN BAMBRICK KINZIE & LOWR 15WC033167 -C 209 15WC 33200 DAWSON, GORDON A STATE OF ILLINOIS/IL @ 06/16/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 210 15WC 33397 SADLECK, THOMAS NAPLETON MOTORS, INC 05/24/14 LAW OFFICE OF PAUL E SELIN HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 211 15WC 33562 PEELER, BOBBY ARTHUR CUSTOM TANKS 03/06/15 LAW OFFICE MICHAEL M WOJIT HEYL ROYSTER VOELKER & ALLEN 212 15WC 33720 VICE, DEBORAH M NORTH AMERICAN LIGHTING 09/09/15 ASHER & SMITH LAW OFFICES STEPHEN CARTER 213 15WC 33805 MERRIWEATHER, TERRY BUNGE 04/27/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 214 15WC 33952 PORTER, MIKE U OF I AT CHAMPAIGN @ 09/01/15 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 215 15WC 33998 ROBINSON, RICK MSTER BRAND CABINETS INC 07/22/15 SMITH LAW LTD DUGAN & VOLAND 216 15WC 34217 HINCHMAN, DEREK ST OF IL DEPT OF CORRECTI @ 06/03/15 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 217 15WC 34301 SIMS, MICHAEL WORDEN MARTIN 07/27/15 FREDERICK & HAGLE 218 15WC 34556 SEHWEIL-ELMUTI, NIDA EASTERN ILLINOIS UNIVERSI @ 09/03/14 SMITH LAW LTD ASSISTANT ATTORNEY GENERAL 219 15WC 35064 BAXTER, ANNA MSTERBRAND CABINETS INC 11/04/14 SMITH LAW LTD DUGAN & VOLAND 220 15WC 36308 PADILLA, JOEL COUNTY MATERIALS 07/06/15 HENNESSY & ROACH 221 15WC 36924 ROMERO, JUAN FREIGHT CAR AMERICA, INC. 12/23/14 KARLIN FLEISHER & FALKENBE 222 15WC 38573 CARMER, MARY CARLE PHYSICIANS GROUP 04/24/12 STEPHEN P. KELLY BRUCE WARREN 223 15WC 38691 MCCALL, VANCE LOWE'S 06/16/15 KANOSKI BRESNEY KEEFE CAMPBELL & ASSOC LLC 224 15WC 39503 POLLITT, MIKE ALSTOM 11/03/15 TUGGLE SCHIRO & LICHTENBER KNELL & O'CONNOR 225 15WC 39666 GRAY, ROBERT FIRST STUDENT 11/24/15 BURNETT & CARON, LTD 226 15WC 41087 ANTUNA, JORGE A LEEMON ENTERPRISE INC 07/16/14 FREDERICK & HAGLE BRADY, CONNOLLY & MASUDA, PC 227 15WC 41275 SMITH, ALDAVID US GRANT MOTEL 01/25/15 DANIELS WILZBACH PC GAROFALO SCHREIBER STORM 228 15WC 41515 MILLER, KELLIE O KC SUMMERS INC 10/17/15 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 229 15WC 41964 MAYS, JERMAINE ALLIANCE GRAIN CO 10/16/15 RUBIN MACHADO ROSENBLUM EVANS & DIXON, LLC 230 15WC 41991 SMITH, MARY CHAMPAIGN CUSD #4 09/25/15 KATZ FRIEDMAN EAGLE ET AL BRUCE WARREN 231 15WC 42134 LAWSON, PATRICIA NORTH AMERICAN LIGHTING 10/30/15 TUGGLE SCHIRO & LICHTENBER LAW OFFICES STEPHEN CARTER 232 15WC 42150 BARNEY, TODD SYGMA 11/06/14 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 233 15WC 42259 STEWART, WILLIAM UNIV OF ILLINOIS 06/01/14 LEE, MARK N LAW OFFICE BRUCE WARREN 234 15WC 42405 MONTGERARD, SHIRLEY DANVILLE PAPER SUPPLY 01/26/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 235 15WC 42438 BOURISAW, JAMES M. THE FLIGHTSTAR CORPORATIO 12/04/15 FREDERICK & HAGLE 236 16WC 00345 BAKER, TRACIE EIASE 11/06/15 SMITH LAW LTD 237 16WC 00390 BOLDEN, KEVAN A UNIVERSITY OF ILLINOIS @ 11/17/15 FREDERICK & HAGLE BRUCE WARREN 238 16WC 00956 GUNDY, JANET VAN MASTERBRAND CABINETS 09/08/15 HELLER HOLMES & ASSOC DUGAN & VOLAND 239 16WC 01147 PICTON, ERIN SIGMA ALDRICH CO 02/18/12 SCHWEICKERT & GANASSIN EVANS & DIXON, LLC 240 16WC 01383 MOSLEY, TRACI NO AMERICAN LIGHTING 12/15/15 SPIROS LAW PC LAW OFFICES STEPHEN CARTER 241 16WC 02184 SMITH, SHAWN DANVILLE SCHOOL DISTRICT 05/04/15 TUGGLE SCHIRO & LICHTENBER BRUCE WARREN 242 16WC 03114 HEATH, ADAM UNIVERSITY OF IL @ 11/24/15 STRONG LAW OFFICE GANAN & SHAPIRO 243 16WC 04091 HARDIN, CALVIN F CARDINAL LOGISTICS 08/11/15 SMITH LAW LTD GAROFALO SCHREIBER STORM 244 16WC 04424 HESSELMANN, SARAH HEARTLAND HEALTH CARE CEN 12/13/15 SPIROS LAW PC 245 16WC 04598 RECKER, MARK CHI OVERHEAD DOORS INC 07/13/15 LAW OFFICE MICHAEL M WOJIT HEYL ROYSTER VOELKER & ALLEN 246 16WC 05035 KOCHER, BRIAN J REX VAULT & MAUSOLEUM 02/03/16 WOODRUFF & JOHNSON HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 16WC 05090 TORRES, DARIO OSCAR FLORES SERVICES 10/17/15 KANOSKI BRESNEY COZZI & GOGGIN-WARD 248 16WC 05267 SHAW, GREGORY S MCLANE MIDWEST 01/19/16 CLAPPER & CLAPPER KEEFE CAMPBELL & ASSOC LLC 249 16WC 05322 CROCKETT, TERRELL HENKELS & MCCOY 06/19/15 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 250 16WC 05796 COSAT, CHERYL AMERICAN EAGLE AIRLINES I 07/25/13 CHRIS WETZEL 251 16WC 05938 VONDERHEIDE, STACEY J. CASEY'S GENERAL STORE 06/07/15 JAMES RUPPERT 252 16WC 06080 BLOSSOM, MIKE THYSSEN KRUPP 01/30/15 TUGGLE SCHIRO & LICHTENBER GAROFALO SCHREIBER STORM 253 16WC 06705 EVANS, MARTISE DSC LOGISTICS 07/12/15 RON D COFFEL & ASSOC MC ANDREWS & NORGLE LLC 254 16WC 06897 REYNOLDS, GORDON COLES-MOULTRIE ELECTRIC 05/28/15 FINE, MARK S LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 255 16WC 07000 GRIMES, MELISSA SYGMA CORPORATION 09/28/15 HENNESSY & ROACH 256 16WC 07123 RILEY, DANNY FEDEX GROUND 10/27/15 RON D COFFEL & ASSOC 257 16WC 07131 WOOD, MELODIE SUE SCHNUCK MARKET'S INC 11/19/15 FEATHERSTUN GAUMER POSTLEW 258 16WC 07260 HUDISON, ELVIA