ILLINOIS WORKERS' COMPENSATION COMMISSION ......78 16WC 30923 MENENDEZ, MIGUEL ANGEL MEXICAN ROOFING 08/17/16 CHEPOV & SCOTT LLC HOLECEK & A SSOCIATES 79 16WC 31529 GUZMAN, NOEMI MONTEREY - [PDF Document] (2024)

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 05WC 32131 19B TAYLOR, DENNIS SENICA'S INTERSTATE TOWIN 03/18/04 PORRO NIERMANN LAW GROUP HEYL ROYSTER VOELKER & ALLEN 2 05WC 36562 DIROSA, FAITH STATE OF ILL DEPT OF VETE @# 09/17/02 MEYERS & FLOWERS 05WC036563 -C 3 07WC 49390 FANCHI, ELIZABETH CHD OF PRESTRESS ENGINEERING COR # 12/19/06 BOGGS & FILLENWARTH HOLECEK & ASSOCIATES 4 08WC 30028 19B BLAND, ROLLAND STATE OF ILLINOIS @ 03/01/07 GOLDSTEIN FISHMAN BENDER E ASSISTANT ATTORNEY GENERAL 5 09WC 00940 19B MOSSBERGER, RICK BERRYMAN TRANSFER 09/30/08 HORWITZ HORWITZ & ASSOC JAMES M KELLY 6 10WC 25107 KING, JODY LASALLE VETERANS' HOME 03/17/10 PETER F FERRACUTI & ASSOCI SHUAIB A. AHMED 7 10WC 33780 KIPER, DEBRA D & S FOODS INC 04/19/09 PETER F FERRACUTI & ASSOCI WOLFE & JACOBSON, LTD 11WC019025 -C D&S FOODS INC. 8 11WC 21564 SIMON, MARK A STATE OF ILLINOIS @ 01/25/11 MATTHEW T. GUBBINS PC SHUAIB A. AHMED 12WC038780 -C 9 11WC 28681 JOHNSON, PAMELA L STATE OF ILLINOIS @ 04/30/09 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 10 11WC 33805 ZULFIC, ALEN SHERIDAN CORRECTIONAL CEN @ 11/04/10 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 11WC033806 -C 11 11WC 34245 ETSCHEID, JACQUELINE DCFS @ 05/21/10 MISKELL LAW CENTER ASSISTANT ATTORNEY GENERAL 12 11WC 47687 METTILLE, PAULETTE J GREEN PLANET GROUP D/B/A W 06/14/09 DREW J FERRACUTI 13 12WC 07511 ERWIN, JMES JAMES HARDIE BUILDING 04/29/08 DAVID W OLIVERO LITCHFIELD CAVO 12WC009036 -C 14 12WC 12495 DORSETT, BERNADINE A OTTAWA PUBLISHING CO THE 04/12/11 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 15 12WC 14048 BROWN, ANNA AMY MOUNCE D/B/A A & J'S @ W 03/31/12 STRONG LAW OFFICE 16 12WC 25183 KING, JODY L ILLINOIS VETERAN'S HOME 06/07/12 PETER F FERRACUTI & ASSOCI COLIN KICKLIGHTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 12WC 32606 DORSETT, BERNADINE A OTTA PUBLISHING CO THE TI 08/20/12 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 18 12WC 39347 CARRILLO, THERESA J PARKER NURSING AND REHAB 09/06/11 DAMON YOUNG KLAUKE LAW GROUP LLC 14WC010400 -C 19 13WC 00136 O'NEAL, DARLA K HILLTOP FIREPIT RESTAURAN 08/29/11 LAW OFFICES JOSEPH MARCINIAK 20 13WC 01207 LEE, DALE HEARTH LTD W 11/28/12 SOSTRIN AND SOSTRIN PC 21 13WC 06369 PAPPAS, BETTY IL VETERANS HOME AT LASAL @ 10/18/12 O'CONNOR & NAKOS ASSISTANT ATTORNEY GENERAL 22 13WC 09690 19B GOULD, KRIS FED EX 07/20/12 DAVID W OLIVERO QUINTAIROS PRIETO WOOD & BOY 23 13WC 14080 SPIEGEL, DIANE ILLINOIS VETERANS HOME @ 09/19/12 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 24 13WC 14947 NEWBORN, ALEXANDER JWK ENTERPRISES @ W 04/17/13 STEVEN J SEIDMAN LAW OFFIC JAMES L. HARDEMON 25 13WC 22868 KOSCIEWICZ, JOHN LCN DOOR CLOSERS 05/10/13 HERBOLSHEIMER LANNON ET AL HOLECEK & ASSOCIATES 26 13WC 30091 COMMISSO, TIMOTHY J ST OF IL DEPT OF CORRECTI @ 12/27/12 ANESI OZMON RODIN NOVAK KO ASSISTANT ATTORNEY GENERAL 14WC014138 -C 27 13WC 35360 RUSH, EDWARD CON WAY FREIGHT 12/07/12 SAUNDERS CONDON & KENNY RUSIN & MACIOROWSKI LTD 28 13WC 39593 MAYCHSZAK, GUY WOODHAVEN LAKES ASSOC 10/13/13 FOOTE MIELKE CHAVEZ & O'NE WIEDNER & MCAULIFFE LTD 29 13WC 42587 RUSHANI, BEDRIJIE PETERSON HEALTH CARE INC 10/30/12 MARKER & ASSOCIATES KNELL LAW LLC 30 14WC 28077 STARKEY, JEFF FEDEX FREIGHT 03/03/14 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 31 14WC 32259 WALKUP, WILLIAM FGB ENTERTAINMENT AND 01/30/13 BLOCK, KLUKAS & MANZELLA P 32 14WC 32339 BERRIOS, ADRIA ILLINOIS VETERANS HOME 08/16/14 MISKELL LAW CENTER ILLINOIS ATTORNEY GENERAL 33 14WC 35907 GROSS, GREG IL DEPT OF HUMAN SERVICES @ 08/19/14 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 34 14WC 36193 AUSTILL, MARK STATE'S ATTY APPELLATE PR 02/07/14 WILLIAMS & SWEE 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 HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 15WC 07873 HUBBARD, RANDY(ESTATE OF) FLINK CO 02/03/15 PETER F FERRACUTI & ASSOCI 36 15WC 08081 MC CLAIN, CANDACE AMERICAN RED CROSS 02/13/15 DAMON YOUNG ASA LAW GROUP 37 15WC 14793 19B JOHNSON, BRETT A. WHITTAKER CONSTRUCTION & 04/14/14 DAVID W OLIVERO WOLF LAW LTD 38 15WC 18152 19B MALLIE, KEVIN ILLINOIS CEMENT CO 02/03/15 PERONA, PETERLIN, ANDREONI SPIEGEL & CAHILL, PC 39 15WC 23498 BOYLE, BARRY TRI-CITY ELECTRIC CO 06/22/15 HORWITZ HORWITZ & ASSOC CACCHILLO LAW GROUP LLC 40 15WC 23856 HERRERA, MARICELA HERITAGE WOODS OF YORKVIL 07/21/15 PORRO NIERMANN LAW GROUP SLAVIN & SLAVIN 41 15WC 26395 QUICK, KENNETH JB HUNT TRANSPORT SERVICE 04/20/15 DAVID W OLIVERO KEEFE CAMPBELL & ASSOC LLC 42 15WC 28089 HAYS, CLARISSA J. OWENS-BROCKWAY GLASS CONT 06/14/15 SCHWEICKERT GANASSIN POWER & CRONIN LTD 43 15WC 29570 GOTCH, WILLIAM STREATOR ELEMENTARY SCHOO 02/04/15 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 15WC029571 -C 15WC029572 -C 16WC017488 -C 44 15WC 33996 HAMILTON, LEANN ADDUS HEALTH CARE 09/23/15 STROW LAW LLC HENNESSY & ROACH PC 45 15WC 35054 CHAFFER, LAUREN M SVD HOSPITALITY & RESORTS 02/21/15 MEYERS & FLOWERS MCCARTHY LEONARD KAEMMER 46 15WC 36124 CHRONISTER, JOHNNY JAMES HARDIE BUILDING 09/14/15 SCHWEICKERT & GANASSIN LITCHFIELD CAVO 15WC036278 -C 15WC042166 -C 15WC042168 -C 47 15WC 38641 WILLIAMS, TERRY ST MARY CEMENT 11/10/15 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 48 15WC 39711 SPANOS, DANIEL J JR HERITAGE ENTERPRISES 01/07/14 STROW LAW LLC 49 15WC 39995 BOYER, DARRIN B CITY OF PLANO 11/13/15 PERONA, PETERLIN, ANDREONI RUSIN & MACIOROWSKI LTD 16WC005576 -C 033 17WC002101 -C 50 15WC 41574 ALMARAZ, THERESA MENARDS DISTRIBUTION CENT 12/06/14 R GARY GOODING, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 51 15WC 41696 HARVEY, TIMOTHY G HCC INC 09/22/15 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 52 16WC 03779 DARM, KAREN HERITAGE ENTERPRISES, INC 06/17/14 MEYERS & FLOWERS RIPES NELSON BAGGOT KALOBRAT 16WC003780 -C 53 16WC 04448 ROSSI, JONATHAN IL DEPT OF TRANSPORTATION 11/03/15 