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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 01/04/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 59313 ROESCH, WILLIAM, FOR ESTA CRESSWOOD FARMS 09/23/00 CAPRON & AVGERINOS PC SUGAR FELSENTHAL GRAIS HAMME 2 08WC 18828 FRY, DAVID L DEMPSEY & SONS CONSTRUCTI @ 03/16/08 DAVID W MANDRGOC LAW OFFIC ASSISTANT ATTORNEY GENERAL 3 09WC 47468 MONTEGNA, ROBERT HILAND TOYOTA SCION 11/19/08 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM GRA 4 11WC 33221 PINTER, ERIK TYSON 05/12/09 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 5 11WC 39458 MILLER, ROBERT GALESBURG CASTINGS INC 11/08/10 REHN LAW LLC RUSIN & MACIOROWSKI LTD 6 11WC 47868 19B WILSON, SHANNON DEPARTMENT OF HUMAN SERVI @ 07/20/11 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 7 12WC 20987 PORTUGUE, WILLIAM L DEERE & CO/SEEDING GROUP 02/22/12 CADY LAW FIRM, P.C. CALIFF & HARPER, P.C. 8 12WC 29134 JESPERSEN, WAYNE S COUNTY WASTE SYSTEMS INC 06/11/12 KATZ HUNTOON & FIEWEGER P LARRY WOODWARD 9 12WC 37353 CAMPAGNA, ANTHONY KVF QUAD CORP 06/01/12 MARSZALEK AND MARSZALEK QUINN JOHNSTON HENDERSON ETA 10 12WC 37887 LATHROP, DANIEL L STATE OF ILL DEPT OF @ 08/08/12 JOHN LESANGANICH ASSISTANT ATTORNEY GENERAL 11 12WC 44539 MURRAY, LYN LMT INC 09/04/12 JAMES M RIDGE & ASSOC PC RUSIN & MACIOROWSKI LTD 12 13WC 07041 ZIRZOW, DAVID EAST MOLINE SCHOOL 01/24/12 HOPKINS & HUEBNER PC RUSIN & MACIOROWSKI LTD 13 13WC 15744 STRADER, ROSE A CGH MEDICAL CENTER 01/27/13 REESE & REESE WIEDNER & MCAULIFFE LTD 17WC028788 -C 14 13WC 28129 PANCRAZIO, JENNIFER L (ES XPAC 08/11/13 RIDGE & DOWNES LLC RUSIN & MACIOROWSKI LTD 18WC033759 -C 18WC033762 -C 15 13WC 33033 COOPER, BRANDON (REPRESNT CASA GUANAJUATO QUAD CITI 09/18/13 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 16 14WC 13338 OGOUBI, AFI TYSON FOODS INC 03/27/13 LEADERS LAW CENTER LLC BRYCE DOWNEY & LENKOV LLC 17 14WC 16184 PALOS, MELISSA A REGALIA MANUFACTURING COM 02/21/14 KATZ HUNTOON & FIEWEGER P CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 01/04/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 14WC 26843 HALLOWAY, AUDY BALLARD TREE & @ W 05/23/13 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 19 14WC 32387 NAUGLE, BETH HILLCREST HOME 12/29/13 RIDGE & DOWNES INMAN & FITZGIBBONS 20 14WC 34547 CHRISTENSEN, KERRI L HOPE CREEK/ROCK ISLAND CO 05/29/14 KATZ HUNTOON & FIEWEGER P BROOKS LAW FIRM 15WC009962 -C 21 14WC 37490 DOUTY, BEYEM B TYSON FRESH MEATS, INC. 04/07/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 16WC008223 -C 19WC006054 -C 19WC006055 -C 22 14WC 41933 FRANCISKO, STEVEN ILLINOIS DEPARTMENT OF @ 11/22/13 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 23 15WC 03673 