MCLANE 06/18/15 TUGGLE SCHIRO & LICHTENBER KEEFE CAMPBELL & ASSOC LLC 259 16WC 07880 HOWELL, DOUGLAS SENTRY ROOFING 01/29/16 SPIROS LAW PC LAW OFFICE PAUL LARIMORE 260 16WC 08087 NEWLIN, INDIA TRW 11/24/15 ASHER & SMITH HOLTKAMP LIESE ET AL 261 16WC 08229 GOODWIN, MERIDETH SARAH BUSH LINCOLN HEALTH 02/13/16 FREDERICK & HAGLE MACIOROWSKI SACKMANN & ULRIC 262 16WC 08241 VEGA-CAMARILLO, HECTOR HERSHEY 07/28/14 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 263 16WC 08726 GREEN, DENNIS CABOT CORPORATION 11/17/14 SPIROS LAW PC SAMUELS MILLER SCHROEDER ETA 264 16WC 09590 POULOS, PETRO VISCOFAN 11/22/15 SPIROS LAW PC HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 16WC 09666 SHORT, DEREK RANTOUL FOODS 03/10/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 266 16WC 09789 NIGRA, MEGHAN HUMANE SOCIETY OF DANVILL 03/12/16 SPIROS LAW PC GANAN & SHAPIRO 267 16WC 10136 RHODES, JUSTIN NEW WAVE COMMUNICATION 12/29/15 MARSZALEK AND MARSZALEK STEPHEN H LARSON LAW OFFICE 268 16WC 10302 SHAW, TIMOTHY B EVAPCO MID WEST 10/24/14 LAW OFFICES STEVEN PILAND 269 16WC 10495 KNIERIM, JOHN GUARDIAN WEST/ FLEX N GAT 11/02/15 KANOSKI BRESNEY BRUCE WARREN 270 16WC 10577 HARRIS, ADAM CONTRACTOR'S SERVICE FOR 01/13/16 SPIROS LAW PC 271 16WC 10723 STANLEY, DEBBIE A UNIVERSITY OF ILLINOIS 01/27/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 272 16WC 10952 RODGERS, JACKIE UNIVERSITY OF ILLINOIS @ 03/06/16 TUGGLE SCHIRO & LICHTENBER BRUCE WARREN 273 16WC 11149 CAGLE, KEVIN AMEREN ILLINOIS 11/17/14 BRUCE WARREN LEMP & MURPHY 274 16WC 11814 COLE, LARRY DEE SECURITAS SECURITY 12/26/15 FREDERICK & HAGLE WIEDNER & MCAULIFFE LTD 275 16WC 11823 WILSON, CREIGHTON SPORT REDI-MIX 09/18/14 SPIROS LAW PC 276 16WC 12125 ANDERSON, TIFFANY HOBBICO INC 02/17/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 277 16WC 12341 TRUEBLOOD, LINDA VICTOR DANA CORP 11/25/15 RIDGE & DOWNES 278 16WC 12531 SEAFLER, DALTON MANPOWER 03/26/16 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH, PC 279 16WC 12628 AZAM, ABDUR PREMIER INC. & CO 04/19/16 DWORKIN AND MACIARIELLO KNELL LAW LLC 280 16WC 12769 DALE, DEANNA UNIVERSITY OF ILLINOIS 02/24/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 281 16WC 12890 QUALLS, DAVID A CITY OF CHAMPAIGN 11/04/15 BACH, ROBERT W 282 16WC 13014 MEEKER, HEATHER UNIT 7 SCHOOL DISTRICT 10/08/15 WOODRUFF & JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 16WC 13928 FLORES-SOLIS, VICTOR M DWIGHT & ALICE MILLER DBA 08/07/15 WILLIAMS & SWEE 284 16WC 14270 HUTSON, MARTHA AUTOZONE 02/05/16 TUGGLE SCHIRO & LICHTENBER QUINN JOHNSTON HENDERSON ETA 285 16WC 14480 TOWNSEND, JASON UNIVERSITY OF ILLINOIS 06/15/15 LEE, MARK N LAW OFFICE GANAN & SHAPIRO 286 16WC 14621 PHETCHAREUNE, VIRATH UNIVERSITY OF ILLINOIS 11/01/14 WALTON TELKEN FOSTER LLC HEYL ROYSTER VOELKER & ALLEN 287 16WC 14809 WARREN, BRIAN CARLE FOUNDATION HOSPITAL 05/02/14 SPIROS LAW PC BRUCE WARREN 288 16WC 15257 MATTHEWS, DARRYL AFFENBERG HYUNDAI 07/23/15 BROWN & BROWN EVANS & DIXON, LLC 289 16WC 15522 BROWN, STUART WHELAN SECURITY 12/03/15 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 290 16WC 15951 ROBBINS, ROBERT D POSTAL FLEET SERVICES INC 05/03/16 FREDERICK & HAGLE WOLF LAW LTD 291 16WC 16319 PIATT, DENVER C USF HOLLAND, INC. 03/02/15 GOLDBERG WEISMAN & CAIRO L 292 16WC 16395 BAER, MARYELLEN DAVID S PALMER ARENA 02/27/14 QUINN JOHNSTON HENDERSON ETA 293 16WC 16790 PEARSON, SAMATHA D UNIVERSITY OF ILLINOIS 11/12/15 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 294 16WC 17432 KUNKEL, KEITH UNIVERSITY OF ILLINOIS 10/10/15 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 295 16WC 17693 RUIZ, FRANCISCO EZ TRAIL INC 06/23/14 DODD & MAATUKA LLC LAW OFFICES STEVEN PILAND 16WC017694 -C EX TRAIL, INC 296 16WC 18212 MCLAIN, JUDY D MASTERBRAND CABINETS 09/15/15 KANOSKI BRESNEY DUGAN & VOLAND 297 16WC 18639 REYNOLDS, BRITTANY SCHNUCKS 05/29/16 SPIROS LAW PC LEMP & MURPHY 298 16WC 19237 HARDIN, MICHAEL BUNGE 08/15/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 299 16WC 19435 RAMSEY, REMONA MC DONALDS, USA LLC 11/04/14 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 300 16WC 19747 WEAVER, DENNIS PEPSICO 11/23/15 KATZ FRIEDMAN EAGLE ET AL BRUCE WARREN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 16WC 19817 CARLOCK, DONALD SMITH TOWING 03/25/16 SPIROS LAW PC 302 16WC 20030 OLINGER, DOUGLAS PERRY, PATRICK @ W 03/04/16 MARSZALEK AND MARSZALEK 303 16WC 20198 STEWART, GERALD W. CUMBERLAND CUSD #77 04/09/15 CRAIG & CRAIG RUSIN & MACIOROWSKI LTD 304 16WC 20293 CONOUR, MARGIE LAKE LAND COLLEGE 03/31/14 TAPELLA & EBERSPACHER LLC RUSIN & MACIOROWSKI LTD 305 16WC 20398 GIBSON, MACK LEON II TARGET 02/05/16 TUGGLE SCHIRO & LICHTENBER NYHAN BAMBRICK KINZIE & LOWR 16WC020392 -C 306 16WC 20777 BROWN, RICKEY L DECEASED/ PLASTIPAK # 07/20/14 KANOSKI BRESNEY SMITH AMUNDSEN LLC 307 16WC 20860 NETTLES, KENNETH KELLY SERVICES