ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …42 16wc 15938 shane, james grain flo, inc. 05/05/15 kanoski bresney ripes nelson baggot kalobrat 43 16wc 16143 stephens, matthew

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 40304 GAYON, CHRISTOPHER ALLIED WASTE INDUSTRIES, 08/02/06 REILLY LAW OFFICE LLC GILDEA & COGHLAN 2 08WC 22482 HOGAN, SHERYL ILLINOIS STATE UNIVERSITY @ 05/14/05 COSTIGAN & WOLLRAB PC ASSISTANT ATTORNEY GENERAL 3 10WC 42641 MC CRANEY, TRACEY WENDY'S 09/19/10 WILLIAMS & SWEE 4 10WC 49226 19B KISTLER, PAMELA PONTIAC CORRECTIONAL CENT @ 11/20/10 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 5 11WC 22873 WEXELL, LARRY HUNT TRANSPORTATION 10/12/10 THOMAS R LICHTEN RUSIN & MACIOROWSKI LTD 13WC032354 -C 6 11WC 25333 MARTINEZ, THERESA D MARKING SPECIALISTS CORP 06/16/11 LAW OFFICES DANIEL E MURPH THOMAS & ASSOCIATES 7 11WC 43046 WATKINS, MICHAEL PLS INC LOANING 09/01/11 WILLIAMS & SWEE THOMAS & ASSOCIATES 8 12WC 17813 PETERSEN, ROBERT RICHARD H TARVIN INC 12/02/11 STRONG LAW OFFICE CASSANO & ASSOCIATES 9 12WC 21484 LAIR-WATKINS, MARY ADVOCATE HEALTHCARE 05/18/12 JOHN LESAGANICH NYHAN BAMBRICK KINZIE & LOWR 10 12WC 41222 LACEY, MARK MITSUBISHI MOTORS NORTH 01/20/10 WILLIAMS & SWEE, LTD HEYL ROYSTER VOELKER & ALLEN 11 13WC 10149 WINCE, ERICK DELIVERY LOGISTICS INC @ W 01/11/12 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 12 13WC 29581 DEAVERS, JESSE PAPA JOHNS 08/08/13 MCCARRON LAW FIRM, PC HEYL ROYSTER VOELKER & ALLEN 13WC029583 -C 13 13WC 37689 STEVENS, FREDERICK MCLEAN COUNTY SHERIFF'S 02/01/11 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 14 13WC 38244 HIBBARD, JOHN LINCOLN HERITAGE COMMERCI 04/01/13 NESSLER, FREDERIC LAW OFFI 15 13WC 38914 ADAMS, MIKE MICHAEL S WEEDLING W 06/02/11 WILLIAMS & SWEE 16 14WC 04235 HATFIELD, PHILIP STATE OF ILLINOIS @ 12/18/13 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 17 14WC 10073 FRANCISCO, ANGELA ILLINOIS STATE UNIVERSITY @ 01/08/14 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 14WC 25106 STUCKI, JARRETT RD LARSON TREE SERVICE 07/08/14 HOEKSTRA LAW OFFICES PC 19 14WC 29186 WATTS, CORINE C & K HOTEL GROUP LLC 04/28/14 GOLDFINE & BOWLES GANAN & SHAPIRO 14WC029187 -C 20 14WC 30403 THOMAS, KIMBERLY WAL-MART 01/12/12 WILLIAMS & SWEE QUINTAIROS PRIETO WOOD & BOY 21 14WC 38462 THOMAS, TINA (WIDOW) CITY OF BLOOMINGTON FIRE 09/24/13 MARTIN J. HAXEL PC RUSIN & MACIOROWSKI LTD 22 14WC 40905 LITTLE, JASON MCLEAN COUNTY 12/05/12 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 23 15WC 03464 DEAVERS, JESSE SERVUS, INC DBA PAPA JOHN 11/15/13 MCCARRON LAW FIRM, PC HOLECEK & ASSOCIATES 24 15WC 13075 FRANCISCO, ANGELA ILLINOIS STATE UNVERSITY @ 02/01/14 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 25 15WC 17816 WIELAND, MARK J YRC FREIGHT CORP 05/11/15 STEPHEN P. KELLY HENNESSY & ROACH 26 15WC 23989 DIXON, CHRISTOPHER IL SIDING SPECIALIST 07/20/15 DWORKIN AND MACIARIELLO 27 15WC 26983 GIVENS, LISA ILLINOIS STATE UNIV @ 09/09/13 ASSISTANT ATTORNEY GENERAL 28 15WC 27350 LACEY, MARK MITSUBISHI MOTORS 03/13/14 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 29 15WC 27691 MCPHERSON, BRIAN STATE OF ILLINOIS @ 06/23/15 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 30 15WC 27717 LEESMAN, LARRY P MC DONALD'S 05/14/15 KANOSKI BRESNEY HENNESSY & ROACH 31 15WC 32124 MELVIN, TANYA NEW MEDIA INVESTMENT GROU 11/19/14 WILLIAMS & SWEE THOMAS & PORTELA 32 15WC 32996 GLOSSON, WILLIAM MICHAELS CORPORATON 11/11/13 MARSZALEK AND MARSZALEK SCHOUEST BAMDAS SOSHEA 33 15WC 35010 BROWNING, SAMUEL MARK ALEXANDER'S MOBILITY SERV 06/06/14 ANKIN LAW OFFICE HENNESSY & ROACH PC 19WC026719 -C ATLAS VAN LINES 19WC026720 -C 34 15WC 38832 MAYBERRY, HENERY ILLINOIS STATE UNIVERSITY @ 01/15/15 THOMSON & WEINTRAUB ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 15WC 38885 HICKS, RODNEY ISU @ 09/30/15 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 36 16WC 04271 BACHMAN, ANGELA BOWERS ORTHODONTICS 10/08/15 HEYL ROYSTER VOELKER & ALLEN 16WC004272 -C 16WC004273 -C 37 16WC 05078 CHESTNEY, MARILYN SUE ILLINOIS STATE UNIVERSITY @ 08/17/15 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 38 16WC 05147 GRISMORE, OCTAVIUS FEDERAL COMPANIES 12/08/15 LEFANTE LAW OFFICES QUINN JOHNSTON HENDERSON ETA 39 16WC 09493 LACEY, MARK MITSUBISHI MOTORS 09/05/14 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 40 16WC 09494 LACEY, MARK MITSUBISHI MOTORS 02/27/15 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 41 16WC 13412 MC NEELY, ROBERT I JD BYRIDER 11/27/15 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT 42 16WC 15938 SHANE, JAMES GRAIN FLO, INC. 05/05/15 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT 43 16WC 16143 STEPHENS, MATTHEW KOEHL