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 54 16WC 05687 KNAFELC, GREG ILLINI PRECAST, LLC. 02/08/16 SCHWEICKERT GANASSIN GILDEA & COGHLAN 55 16WC 07410 SARVER, KYLE E BALLARD'S TREE & STUMP RE W 01/29/16 MERTES & MERTES PC LAW OFFICE OF MAHAFFEY & LEE 56 16WC 07917 HALL, JODY M. FRESENIUS MEDICAL CARE 09/04/14 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 57 16WC 08302 POE, JULIA A RURAL KING SUPPLY 01/28/16 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL & ASSOC LLC 58 16WC 08526 LAIR, MADONNA MC DONLAD'S 02/11/14 MEYERS & FLOWERS 59 16WC 09845 LANDRUM, JOHN III INVENERGY 03/01/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 60 16WC 10219 ROSALES NUNEZ, DALIA MIDWEST MANUFACTURING D/B 09/25/15 BUDIN LAW OFFICES EVANS & DIXON 61 16WC 10772 BOULT, STEVE KALUZNY BROTHERS INC 02/19/16 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S 62 16WC 12378 FASSO, JONELL MENARD'S DISTRIBUTION CEN 04/12/16 STROW LAW LLC EVANS & DIXON 63 16WC 12746 BALZARINE, JAMES O'REILLY AUTO PARTS, LLC 03/24/16 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 64 16WC 14827 WNENK, ROBERT NEWARK COMMUNITY HIGH SCH 01/04/16 MILLON & PESKIN LTD EVANS & DIXON 65 16WC 17939 VALENCIK, SCOTT KENDALL COUNTY SHERIFF'S 04/12/16 O'CONNOR & NAKOS INMAN & FITZGIBBONS 66 16WC 18247 MEYER, LARRY ST OF IL, DEPT OF CORRECT 11/22/15 PIGNATELLI & ASSOCIATES ASSISTANT ATTORNEY GENERAL 67 16WC 18621 ROBINSON, DERRICK FASTENAL 01/29/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 68 16WC 18927 MASQUIDA, OSWALDO NICOR GAS 06/23/15 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 69 16WC 19535 CHAMBERLAIN, MARIAN CLIFFORD W ESTES CO 04/21/16 SCHWEICKERT & GANASSIN 70 16WC 22467 ALCARAZ, ELSA (WIDOW OF) MENARDS 08/19/15 PORRO NIERMANN LAW GROUP EVANS & DIXON 71 16WC 25005 MUNOZ, TAMMY THE FRESH MARKET 08/04/15 JOHN LESAGANICH HENNESSY & ROACH PC 72 16WC 26502 HOWARD, AUTY MENARDS 05/17/16 DWORKIN AND MACIARIELLO EVANS & DIXON 73 16WC 27252 CHALKEY, DENNIS FLINK COMPANY 02/03/15 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 74 16WC 28298 BARBARD, CHARLES EXELON CORPORATION 07/22/16 HERBOLSHEIMER LANNON ET AL RUSIN & MACIOROWSKI LTD 75 16WC 29349 MARTINEZ, MARISSA SISTER ACT INC. 02/22/16 PORRO NIERMANN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 16WC029350 -C 76 16WC 29655 RODRIGUEZ, ADRIANA OAK STREET PRODUCTS, INC 06/16/16 ELFENBAUM EVERS ZIELINSKA KNELL LAW LLC 77 16WC 30886 GARCIA, MARIA E MENARD, INC 01/22/15 LAWRENCE A SCORDINO EVANS & DIXON 17WC033569 -C 17WC033570 -C 78 16WC 30923 MENENDEZ, MIGUEL ANGEL MEXICAN ROOFING 08/17/16 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 79 16WC 31529 GUZMAN, NOEMI MONTEREY MUSHROOMS, INC 02/18/15 SCHWEICKERT GANASSIN BRADY CONNOLLY & MASUDA PC 16WC031545 -C 16WC031565 -C 80 16WC 32690 PICCIOLI, CRYSTAL IL DEPT OF VETERANS AFFAI 07/10/16 HORWITZ HORWITZ & ASSOC MATTHEW J KELLER 17WC015525 -C ILLINOIS DEPT OF VETERANS 81 16WC 33726 IMEL, MATTHEW BELLINI'S CUSTOM WELDING 09/16/16 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 16WC033727 -C 82 16WC 35739 DUNN, ROGER DILLON TRANSPORT 09/29/16 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 83 16WC 36949 NOVACEK, MILO OSF HEALTHCARE SYSTEM,ET 11/08/16 LANZILLOTTI GRIBBEN & MARC HERBOLSHEIMER LANNON ET AL 84 16WC 38829 ORIGEL, TEODOCIO AGG CONSTRUCTION, INC. 07/15/16 OSVALDO RODRIGUEZ PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 85 16WC 39136 ESTES, LINDA OWENS-ILLINOIS 09/02/16 SCHWEICKERT & GANASSIN POWER & CRONIN LTD 86 17WC 04070 PACIONE, MICHAEL M H EQUIPMENT 01/12/17 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 87 17WC 04165 HICKS, DENA FREESENIUS MEDICAL CARE 04/19/16 SCHWEICKERT GANASSIN HENNESSY & ROACH PC 88 17WC 04658 LUCAS, J SCOTT PLANO SCHOOL DIST 88 09/29/16 MEYERS & FLOWERS RIPES NELSON BAGGOT KALOBRAT 89 17WC 04719 DELHOTAL, JEAN STATE OF ILLINOID - OOC @ 11/30/16 PIGNATELLI & ASSOCIATES ASSISTANT ATTORNEY GENERAL 90 17WC 04971 LIJEWSKI, THOMAS CITY OF LASALLE 11/15/16 SCHWEICKERT & GANASSIN POWER & CRONIN LTD 19WC002084 -C 91 17WC 06874 DZIUBA, RICHARD CGS, LLC 08/31/16 STROW LAW LLC HOLECEK & ASSOCIATES 17WC006875 -C CGS LLC 92 17WC 07588 DUPLER, CYNTHIA S MORRIS HOSPITAL & 06/28/16 MEYERS & FLOWERS STEPHEN P. KELLY 93 17WC 07654 POLICKY, RICHARD NL MORTON BUILDINGS 11/17/16 GEARHART, GARY L & ASSOCS 94 17WC 09450 VARGAS, FRANCISCO SBA NETWORK SERVICES 10/31/16 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 95 17WC 09623 LONDENBACK, CHANCE TRAVEL CENTERS OF AMERICA 02/10/17 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 96 17WC 10112 ANGUIANO, MARIA WRIGLEY 04/14/16 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM GRA 97 17WC 11666 MARTINEZ, SANTANA KREIDER SVCS 08/12/16 GESMER & REYNOLDS PC 98 17WC 12568 TINOCO, MANUEL A/K/A REHIG PACIFIC LOGISTICS 11/01/16 SCHWEICKERT GANASSIN BRYCE DOWNEY & LENKOV LLC 99 17WC 13726 PARR, RENEE NEWLY WEDS FOODS 03/31/17 LUSAK AND COBB GAROFALO SCHREIBER STORM GRA 100 17WC 13858 HOFFMAN, CATHERINE WALMART SUPERCENTER 03/04/17 SCHWEICKERT GANASSIN QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 17WC 15750 TOOLEY, TONY E OWENS-BROCKWAY GLASS CONT 05/17/16 DREW J FERRACUTI 102 17WC 17163 MCLNERNEY, MICHAEL SHERWIN WILLIAMS CO 05/04/15 CULLEN HASKINS NICHOLSON ROBERT L. SMITH 17WC017164 -C 103 17WC 18404 FLAKE, MICHAEL FMC CORPORATION 06/06/17 CHRIS DOSCOTCH BRADY CONNOLLY & MASUDA PC 104 17WC 18482 GLADD, KRISTI DAIRY QUEEN 05/18/17 HOLECEK & ASSOCIATES 105 17WC 18863 FOWLER, STEPHANIE A STATE OF ILLINOIS-JACK MA @ 06/02/17 REESE & REESE 106 17WC 19020 COVER, WILLIAM CREST FOODS 08/19/16 REESE & REESE 107 17WC 20029 TOOLEY, TONY E OWENS-BROCKWAY GLASS CONT 04/03/15 DREW J FERRACUTI 108 17WC 22165 SALAS, JOSE G PIRTANO CONSTRUCTION CO 07/10/17 DAVID W MARTAY ACCIDENT FUND HOLDINGS 109 17WC 23094 WERRY, JOHN FAIRBANKS SCALES INC 07/17/17 STRONG LAW OFFICE 110 17WC 23510 WARREN, JO ELLEN TRINITY LUTHERAN CHURCH 06/27/17 SCHWEICKERT GANASSIN BRYCE DOWNEY & LENKOV LLC 111 17WC 24269 ALLSHOUSE, JEREMY RENEWAL REHAB, LLC 08/30/16 HOPKINS & HUEBNER PC ACCIDENT FUND HOLDINGS 112 17WC 24617 