CHAPPELL, SUSAN JOHN DEERE HARVESTER 05/09/12 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 24 15WC 08298 LICHTENAUER, EARL "BUD" CORRECT ELECTRIC INC 12/17/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 25 15WC 08383 ORWITZ, MATTHEW MCLAUGHLIN BODY CO 09/26/14 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 26 15WC 15914 SEIDEL, CRAIG STERLING STEEL CO 03/05/15 REESE & REESE RUSIN & MACIOROWSKI LTD 17WC030049 -C 17WC030109 -C 17WC030111 -C 27 15WC 17204 CHAPMAN, JAMEY M JOHN DEERE HARVESTER WORK 05/08/14 HOPKINS & HUEBNER PC CALIFF & HARPER PC 28 15WC 18197 TAETS, DONALD XL CONSTRUCTION DBA 05/02/14 ANESI OZMON RODIN NOVAK KO KNELL LAW LLC 29 15WC 18604 19B AVOCETIEN, MAHOUTIN TYSON FOODS, INC. 06/06/14 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 30 15WC 19151 KIRK, TYLER LEGGETT & PLATT D/B/A 05/12/15 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 31 15WC 20381 WHEELER, MICHAEL DEERE HARVESTER 11/05/09 VANDERGINST LAW PC CALIFF & HARPER PC 32 15WC 23146 DULLA, ALAN D TAXI-PLUS 01/02/14 AMES LAW OFFICES 33 15WC 26370 FOSTER, YAKISHA (GUARDIAN KFC 07/14/15 KEYS LAW OFFICES COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 01/04/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 15WC 34442 PAR, SIMI TYSON FRESH MEATS 10/19/11 VANDERGINST LAW PC 35 15WC 36910 RILEY, CHERYLE DORS 06/13/15 BLACK & JONES ASSISTANT ATTORNEY GENERAL 15WC036911 -C 15WC036912 -C 36 15WC 38600 ANDERSON, WES LEGGETT & PLATT 08/31/15 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 37 15WC 42350 MALEK, COREY A. STATE OF IL-IL. STATE POL @ 11/16/15 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 38 16WC 00960 ALBERTSON, DANIEL THOMPSON TRUCK TRAILER 04/01/15 PIGNATELLI & ASSOCIATES RUSIN & MACIOROWSKI LTD 39 16WC 01104 SEIDEL, CRAIG A STERLING STEEL COMPANY, A 10/01/15 REESE & REESE RUSIN & MACIOROWSKI LTD 40 16WC 03222 WHEELER, MICHAEL DEERE HARVESTER 12/04/09 VANDERGINST LAW PC CALIFF & HARPER PC 41 16WC 04035 19B CISSE, MOUSTAPHA TYSON FRESH MEATS INC 04/17/15 WARNER & ZIMMERLE WIEDNER & MCAULIFFE LTD 42 16WC 05895 DAMITZ, DARRYL MCLAUGHLIN BODY 08/11/14 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 43 16WC 10656 CROWDER, GREGORY JOHN DEERE HARVESTER 01/23/15 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 44 16WC 10728 MILES, CASSANDRA M ROCK ISLAND COUNTY 05/31/13 VANDERGINST LAW PC BROOKS LAW FIRM 45 16WC 11394 FENWICK, MARTIN MENARDS 12/10/15 DAMON YOUNG GANAN & SHAPIRO 46 16WC 12878 GOULD, TRUDY JOHN DEERE 10/27/15 MERTES & MERTES PC BOZEMAN NEIGHBOUR PATTON & N 47 16WC 14670 DOUMASHIE, AKU TYSON FOODS, INC. 05/21/14 VANDERGINST LAW PC WIEDNER & MCAULIFFE LTD 16WC014712 -C 17WC014989 -C 48 16WC 15581 PETERSON, KATHY F EXPORT PACKAGING