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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 59313 ROESCH, JUERGEN CRESSWOOD FARMS 09/23/00 CAPRON & AVGERINOS PC SUGAR FELSENTHAL GRAIS HAMME 2 05WC 39390 BUTTERFIELD, SHARON BLACKHAWK COLLEGE 12/09/03 NELSON KEYS & KEYS RUSIN & MACIOROWSKI LTD 3 06WC 39405 GARCIA, CATALINA TYSON FRESH MEATS, INC 05/31/05 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 06WC050240 -C 08WC025460 -C 4 07WC 40759 19B BARBARO, TERRI J.B. HUNT TRANSPORT SERVI 08/16/07 JOHN J CASTANEDA RUSIN & MACIOROWSKI LTD 5 08WC 18828 FRY, DAVID L DEMPSEY & SONS CONSTRUCTI @ 03/16/08 DAVID W MANDRGOC LAW OFFIC ASSISTANT ATTORNEY GENERAL 6 09WC 47468 MONTEGNA, ROBERT HILAND TOYOTA SCION 11/19/08 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM 7 10WC 01856 ENGELS, KIMBERLY EYE SURGEONS ASSOCIATES P 07/13/09 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 8 10WC 18693 ADJE, FUMEY TYSON FRESH MEATS, INC 05/01/08 GANAN & SHAPIRO 9 10WC 35295 JOHNSON, DUANE "ROB" MAPLE LEAF, INC D/B/A CUL 01/09/08 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 10 11WC 07212 MADRIGAL, ARTEMIO KAISER'S CONTRACT CLEANIN 10/31/09 HOPKINS & HUEBNER PC HEYL ROYSTER VOELKER & ALLEN 11 11WC 24429 HOUSSOU, KPENAGNI A TYSON FRESH MEATS INC 02/15/11 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 11WC025111 -C 12 11WC 30676 19B LACOURSE, TIMOTHY A CHADCO INC 07/08/11 KANOSKI BRESNEY HENNESSY & ROACH 13 11WC 33221 PINTER, ERIK TYSON 05/12/09 CAPRON & AVGERINOS PC GANAN & SHAPIRO 14 11WC 39458 MILLER, ROBERT GALESBURG CASTINGS INC 11/08/10 REHN LAW LLC RUSIN & MACIOROWSKI LTD 15 11WC 41222 DE LA ROSA, JOSEPH XPAC 02/08/11 GILLIES, WILLIAM G RUSIN & MACIOROWSKI LTD 14WC041161 -C 16 11WC 41472 HOUNKANRIN, FLORENCE TYSON FRESH MEATS INC 06/21/11 OWOLABI T ALABA GANAN & SHAPIRO 17 11WC 47868 19B WILSON, SHANNON DEPARTMENT OF HUMAN SERVI @ 07/20/11 JAMES M RIDGE & ASSOC PC 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 GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 12WC 04147 ASHLEY, BRIAN GENIE TEMPORARY SRV 09/24/11 REHN LAW LLC STONE & JOHNSON CHARTERED 19 12WC 07147 JONES, MICHAEL TY WARREN COUNTY 11/01/11 JAMES M RIDGE & ASSOC PC RUSIN & MACIOROWSKI LTD 20 12WC 07813 PHILLIPS, DENNIS CITY OF ROCK FALLS 08/15/11 MERTES & MERTES PC ANCEL GLINK DIAMOND BUSH & E 21 12WC 20509 TRICIC, ELDIN ATKINSON LANDFILL COMPANY @ 05/09/12 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 22 12WC 20987 PORTUGUE, WILLIAM L DEERE & CO/SEEDING GROUP 02/22/12 KATZ HUNTOON & FIEWEGER P CALIFF & HARPER, P.C. 23 12WC 24447 BURCH, LISHA MCLAUGHLIN BODY COMPANY 07/03/12 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 24 12WC 29134 JESPERSEN, WAYNE S COUNTY WASTE SYSTEMS INC 06/11/12 KATZ HUNTOON & FIEWEGER P LARRY WOODWARD 25 12WC 30893 REED, ANGELA TYSON'S FRESH MEAT 04/19/12 STRONG LAW OFFICE GANAN & SHAPIRO 13WC018315 -C 26 12WC 34912 KOMASSI, KOKOUTSE TYSON FRESH MEATS, INC 01/18/12 LEADERS LAW