REUTER, JEFFREY M DIXON TOWNSHIP 06/29/17 REESE & REESE JAMES M KELLY 17WC024618 -C 18WC017026 -C 113 17WC 25494 CLASSON, MICHELLE ILLINOIS DEPT OF CORRECTI @ 07/17/17 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 114 17WC 25954 GUERRERO, MIGUEL COLLINS & HERMANN, INC. 08/17/17 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 115 17WC 25980 RICK, AMANDA J STATE OF ILLINOIS @ 08/17/17 REESE & REESE ASSISTANT ATTY GENERAL 116 17WC 26351 YERLY, BRUCE WOZNIAK CONCRETE CONSTRUC 10/31/14 GRIVETTI, JOHN A 117 17WC 27081 SWANSON, KEVIN CARDINAL LOGISTICS 04/05/17 DAVID W OLIVERO HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 17WC 27636 COBB, HOPE CASEY'S GENERAL STORE, IN 07/10/17 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 119 17WC 28064 RADKIEWICZ, NICHOLAS ERIC'S A CUT ABOVE 10/14/16 BENNETT LAW OFFICES RUSIN & MACIOROWSKI LTD 120 17WC 28141 GARCIA, OTILIA TIMBER CREEK INN AND SUIT 03/31/17 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 121 17WC 28274 SARTORI, BRANDON PRIORITY STAFFING 09/16/17 DWORKIN AND MACIARIELLO THOMAS & PORTELA 122 17WC 28383 OKUBADEJO, OMOLARA PARK POINTE HEALTHCARE RE 09/06/17 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 18WC017859 -C 123 17WC 30236 BOHLER, APRIL CLOVER TECHNOLOGIES GROUP 03/14/17 TIMOTHY CANTLIN INMAN & FITZGIBBONS 124 17WC 30594 SODARO, ERIC IDOT 06/28/17 FRANCINE B WHITE ILLINOIS ATTORNEY GENERAL 125 17WC 30758 MURPHY, LISA SANDWICH SCHOOL DIST 430 09/11/17 PORRO NIERMANN LAW GROUP INMAN & FITZGIBBONS 17WC030762 -C 126 17WC 32843 MORALES, ELIDA HCC, INC 05/21/15 DREW J FERRACUTI RUSIN & MACIOROWSKI LTD 127 17WC 33188 BAKER, GUY RIVERDOCKS, INC 06/28/17 SCHWEICKERT & GANASSIN THOMAS & PORTELA 128 17WC 34051 FORD, RICK A STREATOR DEPENDABLE MFG C 10/01/17 EMMANUEL F GUYON NYHAN BAMBRICK KINZIE & LOWR 17WC034052 -C 129 17WC 34442 VINCENT, CINDY CASEY'S GENERAL STORE 02/08/17 O'CONNOR & NAKOS JAMES M KELLY 17WC034443 -C 130 17WC 35769 SLIKER, KAYLA HEARTHSIDE FOOD SOLUTIONS 02/28/17 WOODRUFF & JOHNSON 131 17WC 36117 DEANE, RYAN EDWARD-ELMHURST HEALTH 10/12/17 TURNER & SACKETT LLC KEEFE CAMPBELL & ASSOC LLC 132 17WC 36152 LARSON, ANGELA ILLINOIS VETERAN'S HOME @ 10/23/17 SCHWEICKERT GANASSIN STATE OF ILLINOIS 133 17WC 36287 ZILM, FREDERICK MORRIS TRANSMISSION & AUT 10/25/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 134 17WC 37478 WEBSTER, DENNIS (CARE OF) POMP'S TIRE SERVICE # 11/17/17 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 135 17WC 37966 LASIK, KEVIN XPO LOGISTICS 10/23/17 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 136 18WC 00401 LIESCHKE, JOSEPH HIGH HEELS DANCING CO, IN 12/21/17 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICES 137 18WC 00679 SALINAS, RAUL SPARTAN TOOL, LLC 12/18/17 PERONA, PETERLIN, ANDREONI RUSIN & MACIOROWSKI LTD 138 18WC 00680 SALINAS, RAUL SPARTAN TOOL, LLC 10/14/16 PERONA, PETERLIN, ANDREONI RUSIN & MACIOROWSKI LTD 139 18WC 01541 DINKINS, BOBBY LYONDELL BASELL COMPANY 11/17/17 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 140 18WC 02328 REPPIN, MICHAEL LASALLE CNTY SHERIFF'S OF 12/13/17 SCHWEICKERT GANASSIN HERBOLSHEIMER LANNON ET AL 141 18WC 02886 LISHER, MALLORY ENDRIZZI CONTRACTING 12/11/17 GOLDENBERG HELLER ANTOGNOL GILDEA, COGHLAN & REGAN LTD. 142 18WC 03091 PUCKETT, TERRY LASALLE COUNTY SHERIFFS O 12/26/16 MEYERS & FLOWERS HERBOLSHEIMER LANNON ET AL 143 18WC 03267 SMITH, LORI NORTH CENTRAL BEHAVIORAL 01/07/18 SCHWEICKERT GANASSIN HEYL ROYSTER VOELKER & ALLEN 144 18WC 03390 WALGREN, BRANDON MENARDS 06/14/17 MILLON & PESKIN LTD QUINN JOHNSTON HENDERSON ETA 145 18WC 05593 HAUPPA, TINA MENARDS DISTRIBUTION CENT 10/20/17 MILLON & PESKIN LTD 146 18WC 05685 CARLSON, KERRY REGENEX CORP 02/14/17 SCHWEICKERT & GANASSIN 147 18WC 06019 FORBES, JEAN BO/GAR ENTERPRISES 07/13/17 CHRIS DOSCOTCH 148 18WC 06507 SOMMER, ROGER W IL DEPT OF TRANSPORTATION 01/27/17 DREW J FERRACUTI ASSISTANT ATTY GENERAL 149 18WC 06636 LEASURE, EDDIE SENECA FIRE DEPARTMENT 10/16/17 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 150 18WC 06689 KOLLS, MANDY SHELL 02/11/18 HEYL ROYSTER VOELKER & ALLEN 151 18WC 08063 WALLS, TIMOTHY J ALLIED LOCKE INDUSTRIES 01/26/18 MERTES & MERTES PC ACCIDENT FUND HOLDINGS 18WC017031 -C 152 18WC 08093 CRAMER, RANDALL BLOCK ELECTRIC 10/16/17 PORRO NIERMANN LAW GROUP ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 18WC 09587 URBINA, JUAN D BLACK HORSE CARRIERS, INC 01/24/18 THOMAS J STIBERTH LAW OFFI ROSARIO CIBELLA 154 18WC 09823 ZILM, FREDERICK MORRIS TRANSMISSION & AUT 02/15/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 155 18WC 10266 GRABOWSKI, KATHY CARLIN O'BRIEN, INC 09/20/17 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 156 18WC 11105 KOSTMAN, PATRICKJ ILLINOIS DEPT OF CORRECTI @ 03/21/18 PIGNATELLI & ASSOCIATES ASSISTANT ATTY GENERAL 157 18WC 11114 GONZALEZ, EDGAR TOMKAT ROOFING INC 12/21/17 SCHWEICKERT & GANASSIN 158 18WC 11393 BENDER, RANDY CLEARY BUILDING INC. 11/10/16 THE CANTLIN LAW FIRM HOLECEK & ASSOCIATES 159 18WC 11531 LEMUS, ANTHONY TRENCH PLATE RENTAL CO 04/04/18 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 160 18WC 12060 FLORES-MUNOZ, AGUSTIN EXEL INC 01/01/17 DANIEL E MURPHY HENNESSY & ROACH PC 161 18WC 13156 BROCK, PAUL TRUXXPRESS 03/29/18 RIDGE & DOWNES 162 18WC 13609 GOETZ, CRAIG W IL DEPT OF TRANSPORTATION 02/16/17 DREW J FERRACUTI ASSISTANT ATTY GENERAL 163 18WC 13681 WHALEY, RACHEL OTTAWA DENTAL LAB 04/19/18 CHRIS DOSCOTCH 164 18WC 13943 SENGSOURIYASO, MAY WRIGLEY 02/20/18 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM GRA 165 18WC 14797 GARCIA OROZCO,ANDRES ALEJ YOUNGLOVE CONSTRUCTION 04/27/18 EPSTEIN, JACK R LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 166 18WC 15088 CORCORAN, CHRISTINA OSF ST ELIZABETH MEDICAL 04/29/17 SCHWEICKERT & GANASSIN HERBOLSHEIMER LANNON ET AL 167 18WC 15476 GODINEZ, JULIO CESAR MENARD'S DISTRIBUTION CTR 05/07/18 GWC INJURY LAWYERS LLC EVANS & DIXON 168 18WC 16885 WIGGIN, JAMES D L. W. SCHNEIDER INC 12/13/16 KATZ NOWINKSI PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 169 18WC 17080 LIGHTNER, JOHN ALLIED LOCKE INDUSTRIES 