CO, INC. 09/09/13 CADY LAW FIRM, P.C. RUSIN & MACIOROWSKI LTD 17WC014693 -C 49 16WC 17049 BYRD, MICHAEL WAL-MART, INC. 09/14/15 QUINTAIROS PRIETO WOOD & BOY 50 16WC 17628 TORRES, MARIA RICO FARMLAND FOODS INC. 02/03/16 HARVEY & STUCKEL STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 01/04/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 51 16WC 17759 VALDEZ, TEOFILO K&M EQUIPMENT, INC 01/24/11 MCDONALD WOODWARD & CARLSO GRANT & FANNING 52 16WC 18209 RICHARDS, KAMI L JOHN DEERE HARVESTER WORK 11/20/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 53 16WC 18613 JOHNSON, BRUCE D JOHN DEERE HARVESTER 03/02/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 54 16WC 23706 BOLEYN, JOHN LEANDER CONSTRUCTION INC 04/15/16 HORWITZ HORWITZ & ASSOC PERRY GENTILE 55 16WC 24525 WALLACE, ANTHONY ILLINOIS DEPARTMENT OF 08/07/16 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 56 16WC 25166 BERHILI, RACHID TYSON FOODS, INC 07/11/16 CROWLEY & PRILL WIEDNER & MCAULIFFE LTD 57 16WC 25864 MBOUNGOU, FAUVETTE SMITHFIELD FARMLAND 02/28/16 RIDGE & DOWNES STEPHEN P. KELLY 58 16WC 26420 NOBLE, TONY L MILLER CONTAINER CORPORAT 07/14/16 STENGEL BAILEY ROBERTSON 59 16WC 27738 LARSON, DENNIS JOHN DEERE CYLINDER 09/16/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 60 16WC 28140 FLANNERY, CURTIS JR JOHN DEERE HARVESTER 03/23/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 61 16WC 36409 PETERSON, SHAWN STATE OF ILLINOIS IDOT @ 11/10/16 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 62 16WC 36953 BIRD, DONALD ALL EVENT SVCS RS COMPANI 08/17/16 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 63 16WC 37273 BRABSON, ANDREW VILLAGE HOME STORES 10/15/14 64 16WC 37449 LOGSDON, DAVID S GABRIEL M HILLS DBA 06/24/16 THOMAS E CADY RUSIN & MACIOROWSKI LTD 65 16WC 37802 LEATHERS, JAY AMEREN 11/04/16 LAW OFFICE DAVID HUNT CASSIDY & MUELLER 66 16WC 38062 LEATHERS, JAY AMEREN 08/29/16 LAW OFFICE DAVID HUNT CASSIDY & MUELLER 67 17WC 02286 PETERSON, SHAWN STATE OF ILLINOIS IDOT @ 06/06/17 JOHN LESAGANICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 01/04/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 68 17WC 02569 LAY, SHERI MERCER COUNTY HEALTH DEPT 06/20/16 HOPKINS & HUEBNER PC INMAN & FITZGIBBONS 69 17WC 02817 AGUE-BECHT, DOTTIE L JOHN MANAGEMENT GROUP LLC 03/02/16 CADY LAW FIRM, P.C. RUSIN & MACIOROWSKI LTD 17WC002818 -C 70 17WC 03007 JOHNSON, JOHN JOHN DEERE HARVESTER 03/10/14 CAPRON & AVGERINOS PC CALIFF & HARPER PC 17WC003008 -C 71 17WC 05340 KIRK, TYLER LEGGETT & PLATT 02/14/17 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 72 17WC 05596 SERRANO, JUAN L DEERE & CO/HARVESTER WORK 02/06/17 CADY LAW FIRM, P.C. BOZEMAN NEIGHBOUR PATTON & N 73 17WC 06005 