CENTER GANAN & SHAPIRO 27 12WC 36253 CORDER, BRYAN PLASTIC PRODUCTS CO 02/09/12 WINSTEIN KAVENSKY & WALLAC HENNESSY & ROACH PC 13WC031420 -C 14WC021117 -C 28 12WC 37353 CAMPAGNA, ANTHONY KVF QUAD CORP 06/01/12 MARSZALEK AND MARSZALEK QUINN JOHNSTON HENDERSON ETA 29 12WC 37470 JOHNSON, DON J YEMM CHEVROLET 03/22/11 JAMES M RIDGE & ASSOC PC HEYL ROYSTER VOELKER & ALLEN 30 12WC 37887 LATHROP, DANIEL L STATE OF ILL DEPT OF @ 08/08/12 JOHN LESANGANICH ASSISTANT ATTORNEY GENERAL 31 12WC 40663 JENNINGS, CHADWICK JOHN DEERE HARVESTER 01/23/12 BELCHER LAW OFFICE KNAPP, OHL & GREEN 32 12WC 40770 FENWICK, MARTIN MENARDS 09/01/11 LAW OFFICE OF CHRIS DOSCOT GANAN & SHAPIRO

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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 12WC 44539 MURRAY, LYN LMT INC 09/04/12 JAMES M RIDGE & ASSOC PC RUSIN & MACIOROWSKI LTD 34 13WC 02240 STRUCK, WILLIAM KNOX COLLEGE 04/26/10 PETER D CORTI LAW GROUP GANAN & SHAPIRO 13WC002241 -C 14WC001584 -C 35 13WC 03759 FRANCIS, RITA JOHNSON OIL SHELL 11/02/12 A RANDOLPH COMBA CAPUANI, FRANK S 36 13WC 06162 LANDRUM, BENJAMIN EAST MOLINE FD 02/01/02 STEVEN J SEIDMAN LAW OFFIC MCCARTHY, CALLAS & FEENEY PC 13WC006163 -C 37 13WC 07041 ZIRZOW, DAVID EAST MOLINE SCHOOL 01/24/12 HOPKINS & HUEBNER PC MACIOROWSKI SACKMANN & ULRIC 38 13WC 09759 RITZERT, JEFFREY HAPY TEMPS @ W 04/18/10 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 39 13WC 11240 CURPHY, MERLE TRINITY MEDICAL CENTER 12/06/12 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 40 13WC 12074 ADAMS, DANIEL ROCK ISLAND SCHOOL DISTRI 11/04/11 WINSTEIN KAVENSKY & CUNNIN INMAN & FITZGIBBONS 41 13WC 15744 STRADER, ROSE A CGH MEDICAL CENTER 01/27/13 REESE & REESE WIEDNER & MCAULIFFE LTD 17WC028788 -C 42 13WC 18312 AUSTIN, MARIA JOHANNES BUS SERVICE 04/22/13 CROWLEY & PRILL JAMES M KELLY 13WC035706 -C 43 13WC 28004 COLUNGA, SERGIO DIVERSIFIED MAINTENANCE 09/26/12 HOPKINS & HUEBNER PC HOLECEK & ASSOCIATES 44 13WC 28126 WEST, PAULA A WALMART DISTRIBUTING CENT 08/30/10 RIDGE & DOWNES LLC QUINTAIROS PRIETO WOOD & BOY 45 13WC 28129 LONG, MYRA L XPAC 08/11/13 RIDGE & DOWNES LLC RUSIN & MACIOROWSKI LTD 46 13WC 33033 CAVAZOS, EDMUNDO CASA GUANAJUATO QUAD CITI 09/18/13 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 47 13WC 33875 HAYNES, EDWARD DEPARTMENT OF TRANSPORTAT @ 08/17/12 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 48 13WC 34844 QUINN, KELLY R ALEDO REHAB & HEALTH CARE 05/16/13 LAW OFFICE OF CHRIS DOSCOT KNELL LAW LLC 49 13WC 37467 FREEMAN, SARAH G ROCK ISLAND/MILAN 04/30/13 HOPKINS & HUEBNER PC INMAN & FITZGIBBONS