BROTHERS, INC. A/K/ 02/06/16 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 44 16WC 16510 WALDEN, TRAVIS TREU BODY WORKS 02/16/15 WILLIAMS & SWEE GANAN & SHAPIRO 45 16WC 19098 KING, ZACHARY PONTIAC CORRECTIONAL CENT @ 06/19/15 ASSISTANT ATTORNEY GENERAL 46 16WC 20199 RICCOLO, TERRY IDOT @ 04/11/16 STEPHENS FIDDES MCGILL ASS ASSISTANT ATTORNEY GENERAL 47 16WC 21621 CARMONA-ORTIZ, GLORIA MEIJER, INC. 03/16/16 WILLIAMS & SWEE KNELL & O'CONNOR 48 16WC 22321 HOVEL, EUGENE E MAP AUTO REPAIR 05/23/16 DREW J FERRACUTI DREW J FERRACUTI 49 16WC 31520 19B STUDINGER, MATT PONTIAC DISTRICT 90 01/29/16 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 50 16WC 33047 19B RUANO, HECTOR S SUPERIOR DRYWALL & FINISH 10/02/15 DAMON YOUNG HEYL ROYSTER VOELKER & ALLEN 51 16WC 34595 JACKSON, CINDERRETHA ILLINOIS STATE UNIVERSITY @ 09/17/16 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 52 16WC 35039 ROY, STEVEN EATON CORPORATION 06/29/16 STRONG LAW OFFICE LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 53 16WC 35202 19B BURNS, CARA MANPOWER 10/12/16 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 54 16WC 35280 STEVENS, FREDERICK MCLEAN COUNTY SHERIFF'S D 10/18/16 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 55 16WC 37020 KLAPP, ANDREW ST OF IL/IL STATE UNIVERS @ 11/02/16 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 56 16WC 38180 GLAD, CHARLES WRIGHT TREE SERVICE 10/11/16 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 57 16WC 38591 SHUMARD, TRUDY COMPASS GROUP USA INC DBA 11/18/16 WILLIAMS & SWEE GOLDBERG SEGALLA LLC 58 16WC 39429 CONNELL, LAYNE E COX TRANSFER INC 02/05/16 HUNZIKER HECK & 59 17WC 00219 CARSON, JASON L CARGILL 12/03/16 KANOSKI BRESNEY LIVINGSTONE MUELLER ET AL 60 17WC 02089 RAMOS, NOEMI BICKFORD OF BLOOMINGTON L 12/11/16 STEPHEN P. KELLY BRYCE DOWNEY & LENKOV LLC 61 17WC 03502 MIX, CHRISTOPHER CLINTON CU SCHOOL DISTRIC 11/08/16 STRONG LAW OFFICE EVANS & DIXON 62 17WC 04305 ALMAKKI, WASIM STRYKER ORTHOPEDICS 12/20/16 RIDGE & DOWNES 63 17WC 04582 KLYSZ, CZESLAW OLD DOMINION FREIGHT LINE @ 01/26/17 KATZ FRIEDMAN EISENSTEIN EVANS & DIXON 64 17WC 04983 MCDONALD, JOSEPH ALEX AND OR RANDY BRADBUR @ W 02/20/16 WILLIAMS & SWEE 65 17WC 06078 SETTLES, BRUCE STATE OF ILLINOIS @ 01/30/17 LEE, MARK N LAW OFFICE 66 17WC 08856 WELLER, DEBRA WEXFORD HEALTH SOLUTIONS 01/11/17 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 67 17WC 10066 KOHL, ERIC IDOC 02/08/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 68 17WC 12950 REECE, TIA STATE OF ILLINOIS @ 03/31/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 69 17WC 14371 SCOTT, DARIN KROGER 04/13/17 WILLIAMS & SWEE 70 17WC 15117 WILLIS, CRAIG R BORKGREN FARMS 01/03/17 JOHN LESAGANICH HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 71 17WC 19288 MCBRIDE, TABETHA WALMART 04/14/17 STRONG LAW OFFICE GANAN & SHAPIRO 72 17WC 19635 JEFFRIES, DIMITRIUS STATE FARM 01/19/16 GOLDBLATT + SINGER 73 17WC 20211 GOVRO, ROBERT WOODY BOGLER TRUCKING CO 03/29/17 JEROME LINDSAY SALMI LL WIEDNER & MCAULIFFE LTD 74 17WC 20216 MOORE, JAMES AGL RESOURCES 08/13/15 RUSIN & MACIOROWSKI LTD 75 17WC 20912 HARRIS, LOUIS PRECISION PRODUCTS 03/28/17 HOLECEK & ASSOCIATES 76 17WC 22391 MCBRIDE, TABETHA WALMART 06/04/17 STRONG LAW OFFICE GANAN & SHAPIRO 77 17WC 22824 ARMSTRONG, KEVIN IHSA 02/06/17 ROCHFORD & ASSOC HEYL ROYSTER VOELKER & ALLEN 78 17WC 24179 JACKSON, JAVALAS JEWEL OSCO 04/15/17 79 17WC 24564 BIRGE, PETER SNYDER BROTHER'S TRUCKING 08/11/17 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 80 17WC 26653 WILLIAMS, MARTIN AMERICAN BUIDINGS CO 09/30/14 WILLIAMS & SWEE KNELL LAW LLC 81 17WC 27223 RIORDAN, COREY FRONTIER NORTH, INC 06/06/17 WILLIAMS & SWEE 82 17WC 27678 HANY, SARAH GORDON FOOD SERVICE, INC 08/14/17 STRONG LAW OFFICE GANAN & SHAPIRO 18WC031101 -C 83 17WC 30515 DAVIS, NANCY OSF HEALTHCARE SYSTEM ST 08/10/17 WILLIAMS & SWEE HINSHAW & CULBERTSON 84 17WC 30516 GRIGG, TAMARA WEXFORD HEALTHSOURCES 09/05/17 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 85 17WC 30588 WILLIS, TERRY TECHNOLOGY CONCEPTS GROUP 09/05/17 MOSS & MOSS PC LAW OFFICES STEVEN PILAND 86 17WC 32513 HARVELL, TONYA CASEY'S GENERAL STORE, IN 10/18/17 MOSS & MOSS PC HEYL ROYSTER VOELKER & ALLEN 87 17WC 34362 FRANK, ANDREW ST OF IL/ILLINOIS STATE U @ 09/26/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 88 17WC 34668 BREFELD, SOMER LIBERTY VILLAGE 07/23/17 STRONG LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 89 18WC 00692 TAYLOR, KYLE IL DEPT OF TRANSPORTATION @ 12/11/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 90 18WC 01058 DRUMMOND, DEANDRE MUGSY'S PUB, INC 10/26/17 WILLIAMS & SWEE HENNESSY & ROACH 91 18WC 01209 KNIGHT, ANGELA HERITAGE HEALTH 05/25/16 