03/02/18 SCHWEICKERT GANASSIN ACCIDENT FUND HOLDINGS 19WC030325 -C 20WC007588 -C 170 18WC 17638 FULLER, CARL W SR. CREST FOODS CO INC 05/09/18 MC HARGUE & JONES ACCIDENT FUND HOLDINGS 19WC005354 -C 171 18WC 17706 KUEKER, JONATHAN IL STATE POLICE 05/31/18 RIDGE & DOWNES ASSISTANT ATTY GENERAL 172 18WC 17738 DURBIN, DOUGLAS PETSMART, INC 05/14/18 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 173 18WC 18299 HAMILTON, KRISTOPHER MILLER PIPELINE 05/24/18 FOOTE MIELKE CHAVEZ O'NEIL BRADY, CONNOLLY & MASUDA, PC 174 18WC 18408 DROUGHT, JENNIFER CREST FOODS COMPANY, INC 11/13/17 KATZ FRIEDMAN EAGLE ET AL ACCIDENT FUND HOLDINGS 175 18WC 18790 RODRIGUEZ, MAXIMINO FORTUNE METAL MIDWEST 09/15/17 SMOLER LAW OFFICE, PC 176 18WC 19194 CAMPBELL, BEN TODD CAMPBELL TRUCKING, I 09/30/17 SCHWEICKERT & GANASSIN GILDEA, COGHLAN & REGAN LTD. 177 18WC 19991 BRENNAN, WILLIAM DUNBAR TRANSFER 10/23/17 JEFF GREEN 178 18WC 20871 CHAPINSKI, RICH ORKIN PEST CONTROL 07/06/17 KENNETH MAHAFFEY BRADY, CONNOLLY & MASUDA, PC 179 18WC 21816 CREAGER, DEBRA HORIZON HOUSE OF IL VALLE 07/18/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 180 18WC 22034 MCCORMICK, SUSAN L TAMARA S. THOMAS-LEONATTI 01/10/18 PERONA PETERLIN ANDREONI 181 18WC 22323 OLSON, REBECCA CLIVER TECHNOLOGIES 07/17/18 STRONG LAW OFFICE 182 18WC 22639 RICCOLO, TERRY STATE OF IL - DEPT OF TRA @ 03/09/18 MICHAEL HELLMAN ASSISTANT ATTY GENERAL 183 18WC 22999 KELLERHUIS, BILLE L HY-VEE 05/30/18 PETER F FERRACUTI & ASSOCI QUINN JOHNSTON HENDERSON ETA 184 18WC 23336 RANKIN, JOHN MONTERREY MUSHROOM 07/27/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 185 18WC 23960 NIXON, MARK YORKVILLE SCHOOL DIST 115 06/19/18 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 18WC 24935 GRIEVES, LILLIAN M COSTCO WHOLESALE CORPORAT 03/14/18 CHRISTIAN & MANNO GANAN & SHAPIRO 187 18WC 25386 SIBRIAN, JOSE REHRIG PACIFIC COMPANY 07/17/18 SCHWEICKERT GANASSIN BRYCE DOWNEY & LENKOV LLC 188 18WC 25389 JOHNSON, AMY ACE HARDWARE DISTRIBUTN C 05/12/18 SCHWEICKERT GANASSIN KLAUKE LAW GROUP LLC 189 18WC 25552 NOVAK, NICHOLAS G ST OF IL DEPT OF CORRECTI @ 06/28/18 REESE & REESE ASSISTANT ATTY GENERAL 190 18WC 25638 COX, KATIE STATE OF IL DOC SHERIDAN @ 07/30/18 PETER F FERRACUTI & ASSOCI ASSISTANT ATTY GENERAL 191 18WC 26371 STERLING, BEATRICE M CASEYS GENERAL STORES INC 08/01/18 PERONA PETERLIN ANDREONI HEYL ROYSTER VOELKER & ALLEN 192 18WC 26791 LESKO, JUNE H&R BLOCK 08/10/17 SEIDMAN MARGULIS & FAIRMAN 193 18WC 26903 EDMONDS, KRISTI PARK POINTE HEALTH CENTER 08/15/18 RATHBUN CSEVENYAK & KOZOL BRADY, CONNOLLY & MASUDA, PC 194 18WC 27819 ESSL, JAMES CENTURI CONSTRUCTION GROU 07/25/18 PERONA PETERLIN ANDREONI GRANT & FANNING 195 18WC 28421 GONAZALEZ, MARIA SEATTLE SUTTON HEALTHY EA 07/24/18 SCHWEICKERT & GANASSIN 196 18WC 28824 NEWELL, JEREMY COLLINS & HERMANN 08/23/18 TAXMAN POLLOCK 197 18WC 30223 HILLMAN, PATRICIA COSTCO DEPOT 08/21/18 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 198 18WC 31589 SCHUMACHER, VIVA JEAN SUPERVALU, INC 07/20/18 PERONA PETERLIN ANDREONI HEYL ROYSTER VOELKER & ALLEN 19WC036954 -C 199 18WC 31621 MANNING, ROBERT COLOR POINT, LLC 04/26/18 SCHWEICKERT GANASSIN GAROFALO SCHREIBER STORM GRA 200 18WC 31805 PALKO, CHERYL A OWENS-BROCKWAY GLASS CONT 06/29/18 DREW J FERRACUTI POWER & CRONIN LTD 201 18WC 32262 GRABILL, THERESA GCA NUCLEAR FACILITY 07/06/18 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 202 18WC 32567 PAVY, CLIFTON GDC ILLINOIS, INC 09/19/18 SCHWEICKERT GANASSIN QUINN JOHNSTON HENDERSON ETA 203 18WC 33050 GALLACHER, JAMES WELLINGTON INDUSTRIES 09/26/18 DAVID W OLIVERO HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 18WC 33241 CROMPTON, JERRY L CF INDUSTRIES, INC 07/13/18 DREW J FERRACUTI NYHAN BAMBRICK KINZIE & LOWR 205 18WC 33722 KOFFSKI, JENNIFER THE RESERVES NETWORK 10/24/18 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 206 18WC 34659 GEIGER, DARRELL W ILLINOIS VALLEY COMM HOSP 07/07/17 GALLAGHER, DONALD V NYHAN BAMBRICK KINZIE & LOWR 207 18WC 34830 MILTON, JEANETTE JOLIET DSR OFFICE 08/08/18 GORDON LAW OFFICES LTD ASSISTANT ATTY GENERAL 208 18WC 36360 GEORGEFF, NICK J MORTENSON CONSTRUCTION CO 11/15/18 ANESI OZMON RODIN NOVAK KO WOLFE & JACOBSON, LTD 209 18WC 36750 DAVIS, TAMMI PLANO SCHOOL DISTRICT 88 08/13/18 GOLDBERG WEISMAN & CAIRO L NOBLE & ASSOC 210 18WC 37045 VOLKER, CHRISTOPHER HEARTHSIDE FOOD SOLUTIONS 10/15/18 SCHWEICKERT GANASSIN WIEDNER & MCAULIFFE LTD 211 18WC 37069 FORTSON, MARY J OWENS-BROCKWAY GLASS 11/18/17 PERONA PETERLIN ANDREONI POWER & CRONIN LTD 212 18WC 37669 MCEMERY, LEESA (WIDOW OF) MAYOU ROOFING & SUPPLY CO # 02/21/18 MISKELL LAW CENTER KNELL LAW LLC 213 18WC 38085 REHTMEYER, LAURA INNOVATIVE STAFF SOLUTION 10/02/18 LAW OFFICE ALISSA GEARHART THOMAS MAMER & HAUGHEY 214 18WC 38416 SPAMPANATO, MICHAEL HCC, INC 11/14/18 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 215 19WC 00275 KASOSKI, GZIM MENARDS 03/01/18 KNELL LAW LLC GANAN & SHAPIRO 216 19WC 00359 FAIRCHILD, ROBERT A ALLIED POWER 10/29/18 ANESI OZMON RODIN NOVAK KO LAWRENCE COZZI - LAW OFFICE 217 19WC 00447 KERZISNIK, KAITLYN BIG R STORES 08/08/18 CORBOY & DEMETRIO PC HOLECEK & ASSOCIATES 218 19WC 00674 VANCOPPENOLLE, BROOKE OSF HOME HEALTH & HOSPICE 06/04/18 PETER F FERRACUTI & ASSOCI HERBOLSHEIMER LANNON ET AL 219 19WC 01085 AYALA, FRANCISCO YORKVILLE HILL LANDSCAPIN 12/02/17 DAVID W MARTAY JOSEPH MARCINIAK 220 19WC 01175 BLUM, DANIEL L WILLET, HOFAMNN & ASSOCIA 10/17/18 MERTES & MERTES PC NYHAN BAMBRICK KINZIE & LOWR 221 19WC 01491 RAMEY, JOHN JM TRANSPORT 11/27/18 KINNALLY FLAHERTY KRENTZ WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 222 19WC 01585 THOMAS, JOSEPH OWENS-BROCKWAY GLASS CONT 01/10/19 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 223 19WC 02083 KOLESAR, KIMBERLY OTTAWA FRIENDSHIP HOUSE 01/08/19 SCHWEICKERT GANASSIN 224 19WC 02311 DELEON, MARIA MONTEREY MUSHROOMS INC 11/11/18 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 225 19WC 02543 HATMAN, ALTON MENARDS 08/02/17 ANKIN LAW OFFICE EVANS & DIXON 226 19WC 02667 BRADLEY, DENISE ROWDY'S 06/05/18 DAVID W OLIVERO GANAN & SHAPIRO 227 19WC 03276 MOORE, ELBERT "MARK" NORTHERN PARTNERS CO-OP 09/25/17 MEYERS & FLOWERS CAPUANI, FRANK S 228 19WC 03831 MEDERO, MILKO H.B. FULLER CO 01/29/19 WOODRUFF JOHNSON HENNESSY & ROACH PC 229 19WC 04337 FREEMAN, JESSIE DO IT BEST CORP 08/06/18 PIGNATELLI & ASSOCIATES 230 19WC 04730 MARQUEZ, RAMIRO CLARK DIETRICH 08/23/18 PETER F FERRACUTI & ASSOCI EVANS & DIXON 231 19WC 04966 LOCHIRCO, PHILLIP J MVP PLUMBING CORP 05/01/18 BRADY CONNOLLY & MASUDA PC 232 19WC 05059 TOMPKINS, RHONDA SAUK VALLEY COMMUNITY COL 11/13/18 REESE & REESE POWER & CRONIN LTD 233 19WC 05221 SUTTON, JESSE DIXON CORRECTIONAL CENTER @ 02/04/19 PETER F FERRACUTI & ASSOCI ASSISTANT ATTY GENERAL 234 19WC 05289 TALAVERA, WILFREDO SWIFT TRANSPORTATION 04/09/18 BOGGS & FILLENWARTH WIEDNER & MCAULIFFE LTD 235 19WC 05454 CAVANESS, JIM C RIVERVIEW ENTERPRISES, LL 12/16/16 PERONA PETERLIN ANDREONI 236 19WC 05635 SZABO, MICHAEL L RAYNOR MANUFACTURING COMP 03/20/18 REESE & REESE JOSEPH MARCINIAK 237 19WC 06377 FEITH, JAMES ALLIED-LOCKE INDUSTRIES 11/13/18 SCHWEICKERT & GANASSIN ACCIDENT FUND HOLDINGS 238 19WC 06620 JABLONSKY, JAMES STATE OF ILLINOIS 11/15/18 REESE & REESE ASSISTANT ATTY GENERAL 239 19WC 06702 CHAVEZ, LUIS MENARDS 06/28/18 KURASCH & KLEIN, LTD CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 240 19WC 06909 WENDEL, ROBERTA ILLINOIS VALLEY COMMUNITY 08/30/17 DREW J FERRACUTI NYHAN BAMBRICK KINZIE & LOWR 241 19WC 07304 CHAVEZ, LUIS MENARD'S 09/15/17 KURASCH & KLEIN, LTD 242 19WC 07381 DANKO, ANDREW DYNO NOBEL INC. 10/31/17 SCHWEICKERT & GANASSIN BRADY, CONNOLLY & MASUDA, PC 243 19WC 07471 RUDOLPH, WILLIAM L COYNE AND SONS CONSTRUCTI W 09/21/18 SPIROS LAW PC 244 19WC 07533 STEWART, BOB IL DEPT OF CORRECTIONS 10/28/18 DWORKIN AND MACIARIELLO ASSISTANT ATTY GENERAL 245 19WC 07577 NIETO, MIGUEL GARCIA MENDARDS DISTIBUTION CENT 02/10/19 WOODRUFF JOHNSON EVANS & DIXON 246 19WC 07700 PARR, KATHLEEN ILLINOIS VALLEY COMMUNTIY 02/10/19 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 247 19WC 08165 WAGENKNECHT, GARY COMED 02/01/19 GESMER & REYNOLDS PC HENNESSY & ROACH PC 248 19WC 08313 JONES, SALLY ACE HARDWARE DIST CENTER 01/29/19 PETER F FERRACUTI & ASSOCI KLAUKE LAW GROUP LLC 249 19WC 08578 SANDOVAL, MARTIN DEL MONTE CORP. 04/07/17 MEYERS & FLOWERS EVANS & DIXON 250 19WC 08639 REPPIN, KATHY WAL-MART 07/31/18 PERONA PETERLIN ANDREONI QUINTAIROS PRIETO WOOD & BOY 251 19WC 09088 DILLON, ERIC STATE OF IL - CMS @ 01/19/19 MARK N LEE ASSISTANT ATTY GENERAL 252 19WC 09126 CHAPMAN, PATRICIA MENARD, INC 03/13/19 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 253 19WC 09184 RUGGERIO, RONALD STAFFQUICK 03/01/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 254 19WC 09499 ABEL, JOSEPH KENDALL COUNTY SHERIFF 12/12/17 MCNAMARA PHELAN MCSTEEN LL 255 19WC 09840 VEGA, WILLIAM ILLINOIS DEP OF TRANSPORT 01/02/19 JONATHAN SCHLACK ASSISTANT ATTY GENERAL 256 19WC 09911 WIRES, MYONG-HE DONALDSON COMPANY 01/04/19 PIGNATELLI & ASSOCIATES LEAHY EISENBERG & FRAENKEL 257 19WC 10853 KARLSSON, AMBER C STATE OF ILLINOIS JACK MA @ 03/26/19 REESE & REESE ASSISTANT ATTY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 258 19WC 11350 LOUIS, PHILIP FLINK COMPANY 02/12/19 PETER F FERRACUTI & ASSOCI 259 19WC 11820 DAVIS, ASHLEY MARIE DORS/IL DEPT OF REHAB SVC @ 04/03/17 LAW OFFICE ALISSA GEARHART ASSISTANT ATTY GENERAL 260 19WC 12365 DAVIS, ASHLEY MARIE DHSS/ILD REHAB SVCS/ILDHS @ 04/03/17 LAW OFFICE ALISSA GEARHART ASSISTANT ATTY GENERAL 261 19WC 12665 BOSS, TYLER CIT TRUCKS LLC 07/03/18 ROBERT WARSASKI BRYCE DOWNEY & LENKOV LLC 262 19WC 12942 ZUK, PAUL DOUBLE D EXPRESS 02/23/18 VRDOLYAK LAW GROUP LLC JAMES M KELLY 263 19WC 13131 SOTO, ALVINO VIAKABLE MANUFACTURING 02/18/19 PETER F FERRACUTI & ASSOCI GRIFFIN, LORETTA M LAW OFFIC 264 19WC 13135 SCHAEFER, JAMES M STATE OF IL DEPTOF CORREC @ 06/10/18 REESE & REESE ASSISTANT ATTY GENERAL 265 19WC 13203 PENDLETON, JEAN MORRIS HOSPITAL 06/23/16 MEYERS & FLOWERS STEPHEN P. KELLY 266 19WC 13218 PARK, TERESA DOLLAR GENERAL 04/24/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 267 19WC 13371 JACKSON, BRANDON AMCO MACHINE 04/02/19 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 268 19WC 13983 BOROWICZ, DANETTE M SENECA GULF 01/04/19 DREW J FERRACUTI 269 19WC 14289 LITTLE, KEVIN SYNECTICS 12/18/18 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 270 19WC 14754 GLENN, MICHAEL J RAYNOR WORLDWIDE, INC 11/07/18 REESE & REESE JOSEPH MARCINIAK 271 19WC 15279 SVOBODA, JOAN MI HOMES 10/27/18 TURNER & SACKETT LLC EDWARD J. KOZEL 272 19WC 15482 HOLMES, MICHAEL VILLAGE OF MARK 09/25/18 STEPHEN P. KELLY 273 19WC 16105 THOMAS, ROBERT MENARDS 05/27/19 ANGELINI & ORI LLC 19WC018060 -C 274 19WC 16476 WOLFF, CYNTHIA J RURAL KING 11/30/18 DREW J FERRACUTI RURAL KING 275 19WC 16605 PROVOST, JON J WALMART ASSOCIATES, INC 05/08/19 PERONA PETERLIN ANDREONI GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 19WC 16845 CONNESS, ROBERT LASALLE COUNTY HIGHWAY DE 12/19/18 TIMOTHY CANTLIN HERBOLSHEIMER LANNON ET AL 277 19WC 17051 NEWTON, JAMES P PLANO MOLDNG CO(PLANO SYN 10/10/18 DREW J FERRACUTI HENNESSY & ROACH PC 278 19WC 17238 JACKSON, BRANDON T AMCO MACHINE 04/02/19 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 279 19WC 17519 MARTINEZ, HERIBERTO VIAKABLE MANUFACTURING, L 03/05/19 SCHWEICKERT & GANASSIN GRIFFIN, LORETTA M LAW OFFIC 280 19WC 17759 LUCAS, KIM VISSERING CONSTRUCTION CO 06/11/19 WILSON LAW OFFICES LLC HOLECEK & ASSOCIATES 19WC018366 -C 19WC018605 -C VIDDERING CONSTRUCTION CO 281 19WC 17851 MACHAJ, DANIEL LAWRENCE FICEK ELECTRIC 02/08/19 HORWITZ HORWITZ & ASSOC 282 19WC 17993 HEAD, JAMES RMI INDUSTRIAL INC 04/10/19 RUSIN & MACIOROWSKI LTD 283 19WC 18241 CHERRY, WILLIAM A SERVICE MASTER 04/24/19 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 284 19WC 18756 JACINAVICIUS, DANUTE PRINCETON SCHOOL DIST #11 05/23/19 SCHWEICKERT & GANASSIN ROSARIO CIBELLA 285 19WC 18935 SMITH, MATTHEW AARONS 05/03/19 BERTRAND LAW OFFICE 286 19WC 18974 O'BRIEN, TINA WAXFORD HEALTH SRVS/DIXON 02/08/18 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 287 19WC 19021 GENTRY, DESIREE