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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 13WC 38841 DIARRA, SALIMATA TYSON FRESH MEATS INC 04/26/12 KATZ HUNTOON & FIEWEGER P GANAN & SHAPIRO 51 13WC 41385 KUEHL, LUKE B ILLINOIS STATE POLICE @ 11/22/13 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 52 14WC 02271 POCI, BENJAMIN G & P TRUCK LINE INC 02/15/11 WINSTEIN KAVENSKY & CUNNIN 14WC002387 -C 14WC002388 -C 53 14WC 05127 QUIROZ, RODRIGO VALLEY GROUP 11/27/13 DWORKIN AND MACIARIELLO 54 14WC 05993 SHERIFF-BAKER, LESLEY GOLD STAR 06/13/13 WINSTEIN KAVENSKY & WALLAC HEYL ROYSTER VOELKER & ALLEN 55 14WC 06588 BERTRAM, ROBERT K AGRI KING 01/30/13 RIDGE & DOWNES 56 14WC 10723 19B CLARK, AMY G RESTHAVE RETIREMENT & NUR 01/14/14 MERTES & MERTES PC KEEFE CAMPBELL & ASSOC LLC 57 14WC 14117 LANDRY, STEVEN WAYNE STOHL & SONS PLASTE 06/16/13 LEE, MARK N LAW OFFICE 58 14WC 16184 PALOS, MELISSA A REGALIA MANUFACTURING COM 02/21/14 KATZ HUNTOON & FIEWEGER P CAPUANI, FRANK S 59 14WC 16530 GRIFFITH, BILLY KONE 02/12/14 WINSTEIN KAVENSKY & WALLAC GAROFALO SCHREIBER STORM 60 14WC 18169 LAWSON, TOM O'REILLY'S AUTO PARTS 06/25/13 CANDIANO LAW OFFICE HENNESSY & ROACH PC 61 14WC 20592 DUNN, SANDRA TYSON FOODS INC 03/19/14 GANAN & SHAPIRO 62 14WC 20730 SANDOVAL, FILOMENO DIAZ FCA MANUFACTURING COMPANY 11/20/11 HOPKINS & HUEBNER PC HOLECEK & ASSOCIATES 14WC020731 -C 63 14WC 25575 ROBINSON, KATRINA SPARTAN STAFING 05/07/14 PIGNATELLI & ASSOCIATES GANAN & SHAPIRO 14WC028382 -C 64 14WC 26843 HALLOWAY, AUDY BALLARD TREE & @ W 05/23/13 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 65 14WC 29872 WARNER, BREE J JOHN DEERE HARVESTER 04/14/14 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 66 14WC 32387 NAUGLE, BETH HILLCREST HOME 12/29/13 RIDGE & DOWNES INMAN & FITZGIBBONS

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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 14WC 32447 SMITH, T MICHAEL KOPPERS COMPANY INC 04/16/13 ELFENBAUM EVERS & AMARILIO RUSIN & MACIOROWSKI LTD 68 14WC 33169 PALMER, JANA OSF HOME CARE SERVICES 12/10/13 REHN LAW LLC 69 14WC 33530 HANES, JOHN ENVIRONMENTAL SERVICES IN 09/16/14 WINSTEIN KAVENSKY & WALLAC 70 14WC 34547 CHRISTENSEN, KERRI L HOPE CREEK/ROCK ISLAND CO 05/29/14 KATZ HUNTOON & FIEWEGER P BROOKS LAW FIRM 15WC009962 -C 71 14WC 34883 MHALLI, AHMED TYSON FREST MEAT 03/04/14 CAPRON & AVGERINOS PC GANAN & SHAPIRO 72 14WC 35503 DELONG, THOMAS ILLINOIS CIVIL CONTRACTOR 08/11/14 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 73 14WC 37490 DOUTY, BEYEM B TYSON FRESH MEATS, INC. 04/07/14 BROOKS LAW FIRM GANAN & SHAPIRO 16WC008223 -C 74 14WC 39364 WOOD, ORYN MIDSTATE MANUFACTURING CO 06/15/14 RIDGE & DOWNES LLC GANAN & SHAPIRO 75 14WC 40052 DEHM, SANDRA STATE OF ILLINOIS @ 04/22/14 WARNER & ZIMMERLE ASSISTANT ATTORNEY GENERAL 76 14WC 41055 WINTERS, DELBERT AG-VIEW FS, INC 04/19/14 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 77 14WC 41228 DANIELS, KIMBERLY CARE PRO INC 09/12/14 SCHWEICKERT & GANASSIN HOLTKAMP LIESE ET AL 78 14WC 41933 FRANCISKO, STEVEN ILLINOIS DEPARTMENT OF @ 11/22/13 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 79 14WC 43258 KING, JEFF CAMEY CONSTRUCTION @ W 03/31/14 LAW OFFICE OF CHRIS DOSCOT 80 14WC 47261 TENSLEY, NOLAN JEWEL FOOD STORES 10/27/14 MARKS & ASSOCIATES 81 15WC 00038 FAY, BRIAN GALAXY 