WILLIAMS & SWEE RIPES NELSON BAGGOT KALOBRAT 92 18WC 02878 WILSHUSEN, CHELSEA ILLINOIS DEPT OF CORRECTI @ 12/06/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 93 18WC 03411 JONES, LYNDSEY (WIDOW) WELLS FARGO ADVISORS, LLC # 04/07/15 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 94 18WC 05227 MENKEN, RICHARD ILLINOIS STATE UNIVERSITY @ 10/16/17 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 95 18WC 05299 SCHMITT, KEITH B ILLINOIS DEPT OF AGRICULT @ 12/15/17 HOEKSTRA LAW OFFICES PC ASSISTANT ATTORNEY GENERAL 96 18WC 05396 CARTER, BRENDA K FIRST STUDENT, INC 01/29/18 HOEKSTRA LAW OFFICES PC WIEDNER & MCAULIFFE LTD 97 18WC 05967 HUMPHREY, PATRICIA EATON CORP. 06/08/16 BERG & ROBESON LEAHY EISENBERG & FRAENKEL 98 18WC 06622 JOHNSON, HOWARD SACH'S ELECTRIC 05/20/16 WILLIAMS & SWEE CLAYBORNE SABO & WAGNER 99 18WC 07360 19B UNDERWOOD, MICHAEL HCM MECHANICAL SVCS, INC 10/18/17 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 100 18WC 09385 NOLAN, RYAN STATE OF ILLINOIS @ 12/27/17 BRASSFIELD KRUEGER & RAMLO ASSISTANT ATTORNEY GENERAL 18WC006287 -C SOI PONTIAC CORRECTIONAL C 101 18WC 11070 SHOOK, ASHLEY N STATE OF IL/LOGAN COUNTY @ 06/23/17 WOLTER BEEMAN AND LYNCH ASSISTANT AT0TORNEY GENERAL 102 18WC 11131 CLARK, ARWON JIMMEL CORP 03/26/18 MARK WERTZ INMAN & FITZGIBBONS 103 18WC 12694 KELLEY, BONNIE BLOOMINGTON PUBLIC 04/12/18 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 104 18WC 13126 SOULE, LELAND CATERPILLAR 12/31/17 PETER F FERRACUTI & ASSOCI CATERPILLAR, INC. 105 18WC 13405 CHANEY, DIANE KICKAPOO CREEK NURSERY IN 08/26/17 WILLIAMS & SWEE STEPHEN P. KELLY 106 18WC 13566 WARE, DAWN M MCDONALD'S LEROY, INC. DB 04/24/18 WILLIAMS & SWEE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 107 18WC 13731 LEHR, CHRISTOPHER S JG STEWART CONSTRUCTION 08/16/17 KANOSKI BRESNEY BRYCE DOWNEY & LENKOV LLC 108 18WC 14292 ADCOCK, STEPHEN H CITY OF BLOOMINGTON 06/14/17 JACK C VIELEY RUSIN & MACIOROWSKI LTD 109 18WC 15091 COCHRAN, DEBBIE STATE FARM 06/01/15 STRONG LAW OFFICE GAROFALO SCHREIBER STORM GRA 110 18WC 16208 STOWELL, LAURA FIRST GROUP AMERICA 01/17/18 DAVID HUNT 111 18WC 16392 PRINCE, STEVEN IL DEPARTMENT OF TRANS @ 02/29/16 STEVEN PRINCE 112 18WC 16558 PERRINE, CHRISTOPHER LINCOLN FIRE DEPARTMENT 04/19/17 JOHNSON, MICHAEL D & ASSOC RUSIN & MACIOROWSKI LTD 113 18WC 17210 TAYLOR, ANN VON MAUR INC 04/22/18 WALTON TELKEN LLC 114 18WC 17962 LAWLESS, MELISSA MC LEAN COUNTY UNIT 09/12/17 THOMSON & WEINTRAUB HEYL ROYSTER VOELKER & ALLEN 115 18WC 18911 ARTEMAN, RONALD DAVID NATIONAL CASH REGISTER 02/08/18 WILLIAMS & SWEE SPIEGEL & CAHILL, PC 116 18WC 20035 WILSON, PATRICIA CASEY'S GENERAL STORE #22 05/03/18 WILLIAMS & SWEE JAMES M KELLY 117 18WC 20165 HUBERT, DANIEL E BLACK HORSE CARRIERS INC 04/20/18 GALLAGHER, DONALD V HINSHAW & CULBERTSON 118 18WC 22414 DAVIS, CECIL MCCOY CONSTRUCTION CO 07/18/18 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 119 18WC 22563 BRYANT, ROBERT CORPORATE CLEANING SYSTEM 04/27/17 WARREN E DANZ, PC 120 18WC 22807 LANDER, DEENA OBERWEIS 02/20/18 STRONG LAW OFFICE 121 18WC 22850 GADDIS, PAMLA ILLINOIS WESLEYAN UNIVERS 06/09/17 KANOSKI BRESNEY 122 18WC 22896 HANSON, ELIZABETH FIRST STUDENT MGMT, LLC 01/12/17 WILLIAMS & SWEE WIEDNER & MCAULIFFE LTD 123 18WC 23382 HARRINGTON, TROY ZELLER DIGITAL INNOVATION 04/25/18 WILLIAMS & SWEE LUCY T. UNGER 124 18WC 23583 LANDER, DEENA OBERWEIS 02/23/18 STRONG LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 125 18WC 23695 SHANE, JAMES GRAIN FLO, INC 04/25/18 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT 126 18WC 24130 SMITH, ANDREW STATE OF ILLINOIS-IDOC 07/10/18 STRONG LAW OFFICE BRADLEY DEFREITAS 127 18WC 24449 NEWBERRY, CHRIS SPEE-DEE DELIVERY SERVICE 03/20/18 STEPHEN P. KELLY 128 18WC 24676 YOUNG, DEBBIE JANN RESTAURANT, INC 05/23/17 STRONG LAW OFFICE INMAN & FITZGIBBONS 129 18WC 27692 WARD, KIMBERLY TEXAS ROADHOUSE 08/10/18 SHAY & ASSOCIATES KEEFE CAMPBELL BIERY & ASSOC 130 18WC 28596 SIMON, LATOYA WESTMINSTER VILLAGE 05/14/18 KANOSKI BRESNEY 131 18WC 28938 RICHARD, MELINDA LSC COMMUNICATIONS 07/24/18 HOEKSTRA LAW OFFICES PC HENNESSY & ROACH 132 18WC 29429 ROGERS, KELLIE SAM'S CLUB WEST INC 03/21/18 STRONG LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 133 18WC 29721 STETSON, SHARI STATE OF ILLINOIS @ 07/10/18 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 134 18WC 30195 LOLLING, GERALD GRAIN FLO, INC 06/22/18 DWORKIN AND MACIARIELLO 135 18WC 31102 KENNEDY, JEFFERY ADVANCED TECHNOLOGY SERVI 08/23/18 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 136 18WC 33695 LYONS, JEFFERY L SR. PARKLAND ENVIRONMENTAL GR 01/09/18 WOLTER BEEMAN AND LYNCH NYHAN BAMBRICK KINZIE & LOWR 137 18WC 33899 SHELTON, ANTHONY IL DEPARTMENT OF