ARRINGTON, JOHNATHAN CHC SOLUTIONS 02/22/17 DWORKIN AND MACIARIELLO 74 17WC 06528 MORGAN, TISSA JOHN DEERE HARVESTER 08/21/15 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 75 17WC 06700 HEDGEPATH, DANIEL L GREAT DANE TRAILERS 02/09/17 JOHN LESAGANICH SPIEGEL & CAHILL, PC 76 17WC 07390 LISENBEE, ASHLEY STEAK'N SHAKE 06/08/16 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 77 17WC 07411 LISENBEE, ASHLEY STEAK N SHAKE, ROCK RIVER 06/08/16 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 78 17WC 07486 STEWART, ANGELA JOHN DEERE HARVESTER 01/06/17 DAVID HUNT BOZEMAN NEIGHBOUR PATTON & N 79 17WC 07499 SLAUGHTER, DIANNE JOHN DEERE HARVESTER WORK 09/02/15 HOPKINS & HUEBNER PC CALIFF & HARPER PC 80 17WC 08133 FYE, KENNETH SCOTT'S DISPOSAL 04/21/16 LEE, MARK N LAW OFFICE 81 17WC 09006 MCDOWELL, CODY JOHN DEERE PARTS DISTRIBU 06/06/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 82 17WC 11683 SLAUGHTER, DIANNE JOHN DEERE HARVESTER WORK 03/05/12 HOPKINS & HUEBNER PC CALIFF & HARPER PC 83 17WC 12947 KIRK, TYLER LEGGETT & PLATT D/B/A 04/22/17 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 84 17WC 13156 AYERS, CORBIN E CITY OF ROCK ISLAND 04/02/17 THOMAS W DUDA BETTY NEUMAN & MCMAHON 85 17WC 15110 BROOKS, JAMES N JR. DEERE & CO/HARVESTER WORK 02/14/17 CADY LAW FIRM, P.C. BOZEMAN NEIGHBOUR PATTON & N

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 01/04/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 86 17WC 15263 FIGUEROA-HABANA, MIGUEL SMITHFIELD FOODS 04/19/17 WOODRUFF & JOHNSON STEPHEN P. KELLY 87 17WC 17030 19B SWANSON, TONY RUSSELL CONSTRUCTION 03/11/17 LEE, MARK N LAW OFFICE KRAKER FANNING & OLSEN 88 17WC 18497 INGRAM, LINDSAY J MCDONALD'S CORPORATION 03/25/17 KANOSKI BRESNEY 89 17WC 19289 FREEMAN, JEFFERY ERIKSEN CHEVROLET 03/14/16 LOGAN LAW BRYCE DOWNEY & LENKOV LLC 90 17WC 19830 GREEN, MARY HOPE CREEK CARE CTR 05/19/17 CAPRON & AVGERINOS PC 91 17WC 21487 HART, HEIDI DEPT OF REHAB SERVICES 07/07/17 PIGNATELLI & ASSOCIATES 92 17WC 23090 ACCLASSATO, YAWAVI A TYSON FRESH MEATS INC 11/19/14 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 93 17WC 23991 CASHION, DAVID K YRC FREIGHT 04/18/17 RIDGE & DOWNES 94 17WC 24988 IVES, DAKOTA W KROGER 04/18/17 MERTES & MERTES PC STONE & JOHNSON CHARTERED 95 17WC 28174 ADOTE, KOSSI TYSON FRESH MEATS, INC 01/12/17 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 96 17WC 28661 EVANS, GREG CRIBBS LANDSCAPING 05/05/16 WARNER & ZIMMERLE QUINN JOHNSTON HENDERSON ETA 97 17WC 29402 HENNIGAR, COLLIN MOLINE POLICE DEPARTMENT 10/15/16 RIDGE & DOWNES ANCEL GLINK PC 98 17WC 29861 HARRELL, COREY ROCK ISLAND MASS TRANSIT 07/14/16 BROOKS LAW FIRM RUSIN & MACIOROWSKI LTD 99 17WC 30794 ECHEBARRIA, FRANCISCO STERLING RAIL