1 MARKETING INC 02/28/13 HENNESSY & ROACH PC 15WC041332 -C 82 15WC 00938 NELSON, MERISSA THE ARC OF THE QUAD CITIE 03/24/14 HOPKINS & HUEBNER PC PERRY GENTILE 83 15WC 03673 CHAPPELL, SUSAN JOHN DEERE HARVESTER 05/09/12 WINSTEIN KAVENSKY & WALLAC 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 84 15WC 03822 HAMILTON, KAREN METROLINK 01/21/15 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 85 15WC 04096 PALMER, MARY A ROCK ISLAND COUNTY 02/14/14 BRUCE CARMEN BROOKS LAW FIRM 15WC004097 -C 86 15WC 04732 MARTINEZ DE SANCEN, MONIC TYSON FRESH MEATS INC 05/29/14 ELFENBAUM EVERS & AMARILIO GANAN & SHAPIRO 15WC004733 -C 87 15WC 07623 TEMPLETON, HOLLYWOOD ROCK ISLAND COUNTY 03/21/12 KATZ HUNTOON & FIEWEGER P BROOKS LAW FIRM 88 15WC 08298 LICHTENAUER, EARL "BUD" CORRECT ELECTRIC INC 12/17/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 89 15WC 08383 ORWITZ, MATTHEW MCLAUGHLIN BODY CO 09/26/14 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 90 15WC 10179 DANIELSON, THOMAS DEPARTMENT OF TRANSPORTAT @ 02/25/15 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 91 15WC 10320 PEARSON, ROBERT UNITED TOWNSHIP HIGH SCHO 09/10/13 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 92 15WC 10814 MILLER, VALERIE CHRISTIAN BROS SERVICES/ 12/30/12 THE NEPPL LAW CENTRE 93 15WC 11767 DIAZ-SANDOVAL, FILOMENO FCA MANUFACTURING CO 02/25/14 HOPKINS & HUEBNER PC HOLECEK & ASSOCIATES 94 15WC 11936 HAMILTON, JOSHUA KING FOOD SERVICES INC 12/30/14 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 17WC026306 -C 95 15WC 12767 LEOS, EVA A TYSON FOODS INC 01/27/12 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 96 15WC 13341 HARRISON, CHRISTINE WAHL CLIPPER CORP. 05/17/13 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 17WC005271 -C 97 15WC 13757 SAGE, SHIRLEY MONMOUTH COLLEGE 08/29/14 REHN LAW LLC INMAN & FITZGIBBONS 98 15WC 14020 MCDOUGLE, LAKESE FARMLAND FOODS 03/27/14 DWORKIN AND MACIARIELLO STEPHEN P. KELLY 99 15WC 14662 PERSON, BRIAN R XENA INTERNATIONAL 01/24/15 BLACK & JONES 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 GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 100 15WC 14998 SODAWASSER, GRACE WALGREENS 01/18/15 WOODRUFF & JOHNSON GILDEA & COGHLAN 101 15WC 15243 PICKREL, JAMES A CARL A NELSON & CO 12/31/14 STRONG LAW OFFICE GRANT & FANNING 16WC025108 -C 102 15WC 15914 SEIDEL, CRAIG STERLING STEEL CO 03/05/15 REESE & REESE RUSIN & MACIOROWSKI LTD 17WC030049 -C 17WC030109 -C 17WC030111 -C 103 15WC 17055 FICKLING, PATRICIA STATE OF IL @ 12/06/11 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 104 15WC 17204 CHAPMAN, JAMEY M JOHN DEERE HARVESTER WORK 05/08/14 HOPKINS & HUEBNER PC CALIFF & HARPER PC 105 15WC 17948 HAGA, DENNIS RIVER VALLEY COOPERATIVE 01/07/13 SPIROS LAW PC BRYCE DOWNEY & LENKOV LLC 106 15WC 18197 TAETS, DONALD XL CONSTRUCTION DBA 05/02/14 ANESI OZMON RODIN NOVAK KO KNELL LAW LLC 107 15WC 18607 HELFTER, KENDRA HELFTER ENTERPRISES, INC. 09/12/13 AMES LAW OFFICES 108 