TRANSPOR 10/29/18 TAXMAN POLLOCK BRADLEY DEFREITAS 138 18WC 34492 KAAIHUE, JOHN LUGWIG 09/17/18 DWORKIN AND MACIARIELLO 139 18WC 34818 ABBOTT, RYAN STATE FARM 04/01/17 STRONG LAW OFFICE 140 18WC 34902 HOUSE, JOHN MARIOTT HOTEL & CONFERENC 10/09/18 MCCARRON LAW FIRM, PC HENNESSY & ROACH PC 141 18WC 35628 HOLLON, ANTHONY SELIG SEALING PRODUCTS IN 08/29/18 SPIROS LAW PC SPIEGEL & CAHILL, PC 142 18WC 36147 GOODMAN, LISA HEARTLAND EMPLOYMENT SRVC 11/01/16 BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 143 18WC 36362 GUYMON, MARK A CITY OF BLOOMINGTON 06/27/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 144 18WC 36683 GRESHAM, JENNIFER NUSSBAUM TRUCKING INC 10/18/18 WARREN E DANZ, PC RIPES NELSON BAGGOT KALOBRAT 145 18WC 38037 BENEFIEL, JAMIE MOSAIC 07/16/17 MARK WERTZ GAROFALO SCHREIBER STORM GRA 146 19WC 00164 COX, JOSHUA CITY OF BLOOMINGTON 06/18/18 BRADY, CONNOLLY & MASUDA, PC 147 19WC 00266 DEHM, LLOYD W CATERPILLAR INC 08/02/18 KANOSKI BRESNEY CATERPILLAR, INC. 148 19WC 00894 PRIVETT, BRIAN SYSCO CENTRAL ILLINOIS 08/30/17 SAUNDERS CONDON & KENNY 149 19WC 01179 HARMISON, TONYA FERRERO USA 10/17/18 GOLDFINE & BOWLES HOLECEK & ASSOCIATES 150 19WC 02162 LAWYER, JEREMY LSC COMMUNICATIONS US LLC 12/21/18 WILLIAMS & SWEE HENNESSY & ROACH 151 19WC 02578 ZIMMERMAN, TASHIA CHRISTIAN HORIZONS 04/16/18 SGRO, HANRAHAN DURR RABIN 152 19WC 03102 GIBSON, GEORGE COMPASS GROUP USA, INC 10/11/18 WILLIAMS & SWEE GOLDBERG SEGALLA LLC 153 19WC 03197 GRAVES, CHARLES F STEAK N' SHAKE 01/19/18 STEPHEN P. KELLY QUINN JOHNSTON HENDERSON ETA 154 19WC 03986 WALSH, MATTHEW E PENN LANDSCAPING AND 01/03/19 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 155 19WC 04061 ROSSITER, DANIEL T STATE OF ILLINOIS/ILLINOI @ 02/27/18 WILLIAMS & SWEE BRADLEY DEFREITAS 156 19WC 05111 WAGNER, STEPHANIE MICHAELS STORES 11/08/18 MIKE MC ELVAIN 157 19WC 05574 WITSMAN, SONNY CATERPILLAR INC 03/09/18 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 158 19WC 06118 CAMERON, JOHNNY FERRARA CANDY COMPANY 01/13/19 BURNETT & CARON, LTD HOLECEK & ASSOCIATES 159 19WC 06253 KLEIN, JOHN US POSTAL SERVICE 01/29/19 PETER F FERRACUTI & ASSOCI 160 19WC 06360 THLMPSON, LARRY NORDINE REMODELING 12/17/18 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 161 19WC 07714 JENKINS, LEONARD MILLENNIUM PAIN CENTER 10/03/18 HUGHES TENNEY POSTLEWAIT 162 19WC 07840 CASE, JEFF OWEN NURSING 02/13/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 163 19WC 08125 TOMES, ROBERT STATE OF ILLINOIS/ILLINOI @ 08/10/18 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 164 19WC 08130 HEMBRA, RANDY TOMAHAWK AG & INDUSTRIAL 01/28/19 WILLIAMS & SWEE JAMES M KELLY 165 19WC 08184 LEIPOLD, CHRISTOPHER PONTIAC CORRECTIONAL CENT 03/14/19 PETER F FERRACUTI & ASSOCI BRADLEY DEFREITAS 166 19WC 08483 PRICE, STEVEN COMMUNITY UNIT SCHOOL DIS 12/05/18 THOMSON & WEINTRAUB HEYL ROYSTER VOELKER & ALLEN 167 19WC 08697 GIBSON, GEORGE COMPASS GROUP USA INC DBA 12/14/18 WILLIAMS & SWEE GOLDBERG SEGALLA LLC 168 19WC 08807 DEAVERS, TRACY RR DONNELLEY 11/26/18 MOSS & MOSS PC BRADY, CONNOLLY & MASUDA, PC 169 19WC 09789 BUZICKY, MICHELLE HALLMARK MARKETING CO, LL 06/20/18 THOMSON & WEINTRAUB INMAN & FITZGIBBONS 170 19WC 10220 STEPHENS, DAVID CC SERVICES, INC 09/15/17 WILLIAMS & SWEE 171 19WC 10379 ADCOCK, STEVE CITY OF BLOOMINGTON 05/14/17 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 172 19WC 10929 BURNETT, DOREEN FIRST STUDENT 03/18/19 MIKE MC ELVAIN 173 19WC 12007 TUTOKY, STEVEN PONTIAC CORRECTIONAL CENT @ 12/20/18 PETER F FERRACUTI & ASSOCI BRADLEY DEFREITAS 174 19WC 12045 NEWBORN, LOIS ANN CATERPILLAR 11/20/18 STEPHEN P. KELLY CATERPILLAR, INC. 175 19WC 12195 SHEPHERD, DANNY QIK-N-EZ 11/02/18 DAMON YOUNG HEYL ROYSTER VOELKER & ALLEN 176 19WC 13090 EVANS, GERALD ROD ABF 04/03/19 BURNETT & CARON, LTD 177 19WC 13821 PRENTICE, SUSAN K PONTIAC CORRECTIONAL CENT @ 05/02/17 DREW J FERRACUTI BRADLEY DEFREITAS 178 19WC 14835 YOCUM, MICHAEL CATERPILLAR, INC. 04/15/19 DAMON YOUNG CATERPILLAR, INC.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 179 19WC 15125 GREY, SHAWNA OSF ST JOSEPH MEDICAL CEN 03/23/18 MCCARRON LAW FIRM, PC HINSHAW & CULBERTSON 180 19WC 15280 STETSON, SHARI STATE OT ILLINOIS/ @ 11/21/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 181 19WC 15800 BEAL, TROY CITY OF BLOOMINGTON 11/20/18 COSTIGAN & WOLLRAB PC RUSIN & MACIOROWSKI LTD 182 19WC 15856 HENRY JR, CURVIN ZOIE LLC 12/13/18 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 183 19WC 16515 MCTIZIC, BIANCA JEWEL FOOD STORES, INC. 06/04/19 GRAVLIN, MICHAEL J LLC 184 19WC 16673 RAFFERTY, TRAVIS ILLINOIS DEPT OF CORRECTI @ 03/19/19 STRONG LAW OFFICE 185 19WC 17273 COLLINS, TRAVIS PRECISION PRODUCTS INC 04/22/19 MCCARTHY ROWDEN 186 