HEADSTART TCOC 02/12/18 DAMON YOUNG ACCIDENT FUND HOLDINGS 288 19WC 19300 CUNDARI, DOMINIC J AT&T 02/13/19 SEIDMAN MARGULIS & FAIRMAN 289 19WC 19416 GURLEY, RONALD R DIXON DIRECT, LLC 03/25/19 PIGNATELLI & ASSOCIATES HOLECEK & ASSOCIATES 290 19WC 19422 HASZLER, MARTIN UNYTITE, INC 01/02/19 SCHWEICKERT & GANASSIN 291 19WC 19436 COLLINS, ROCHELLE HERMAN & KITTLE PROPERTIE 03/06/19 SCHWEICKERT & GANASSIN 292 19WC 19688 DAMRON, ELIZABETH WALMART 10/02/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 293 19WC 20015 DUERING, THOMAS M WORLEY PARSONS 06/30/19 HORWITZ HORWITZ & ASSOC KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 294 19WC 20054 STEVENS, DANIEL GRAYCOR CONSTRUCTION COMP 06/10/19 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA 295 19WC 20129 LUNN, CRAIG S DOUBLE D EXPRESS INC 11/07/18 MEYERS & FLOWERS JAMES M KELLY 296 19WC 20346 DUNAJ, TOMASZ KLC BROKERAGE, INC. 05/24/19 ROMANUCCI & BLANDIN KRAKER FANNING & OLSEN 297 19WC 20828 HAMANN, KENNETH W CITY OF STREATOR 05/09/19 DREW J FERRACUTI 298 19WC 21355 LITTLE, LYNN COOKIE KINGDOM 09/10/18 PETER F FERRACUTI & ASSOCI HEYL ROYSTER VOELKER & ALLEN 19WC021356 -C 19WC021357 -C 19WC021358 -C 299 19WC 21492 HEYWOOD, SCOTT D RESERVES NETWORK 02/13/19 COMPTON LAW GROUP WIEDNER & MCAULIFFE LTD 300 19WC 21546 MCDONALD, DAVID ZIP-PAK 12/21/18 TIMOTHY CANTLIN NYHAN BAMBRICK KINZIE & LOWR 301 19WC 21630 KLEIN, ARTHUR WASHINGTON MILLS HENNEPIN 02/08/19 JOHN LESAGANICH WIEDNER & MCAULIFFE LTD 302 19WC 21665 CIESIELSKI, STEVEN FEDERAL EXPRESS CORPORATI 01/25/19 SCHWEICKERT & GANASSIN 303 19WC 21978 WHITE, JENNIFER BORG WARNER 06/24/18 REESE & REESE LITCHFIELD CAVO 304 19WC 22175 DUNKLEBERGER, MICHAEL T GLEN GARY BRICK CO 06/19/19 EMMANUEL F GUYON WIEDNER & MCAULIFFE LTD 19WC022176 -C 19WC022177 -C THE RESERVES NETWORK 19WC022178 -C 305 19WC 22509 CAVAZOS, DALIA DEL MONTE FOOD, INC 08/29/18 SCHWEICKERT & GANASSIN EVANS & DIXON 306 19WC 22654 COLE, CHAD M VACTOR MANUFACTURING 09/30/16 PERONA PETERLIN ANDREONI BRADY CONNOLLY & MASUDA PC 19WC022655 -C 307 19WC 22687 GRANADOS, MARIO US TRUCK BODY 07/09/19 SCHWEICKERT GANASSIN NYHAN BAMBRICK KINZIE & LOWR 308 19WC 22803 GUE, ALLISON PARK POINTE SENIOR LIVING 03/27/19 MEYERS & FLOWERS 309 19WC 23716 SOBKOMAK, GERALD KANKAKEE GRAIN INSPECTION 08/09/19 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 310 19WC 23853 CROYSDELL, BETH XPO LOGISTICS 06/10/19 BRASSFIELD KRUEGER & RAMLO 311 19WC 23890 BURASH, EDWARD ILLINOIS CEMENT COMPANY 08/28/18 PERONA PETERLIN ANDREONI SPIEGEL & CAHILL, PC 312 19WC 24002 COBA, DARLENE MC DONALD'S 08/05/19 WILSON LAW OFFICES LLC 313 19WC 24081 BLACKMON, KEONDRA BARTON STAFFING 08/10/19 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 314 19WC 24214 KERCHNER, WENDY ADVANCE AUTO PARTS 07/21/19 LIPKIN & APTER WIEDNER & MCAULIFFE LTD 315 19WC 24254 TERRAZAS, ALVARO BOOMBAH, INC 12/07/18 FOOTE MIELKE CHAVEZ O'NEIL 316 19WC 24390 GOMEZ, JOSE INTERIOR GLAZING SYSTEMS 08/08/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 317 19WC 24908 JORDAN, LINDA C STATE OF ILLINOIS @ 08/02/19 REESE & REESE ASSISTANT ATTY GENERAL 318 19WC 25062 AREBALO-NUNEZ, JORGE WALMART DISTRIBUTION CENT 11/20/18 SCHWEICKERT GANASSIN GANAN & SHAPIRO 319 19WC 25280 HOSCHEIT, CYNTHIA HY-VEE INC 12/24/18 PERONA PETERLIN ANDREONI QUINN JOHNSTON HENDERSON ETA 320 19WC 25299 LEE, TYRONE PRIME INC TRUCKING 09/04/16 NO ATTORNEY 321 19WC 25421 SCHRUPP, EUGENE FLORIST DISTRIBUTING 03/08/19 VANDERGINST LAW PC QUINN JOHNSTON HENDERSON ETA 322 19WC 25463 HALLOWELL, DAVID CITY OF OTTAWA 12/03/18 SCHWEICKERT GANASSIN POWER & CRONIN LTD 323 19WC 25467 BARRETT, AMANDA BECK BUILDING SERVICES, I 10/08/18 SCHWEICKERT GANASSIN HENNESSY & ROACH PC 324 19WC 25470 MURPHY, BARBARA SARATOGA CCSD 60C 06/10/19 SCHWEICKERT GANASSIN KNELL LAW LLC 325 19WC 25588 SMITH, BRADY JR COMMUNICATION DATA LINK L 08/10/19 PETER F FERRACUTI & ASSOCI NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 326 19WC 26096 BEDOLLA, JULIAN UTILITY CONCRETE PRODUCTS 08/13/19 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 327 19WC 26197 MILBY, THOMAS R WASHINGTON MILLS HENNEPIN 04/14/19 PERONA PETERLIN ANDREONI WIEDNER & MCAULIFFE LTD 19WC026198 -C 328 19WC 26226 WAHLS, FRED WALMART 01/14/19 GOLDFINE & BOWLES QUINTAIROS PRIETO WOOD & BOY 329 19WC 26445 MEREDITH, DUSTIN REPUBLIC SVCS 02/05/19 PARENTE & NOREM PC GILDEA, COGHLAN & REGAN LTD. 330 19WC 26730 CREW, FRANK VIAKABLE MANUFACTURING, L 09/04/19 WILSON LAW OFFICES LLC GILDEA, COGHLAN & REGAN LTD. 331 19WC 26818 OSER, DAVID ILLINOIS DEPT OF TRANSPOR @ 08/22/19 SCHWEICKERT GANASSIN 332 19WC 26954 KWIATT, JOE SOUTHWEST FIREPLACE 03/25/19 BLOCK, KLUKAS & MANZELLA P 333 19WC 27088 DAVIS, DUSTIN REPUBLIC SVCS 09/10/19 PARENTE & NOREM PC 334 19WC 27629 OLAGUE, PEDRO PLANO MOLDING COMPANY, LL 06/15/19 THE ROMAKER LAW FIRM 335 19WC 27689 KAMBIC, STEVEN NOURYON 12/29/18 MEYERS & FLOWERS 336 19WC 27742 BARTO, JOHN VERITIV CORPORATION 09/10/18 DEPAOLO & ZADEIKIS HEYL ROYSTER VOELKER & ALLEN 19WC027743 -C 337 19WC 28262 OELSCHLAGER, JUDY ILLINOIS VALLEY CMMTY HOS 05/07/19 DREW J FERRACUTI NYHAN BAMBRICK KINZIE & LOWR 338 19WC 28307 HARLAN, DAVE MORGAN'S AUTO BODY 07/24/19 PETER F FERRACUTI & ASSOCI STEPHEN P. KELLY 339 19WC 28446 ANDERSEN, TIM AT&T 05/14/18 CORTINA & MUELLER 340 19WC 28645 KOSTERETZ, DONALD JV ENTERPRISES OF IL INC 08/20/19 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 341 19WC 28865 SHINKEY, KIMBERLY STREATOR ELEM SCHOOL 03/06/17 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 342 19WC 28911 STOCKING, CHASTIDY L.W. SCHNEIDER, INC 11/09/18 SCHWEICKERT GANASSIN ACCIDENT FUND HOLDINGS 343 19WC 29002 LOZANO, RICHARD IL DEPT OF TRANSPORTATION @ 09/09/19 SCHWEICKERT GANASSIN ILLINOIS ATTORNEY GENERAL OF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 344 19WC 29005 RIOS, DEBRA RAYNOR MANUFACTURING COMP 07/15/19 REESE & REESE 345 19WC 29796 CARR, AMY SENECA GRADE SCHOOL N CAM 08/28/19 KATZ FRIEDMAN EAGLE ET AL KNELL LAW LLC 346 19WC 29807 PROMENSCHENKEL, MARIBETH KROGER 07/12/19 DREW J FERRACUTI GANAN & SHAPIRO 347 19WC 30013 ALBAZI, BAILOS