15WC 18805 KIRK, REBECCA A JOHN DEERE HARVESTER 04/15/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 109 15WC 19151 KIRK, TYLER LEGGETT & PLATT D/B/A 05/12/15 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 110 15WC 19470 CERVANTES, JORGE MICRO INDUSTRIES 05/20/15 PIGNATELLI & ASSOCIATES HENNESSY & ROACH PC 111 15WC 20076 WICKERSHAM, JOHN VALLEY CONSTRUCTION 06/13/14 ELFENBAUM EVERS & AMARILIO 112 15WC 20215 BELL, EDWARD G OSF HEALTHCARE ST LUKE-KE 02/01/15 LAW OFFICES KENNETH MAHAFF 113 15WC 20381 WHEELER, MICHAEL DEERE HARVESTER 11/05/09 VANDERGINST LAW PC CALIFF & HARPER PC 114 15WC 21166 LAGE, JEREMY A SEDONA STAFFING 06/09/15 MERTES & MERTES PC BETTY NEUMAN & MCMAHON

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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 115 15WC 21591 MADRIGAL, PEDRO TYSON FRESH MEATS INC 10/27/14 ELFENBAUM EVERS & AMARILIO GANAN & SHAPIRO 116 15WC 21910 MEJIA, ROBERTO A TYSON FRESH MEATS INC 08/31/12 KATZ HUNTOON & FIEWEGER P GANAN & SHAPIRO 15WC021911 -C 117 15WC 23146 DULLA, ALAN D TAXI-PLUS 01/02/14 AMES LAW OFFICES 118 15WC 23375 THOMAS, JASON ACE PEST MANAGEMENT INC @ W 03/04/15 MCDONALD WOODWARD & CARLSO ASSISTANT ATTORNEY GENERAL 119 15WC 23389 OGOUBI, KOKOU TYSON FOODS 03/16/15 HOPKINS & HUEBNER PC GANAN & SHAPIRO 15WC023390 -C 120 15WC 28279 MOKWANGA, NANCY FARMLAND FOODS 05/01/15 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 121 15WC 28410 WILEMAN, MARTIN STATE OF ILLINOIS @ 08/07/15 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 15WC008828 -C 122 15WC 29374 KELLY, TIMOTLHY JOHN DEERE HARVESTER 06/12/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 123 15WC 30090 GRIFFITH, BILLY KONE 05/13/15 WINSTEIN KAVENSKY & WALLAC 124 15WC 33581 BRANDNER, KAY CEE LIGHTHOUSE OF SILVIS 07/11/15 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 125 15WC 34168 COOK, STEVEN M IFH GROUP 10/15/14 MERTES & MERTES PC 126 15WC 34442 PAR, SIMI TYSON FRESH MEATS 10/19/11 VANDERGINST LAW PC 127 15WC 34929 DOTSON, SHEENA SUPER 8 MOTEL 09/25/15 REHN & SKINNER LLC GANAN & SHAPIRO 128 15WC 35073 ISSA, ABDULAZIZ TYSON 04/24/14 CHRISTINE A KEYS PC GANAN & SHAPIRO 129 15WC 35452 WAY, JOELLEN R DERBY SUPPLY CHAIN SOLUTI 07/07/15 RIDGE & DOWNES LAW OFFICES JOSEPH MARCINIAK

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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 130 15WC 35558 19B GOUDY, LARRY CUSD #205 09/10/15 LEE, MARK N LAW OFFICE KNELL LAW LLC 131 15WC 36910 RILEY, CHERYLE DORS 06/13/15 WOLFE LAW PC ASSISTANT ATTORNEY GENERAL 15WC036911 -C 15WC036912 -C 132 15WC 38468 YOUNGBLOOD, ASHLEY US SECURITY ASSOCIATES 10/27/15 GOLDFINE & BOWLES COZZI & GOGGIN-WARD 133 15WC 39258 MCFADDEN, JEFF G&M DISTRIBUTORS INC. 10/14/15 HEYL ROYSTER VOELKER & ALLEN 134 15WC 39626 WELBECK, MARIE TYSON FRESH MEATS 10/04/14 STRONG LAW OFFICE GANAN & SHAPIRO 135 15WC 41316 COLLINS, DEWEY DOWERS ROOFING 05/06/14 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 