19WC 17405 CRAMER, JOHN DAVID CARGILL INC 04/11/19 FREDERICK & HAGLE LIVINGSTONE MUELLER ET AL 187 19WC 17426 MAGANA, ASHLEY ADVOCATE HEALTHCARE 04/02/19 MIKE MC ELVAIN NYHAN BAMBRICK KINZIE & LOWR 188 19WC 17487 GRAHAM, SHEILA BUMPERS PUB 03/01/19 STEPHEN P. KELLY LUCY T. UNGER 189 19WC 17699 JOHNSON, JENNIFER MCLEAN COUNTY JAIL 03/08/18 STRONG LAW OFFICE 190 19WC 18164 FRIZZELL, MICHAEL MCLEAN COUNTY SHERIFF'S D 05/28/19 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 191 19WC 18478 DITCHEN, GREG US MECHANICAL SERVICES 05/29/18 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 192 19WC 18491 O'DELL, DAWN MCLEAN COUNTY UNIT 10/07/18 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 193 19WC 18915 BRUSS, MARY TDR TRANSPORT 10/22/18 STRONG LAW OFFICE SMITH AMUNDSEN LLC 194 19WC 20383 CASALI, ROBIN(AS WIDOW & TRAVEL CENTERS OF AMERICA # 06/04/19 DAMON YOUNG HENNESSY & ROACH 195 19WC 20458 BRAUN-RICHARD, EMILY HY-VEE INC 04/25/19 WILLIAMS & SWEE QUINN JOHNSTON HENDERSON ETA 196 19WC 21167 HARRIS, KRISTINA J PHI SIGMA SIGMA, INC 04/24/17 KANOSKI BRESNEY HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 197 19WC 21447 TOBIAS, PATRICIA HEARTLAND BANK 07/05/19 STEPHEN P. KELLY 198 19WC 22467 MORRIS, JESSE STERICYCLE 05/15/18 MOSS & MOSS PC RUSIN & MACIOROWSKI LTD 199 19WC 22512 FARLEY, TREVOR ILLINOIS DEPARTMENT OF @ 07/09/19 MATTHEW T. GUBBINS PC BRADLEY DEFREITAS 200 19WC 22748 HEMANN, SHELLEY PONTIAC CORRECTIONAL CENT @ 06/27/19 STRONG LAW OFFICE BRADLEY DEFREITAS 201 19WC 22757 SCOTT, STANLEY COMMERCIAL INDUSTRIAL SER 07/10/19 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 202 19WC 22841 SCHLINK, KEITH OSF ST JOSEPH MEDICAL CEN 07/19/19 JOHN LESAGANICH HINSHAW & CULBERTSON 203 19WC 23728 BISHOP, BRAD ASSOCIATED MATERIAL HANDL 05/31/19 WILLIAMS & SWEE BORGELT POWELL 204 19WC 24173 COX, DOUGLAS MCLEAN CNTY NURSING HOME 07/15/19 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 205 19WC 24389 DENHAM, MICHAEL RESOURCES MFG 08/15/19 DWORKIN AND MACIARIELLO 206 19WC 24916 BARTELMAY, NATHAN ROBINSON CONSTRUCTION COM 06/05/19 WOLTER BEEMAN AND LYNCH WIEDNER & MCAULIFFE LTD 207 19WC 25445 ROBINSON, GLEN RESOURCE MFG 08/07/19 GOLDFINE & BOWLES 208 19WC 25537 BRUCHER, MARK EDP RENEWABLES 05/01/19 SPIROS LAW PC 209 19WC 25569 DIAZ, MONICA STATE FARM INSURANCE 01/11/18 KANOSKI BRESNEY 210 19WC 25572 GALE, JSTIN CITY OF BLOOMINGTON 01/31/14 DAVID HUNT RUSIN & MACIOROWSKI LTD 211 19WC 25855 WEICHMAN, JUDY STATE FARM 04/01/19 STRONG LAW OFFICE 212 19WC 25865 WRIGHT, LEVI SAIA MOTOR FREIGHT 02/11/19 WILLIAMS & SWEE 213 19WC 26074 PEIFFER, BRAD CITY OF BLOOMINGTON 09/09/16 COSTIGAN & WOLLRAB PC RUSIN & MACIOROWSKI LTD 214 19WC 26256 MCBEATH, WENDY PONTIAC COURTEST CLEANERS 06/12/18 HOEKSTRA LAW OFFICES PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 215 19WC 26302 ROUTSON, DOUG EATON CORPORATION 08/09/19 RIDGE & DOWNES LEAHY EISENBERG & FRAENKEL 216 19WC 27011 BEYER, THOMAS 1ST CMPNY COMMERCIAL MTNA 05/22/19 WILLIAMS & SWEE PAUL O WATKISS 217 19WC 27484 CAVANESS, JUSTIN BRIDGESTONE AMERICA'S TIR 04/13/18 HENNESSY & ROACH PC 218 19WC 28283 BROYLES, MINDI MEMORIAL PHYSICIAN SERVIC 10/26/18 SHAY & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 219 19WC 28315 JONES, JHERICA GYM TEK 06/28/19 TURCYCHUTE LLC COZZI & ZAPF LAW OFFICE 220 19WC 28423 JOY, LEVON DURRE BROS WELDING & MACH 09/09/19 STRONG LAW OFFICE LUCY T. UNGER 221 19WC 28456 MEISTER, LYNN IL DEPT OF CORRECTIONS @ 02/14/19 SGRO HANRAHAN DURR BRADLEY DEFREITAS 222 19WC 28776 PARIS, SAMANTHA MEDICAL STAFAFIGN OPTIONS 09/11/19 CULLEN HASKINS NICHOLSON THOMAS & ASSOCIATES 223 19WC 28841 LEE, JOHN CORN BELT ENERGY CORPORAT 04/09/19 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 224 19WC 28897 WOCHHOLZ, TERRY NESTLE HOLDINGS, INC D/B/ 01/28/19 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 225 19WC 29009 REYNOLDS, BILLY ARCOSA 09/17/19 GOLDFINE & BOWLES 226 19WC 29024 CHIESTDER, JEREMIAH UPS 08/20/19 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 227 19WC 29613 FRICK, ERICA BEARDOWN LOGISTICS 04/17/19 TUGGLE SCHIRO & LICHTENBER GANAN & SHAPIRO 228 19WC 30291 KEMP-GOLDEN, KAREN 4M BUILDING SOLUTIONS 09/12/19 STRONG LAW OFFICE 229 19WC 30661 RALPH, ANDREW REINHART GROUNDS MAINTENA 06/11/19 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 230 19WC 30775 HEERDE, GLEN HOLLAND MOTOR FREIGHT 09/05/19 CULLEN HASKINS NICHOLSON 231 19WC 30966 CHAPPELL, PHELAN INTERLAKE MECALUX, INC. 06/17/19 KATZ FRIEDMAN EAGLE ET AL 232 19WC 31136 WILLIAMS, GARY MACON COUNTY 03/14/19 TUGGLE SCHIRO & LICHTENBER FEATHERSTUN GAUMER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 233 19WC 31212 EDMISTON, CHARLES BREAKTHRU BEVERAGE 09/10/19 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 