INC 06/15/16 SPIROS LAW PC BRADY, CONNOLLY & MASUDA, PC 308 16WC 20963 KENNEDY, KYM D. MCLANE MIDWEST 06/03/16 KANOSKI BRESNEY KEEFE CAMPBELL & ASSOC LLC 309 16WC 21011 DALTON, LINDA CONAIR CORPORATION 05/12/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 310 16WC 21563 WHITESELL, KENNETH B MARVIN KELLER TRUCKING IN 06/24/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 16WC024799 -C 311 16WC 21642 CHAMBERS, CURTIS DOLLAR GENERAL 01/27/16 SPIROS LAW PC LEAHY EISENBERG & FRAENKEL 312 16WC 21650 VAUGHN, ANTHONY WILLIAMS BROTHERS CONSTRU 06/25/14 LEE, MARK N LAW OFFICE KNELL LAW LLC 313 16WC 21860 HUFF, SHEILA HERITAGE JUNIOR HIGH @ 10/13/15 WOODRUFF & JOHNSON GANAN & SHAPIRO 314 16WC 21991 MENDOZA, ANN MICHELLE HORIZON HOBBY DISTRIBUTOR 08/07/13 KANOSKI BRESNEY 315 16WC 22272 HACQUET, JULIA DANVILLE METAL STAMPING 03/28/15 SPIROS LAW PC BRUCE WARREN 316 16WC 22454 JORDAN, JENNIFER PRESENCE COVENANT MEDICAL 05/18/15 FREDERICK & HAGLE 317 16WC 23001 PETERS, ERVIN ITW HI-CONE 06/14/16 LAW OFFICE MICHAEL M WOJIT HENNESSY & ROACH 318 16WC 23210 BUDD, JOSEPH CHRISTENSEN FARMS & 12/05/15 TAPELLA & EBERSPACHER LLC LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 16WC 23363 PRICE, CHRISTINA ALDI'S 06/30/16 SMITH LAW LTD BRADY, CONNOLLY & MASUDA, PC 320 16WC 23456 MEANS, DANI BUNGE MILLING 06/16/16 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 321 16WC 23688 PEARSON, SANDRA CROSSPOINT HUMAN SERVICES 05/03/16 SPIROS LAW PC 322 16WC 23848 STRAND, NOLINDA K ENTERPRISE 06/06/15 KANOSKI BRESNEY INMAN & FITZGIBBONS 323 16WC 23981 FREIBOTH, KENNETH FLEX N GATE 04/16/15 SHAY & ASSOCIATES BRUCE WARREN 324 16WC 24011 DUCKWORTH, ANDRA THE PAVILLION 06/04/16 TUGGLE SCHIRO & LICHTENBER MC ANDREWS & NORGLE LLC 325 16WC 24074 KELLER, DAVID L. V & V TRUCKING, INC. 04/18/16 SCHUM LAW PC BRADY, CONNOLLY & MASUDA, PC 326 16WC 24378 ISAAC, BOB BUNGE MILLING CORP 04/01/16 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 327 16WC 24425 BATES-MARTIN, JEAN A. DANVILLE MASS TRANSIT 06/15/16 GARY JOE STOKES RODDY LAW LTD 328 16WC 24491 THOMPSON, CRYSTAL NORTH AMERICAN LIGHTING, 04/22/16 MOSS & MOSS PC LAW OFFICES STEPHEN CARTER 329 16WC 24557 MCCOY, TRAVIS A C H I OVERHEAD DOORS 02/21/14 KANOSKI BRESNEY COZZI & GOGGIN-WARD 330 16WC 24925 MILLER, DARRELL ROLAND REALTY 06/16/16 SPIROS LAW PC BRUCE WARREN 331 16WC 24963 POE, THOMAS ARAMARK UNIFORM SERVICES 05/11/16 BURNETT & CARON, LTD 332 16WC 25133 CLARK, DAKOTA TOTAL GRAIN MARKETING 06/01/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 333 16WC 25334 FRAISER, GILBERT SDG GLOBAL INC 07/31/16 JOHN E LUSAK GRANT & FANNING 334 16WC 25754 BROOKS, CORY ST OF IL DEPT OF CORRECTI @ 08/22/15 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 335 16WC 26057 EHLEY, EARL UNIVERSITY OF IL @ 08/06/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 16WC 26110 MOTT, KATHLEEN COUNTY MARKET 07/03/16 TUGGLE SCHIRO & LICHTENBER 337 16WC 26439 KIDDOO, DIANE K UNIVERSITY OF ILLINOIS @ 01/10/16 GREGORY L. RYAN LAW OFFICE GANAN & SHAPIRO 16WC028353 -C 338 16WC 26560 BRIGGS, SHANNON READYLINK HEALTHCARE 07/23/16 KEEFE & GRIFFITHS PC REED ARMSTRONG GORMAN ET AL 339 16WC 26898 CROW-AMICHE, KATHERINE WALGREENS STORE #9965 08/13/16 FREDERICK & HAGLE EVANS & DIXON, LLC 340 16WC 26901 WITHERSPOON, ROSIE WILLOWBROOK OF SAVOY 09/25/15 BURNETT & CARON, LTD 341 16WC 26985 RODRIGUEZ, RAFAEL ANTONIO FERNANDO PAYAN MAINTENANC 07/20/15 SCHUM LAW PC 342 16WC 27245 NEWMAN, MARIANA ILLINOIS SECRETARY OF STA @ 08/25/16 BECKETT & WEBBER PC ASSISTANT ATTORNEY GENERAL 343 16WC 27319 FISCUS, ANTHONYS H&L CONSTRUCTION 07/27/16 SCHROEDER, JOSEPH R GAROFALO SCHREIBER STORM 344 16WC 27451 BRYAN, BRIANNE MEIJER 06/21/16 TUGGLE SCHIRO & LICHTENBER KNELL & O'CONNOR 345 16WC 27592 FIFER, STACEY THE LIBMAN COMPANY 08/08/16 WOODRUFF & JOHNSON LAW OFFICES STEVEN PILAND 346 16WC 27674 SMYSER, CYNTHIA M CCAR INDUSTRIES 06/02/14 KEVIN L GEISLER 347 16WC 28369 FITTON, DOUG OPEN ROAD PAVING 06/07/15 FREDERICK & HAGLE PERRY GENTILE 348 16WC 28490 SCHNELL, MIKE GENERAL ELECTRIC 07/09/16 WOODRUFF & JOHNSON CRAIG & CRAIG 349 16WC 28491 LANKSTER, STEPHEN PARIS COMMUNITY HOSPITAL 01/14/16 WOODRUFF & JOHNSON MACIOROWSKI SACKMANN & ULRIC 350 16WC 28560 CARTWRIGHT, JOANNE TEASDALE FOODS 05/18/16 SPIROS LAW PC QUINN JOHNSTON HENDERSON ETA 351 16WC 28585 DIGBY, RYAN HOBBICO 08/21/16 TUGGLE SCHIRO & LICHTENBER KNELL LAW LLC 352 16WC 28612 ROBBINS, DONALD ALVAREZ INDUSTRIAL CLEANI 08/30/16 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 353 16WC 28980 PALOMAKI, SOOQEONG MASIJTA GRILL 08/26/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 16WC 29397 WOOTERS, GREGORY VILLAGE PANTRY, LLC 01/07/14 COLLISON & O'CONNOR 355 16WC 29767 SISK, HEATHER L CARLE 10/20/15 KANOSKI BRESNEY BRUCE WARREN 356 16WC 29854 DEMKO, JOSH CHAMPAIGN COUNTY SHERIFF @ 06/12/15 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 