SERVICES 03/14/17 EVANS & DIXON 100 17WC 31039 BOYSEN, JOHNATHON JOHN DEERE PARTS DISTR CT 02/09/17 VANDERGINST LAW PC CALIFF & HARPER PC 101 17WC 31793 HABBEN, JUSTIN CATER CONSTRUCTION AND 07/19/17 GESMER & REYNOLDS PC 102 17WC 32485 HUFF, MICHAEL T COUNTY OF ROCK ISLAND 12/31/87 BROOKS LAW FIRM 103 17WC 32551 FREELOVE, GERALD R PERFORMANCE FOOD GROUP, I 04/10/17 HOPKINS & HUEBNER PC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 01/04/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 104 17WC 32657 PRESTON, MASON T KENDRA & RENE SOTELO DBA W 04/15/17 REESE & REESE 105 17WC 33367 ERICSON, JASON UNITED FACILITIES 11/07/17 RIDGE & DOWNES COZZI & GOGGIN-WARD 106 17WC 34117 DAVIS, RUTHY JOHN DEERE HARVESTER 07/26/17 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 107 17WC 34125 PETERSON, JUSTIN CITY OF KEWANEE 06/19/17 CROWLEY & PRILL ANCEL GLINK DIAMOND BUSH & E 108 17WC 34418 WILLIAMS, LISA STEAK & SHAKE 09/20/17 RIDGE & DOWNES QUINN JOHNSTON HENDERSON ETA 109 17WC 35125 SPENCER, STEVEN MIDLAND DAVIS CORPORATION 03/28/17 RIPES NELSON BAGGOT KALOBRAT 110 17WC 35151 RIDLEN, JASON L ILLINOIS STATE POLICE @ 06/09/17 111 17WC 35893 REIMERS, CYNTHIA PROJECT NOW 04/14/17 MARSZALEK AND MARSZALEK 112 17WC 36778 HARVEY, MELVIN R SCHNEIDER NATIONAL CARRIE 06/18/17 KANOSKI BRESNEY HENNESSY & ROACH 113 17WC 37063 CONARD, LORI DICK BLICK HOLDINGS INC D 08/29/17 JOHN LESAGANICH LAW OFFICES JOSEPH MARCINIAK 114 17WC 37615 DONAHUE, FRANCIS H JR MENK-USA, LLC 12/01/15 MERTES & MERTES PC KRAKER FANNING & OLSEN 115 18WC 01507 SMITH, ROSE SHERRARD COMMUNITY UNIT S 12/19/17 WINSTEIN KAVENSKY & WALLAC 116 18WC 01544 THORNTON, JUDY MONMOUTH ROSEVILLE 07/11/17 REHN LAW LLC NOBLE & ASSOC 117 18WC 01752 GLOGOWSKI, JERRY MOLINE POLICE DEPARTMENT 11/23/16 RIDGE & DOWNES ANCEL GLINK PC 19WC005719 -C 118 18WC 02812 TORRES, MARIA RICO SMITHFIELD FARMLAND 02/03/16 HARVEY & STUCKEL STEPHEN P. KELLY 119 18WC 02817 SOULMANE, MOUSSA TYSON FOOD INC 02/09/17 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 120 18WC 03266 DOYLE, BOBBIE WAHL CLIPPER CORPARATION 03/25/15 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 121 18WC 03287 DOYLE, BOBBIE WAHL CLIPPER CORPORATION 05/01/17 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 01/04/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 18WC 05439 JOHNSON, JACOB SBA COMMUNICATIONS 09/22/17 ANGELINI & ORI LLC 123 18WC 05584 LA PORTE, NOLAN QUAD CITY MALLARDS 12/23/16 FLOYD LAW FIRM 124 18WC 05644 ST CLAIR, KYLE CLIMCO COILS INC 02/06/18 MC HARGUE & JONES HEYL ROYSTER VOELKER & ALLEN 125 18WC 06003 KIRBY, MIRANDA HARDEE'S 10/26/17 VANDERGINST LAW PC 126 18WC 06971 DODGE, KARLA K (KALIN) ILLINI RESTORATIVE CARE 07/16/15 JACK A. SCHWARTZ & ASSOC. HOPKINS & HUEBNER PC 127 18WC 07595 MAPES, GEORGIA MHC KENWORTH QUAD CITIES 01/17/18 WINSTEIN KAVENSKY & WALLAC HOPKINS & HUEBNER, P.C. 128 18WC 07996 HILL, AMY YEMM AUTO GROUP 01/18/18 RIDGE & DOWNES BRADY, CONNOLLY & MASUDA, PC 129 18WC 08406 FLOMING, LINDA M LIGHTHOUSE HOMECARE, LLC 01/08/18 130 18WC 09053 MISSAK, BRIAN HUB GROUP INC C/O ILLINOI 01/22/18 HETHERINGTON KARPEL BOBBER KNELL O'CONNOR DANIELWICZ 131 18WC 09592 ANDERSON, KRISTOL WAHL CLIPPER CORPORATION 02/15/18 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 132 18WC 09710 HOLT, MORGAN ALLIED POWER, INC 03/22/18 TURCYCHUTE LLC LAWRENCE COZZI - LAW OFFICES 133 18WC 10090 NYSTROM, STACY MARIE THE CENTER FOR NEUROSCIEN 09/25/17 HEIPLE LAW OFFICE QUINN JOHNSTON HENDERSON ETA 134 18WC 10235 WADSAGER, DAVID A JOHN DEERE HARVESTER 03/03/16 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 135 18WC 11089 CHURCHILL, ANNETTE M UNITYPOINT HEALTH TRINITY 09/19/17 STENGEL BAILEY ROBERTSON CALIFF & HARPER PC 136 18WC 12082 CAMERON, KEVIN NESCO RESOURCE 04/06/18 KAT0Z FRIEDMAN EAGLE ET AL BRADY, CONNOLLY & MASUDA, PC 137 18WC 12146 FOUTCH, JESSE COURTESY 09/23/16 VANDERGINST LAW PC 138 18WC 12199 CROSS-MONTAGUE, BARBARA JOHN DEERE SEEDING 02/05/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 139 18WC 12939 LEWIS, LISA DOLLAR TREE STORES, INC. 05/10/17 REHN LAW LLC LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 01/04/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 140 18WC 13345 WELLS, CRYSTAL RIVERSIDE STAFFING 10/19/17 EVANS & DIXON 141 18WC 13903 WREN, JOSH M ILLINOIS STATE POLICE @ 08/27/17 RIDGE & DOWNES 142 18WC 14499 ORSBORN, COLE P QUAD CITY INSULATORS INC 02/07/18 CADY LAW FIRM, P.C. STONE & JOHNSON CHARTERED 143 18WC 14912 RAHMAN, HAMIDUR TYSON FOODS, INC 03/23/18 CROWLEY & PRILL WIEDNER & MCAULIFFE LTD 144 18WC 16868 ALMAGUER, PAUL WEST ROCK 04/06/17 ELFENBAUM EVERS ZIELINSKA HENNESSY & ROACH PC 145 18WC 17051 INGRAM, DOUGLAS RASK TRANSPORTATION 04/24/17 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 146 18WC 17197 SCHUERMANN, RUSTY LYN HILL & VALLEY INC 09/09/17 KEYS LAW OFFICES HOLECEK & ASSOCIATES 147 18WC 17373 RATHJEN, LOREN DEPARTMENT OF TRANSPORTAT @ 02/08/18 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 148 18WC 18553 MOORE, MICHAEL D CENTURYLINK COMMUNICATION 10/05/17 KATZ FRIEDMAN EAGLE ET AL MC ANDREWS & NORGLE LLC 149 18WC 18778 SCHMIDT-GOVEIA, LAUREN EAST MOLINE SCHOOL DISTRI 11/13/17 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 150 18WC 18827 NEAL, STEPHANIE INDIVIDUAL ADOVACY GROUP 05/18/18 VANDERGINST LAW PC GANAN & SHAPIRO 151 18WC 19062 WISEMAN, DONNA SMITHFIELD FARMLAND CORP 03/29/18 REHN LAW LLC 152 18WC 19918 ARBAB, EMAD TYSON FOODS INC 09/08/17 