234 19WC 31379 DONNELLY, KESHA STATE FARM INSURANCE 09/10/18 GOLDFINE & BOWLES GAROFALO SCHREIBER STORM GRA 235 19WC 31764 DECKER, LOUIS INTERLAKE MECALUX 09/09/18 DWORKIN AND MACIARIELLO 236 19WC 31832 TURNER, SYLVIA CONNECT TRANSIT 08/28/19 WILLIAMS & SWEE ACCIDENT FUND HOLDINGS 237 19WC 33145 NAJERA, MARIA L B&K TECHNOLOGY SERVICES 07/12/19 MIKE MC ELVAIN WIEDNER & MCAULIFFE LTD 238 19WC 33404 REID, MCKINZEY MILLAN/PETRO ORGANIZATION 10/05/19 MOSS & MOSS PC QUINTAIROS PRIETO WOOD & BOY 239 19WC 33568 RODGERS, BYRON CITY OF BLOOMINGTON 01/28/19 FREDERIC NESSLER & ASSOC RUSIN & MACIOROWSKI LTD 240 19WC 33784 JACKSON, CHERYLL WEST MINISTER VILLAGE 04/01/19 STRONG LAW OFFICE 241 19WC 34169 WALSH, LARRY CITY OF BLOOMINGTON 06/10/19 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 242 19WC 34275 RYAN, LEE HELENA AGRI-ENTERPRISES 05/17/19 HOLLEY & ROSEN 243 19WC 34453 SWAGGERTY, JULIUS CBRE 05/02/19 STRONG LAW OFFICE 244 19WC 34686 DOUIN, TOM R.R. DONNELLEY 03/21/18 MOSS & MOSS PC BRADY, CONNOLLY & MASUDA, PC 245 19WC 34757 TROMP, CHRIS BRADY PROPERTY MANAGEMENT 10/23/19 GOLDFINE & BOWLES 246 19WC 34785 WILLIAMSON, ANITA ILLINOIS STATE UNIVERSITY @ 09/21/19 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 247 19WC 34848 THOMPSON, ANDREA A CATERPILLAR, INC 07/12/18 HARVEY & STUCKEL CATERPILLAR, INC. 248 19WC 35438 LAY, KELLY LOWES 05/24/19 MCCARTHY ROWDEN KEEFE CAMPBELL BIERY & ASSOC 249 19WC 35523 SHANKS, RANDY UNITED PARCEL SERVICE 10/08/19 THOMSON & WEINTRAUB NYHAN BAMBRICK KINZIE & LOWR 250 19WC 35629 MARTIN, BRIAN J PONTIAC CORRECTIONAL CENT @ 05/30/19 DREW J FERRACUTI BRADLEY DEFREITAS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 251 19WC 35766 VENTURA, SYLVIA CONNECT TRANSIT 11/11/19 KANOSKI BRESNEY 252 19WC 35857 LANGLEY, BRITTA STATE FARM INSURANCE 11/14/18 FREDERIC NESSLER & ASSOC GAROFALO SCHREIBER STORM GRA 253 19WC 36092 KREML, JOSHUA CITY OF BLOOMINGTON 06/12/19 RUSIN & MACIOROWSKI LTD 254 19WC 36640 WEBER, ALLISON W. D. BOYCE COUNSEL 10/18/19 WILLIAMS & SWEE QUINTAIROS PRIETO WOOD & BOY 255 19WC 37038 FRANCISCO, ANGELA ST OF IL/IL STATE UNIVERS @ 10/26/19 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 256 19WC 37049 HELFERS, DANNY STATE OF ILLINOIS @ 09/24/19 DAVID HUNT BRADLEY DEFREITAS 257 19WC 37388 WIGGINS, PAUL FRONTIER COMMUNICATIONS 12/04/19 DAMON YOUNG BRADY, CONNOLLY & MASUDA, PC 258 20WC 00753 DONALD, RAY IL HIGH SCHOOL ASSOCICATI 01/05/17 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 259 20WC 00835 HERRIN, JOSHUA EVERGREEN FS 05/31/18 DAVID HUNT 260 20WC 01196 BRAWDY, LINDA WALMART 01/03/20 DAVID HUNT EARLY & MIRANDA PC 261 20WC 01922 HAYNES, KRISTA IRELAND GROVE CTR FOR SUR 10/17/19 MIKE MC ELVAIN 262 20WC 03152 ANDERSON, CARL ST OF IL/ILLINOIS DEPT OF @ 03/25/19 WILLIAMS & SWEE BRADLEY DEFREITAS 263 20WC 03334 RIDDLE, GREG POPEJOY ROOFING, INC 06/17/19 WILLIAMS & SWEE GAROFALO SCHREIBER STORM GRA 264 20WC 03719 SHAFFER, RUSSELL ILLINOIS DEPARTMENT 12/17/19 PETER F FERRACUTI & ASSOCI BRADLEY DEFREITAS 265 20WC 04144 HUNT, NICHOLAS GROSSINGER MOTORS ARENA 10/28/19 STRONG LAW OFFICE 266 20WC 04330 MARTINEZ-SANCHEZ, RUEBEN ISACSON CONCRETE & EXCAVA 08/31/18 STEPHEN P. KELLY EVANS & DIXON 267 20WC 04573 MOSE, KATHY CATERPILLAR, INC 01/11/20 KATZ FRIEDMAN EISENSTEIN CATERPILLAR, INC. 268 20WC 04661 POWER, SHERRI WEXFORD HEALTH/PONTIAC CO 01/08/20 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 269 20WC 05547 SIMON, LEROY NOW HEALTH GROUP 11/07/19 HORWITZ HORWITZ & ASSOC 270 20WC 05684 STEELE, JASMIN MAGNUS HOTELS, LLC 01/07/20 COSTIGAN & WOLLRAB PC GRIFFIN, LORETTA M LAW OFFIC 271 20WC 05940 PARKER, JOSEPH NUSSBAUM TRANSPORTATION 10/13/19 MALLOY ETZLER & LAWHEAD PC RIPES NELSON BAGGOT KALOBRAT 272 20WC 06055 CARPENTER, CHARLIE WALTERS TRUCKING, INC. 01/10/20 MARK WERTZ 273 20WC 06119 HOUK, WILLIAM ILLINOIS DEPARTMENT 03/30/19 WILLIAMS & SWEE BRADLEY DEFREITAS 274 20WC 06130 SORENSEN, JASON LIVEY ELECTRIC, INC 02/04/20 GOLDFINE & BOWLES LUCY T. UNGER 275 20WC 06150 ELLER, GABRIEL SHANE MEINEKE 07/05/19 MCCARRON LAW FIRM, PC GANAN & SHAPIRO 20WC008454 -C 276 20WC 06187 RICHARD, MARY BETH LIBERTY VILLAGE OF CLINTO 01/04/20 GOLDFINE & BOWLES 277 20WC 06546 HARRIS, GEOFF BLOOMINGTON PUBLIC SERVIC 02/19/20 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 278 20WC 06668 ARMBRUSTER, JAMES F FEDEX FREIGHT 04/30/19 KANOSKI BRESNEY QUINTAIROS PRIETO WOOD & BOY 279 20WC 07045 HOGAN, STEVEN STATE OF ILLINOIS DEPARTM 12/24/19 MICHAEL HELLMAN BRADLEY DEFREITAS 280 20WC 07458 WEILER, BRIAN AMERESCO INC 01/21/20 LEITER LAW OFFICES 281 20WC 07655 DAVIS, JOSHUA PONTIAC CORRECTIONAL CTR @ 01/08/20 STROW LAW LLC BRADLEY DEFREITAS 282 20WC 07849 GREEN, CONNIE ALPHA GAMMA