BURGER KING 04/11/18 SEIDMAN MARGULIS & FAIRMAN 348 19WC 30412 RICE, XAVIER US TRUCK BODY 09/24/19 SCHWEICKERT GANASSIN KEEFE CAMPBELL BIERY & ASSOC 349 19WC 30573 FRANKS, VALARIE L.W. SCHNEIDER INC 08/06/19 DWORKIN AND MACIARIELLO 350 19WC 30830 GONZALEZ, MARTIN FEDERAL SIGNAL CORP D/B/A 05/29/19 SCHWEICKERT GANASSIN BRADY CONNOLLY & MASUDA PC 351 19WC 31029 BAKER, GARY L RIVERDOCKS, INC 09/30/19 SCHWEICKERT GANASSIN LITCHFIELD CAVO 352 19WC 31226 GREEN, WANDA THE KROGER COMPANY 01/16/17 DREW J FERRACUTI 353 19WC 31229 GIERDEN, SARAH ALL ABOUT PERSONNEL LLC/ 09/16/19 DREW J FERRACUTI INMAN & FITZGIBBONS 354 19WC 31385 PICCATTO, JOHN JR. WESTERN SAND AND GRAVEL C 12/07/18 SCHWEICKERT GANASSIN GILDEA, COGHLAN & REGAN LTD. 355 19WC 31535 ALVARADO, ENRIQUE MIDWEST MANUFACTURING 08/16/19 MC HARGUE & JONES EVANS & DIXON 356 19WC 31798 CALHOUN, SHELBY SYMPHONY OF JOLIET 09/04/19 BLACK & JONES BRADY CONNOLLY & MASUDA PC 357 19WC 31873 LYND, WILLIAM VACTOR MANUFACTURING 04/12/17 PERONA PETERLIN ANDREONI 358 19WC 31935 OVERco*ckER, STEVE COVIA CORP 06/17/19 INMAN & FITZGIBBONS 359 19WC 32173 ZULLO, DIANNE GOODWILL INDUSTRIES 10/22/19 DREW J FERRACUTI BRYCE DOWNEY & LENKOV LLC 360 19WC 32705 FUGET, KAYLA M ADVANCED MEDICAL TRANSPOR 05/23/18 DREW J FERRACUTI JAMES M KELLY 19WC032706 -C 361 19WC 32760 RODDA, JOSHUA PRAIRIE LAND MILLWRIGHT 10/24/19 TAXMAN POLLOCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 362 19WC 32796 DAVIS-SCHAUM, PATRICIA YORKVILLE SCHOOL DIST #11 04/15/19 WOODRUFF JOHNSON ROSARIO CIBELLA 363 19WC 33001 GOOK, SUSAN PILOT TRAVEL CENTER 07/24/19 TIMOTHY CANTLIN 364 19WC 33323 DAGGETT, ANDY KOHL WHOLESALE 10/21/19 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 365 19WC 33462 INGRAM, CHANIKA OMG LIQUOR & WINE 11/13/19 DWORKIN AND MACIARIELLO WOLF & TENNANT 366 19WC 33594 VAZQUEZ, MONICA DEL MONTE FOODS 09/24/19 DAVID W OLIVERO EVANS & DIXON 367 19WC 33957 BARTO, JASON ILLINOIS DEPT OF CORRECTI @ 10/30/19 SCHWEICKERT GANASSIN ASSISTANT ATTY GENERAL 368 19WC 34205 GRAY,ED TJF MOTOR COMPANY, LLC 09/18/19 STROW LAW LLC MCANANY VANCLEVE & PHILLIPS 369 19WC 34464 SHINKEY, NICHOLAS R SCI CORPORATION 10/18/19 ANESI OZMON RODIN NOVAK KO 370 19WC 34775 VASQUEZ, FRANCISCO NEWLY WEDS FOODS, INC. 04/26/19 WILTON PERSON 371 19WC 35160 MONTERASTELLI, ROXANNE M KOHL'S DISTRIBUTION CENTE 10/29/19 DREW J FERRACUTI CHILTON YAMBERT PORTER LLP 372 19WC 35364 GOTCH, DEON CITY OF STREATOR POLICE D 05/05/19 PETER F FERRACUTI & ASSOCI 373 19WC 35562 CROWE, ROBERT H BAY VALLEY FOODS 08/21/19 REESE & REESE KEEFE CAMPBELL BIERY & ASSOC 374 19WC 35606 ROSS, HELEN HANDY FOODS 10/26/19 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 375 19WC 35898 NOON, TAZ ALLIED POWER 02/22/18 LAWRENCE COZZI - LAW OFFICE 376 19WC 36578 RICCOLO, TERRY STATE OF ILLINOIS DEPARTM @ 11/04/19 MICHAEL HELLMAN ILLINOIS ATTORNEY GENERAL OF 377 19WC 36620 WILLS, JEREMY DOLLAR TREE 12/03/19 PETER F FERRACUTI & ASSOCI NYHAN BAMBRICK KINZIE & LOWR 378 19WC 36813 WALLER, DUSTYN BLACK HORSE CARRIERS, INC 12/01/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 379 19WC 36927 HANSEN, MICHELE STATE OF ILLINOIS/ @ 01/22/19 SCHWEICKERT GANASSIN ASSISTANT ATTY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 380 19WC 37077 JOHNSON, DANIEL L ALLIED POWER HOLDINGS 11/08/19 REESE & REESE LAWRENCE COZZI - LAW OFFICE 381 19WC 37209 GOSKUSKY, TOM LASALLE COUNTY 12/12/18 SCHWEICKERT GANASSIN HERBOLSHEIMER LANNON ET AL 382 19WC 37372 LUALLEN, JASON WALMART INC 11/01/19 SCHWEICKERT GANASSIN QUINTAIROS PRIETO WOOD & BOY 383 20WC 00272 MITCHELL, GRACIE NOURYON SURFACE CHENISTRY 12/15/19 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 384 20WC 00631 LIBBY, TANYA OSF HEALTHCARE 10/24/19 CAPRON & AVGERINOS PC HERBOLSHEIMER LANNON ET AL 385 20WC 00766 ENRIQUES, ALONZO SKYHIGH ERECTORS, LLC 09/10/19 SCHWEICKERT GANASSIN BRADY CONNOLLY & MASUDA PC 386 20WC 00816 MCDONALD, JORDAN OTTAWA FIRE DEPARTMENT 12/13/19 STROW LAW LLC 387 20WC 01043 FARRELL, DAVE THE HOME DEPOT USA, INC. 06/13/18 ADELSON TESTAN BRUNDO 388 20WC 01185 HATTING, LANCE PIAZZA & MANNERINO MASONR 04/16/18 MARK N LEE 389 20WC 01243 WREN, MITCHELL D ERIE INDEMNITY COMPANY 03/02/17 LAWRENCE COZZI - LAW OFFICE 390 20WC 01320 BURASH, DANIEL BEST CLEANING SOLUTIONS, 09/20/19 SCHWEICKERT GANASSIN INMAN & FITZGIBBONS 391 20WC 01458 BLACK, JULIE OTTAWA DENTAL LABORATORY 06/17/19 KARLIN FLEISHER & FALKENBE ROSARIO CIBELLA 392 20WC 01607 O'FLANAGAN, RENEE L BLARNEY IRISH PUB 12/08/19 PETER F FERRACUTI & ASSOCI 393 20WC 02000 GRAY, ANGELA SULLIVAN FOODS INC. 12/17/19 SCHWEICKERT GANASSIN 394 20WC 02415 PATSCH, LAURIE STERLING JEWELERS 01/13/16 KELLEY KRONENBERG 395 20WC 02490 CAMPBELL, WILLIAM ACE HARDWARE 01/05/19 DWORKIN AND MACIARIELLO KLAUKE LAW GROUP LLC 396 20WC 04007 ACEVEDO, MANUEL E&A TRANSPRO, INC 02/04/20 ANKIN LAW OFFICE 397 20WC 04250 ACEVEDO, JUAN KONRAD CONSTRUCTION 12/23/19 DAVID W MARTAY ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 398 20WC 04567 COVINGTON, JOHN FICEK ELECTRIC 12/20/19 GWC INJURY LAWYERS LLC EDWARD J. KOZEL 399 20WC 04652 STEELE, NICKOLE ST MARGARET'S HOSPITAL 10/28/19 SCHWEICKERT GANASSIN NYHAN BAMBRICK KINZIE & LOWR 400 20WC 04955 SLAFER, DAVID COOKIE KINGDOM, INC 10/02/19 PERONA PETERLIN ANDREONI 401 20WC 05234 GULVAS, STEVEN OWENS- ILLINOIS INC 07/02/19 SCHWEICKERT GANASSIN BRYCE DOWNEY & LENKOV LLC 402 20WC 05533 ZARUBA, JON K VACTOR MANUFACTURING INC 02/17/20 DREW J FERRACUTI 403 20WC 05625 MEDINA, EDUARDO UTILITY CONCRETE PRODUCTS 01/23/20 BART DURHAM 404 20WC 05882 THOMAS, JANE F STATE OF IL DEPT OF CORRE @ 03/18/19 REESE & REESE 405 20WC 05925 MARSHALL, AMY MIDWAY INDUSTRIAL EQUIPME 02/12/20 TIMOTHY CANTLIN LITCHFIELD CAVO 406 20WC 05965 BIFFANY, JOSHUA A & R LOGISTICS INC 07/11/19 PERONA PETERLIN ANDREONI WIEDNER & MCAULIFFE LTD 407 20WC 06027 BERG JR, FREDERICK OWENS-ILLINOIS INC 08/09/19 SCHWEICKERT GANASSIN POWER & CRONIN LTD 408 20WC 06040 HALL, DEVON ALLEGION, PLC 02/05/20 SCHWEICKERT GANASSIN 409 20WC 06112 ARMSTRONG, CLAY SOS SECURITY 01/12/20 TIMOTHY CANTLIN GAROFALO SCHREIBER STORM GRA 410 20WC 06248 RUSNAK, MICHAEL