357 16WC 29903 NORDER, NORMAN IL DEPT OF TRANSPORTATION @ 05/25/16 LAW OFFICE OF PAUL E SELIN ASSISTANT ATTORNEY GENERAL 358 16WC 30329 DJAKOVICH, KENNETH FEDEX FREIGHT, INC. 01/29/16 MOSS & MOSS PC QUINTAIROS PRIETO WOOD & BOY 17WC016253 -C 359 16WC 30521 STARK, LLOYD K.I.K. 12/27/13 TUGGLE SCHIRO & LICHTENBER POWER & CRONIN LTD 360 16WC 30621 THOMAS, NATASHA CHAMPAIGN COUNTY NURSING 08/31/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 361 16WC 30643 DRAPER, FRED GEM CITY TIRE 08/18/16 FREDERICK & HAGLE INMAN & FITZGIBBONS 362 16WC 30780 JACKSON, MARILYN GARDENVIEW MANOR 06/25/16 TUGGLE SCHIRO & LICHTENBER BRADY, CONNOLLY & MASUDA, PC 363 16WC 31270 MILLIM, PAUL W LOWE'S 07/05/16 FREDERICK & HAGLE KEEFE CAMPBELL & ASSOC LLC 364 16WC 31455 GONZALEZ, LUIS MIGUEL MIDWEST POULTRY SERVICES, 09/21/16 SPIROS LAW PC ROBERT L. SMITH 365 16WC 31799 DIDIORE, KIRK CARRY TRUCKING SERVICES L 06/23/16 FREDERICK & HAGLE 366 16WC 31965 BACK, TRAVIS K & K COATING 09/21/15 FREDERICK & HAGLE 367 16WC 32063 KENDALL, SAMANTHA ADDUS HEALTHCARE 09/14/16 ASHER & SMITH 368 16WC 32313 THOMPSON, CRYSTAL NORTH AMERICAN LIGHTING, 06/15/14 MOSS & MOSS PC LAW OFFICES STEPHEN CARTER 369 16WC 32409 MILLER, TONYA M CITY OF DANVILLE 08/01/16 GARY JOE STOKES RODDY LAW LTD 370 16WC 32540 PRATHER, QUENTIN LITANIA SPORTS GROUP, INC 09/06/16 WOODRUFF & JOHNSON PERRY GENTILE 371 16WC 32822 NELSON, BRENDA ILLINOIS SECRETARY OF STA @ 09/06/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 16WC 32960 BELL, ESSIE KIK CUSTOM PRODUCTS 09/28/16 DE SALVO, SCOTT D LAW OFFI 373 16WC 33366 WHEELER, LORI MENARDS 10/14/16 FREDERICK & HAGLE 374 16WC 33772 PRUETT, BONNIE SERV-PRO 08/04/16 SPIROS LAW PC 375 16WC 33803 VAIL, SHIRLEEN PINNACLE FOODS 12/26/13 WOODRUFF & JOHNSON INMAN & FITZGIBBONS 376 16WC 33828 WITHERSPOON, ROSIE WILLOWBROOK OF SAVOY 09/04/16 BURNETT & CARON, LTD HENNESSY & ROACH 377 16WC 33881 HINES, LADAROL SUPERVALU 02/05/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 378 16WC 34071 KEAN, KENNETH MOHANAN FILAMENTS 10/26/16 STRONG LAW OFFICE KNELL LAW LLC 379 16WC 34235 ROGERS, MICHAEL LYNN DONALD D WOOD FEED LOT 10/22/16 TUGGLE SCHIRO & LICHTENBER 380 16WC 34665 HOLLEY, DERRICK CONAIR CORP 03/12/14 WOODRUFF & JOHNSON 381 16WC 34811 RICHARDSON, VICKIE THE HERSHEY COMPANY 11/17/14 MUELHAUSEN & STEFANI WIEDNER & MCAULIFFE LTD 382 16WC 35388 HAMILTON, NICK GIBSON AREA HOSPITAL 03/31/16 ZELLERMAYER, REUBEN J SCOPELITIS GARVIN LIGHT 383 16WC 35829 CRAFT, BRENDA GENPACT 01/26/16 TUGGLE SCHIRO & LICHTENBER LAW OFFICE PAUL LARIMORE 384 16WC 36054 TACKITT, BONNALYN EXPRESS EMPLOYMENT 08/31/16 MEYERS & FLOWERS MC ANDREWS & NORGLE LLC 385 16WC 36153 MAYBACK, TRUDIE LAKEWOOD VILLAGE 10/19/16 STRONG LAW OFFICE KNELL LAW LLC 386 16WC 36295 GRANT-SHAFFER, SHEILA CUNNINGHAM CHILDREN'S HOM 10/12/16 SPIROS LAW PC POWER & CRONIN LTD 387 16WC 36619 HAMILTON, HAROLD DAVID FITZGERALD EQUIPMENT 09/02/15 LAW OFFICE PATRICK JENNETT WIEDNER & MCAULIFFE LTD 388 16WC 36764 TRUEBLOOD, MICHELE CHAMPAIGN UNIT 4 SCHOOL D 05/09/16 SPIROS LAW PC 389 16WC 37022 GREEN, VALERIE L VILLA WEST 07/05/16 KANOSKI BRESNEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 390 16WC 37100 MILLER, OLEN R KUHNS CONSTRUCTION/ 02/27/14 HELLER HOLMES & ASSOC HEYL ROYSTER VOELKER & ALLEN 391 16WC 37128 BUYNO, JAMES J HERZOG TRUCKING 03/23/16 BURNETT & CARON, LTD SCOPELITIS GARVIN LIGHT 392 16WC 37149 SCHMITZ, CASEY CARLE 09/25/16 RONALDSON & KUCHLER BRUCE WARREN 393 16WC 37209 SHANNON, REBECCA NEW WAVE COMMUNICATION 04/27/16 MARSZALEK AND MARSZALEK STEPHEN H LARSON LAW OFFICE 394 16WC 37365 WATTERS, JENNIFER PAP-R PRODUCTS COMPANY 08/23/16 MOSS & MOSS PC RUSIN & MACIOROWSKI LTD 17WC012172 -C 395 16WC 38165 AKINS, STEVE KIK 09/18/15 TUGGLE SCHIRO & LICHTENBER POWER & CRONIN LTD 396 16WC 38252 HOLLAND, DONALD SPECCHIO FARMS 12/19/13 KANOSKI BRESNEY INMAN & FITZGIBBONS 397 16WC 38478 KLINEDINST, RICHARD AREA DISPOSAL 05/06/16 FREDERICK & HAGLE BRADY, CONNOLLY & MASUDA, PC 398 16WC 38557 TOWELL, JODIE ST OF IL DEPT OF CORRECTI @ 10/03/16 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 399 16WC 38652 POLK, WILLARD D JR VISCOFAN USA INC 07/26/16 GREG LIETZ 400 16WC 38734 LOOK, KATHERINE R WELLS FARGO BANK, NA 12/01/15 ERWIN MARTINKUS & COLE 401 16WC 38950 HOWEY-GAY, LIANA MBR CENTRAL IL PIZZA, LLC 12/11/16 SPIROS LAW PC 402 16WC 38998 CLEM, JEFF DANVILLE PUBLIC 03/17/15 TUGGLE SCHIRO & LICHTENBER RUSIN & MACIOROWSKI LTD 403 16WC 39014 RITTENHOUSE, MONICA VISTA, OUTDOORS 08/26/16 SPIROS LAW PC LEAHY EISENBERG & FRAENKEL 404 16WC 39109 CUMMINS, JAMES S EXPRESS EMPLOYMENT 07/06/16 405 16WC 39188 LANMAN, DANIEL COCHRANE ENTERPRISE 11/01/16 BRISKMAN BRISKMAN GREENBER 406 16WC 39244 STILES, STEVE MARBLE MACHINE 05/06/16 SPIROS LAW PC QUINTAIROS PRIETO WOOD & BOY 407 16WC 39274 CRAIL, RICK DON BOWEN 10/15/16 STRONG LAW OFFICE CRAIG & CRAIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 408 16WC 39448 PASLEY, TROY CORT FURNITURE 07/26/16 TUGGLE SCHIRO & LICHTENBER 409 17WC 00188 NGUYEN, KHOI UNIVERSITY OF ILLINOIS 12/02/15 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 410 17WC 00630 CLARY, STEPHEN EXPRESS EMPLOYMENT 12/13/16 TUGGLE SCHIRO & LICHTENBER MC ANDREWS & NORGLE LLC 411 17WC 00723 MAYNARD, STEVE DANVILLE HOUSING AUTHORIT 09/06/16 GARY JOE STOKES 412 17WC 01214 WINFREY, VICTORIA ILLINI UNION 08/22/16 WARREN E DANZ, PC GANAN & SHAPIRO 413 17WC 01258 SANDLIN, REBEKAH J KAMAL CORP, D/B/A WESTVIL 12/12/15 MANION JANOV & DEVENS LTD COZZI & GOGGIN-WARD 414 17WC 01387 ROSINE, AMANDA MARS PETCARE 11/18/16 DWORKIN AND MACIARIELLO 415 17WC 01582 SANDLIN, REBEKAH J KAMAL CORP/DBA WESTVILLE 07/12/16 MANION JANOV & DEVENS LTD COZZI & GOGGIN-WARD 416 17WC 01689 MILLS, JOHN R CITY OF CHAMPAIGN, FIRE D 06/01/16 CONNOR LAW OFFICES CITY OF CHAMPAIGN 417 17WC 01702 SWEARINGEN, MARK MENARDS 11/11/16 SPIROS LAW PC QUINN JOHNSTON HENDERSON ETA 418 17WC 01938 TANNER, LISA MARIE RENT-A-CENTER 09/23/16 MOSS & MOSS PC 419 17WC 02180 LEE, JEFFREY TRW, INC. 08/01/16 SMITH LAW LTD HOLTKAMP LIESE ET AL 420 17WC 02680 OWENS, LARRY MUTI 09/22/16 WILLIAMS & SWEE BRYCE DOWNEY & LENKOV LLC 421 17WC 02895 PIZANA, EVERARDO MAC CONSTRUCTION & ROOFIN 06/24/16 MC HARGUE, JAMES P LAW OFF 422 17WC 02944 HOOD, SETH FED EX GROUND PACKAGE SYS 09/26/16 FREDERICK & HAGLE 423 17WC 02973 SHUMATE, JOHN DAVID SILGAN CLOSURES 08/08/16 FREDERICK & HAGLE 424 17WC 03137 WILLIAMS, ROBERT EXPRESS EMPLOYMENT PRO 01/27/17 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 425 17WC 03571 WOODS, DEREK SENCO CONSTRUCTION INC 11/29/16 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 426 17WC 03687 BRYANT, ALAN TRILLIUM STAFFING SOLUTIO 01/19/17 KATZ FRIEDMAN EAGLE ET AL 427 17WC 03839 HANTON, ELLASHATA ARTHUR HOME 09/11/16 KATZ FRIEDMAN EAGLE ET AL 428 17WC 03950 CLARK, PHILIP UNIVERSITY OF ILLINOIS @ 01/26/16 DODSON PIRAINO & ASSOC HEYL ROYSTER VOELKER & ALLEN 429 17WC 04157 CARTER, JAMES LUTECH RESOURCES 02/02/16 GOLDFINE & BOWLES RIPES NELSON BAGGOT KALOBRAT 430 17WC 04203 HEDRICK, MARLOW CHAMPAIGN COUNTY REGIONAL 01/24/17 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 431 17WC 04819 JONES, GERALDINE CHAMPAIGN UNIT 4 SCHOOLS 02/01/17 WOODRUFF & JOHNSON BRUCE WARREN 432 17WC 04851 VISEL, BETH UNIVERSITY OF ILLINOIS @ 01/12/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 433 17WC 04930 BOSTON, MATTHEW BUNGE MILLING 01/12/17 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 434 17WC 05095 ROSALES, SOTO, LEONEL AMIGO CONSTRUCTION 02/07/17 SCHUM LAW PC 435 17WC 05615 FISCHER, MICHELLE HEARTLAND NURSING CENTER 01/04/17 FREDERICK & HAGLE BOGGS AVELLINO 436 17WC 05714 STOBAUGH, VICKIE UNIVERSAL HEALTH SERVICES 03/31/16 SPIROS LAW PC MC ANDREWS & NORGLE LLC 437 17WC 06024 JACKSON, MICAH HOGAN TRANSPORTATION 02/08/17 GALANTI LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 438 17WC 06049 MCNEAL, BOBBY GCA SERVICES GROUP 01/22/17 FREDERICK & HAGLE POWER & CRONIN LTD 17WC006053 -C 17WC006057 -C 439 17WC 06074 BOSTON, MATTHEW BUNGE MILLING 07/31/15 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 440 17WC 06201 NIDEY, JESSICA HERITAGE HEALTH- ROBINSON 10/04/16 MOSS & MOSS PC RIPES NELSON BAGGOT KALOBRAT 17WC011307 -C 17WC011308 -C 441 17WC 06325 ROSINE, AMANDA MARS PETCARE 02/26/17 DWORKIN AND MACIARIELLO 442 17WC 06377 MORGAN, DEREK J MULTIBAND FIELD SERVICES 02/08/17 KANOSKI BRESNEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 17WC 06647 CLARK, THERESA L NORTH AMERICAN LIGHTING, 08/05/16 ASHER & SMITH LAW OFFICES STEPHEN CARTER 444 17WC 06699 MC GUIRE, ARTHINA WAL-AMRT 11/21/16 BURNETT & CARON, LTD GANAN & SHAPIRO 445 17WC 06773 WRIGHT, BELINDA UNIVERSITY OF ILLINOIS 02/06/17 WOODRUFF & JOHNSON GANAN & SHAPIRO 446 17WC 07310 JOHNSON, THERESA RANTOUL CITY SD 137 11/18/16 KATZ FRIEDMAN EAGLE ET AL 447 17WC 07436 MILBURN, TONYA HERITAGE HEALTH 04/20/16 SPIROS LAW PC RIPES NELSON BAGGOT KALOBRAT 448 17WC 07492 JOHNSON, LINDA EXPRESS SERVICES, INC 01/16/17 TUGGLE SCHIRO & LICHTENBER 449 17WC 07632 TEGELER, MAKENZIE NICOLE RURAL KING 08/12/16 ASHER & SMITH 450 17WC 07884 AUTEBERRY, DENNIS KRAFT FOODS 05/14/16 LEE, MARK N LAW OFFICE BRUCE WARREN 451 17WC 07968 WILLS, BONNIE PAXTON HEALTHCARE & REHAB 07/08/16 TUGGLE SCHIRO & LICHTENBER 452 17WC 08134 LONG, JON M UNIVERSITY OF ILLINOIS @ 06/03/16 SEAN L ROBINSON & ASSOC HEYL ROYSTER VOELKER & ALLEN 453 17WC 08251 CARD, LARRY MCLANE 08/11/15 TUGGLE SCHIRO & LICHTENBER KEEFE CAMPBELL & ASSOC LLC 454 17WC 08264 GRAVELY, DANNY R PLASTIPAK PACKAGING, INC 12/19/16 FREDERICK & HAGLE 455 17WC 08498 GIBSON, SHAWN ILLINOIS DEPT OF CORRECTI @ 02/20/17 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 456 17WC 08560 WRIGHT, MITCHELL CLARK LINDSAY VILLAGE 02/26/17 LAW OFFICE MICHAEL M WOJIT PERRY GENTILE 457 17WC 08715 BRYANT, MATTHEW