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 18WC019924 -C 18WC019925 -C 18WC019927 -C 18WC019992 -C 18WC019993 -C 18WC019994 -C 18WC019995 -C 18WC019996 -C 153 18WC 20124 ROLEN, PAMELA JEWEL WAHL CLIPPER CORPORATION 02/12/18 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 154 18WC 20783 WELCH, JASON TCI MANUFACTURING 05/02/18 ACEVES & PEREZ PC EVANS & DIXON 155 18WC 20947 WARD, JAMES K ZIMMER & FRANCESCON 04/05/17 CADY LAW FIRM, P.C. HOPKINS & HUEBNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 01/04/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 156 18WC 22643 KYI, AYE TYSON FRESH MEATS, INC 10/11/16 GANAN & SHAPIRO 157 18WC 24408 POWELL, RICK CRYSTALSTIL, INC. 11/01/16 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 19WC031903 -C 158 18WC 24647 METZGER, TIMOTHY ROCK ISLAND POLICE DEPART 06/19/16 RIDGE & DOWNES BETTY NEUMAN & MCMAHON 159 18WC 25467 CUSUMANO, CHRISTOPHER CHARTWELL STAFFING SOLUTI 04/23/18 CAPRON & AVGERINOS PC 160 18WC 25658 STEPANEK, WILLIAM POOLSIDE POOLS 07/06/18 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 161 18WC 26189 WYATT, WILLIAM SEDONA STAFFING 08/17/18 PIGNATELLI & ASSOCIATES 162 18WC 26808 MARTINEZ, ANTONIO GREAT DANE TRAILERS 02/16/16 PETER F FERRACUTI & ASSOCI SPIEGEL & CAHILL, PC 163 18WC 26907 TERRY, TYLER CORPORATE EMPLOYMENT SVCE 08/01/18 VANDERGINST LAW PC HENNESSY & ROACH PC 164 18WC 27414 MANG, CHAN FARMLAND A/K/A 09/30/16 MARSZALEK AND MARSZALEK STEPHEN P. KELLY 165 18WC 27683 ROMO, LORAEN TRI-COUNTY 02/16/16 BERNAT & BERNAT PC WIEDNER & MCAULIFFE LTD 166 18WC 28256 VESTAL, ROY THE GATES RUBBER COMPANY 06/27/18 MEYERS & FLOWERS QUINTAIROS PRIETO WOOD & BOY 167 18WC 28406 CASSADAY, BRANDI ORA ORTHOPEDICS 01/01/10 WARNER & ZIMMERLE LAWRENCE COZZI - LAW OFFICE 168 18WC 29060 WUESTENBERG, RON DOHRN TRANSFER 04/23/18 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 169 18WC 29729 NEWCOMB, SYLVIA M EAST MOLINE CORRECTIONAL 09/16/17 DONOVAN ROBERTSON 170 18WC 31321 SMITH, MORGAN EXPRESS EMPLYMNT PROFESSI 09/19/18 WINSTEIN KAVENSKY & WALLAC MC ANDREWS & NORGLE LLC 171 18WC 31874 LAST, DORAN LOESCHER HEATING & AIR 08/08/18 PIGNATELLI & ASSOCIATES WIEDNER & MCAULIFFE LTD 172 18WC 31959 ALMANZA, OSVALDO SMITHFIELD FOODS, INC 05/22/18 BRIBRIESCO LAW FIRM 173 18WC 32219 GARCIA, LEONARD P XPO LOGISTICS 07/12/18 SCHUCHAT, COOK & WERNER MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 01/04/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 174 18WC 32440 COOMBES, JERIME M GROWMARK FS, INC 08/15/18 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 175 18WC 32872 KIRBY, MIRANDA HARDEE'S 05/30/17 VANDERGINST LAW PC 176 18WC 33803 HUSLANDER, HOLDEN GREAT DANE TRAILERS 10/18/18 PETER F FERRACUTI & AS