LEAFGUARD OF CHICGO/BROAD 08/29/19 ELFENBAUM EVERS ZIELINSKA 411 20WC 06567 KORNEWALD, CHARLES AUTO ZONE, INC 11/20/19 WARD MURRAY PACE & JOHNSON 412 20WC 06722 TARR, JEANA KOHL'S DISTRIBUTION CENTE 02/24/20 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 413 20WC 06774 SHICK, BRYAN HORTICULTURAL SPECIALTIES 02/06/20 SCHWEICKERT GANASSIN JOSEPH MARCINIAK 414 20WC 06874 COVER, APRIL J CREST FOODS 09/17/19 REESE & REESE 415 20WC 06998 SANDERS-MALLET, TOILYNN SWIFT TRANSPORTATION 08/08/19 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 416 20WC 07138 MCVAY, CARI A.J. MCDIRTT, INC 09/10/19 SCHWEICKERT GANASSIN 417 20WC 07168 MCVAY, CARI A.J. MCDIRTT, INC. 03/03/20 SCHWEICKERT GANASSIN 418 20WC 07272 HOLLOWAY, GREGG A HCC INC 02/20/20 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 419 20WC 07345 MAXWELL, TRNAE FRANCES HOUSE INC 01/27/20 SCHWEICKERT GANASSIN 420 20WC 07523 TRUESDALE, DANIEL WRIGLEY MFG CO 04/08/18 GWC INJURY LAWYERS LLC BARBER SEGATTO HOFFEE WILKE 421 20WC 07679 SNOW, KEVIN PETERSON HEALTHCARE SVCS 12/20/19 SEIDMAN MARGULIS & FAIRMAN 422 20WC 07739 GERSTUNG, VANESSA XPO LOGISTICS 10/08/19 BRASSFIELD KRUEGER & RAMLO 423 20WC 07910 KIMMELL, BILLIE KSR EQUIPMENT LLC 03/16/20 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 424 20WC 07956 FOGLE, ASHLEKAY L OPEN SESAME CHILD CARE CT 04/11/18 GESMER & REYNOLDS PC NOBLE & ASSOC 425 20WC 08191 HUBER, JACK US TRUCK BODY 04/12/18 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 426 20WC 08264 DOWNEY, JAMES BRECKENRIDGE TRUCKING 06/13/19 CUSACK GILFILLAN & O'DAY 427 20WC 08350 HAZEL, ADAM INDIAN CREEK HIGH SCHOOL * 02/27/20 GESMER & REYNOLDS PC ROSARIO CIBELLA 428 20WC 08445 RUMMERFIELD, RODNEY FIBREBOND CORP * 12/07/18 WOLF & LAUDICINA LTD 429 20WC 08596 MARQUEZ, RAMIRO CLARK DIETRICH * 09/10/18 PETER F FERRACUTI & ASSOCI 430 20WC 08651 WEAVER, GEORGE UPS * 02/27/20 LULAY LAW OFFICES ASA LAW GROUP 431 20WC 08865 WOODS, DARRIS VACTOR MANUFACTURING * 03/23/20 MICHAEL ROUSSEAU 432 20WC 08871 BAKER, SCOTT OWENS-ILLINOIS * 02/04/20 PETER F FERRACUTI & ASSOCI 433 20WC 08913 TAPIA, ISAIAS ADVANCE SERVICE INC * 12/12/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 434 20WC 08972 BATCHELOR, LISA PLANO SYNERGY HOLDING INC * 11/17/18 STROW LAW LLC 435 20WC 09161 SUSPENZI, ANTHONY PEOPLE LINK, LLC * 04/02/20 ANKIN LAW OFFICE 436 20WC 09257 COX, KATIE SHERIDAN CORRECTIONAL CTR @ * 03/23/20 PETER F FERRACUTI & ASSOCI 437 20WC 09386 DIROSA, FAITH SHERIDAN CORRECTIONAL CEN @ * 02/07/20 PETER F FERRACUTI & ASSOCI 438 20WC 09687 KUKLOK, GERMAIN ILLINOIS TRUCK MAINTENANC * 07/20/19 PETER F FERRACUTI & ASSOCI QUINTAIROS PRIETO WOOD & BOY 439 20WC 09932 MONDRAGON, LAURA COLOR POINT, LLC * 07/29/19 SCHWEICKERT GANASSIN WOLF & LAUDICINA LTD 440 20WC 10000 MC CARTY, ROGER REHRIG PACIFIC COMPANY * 01/09/19 PERONA PETERLIN ANDREONI 441 20WC 10209 BEYER, DERYL MANPOWER * 04/23/20 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 442 20WC 10295 ADAMS, ISABELLE DOLLAR GENERAL * 11/17/19 DREW J FERRACUTI LEAHY EISENBERG & FRAENKEL 443 20WC 10483 FEIRICK, STNALEY CENTURYLINK * 01/21/20 STEPHEN P. KELLY RIPES NELSON BAGGOT KALOBRAT 444 20WC 10635 GRAY, ANGELA SULLIVAN FOODS, INC * 02/05/20 SCHWEICKERT GANASSIN 445 20WC 10870 MOORMAN, JARED STARVED ROCK WOOD PRODUCT * 03/17/20 PETER F FERRACUTI & ASSOCI EVANS & DIXON 446 20WC 10995 TRAMUTOLO, MICHAEL P FS GRAIN LLC * 11/05/19 ANESI OZMON RODIN NOVAK KO 447 20WC 11074 BRUCKS, JOHN ALLIED POWER SERVICES LLC * 02/12/20 GWC INJURY LAWYERS LLC COZZI & ZAPF LAW OFFICE 448 20WC 11148 SIMPSON, DANIEL ADVANCED ASPHALT CO * 04/24/20 SEROWKA LAW JAMES M KELLY 449 20WC 11250 SARVER, DAN RUAN TRANSPORTATION * 02/17/20 PETER F FERRACUTI & ASSOCI 450 20WC 11426 CURRENS, GREGORY BRIGHT BEGINNINGS DAYCARE * 01/28/20 REESE & REESE ROSARIO CIBELLA 451 20WC 11607 WRIGHT, MARK SHERIDAN CORRECTIONAL CEN @ * 01/24/20 DREW J FERRACUTI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 452 20WC 11850 HAUCH, FRED FS GRAIN * 04/22/20 MEYERS & FLOWERS 453 20WC 12015 RENKEN, SCOTT RIVERFRONT MACHINE, INC. * 03/11/19 PETER F FERRACUTI & ASSOCI 454 20WC 12088 SELLERS, NATHAN DEKE LOGISTICS LLC * 02/11/20 WILSON LAW OFFICES LLC NYHAN BAMBRICK KINZIE & LOWR 455 20WC 12209 RICCOLO, TERRY IL DEPT OF TRANS PONTIAC * 01/16/20 MICHAEL HELLMAN 456 20WC 12230 BROWN, GREGORY C STATE OF ILLINOIS @ * 01/15/20 CORNFIELD & FELDMAN 457 20WC 12428 PEARSON, JULIE HOME TOUCH HEALTH CARE * 03/05/20 WOODRUFF JOHNSON 458 20WC 12509 COLIN, RICHARD EUCLID BEVERAGE, LLC * 04/14/20 DREW J FERRACUTI 459 20WC 12618 BECKER, FREDERICK COVIA HOLDINGS CORP * 04/17/20 WILSON LAW OFFICES LLC 460 20WC 12642 VELASQUEZ, JORGE SWIFT TRANSPORTATION * 06/01/20 KATZ FRIEDMAN EISENSTEIN 461 20WC 12870 COLLE, ALISON PETSMART DISTRIBUTION CEN * 12/10/18 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 462 20WC 12909 SHAVER, THOMAS MORRIS TRANSMISSION &AUTO * 02/19/20 TOSCAS, JOHN Z LAW OFFICE 463 20WC 12986 RISTAU, AUTUMN OTTAWA PAVILION * 05/17/20 PETER F FERRACUTI & ASSOCI 464 20WC 13038 BUIS, ERIC KENDALL CNTY SHERIFF'S OF * 04/11/20 TURNER & SACKETT LLC 465 20WC 13089 WHITE, ELIZABETH E IL DEPT OF CORRECTIONS @ * 03/09/20 PIGNATELLI & ASSOCIATES 466 20WC 13312 SELLERS, DEREK SOUTHWIND RAS * 05/24/19 STONE & JOHNSON CHARTERED 467 20WC 13418 ELDRIDGE, TIMOTHY XPO LOGISTICS FREIGHT INC * 05/06/20 PERONA PETERLIN ANDREONI 468 20WC 13592 MCCANN, TRAVIS JOHN KENNEY FARMS * 04/29/20 STANCZAK LAW OFFICES 469 20WC 13647 DONAHUE, DAVID COVIA * 11/16/18 BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR OTTAWA 40001 ON 07/27/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 470 20WC 13754 GUTMAN, JOHN PARKVIEW CHRISTIAN ACADEM * 11/15/18 DWORKIN AND MACIARIELLO 471 20WC 13805 LEWIS, RICKEY L CORPORATE SERVICES, INC * 05/08/20 TUITE LAW 472 20WC 13892 BUNTING, DOUGLAS JR LIVINGSTON COUNTY * 02/13/20 BOGGS & FILLENWARTH 473 20WC 14143 SNOW, JOSEPH WEST KOCHEL * 05/23/20 TURCYCHUTE LLC 474 20WC 14282 ENRIQUEZ, OSCAR RYDER LOGISTICS * 12/06/19 DWORKIN AND MACIARIELLO 475 20WC 14387 DURANDO, CHAD COVIA CORPORATION * 08/13/19 INMAN & FITZGIBBONS