CHAMPAIGN UNIT 4 SCHOOL D 03/07/17 SPIROS LAW PC 458 17WC 08857 BACHERT, RANDALL UNIVERSITY OF ILLINOIS 03/31/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 459 17WC 08975 TROSPER, SHAUN R XPO LOGISTICS FREIGHT, IN 11/01/16 MANION JANOV & DEVENS LTD 460 17WC 09273 BUGG, KATELYNN THE SYGMA NETWORK, INC 12/18/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 17WC 09326 HAMMOND, MICHAEL PEPSI MID-AMERICA 03/03/17 REISMAN LAW OFFICE 462 17WC 09474 RILEY, JIMMY FLEX-N-GATE 07/19/16 SPIROS LAW PC 463 17WC 09542 WESNER, MATHEW AMEREN 08/01/16 KATZ FRIEDMAN EAGLE ET AL HOLTKAMP LIESE ET AL 464 17WC 09580 GARBER, JOHN AGRI-FAB INC 04/13/16 KROL BONGIORNO & GIVEN LTD INMAN & FITZGIBBONS 465 17WC 09630 BIRGE, RYAN CITY OF DANVILLE 05/29/16 SCHUM LAW PC RODDY LAW LTD 466 17WC 09691 DRUM, KELLY R LYONS, LLC 03/10/17 ASHER & SMITH 467 17WC 10348 ANGLIN, VICTORIA MENARDS, INC 02/23/17 FREDERICK & HAGLE 468 17WC 10792 COLEMAN, MONTRELL CHAMPAIGN POLICE DEPARTME 11/04/16 LAW OFFICE OF CHRIS DOSCOT 469 17WC 10814 FAGG, JOHN D JR AMBULANCE MANAGEMENT SERV 04/15/15 ASHER & SMITH 470 17WC 10856 WILSON, KAREN L. HENDERICK HOUSE 12/12/16 GREGORY L. RYAN LAW OFFICE 471 17WC 10932 CROWLEY, CLIFFORD D CHAMPAIGN COUNTY HIGHWAY 10/11/16 SCHUM LAW PC HEYL ROYSTER VOELKER & ALLEN 472 17WC 11338 LEE FOX, CARRIE BILL ABBOTTS 03/13/17 BRIAN T. SCHURTER NOBLE & ASSOCIATES PC 473 17WC 11587 DARNELL, CHASITY WIDOW OF BUNGE # 03/23/17 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 474 17WC 11717 STEWART, BRENT ESTATE OF, ILLINI FS # 04/21/14 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 475 17WC 11769 ANDERSON, TIFFANY HOBBICO 01/25/16 KANOSKI BRESNEY 476 17WC 12332 OBERMAN, RAUN BROTKE WELL & PUMP 08/03/16 BROWN & BROWN GANAN & SHAPIRO 477 17WC 12466 JEAN, JON COLES COUNTY SHERIFF'S DE 04/10/17 SMITH LAW LTD CRAIG & CRAIG 478 17WC 12508 ANDERSON, TAMIKA CHAMPAIGN COUNTY NURSING 03/12/17 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 17WC 12788 PRESTON, ANN CHAMPAIGN COUNTY NURSING 11/16/16 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 480 17WC 13012 BLACKBURN, JUSTIN D CHAMPAIGN A & K INSULATIO 09/06/16 HARVEY & STUCKEL 481 17WC 13207 DAVIS, WANDA EXPRESS EMPLOYMENT 01/04/17 NESSLER, FREDERIC LAW OFFI 482 17WC 13338 PEPPERDINE, DEE M EASTERN ILLINOIS UNIVERSI @ 03/29/17 SMITH LAW LTD ASSISTANT ATTORNEY GENERAL 483 17WC 13351 LUYANDO JR., NELSON DSC LOGISTICS 11/28/16 REISMAN LAW OFFICE MC ANDREWS & NORGLE LLC 484 17WC 13459 TEMPLES, MARY JANE ADDUS HEALTHCARE 09/09/15 KANOSKI BRESNEY HENNESSY & ROACH 485 17WC 13501 ROSE, ALONZO HARDEE'S 11/25/14 STRONG LAW OFFICE 486 17WC 13985 BOWEN, JOSH CHI OVERHEAD DOORS 04/05/17 KATZ FRIEDMAN EAGLE ET AL 487 17WC 14213 WELLS, KENNETH VISCOFAN USA 06/22/16 WOODRUFF & JOHNSON 488 17WC 14404 CAGLER, NANCY UNIVERSITY OF ILLINOIS @ 10/11/16 BRIAN T. SCHURTER BRUCE WARREN 489 17WC 14549 MAHNKE, MIKE CURRY CONSTRUCTION INC 04/21/17 KATZ FRIEDMAN EAGLE ET AL STEPHEN H LARSON LAW OFFICE 490 17WC 14792 MENDOZA, AMANDA KRAFT FOODS 03/08/17 BURNETT & CARON, LTD BRUCE WARREN 491 17WC 14957 PULLEN, WILLIAM BARTELS CONSTRUCTION, INC 10/06/16 TUGGLE SCHIRO & LICHTENBER RUSIN & MACIOROWSKI LTD 492 17WC 15032 SCHERBRING, MARVIN F VILLAGE OF RANTOUL 12/31/15 SCHUM LAW PC RODDY LAW LTD 493 17WC 15065 MORLAN, LAWRENCE E DANVILLE METAL STAMPING 12/03/15 SPIROS LAW PC BRUCE WARREN 494 17WC 15180 FOLKERTS, KATHERINE ILLINOIS DEPARTMENT @ 04/28/17 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 495 17WC 15261 ROBECK, CHERYL UNIVERSITY OF ILLINOIS 10/05/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 496 17WC 15413 JENSEN, RITCHIE HERFF JOENS 05/18/17 WOODRUFF & JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 497 17WC 15442 LAMB, MICHAEL V EMBARRAS RIVER BASIN 01/25/17 JAMES RUPPERT 498 17WC 15487 POWELL, CHERI PRESENCE UNITED SAMARITAN 11/01/16 KATZ FRIEDMAN EAGLE ET AL 499 17WC 15705 MACKEY, JEDIDIAH ILLINOIS DEPARTMENT @ 09/16/16 SPIROS LAW PC 500 17WC 15939 MILLER, WALTER KRAFT FOODS 12/01/15 WILLIAMS & SWEE 501 17WC 16137 WITHERS, DAVID W RANTOUL FOODS 12/20/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 502 17WC 16196 SAUNDERS, KENT SUPERVALU, INC 11/12/16 MEYERS & FLOWERS HEYL ROYSTER VOELKER & ALLEN 503 17WC 16252 BEACHEY, ROGER UNIVERSITY OF ILLINOIS 05/04/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 504 17WC 16396 NASIR, NASIR 2 BROTHERS TRUCKING 03/25/17 MOSS & MOSS PC 505 17WC 16471 STRICKLETT, DANIEL J ST OF ILLINOIS-DOT @ 04/12/17 BURNETT & CARON, LTD 506 17WC 16662 DAVIS, KATHLEEN ADECCO EMPLOYMENT SERVICE 04/13/17 SCHUM LAW PC HENNESSY & ROACH 507 17WC 16845 OAKLEY, MARTY A STATE OF IL - IDOT @ 06/14/16 LAMARCA LAW OFFICES, PC 508 17WC 16871 OLINGER, DOUGLAS MARTIN HIGH & CONSTANCE H @ W 03/04/16 MARSZALEK AND MARSZALEK THIELEN, FOLEY & MIRDO LLC 509 17WC 17434 POPE, JEFFREY S CITY OF DANVILLE 02/05/16 POWER & CRONIN LTD 510 