DELTA 01/18/18 KRAFT WOOD & KELLY LLC 283 20WC 07980 MCGOWAN, PAULA WALMART 01/23/20 STRONG LAW OFFICE 284 20WC 08116 GUNN, ANNIE FIRST STUDENT 10/12/19 BURNETT & CARON, LTD 285 20WC 08969 CARTER, REBECCA STATE OF ILLINOIS/ILLINOI @ 10/06/19 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 286 20WC 09273 WILLIAMSON, ANITA IL STATE UNIVERSITY @ 02/08/20 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 287 20WC 09837 APER, TIM CITY OF LINCOLN 02/04/20 WOODRUFF JOHNSON RUSIN & MACIOROWSKI LTD 288 20WC 10059 HEIDELBERG, MARI MICHELLE HERITAGE HEALTH 03/12/19 MCCARRON LAW FIRM, PC 289 20WC 10580 PENNINGTON, RODNEY LOGAN CORRECTIONAL CENTER @ 03/12/20 MARK N LEE 290 20WC 10626 CHASE, JAMES RICHMOND RECYCLING, INC/ 07/01/19 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 291 20WC 10761 LAPOLD, CHRIS PONTIAC CORRECTIONAL CTR 05/02/20 PETER F FERRACUTI & ASSOCI 292 20WC 10779 MENDIOLA SR, ELISA E CITY OF BLOOMINGTON POLIC 03/26/20 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 293 20WC 11169 COMPTON, MICHAEL WIRELESS DATA NET 04/14/20 SPIROS LAW PC EDWARD J. KOZEL 294 20WC 11244 ALEX, MICHELLE MOSAIC 02/26/20 STRONG LAW OFFICE WOLFE & JACOBSON, LTD 295 20WC 11481 GOLFF, TYLER TRAINOR GRAIN & SUPPLY 01/23/20 KANOSKI BRESNEY CAPUANI, FRANK S 296 20WC 11781 SIMMONS, TYLER AMERICA'S PLUMBING COMPAN 05/09/19 WILLIAMS & SWEE ANCEL GLINK PC 297 20WC 12379 NELSON, TYREASA M STATE FARM MUTUAL AUTO 09/24/19 CISCO LAW, P.C. 298 20WC 13150 CASPER, LOUIS "FRED" FREEDOM OIL CO 11/12/19 WILLIAMS & SWEE ROSARIO CIBELLA 299 20WC 13421 WILSON, JAMIE WISH BONE CANINE RESCUE 05/06/20 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 300 20WC 13582 SVOB, NATHAN OAK BROS TREE CARE 05/08/20 WILLIAMS & SWEE 301 20WC 13654 SMITH, NATHAN PRINSCO 07/02/19 SPIROS LAW PC RUSIN & MACIOROWSKI LTD 302 20WC 13849 ANDERSON, STEPHANIE XTREME CLEANERS CLEANING 11/19/19 DAMON YOUNG 303 20WC 14362 WHITE, RANDEL JAY JOHN Q. HAMMONS HOTELS, I 07/16/18 WILLIAMS & SWEE 304 20WC 14416 MILLER, KATHLEEN A PIZZA RANCH 03/04/20 WILLIAMS & SWEE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 305 20WC 14419 LOVEL, KAITLYNN WINDY CITY WIENERS 06/16/17 WILLIAMS & SWEE 306 20WC 14460 CRENSHAW, MONTE KEENAN ADVANTAGE GROUP 05/04/20 STRONG LAW OFFICE 307 20WC 14660 TUCKER, YVETTE ALLEGIANT HEALTHCARE SERV 06/20/20 DWORKIN AND MACIARIELLO 308 20WC 14723 HUDSON, JASON G.A. RICH & SONS 06/02/20 GOLDFINE & BOWLES RIPES NELSON BAGGOT KALOBRAT 309 20WC 15101 JONES-BIBBS, JANICE SHOW BUS PUBLIC 02/27/20 WILLIAMS & SWEE HENNESSY & ROACH 310 20WC 15129 POCHEL, ANNE HOUSING AUTHORITY OF THE 11/16/18 GALLAGHER LAW PC KNAPP, OHL & GREEN 311 20WC 15389 MOUNCE, MARY PONTIAC TOWNSHIP HIGH SCH 02/28/19 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 312 20WC 15562 BETHKE, JEROME AEROTEK 02/07/18 KATZ FRIEDMAN EISENSTEIN 313 20WC 15745 RODRIGUEZ, SUSANA P TAYLOR COMMUNICATIONS 03/26/20 KOTH & GREGORY PC HENNESSY & ROACH 314 20WC 16097 REYES, ALEXANDRA SMF, INC 10/30/19 STRONG LAW OFFICE 315 20WC 16272 MCALERNEY, RICK EXPRESS EMPLYMNT PROFESSI 01/14/20 GOLDFINE & BOWLES MC ANDREWS & NORGLE LLC 316 20WC 16559 FARRAR, BRIAN D WILLIAMS NATIONALEASE 08/01/19 KANOSKI BRESNEY WOLF & LAUDICINA LTD 317 20WC 16585 MARTINEZ, RICARDO TOBIN PIZZA, INC. 06/09/20 MIKE MC ELVAIN BRADY, CONNOLLY & MASUDA, PC 318 20WC 16897 SVOB, NATHAN OAK BROS TREE CARE 05/08/20 WILLIAMS & SWEE 319 20WC 16927 SHUTT, JODY L TRADESMEN INTL, LLC 03/16/20 MARK WERTZ 320 20WC 17107 KNOTH, WAYNE MCELROY METAL MILL, INC 05/19/20 WILLIAMS & SWEE CRAIG A HANSEN 321 20WC 17187 MENDOZA, ANGELES HOLIDAY INN HOTEL-AIRPORT 05/16/19 WILLIAMS & SWEE LUCY T. UNGER 322 20WC 17210 PROCHNOW, CARMEN MCLEAN COUNTY UNIT 5 08/21/19 DODDS LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 323 20WC 17507 GALE, JAMIE N CITY OF BLOOMINGTON # 01/31/14 FOOTE MIELKE CHAVEZ O'NEIL 324 20WC 17818 MONTGOMERY, MICHELLE CENTER FOR YOUTH & 07/17/19 HASSELBERG & ROCK 325 20WC 17850 HUNT, CYNTHIA CLINTON UNIT SCHOOL 02/25/18 MOSS & MOSS PC BRYCE DOWNEY & LENKOV LLC 326 20WC 17867 TANNER, BILLY R AMEREN IL 09/21/17 COSTIGAN & WOLLRAB PC 327 20WC 17887 BRUNNER, ROBERT STATE OF ILLINOIS - @ 07/10/20 GREGORY W. SCRONCE BRADLEY DEFREITAS 328 20WC 18058 BALL, STEVIE ILLINOIS STATE UNIVERSITY @ 03/07/19 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 329 20WC 18421 IVONE LOPEZ, LUCIA MCDONALD'S 10/13/17 EPSTEIN, JACK R LAW OFFICE 330 20WC 18853 JONES, RAYLAN EXPRESS SERVICES, INC 12/18/19 NOLL LAW OFFICE MC ANDREWS & NORGLE LLC 331 20WC 19179 ELLIS, PHILLIP LIPARI FOODS 12/30/19 STRONG LAW OFFICE 332 20WC 19280 STACEY, ASHLEY BLOOMINGTON POLICE DEPT 07/16/20 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 333 20WC 19621 HAND, PATRICK FERRERO