17WC 17453 MACIEL, MIGUEL VALOR TECHNOLOGIES INC 05/26/17 CHEPOV & SCOTT LLC MC ANDREWS & NORGLE LLC 511 17WC 17496 BOSTON, MATTHEW BUNGE MILLING 06/07/17 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 512 17WC 17669 BAILLON, ERNIE LOMAN-RAY INSURANCE GROUP 05/04/17 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 513 17WC 17756 DERRICKSON, RON ILLINOIS DEPT OF CORRECTI 05/01/17 TUGGLE SCHIRO & LICHTENBER 514 17WC 17828 HOPKINS, AURA THE ARTHUR HOME 07/13/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 515 17WC 17987 ORR, RICHARD CITY OF MATTOON 02/14/17 SMITH LAW LTD RUSIN & MACIOROWSKI LTD 516 17WC 18019 JONES, RYAN OLD DOMINION FREIGHT LINE 06/12/15 SPIROS LAW PC RODDY LAW LTD 517 17WC 18058 LAMB, WILLIAM VEOLIA ES INDUSTRIAL SERV 04/04/16 DAVID W MARTAY EVANS & DIXON, LLC 518 17WC 18187 SMITH, DAVID U.S. TRANSPORT 12/21/16 TUGGLE SCHIRO & LICHTENBER 519 17WC 18248 GONES III, JOHN ALTORFER 08/29/16 FREDERICK & HAGLE 520 17WC 18307 VANDERPORT, DAVID CITY OF MATTOON POLICE DE * 06/22/16 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 521 17WC 18343 YOUNT, MATTHEW LOWE'S OF DANVILLE 04/19/17 SPIROS LAW PC 522 17WC 18607 HILSON, JORDAN EXPRESS PROFESSIONAL 06/07/14 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 523 17WC 18710 GRIJALVA, JESUS LSC COMMUNICATIONS 11/16/16 WOODRUFF & JOHNSON 524 17WC 18733 MCGRATH, MICHAEL DUPONT 05/16/17 WARREN E DANZ, PC 525 17WC 18776 HOLLEY, KEVIN LEBANON SEABOARD 04/27/17 TUGGLE SCHIRO & LICHTENBER COZZI & GOGGIN-WARD 526 17WC 18801 JOHNSON, JASON A ALBIN HOMES, INC. 05/24/17 GREG LIETZ 527 17WC 18859 BLAN, ROBERT O'BRIEN'S AUTO PARK 06/08/15 FREDERICK & HAGLE 528 17WC 18872 GRAVES, PATRICIA WALMART ASSOCIATES 01/30/17 TUGGLE SCHIRO & LICHTENBER GANAN & SHAPIRO 529 17WC 19025 COLE, RODNEY TODD BRASHEAR D/B/A CLARK W 10/03/16 ASHER & SMITH 530 17WC 19256 JOHNSON, CLAYTON EDGARD COUNTY SHERIFF'S O 06/08/17 WOODRUFF & JOHNSON 531 17WC 19284 HOBBS, ANDY K&K COATING 09/14/16 LAW OFFICE OF CHRIS DOSCOT MACIOROWSKI SACKMANN & ULRIC 532 17WC 19334 PEASLEE, MARSHALL VISCOFAN USA, INC 04/22/17 GARY JOE STOKES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 533 17WC 19710 LIKINS, MICHELLE D MASTERBAND CABINETS 04/04/16 LAW OFFICE MICHAEL M WOJIT 534 17WC 20168 ROBISON, STACY S HEARTLAND COCA-COLA BOTTL 04/09/17 ASHER & SMITH 535 17WC 20229 JARVIS, NATHAN RURAL KING SUPPLY 06/26/17 FREDERICK & HAGLE 536 17WC 20351 KWIATKOWSKI, JAMES WILLIA COCHRANE ENTERPRISE 04/27/15 COLLISON LAW OFFICES 537 17WC 20386 ONEY, TIMOTHY EXPRESS EMPLOYMENT * 05/12/17 DWORKIN AND MACIARIELLO 538 17WC 20393 ANDERSON, MICHAEL P & P CONSTRUCTION * 07/28/14 MARK A WELLS LAW OFFICE LIVINGSTONE MUELLER ET AL 539 17WC 20419 MURPHY, MICHAEL UNIVERSITY OF ILLINOIS @ * 05/09/17 SPIROS LAW PC GANAN & SHAPIRO 540 17WC 20430 RODRIGUEZ, NAILYN EXPRESS EMPLOYMENT * 11/07/16 REISMAN LAW OFFICE 541 17WC 20604 KUHRING, AUSTIN STATE OF IL IDOT * 03/01/17 BURNETT & CARON, LTD 542 17WC 20762 SMITH, SAMANTHA PREMIUM PACKAGING CORP * 01/16/17 TAPELLA & EBERSPACHER LLC BRADY, CONNOLLY & MASUDA, PC 543 17WC 20827 WINNETT, MELISSA K PINNACLE FOODS * 05/12/17 FERGUSON, MARK E LTD INMAN & FITZGIBBONS 544 17WC 20929 DILLAVOU, KATHERINE M. CHAMPAIGN COMM UNIT SD 4 * 12/19/16 WOODRUFF & JOHNSON BRUCE WARREN 545 17WC 20944 YORK, VICTOR CLIFFORD JACOBS FORGING C * 02/23/17 SCHUM LAW PC MACIOROWSKI SACKMANN & ULRIC 546 17WC 21062 WOMBLE, HENRY CBE, INC * 05/30/17 LAW OFFICE OF CHRIS DOSCOT 547 17WC 21200 MCDOWELL, CURTIS FIDELITY CONSTRUCTION * 04/01/17 DWORKIN AND MACIARIELLO 548 17WC 21249 DAUGHERTY, JOY LIBMAN COMPANY * 06/16/17 FAJARDO LAW GROUP LAW OFFICES STEVEN PILAND 549 17WC 21327 SMITH, DEBBIE DANA SEALING MANUFACTURIN * 03/10/17 MOSS & MOSS PC 550 17WC 21348 BYNDOM, KATRINA CREATIVE DINING * 06/05/17 STEVEN A CRIFASE, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 17WC 21488 PICKFORD, RAY BPI TESTING * 03/07/17 LEE, MARK N LAW OFFICE CASSANO & ASSOCIATES 552 17WC 21574 TURPIN, ROGER STORMHAWK CONSTRUCTION, I * 05/22/17 SCHUM LAW PC 553 17WC 21709 LEONETTI, RICHARD IDOT @ * 05/31/17 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 554 17WC 21820 WATSON, ELIZABETH LOWE'S COMPANIES, INC * 06/27/17 SCHUM LAW PC 555 17WC 21962 VISEL, BETH UNIVERSITY OF ILLINOIS * 06/22/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 556 17WC 22299 MANN, ASHLEY S MASTERBRANDS CABINETS * 04/21/17 KANOSKI BRESNEY 557 17WC 22375 WINSTON, RICHARD PRESENCE COVENANT MEDICAL * 06/25/17 WALTON TELKEN FOSTER LLC 558 17WC 22580 FIGGINS, WAYNE L MASTERBRAND CABINETS, INC * 07/28/16 HELLER HOLMES & ASSOC 559 17WC 22809 NOYES, VICKI B CHARLES INDUSTRIES, LTD * 10/02/14 ASHER & SMITH 560 17WC 22968 PROPST, TROY A EASTERN IL UNIVERSITY * 08/10/16 KEVIN L GEISLER 561 17WC 22981 BOLL, CARLENE F SINCLAIR BROADCAST GROUP # * 06/26/17 WOLTER BEEMAN AND LYNCH BRADY, CONNOLLY & MASUDA, PC 562 17WC 23048 WELLUM, ROBERT STATE OF IL/DEPT OF @ * 06/16/17 HELLER HOLMES & ASSOC 563 17WC 23275 LESLIE, PENNY E CUNNINGHAM CHILDREN'S HOM * 05/16/17 FREDERICK & HAGLE HENNESSY & ROACH 564 17WC 23480 CORZINE, CHRISTOPHER C UNIVERSITY OF IL * 05/24/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 565 17WC 23953 METZ, JOHN THRIFT TRUCKING, INC * 06/22/17 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 566 17WC 24000 BOWLIN, RITA STAFF MANAGEMENT/SMX * 04/28/17 KATZ FRIEDMAN EAGLE ET AL 567 17WC 24073 BENSON, LARRY EDWARD DON & COMPANY * 06/29/17 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 568 17WC 24174 POTTER, CHRIS USF HOLLAND TRUCKING * 04/28/17 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 569 17WC 24338 CROSS, KIMBERLY LHC GROUP * 05/18/17 JEFFREY R KOOI INMAN & FITZGIBBONS 570 17WC 24430 THOMAS, DAWANNA UNIVERSITY OF ILLINOIS * 07/28/17 WOODRUFF & JOHNSON GANAN & SHAPIRO 571 17WC 24557 CROSS, ED FIBERTEQ * 02/10/17 TUGGLE SCHIRO & LICHTENBER 572 17WC 24662 ROMO, SANDRA MASTERGUARD * 08/09/17 DWORKIN AND MACIARIELLO 573 17WC 24700 RIMMER, KELSEY M RESOURCE MFG * 08/11/16 JAMES RUPPERT 574 17WC 24754 GOODLING, RODNEY PREMIER COOPERATIVE, INC. * 05/12/17 FREDERICK & HAGLE 575 17WC 25000 GOODE, DAVID A MICROSURFACING CONTRACTOR * 05/31/17 O'CONNOR & NAKOS 576 17WC 25153 TELFORD, ROBERT ILLINOIS STATE POLICE @ * 12/13/16 RIDGE & DOWNES 577 17WC 25355 GORMAN, MAURICE G UNIVERSITY OF ILLINOIS * 05/11/17 FREDERICK & HAGLE 578 17WC 25531 LONG, KELLY COUNTRY HEALTHY CARE & RE * 05/26/16 SPIROS LAW PC 579 17WC 25579 NEAL, JOHN PLASTIPAK * 09/13/16 TUGGLE SCHIRO & LICHTENBER 580 17WC 25637 DYE, JEREMY S R VOYLES ENTERPRISES, INC * 04/28/17 KANOSKI BRESNEY 581 17WC 25893 LAMPLEY, LORI LSC COMMUNICATIONS * 06/18/17 KATZ FRIEDMAN EAGLE ET AL 582 17WC 26112 OLVERA, LUIS INNOVATIVE STAFF SOLUTION * 08/07/17 REISMAN LAW OFFICE 583 17WC 26203 BURNETT, KAREEM A KIK CUSTOM PRODUCTS, INC * 07/24/17 FREDERICK & HAGLE 584 17WC 26233 VANCE, WILLIAM P THYSSENKRUPP * 07/11/17 BURNETT & CARON, LTD 585 17WC 26413 ROESCH, DAVID L STARK EXCAVATING, INC. * 06/20/17 KANOSKI BRESNEY 586 17WC 26444 DAVIS, WONDA EXPRESS EMPLYMNT PROFESSI * 05/30/17 SCHUM LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 587 17WC 26448 BREWER, JAMES DANVILLE METAL STAMPING * 05/24/17 SPIROS LAW PC 588 17WC 26510 DAVIS, STEVE STARK EXCAVATING * 08/12/17 GREGORIO & MARCO 589 17WC 26606 ROGERS, CHARLES ROWE * 08/19/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 590 17WC 26650 COLUNGA, AMADEO JR SCHUMACHER ELECTRIC COMPA * 07/05/17 KATZ FRIEDMAN EAGLE ET AL 591 17WC 26710 CORTES, PEDRO A HOBBICO, INC. * 12/10/15 BECKETT & WEBBER PC KNELL LAW LLC 592 17WC 26897 GIBONEY, DEBRIANA PEPSI-COLA C-U BOTTLING C * 02/10/17 LAW OFFICE PATRICK JENNETTEN 593 17WC 26921 DODSON, COURTNIE FEDEX GROUND * 05/06/17 SPIROS LAW PC 594 17WC 27021 LANGE, STUART A MIDSTATE TANK * 05/04/17 BOSHARDY LAW OFFICE PC 595 17WC 27078 FREEZELAND, PHILLIP CHARLESTON US LLC * 11/16/16 DANIELS WILZBACH PC 596 17WC 27375 WILLIAMS, CESARIO T RANOUTL FOODS, LLC * 08/04/17 FREDERICK & HAGLE 597 17WC 27391 SANTANA, ROSA N BELL SPORTS N/K/A * 11/13/14 SCHUM LAW PC 598 17WC 27414 LICKTEIG, JEFF CMS MECHANICAL SVS, LLC * 10/17/16 ALEKSY BELCHER 599 17WC 27515 NELSON, THOMAS RV HORIZONS, INC * 06/27/17 RIDGE & DOWNES 600 17WC 27671 BOYD, GARETH UNIVERSITY OF ILLINOIS * 11/16/16 SPIROS LAW PC 601 17WC 27700 SIMS, ROBERT MANITO TRANSIT * 07/16/17 LAW OFFICE DAVID HUNT 602 17WC 27828 SAXON, ERIC FLEX-N-GATE * 06/04/16 SPIROS LAW PC 603 17WC 27943 CLARK, ANTON ALLOY ENGINEERING & CASTI * 06/29/17 SPIROS LAW PC 604 17WC 28323 SMITH, SANTEZ SUPERVALU * 07/20/17 GARY JOE STOKES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M MCCARTHY, DOUGLAS 032 ARBITRATION CALL FOR URBANA 48002 ON 11/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 605 17WC 28508 MOSS, ROBERT PLASTIPAK * 03/18/17 TUGGLE SCHIRO & LICHTENBER 606 17WC 28569 KELLY, APRIL NORTH AMERICAN LIGHTING, * 10/02/15 LAW OFFICES STEPHEN CARTER 607 17WC 28662 SANTANA, ROSA N BELL SPORTS NKA VISTA OUT * 01/16/16 SCHUM LAW PC 608 17WC 28692 LOCKETT, ERNEST L SODEXO, INC * 04/25/17 FREDERICK & HAGLE 609 17WC 28714 BELL, ANGELA DANVILLE SCHOOL DISTRICT * 08/01/17 DWORKIN AND MACIARIELLO 610 17WC 28827 LOMAX, DANIEL EXPRESS EMPLOYMENT * 07/11/17 SPIROS LAW PC 611 17WC 28852 ALMAZAN, LENILYN UNIVERSITY OF ILLINOIS * 03/23/16 KATZ FRIEDMAN EAGLE ET AL 612 17WC 28979 FIELDS HARRIS, CHRISTINE DON WITZEL ENTERPRISES, I * 09/23/17 POLANSKY & CICHON CHTD 613 17WC 29156 GILBERT, JACOB D GILBERT CONCRETE CONSTRUC * 01/05/17 WOLF LAW LTD 614 17WC 29233 LANKSTER, ASHLEY GENPACT * 06/15/17 SPIROS LAW PC 615 17WC 29701 BROWN, DAVID SECURE TRUCKING INC * 07/22/16 SPIROS LAW PC 616 17WC 29704 BROWN, DAVID SECURE TRUCKING INC * 04/25/16 SPIROS LAW PC 617 17WC 29731 COOK, TROY S CITY OF MATTOON * 02/09/15 FERGUSON, MARK E LTD