USA 02/03/20 WILLIAMS & SWEE 334 20WC 19687 WONDERS, JAMA AMERICAN BUILDINGS CO 07/08/19 SCHWEICKERT GANASSIN 335 20WC 19845 GAMBREL, EMILY, SPOUSE OF MAGELLAN MIDSTREAM PARTNE # * 07/10/20 HENNESSY & ROACH 336 20WC 19943 PARIDO-PHINNEY, CYDNEE A PORTILLO'S HOT DOGS, LLC * 07/06/20 WILLIAMS & SWEE 337 20WC 20070 SMITH JR, TERRENCE D WAYPOINT LOGISTICS, INC * 01/28/20 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 338 20WC 20481 OKREGLICKI, KRZYSZTOF J CATERPILLAR, INC * 01/25/20 HARVEY & STUCKEL CATERPILLAR, INC. 339 20WC 20625 TRUE, WILLIAM A RATHJE ENTERPRISES/BODINE * 09/12/17 JEFF JUSTICE LAW OFFICE WIEDNER & MCAULIFFE LTD 340 20WC 20739 KELCH, SAMUEL R JR. CITY OF BLOOMINGTON * 02/08/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 341 20WC 20853 WAGNER, KASSI EATON CORP * 06/25/20 RIDGE & DOWNES LEAHY EISENBERG & FRAENKEL 342 20WC 20927 VOWELL, JESSE BAUM CHEVROLET-BUICK COMP * 09/08/17 MARK A WELLS LAW OFFICE 343 20WC 21336 BOTTLES, DUSTIN GERBER COLLISION * 08/12/20 DWORKIN AND MACIARIELLO 344 20WC 21652 KRAMER, STEFANIE LOWE'S HOME IMPROVEMENT * 07/09/20 BOLEN, ROBINSON & ELLIS 345 20WC 21689 BEW, JAMERE BRIDGESTONE * 08/20/19 STRONG LAW OFFICE HENNESSY & ROACH PC 346 20WC 21932 STILLMAN, AARON KYLE KOONS DBA * 08/10/20 BOLEN, ROBINSON & ELLIS 347 20WC 22362 SADIKU, REDJEP HEARTLAND COCA-COLA * 11/07/19 EVANS & DIXON, LLC 348 20WC 22559 COLMENAREZ MELENDEZ, OSCA TONCH GENERAL MAINTENANCE * 07/09/20 EPSTEIN, JACK R LAW OFFICE 349 20WC 22949 BABJAK, STEFAN HR SERVICE GROUP, LLC/ * 07/25/19 LITCHFIELD CAVO 350 20WC 23007 VEAL, LAUREN LEROY EMERGENCY AMBULANCE * 05/03/20 WILLIAMS & SWEE 351 20WC 23065 COLEMAN, DIETRA FREIGHT HANDLERS, INC * 07/07/20 DAMON YOUNG LAW OFFICES OF COZZI & ZAPF 352 20WC 23421 CAREY, JASON BREAKTHRU BEVERAGE * 07/13/20 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 353 20WC 23545 HARRIS, KRISTINA J PHI SIGMA SIGMA, INC * 11/19/18 KANOSKI BRESNEY 354 20WC 23691 TURLEY, JOSHUA INTERSTATE BATTERY * 04/30/19 STRONG LAW OFFICE 355 20WC 23709 GONZALEZ, MARIO O FERRERO USA * 04/03/20 KANOSKI BRESNEY 356 20WC 23747 BUTLER, LUTICIA QIK N EZ * 07/16/20 GOLDFINE & BOWLES BRYCE DOWNEY & LENKOV LLC 357 20WC 23973 LAVALLEY, JORDAN STAFF QUICK * 09/11/20 LAW OFFICES OF ADRIAN CHER 358 20WC 24113 MYSZKA, MARK WILCOX ELETRIC & SERVICE * 01/17/20 LAW OFFICE OF DANIEL J COD BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 359 20WC 24147 WEIS, ANGELA MCLEAN COUNTY * 05/15/20 HEYL ROYSTER VOELKER & ALLEN 360 20WC 24204 SCHUETZ, ANNA ADVOCATE HEALTH AKA ADVOC * 11/15/19 WILLIAMS & SWEE 361 20WC 24229 PAYNE, VANESSA FERHOLDING USA INC. * 06/05/20 DAMON YOUNG 362 20WC 24280 ANDERSON, JORDAN NUSSBAUM TRANSPORTATION S * 01/14/20 WILLIAMS & SWEE RIPES NELSON BAGGOT KALOBRAT 363 20WC 24859 CRANDELL, BLAIN AMERICAN BUILDINGS CO * 06/15/20 GOLDFINE & BOWLES 364 20WC 24930 CONLEY, JOHN WODA COOPER COMPANIES, IN * 01/27/20 HOLLEY & ROSEN 365 20WC 25143 NEAL, JOHN LINCOLN CORRECTIONAL CENT * 05/01/18 MARK N LEE 366 20WC 25217 LINWOOD, LEWIS ADVOCATE BROMENN * 06/26/20 STRONG LAW OFFICE 367 20WC 25260 MARTINEZ, GEORGE ILLINOS LABORER;S & * 09/20/18 WILLIAMS & SWEE 368 20WC 25406 BURGESS, KATLYNN BURGER KING * 08/10/20 SCHWEICKERT GANASSIN 369 20WC 25904 PHILLIPS, MELVIN LINCOLN COLLEGE * 05/15/19 FREDERIC NESSLER & ASSOC 370 20WC 25920 PATTERSON, JULIA WEXFORD HEALTH SOURCES IN * 03/26/20 GOLDFINE & BOWLES RUSIN & MACIOROWSKI LTD 371 20WC 26038 COLEMAN, DIETRA FREIGHT HANDLERS INC A/K/ * 07/07/20 DAMON YOUNG 372 20WC 26086 BOITNOTT, PAMELA FERRERO USA, INC * 06/29/20 WILLIAMS & SWEE 373 20WC 26275 DARROUGH, BOBBY CARLE BROMANN * 08/04/20 WILLIAMS & SWEE 374 20WC 26327 CARROLL, JOHN BABY FOLD * 10/18/19 STRONG LAW OFFICE 375 20WC 26416 MARTIN, CORY SPRINGER LITWILLER CONSTR * 06/17/20 JOHN LESAGANICH 376 20WC 26428 FARTHING, JEFFREY ADVANCED TECHNOLOGY RECYC * 08/18/20 STRONG LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 12/16/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 377 20WC 26666 REINHOLDT, REBECCA THE LOFT REHABILITATION * 09/10/20 DAMON YOUNG 378 20WC 26815 SCHMIDGALL, STACY M ILLINOIS STATE UNIVERSITY @ * 07/29/20 KANOSKI BRESNEY 379 20WC 26929 HUNT, HAROLD CUSTOM UNDERGROUND INC * 12/18/19 GOLDFINE & BOWLES 380 20WC 26974 TACKETT, BRIAN HINCH TILE & EXCAVATION * 04/23/20 WILLIAMS & SWEE 381 20WC 27065 RUTHRAUFF, PENNY ARCOSA WIND TOWERS, INC * 08/25/20 SGRO HANRAHAN DURR 382 20WC 27253 MATLOCK, MORGAN SAM'S CLUB * 06/22/19 TAPELLA & EBERSPACHER LLC 383 20WC 27674 NOTHNAGLE, RYAN PONTIAC CORRECTIONAL CTR/ * 06/11/20 DREW J FERRACUTI 384 20WC 27754 RICHARDS, AMY WEXFORD HEALTH SOLUTIONS * 09/28/20 MARK N LEE 385 20WC 27851 BOVA, LISA ADVOCATE HEALTHCARE * 10/30/17 NYHAN BAMBRICK KINZIE & LOWR