136 15WC 41452 CARLE, MICHAEL CONSOLIDATED GRAIN & BARG 09/04/14 WOODRUFF & JOHNSON CAPUANI, FRANK S 137 15WC 41702 BOLEA, ANNETTE BAKUBILA A FARMLAND FOODS 06/06/15 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 138 15WC 42350 MALEK, COREY A. STATE OF IL-IL. STATE POL @ 11/16/15 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 139 16WC 00960 ALBERTSON, DANIEL THOMPSON TRUCK TRAILER 04/01/15 PIGNATELLI & ASSOCIATES RUSIN & MACIOROWSKI LTD 140 16WC 01104 SEIDEL, CRAIG A STERLING STEEL COMPANY, A 10/01/15 REESE & REESE RUSIN & MACIOROWSKI LTD 141 16WC 01461 ESSER, COREY E ILLINOIS YOUTH CENTER KEW @ 05/16/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 16WC011669 -C 142 16WC 01872 PAILLE, NATALIE HELP AT HOME, INC. 12/31/15 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 143 16WC 03155 FREW, KENNETH JOHN DEERE SEEDING GROUP 12/09/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 144 16WC 03222 WHEELER, MICHAEL DEERE HARVESTER 12/04/09 VANDERGINST LAW PC CALIFF & HARPER PC 145 16WC 04927 SOTO RODRIGUEZ, RAHIHAN FARMLAND FOODS 05/01/15 RIDGE & DOWNES STEPHEN P. KELLY

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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 146 16WC 04983 TAETS, DONALD L STERLING COMMERCIAL ROOFI 11/04/14 ANESI OZMON RODIN NOVAK KO KNELL LAW LLC 147 16WC 05276 GIESENHAGEN, VICKIE WALMART 02/06/15 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 16WC005277 -C 16WC005278 -C 16WC009814 -C 148 16WC 05895 DAMITZ, DARRYL MCLAUGHLIN BODY 08/11/14 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 149 16WC 06422 MAGER, STACY M WALMART DISTRUBUTION CENT 09/26/14 REESE & REESE QUINTAIROS PRIETO WOOD & BOY 150 16WC 07306 HAGEMEIER, MARK E JOHN DEERE 02/04/16 MERTES & MERTES PC BOZEMAN NEIGHBOUR PATTON & N 151 16WC 07337 AVILA, PENNY J GANA-A'YOO SERVICES CORP 09/08/15 KATZ HUNTOON & FIEWEGER P COZZI & GOGGIN-WARD 152 16WC 07427 REH, POE SMITHFIELD FARMLAND FOODS 08/27/15 REHN LAW LLC STEPHEN P. KELLY 153 16WC 07703 SNYDER, CHARLES TYSON FOODS 02/16/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 154 16WC 07951 MARQUEZ, LUIS ASPLUNDH TREE EXPERT CO 06/02/15 WINSTEIN KAVENSKY & WALLAC KNELL & O'CONNOR 155 16WC 08025 YOUNG, PAMELA A WESTERN IL UNIVERSITY @ 09/08/15 RIDGE & DOWNES KRISTINA D DION 156 16WC 08375 HAAN, DARREN JOHN DEERE HARVESTER 09/25/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 157 16WC 08751 PIERCE, PATRICK GARY SPENCE 01/05/16 REHN LAW LLC BOZEMAN NEIGHBOUR PATTON & N 158 16WC 09055 BANKS, JEANETTE TYSON FRESH MEATS, INC 03/12/13 FIGLIOLI, DAVID GANAN & SHAPIRO 159 16WC 09460 MEDRANO, RUBICELIO TYSON FRESH MEATS 02/25/15 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 160 16WC 09468 HAHN, DAN DEERE & CO INC/ 02/22/15 SCHWEICKERT & GANASSIN LANE & WATERMAN 161 16WC 09679 DECRANE KAHA, SAMANTHA L. HYVEE, INC. 01/11/16 VANDERGINST LAW PC HOPKINS & HUEBNER PC 162 16WC 09879 BOKEN, SANDRA K WALMART 03/02/16 CULLEN HASKINS NICHOLSON QUINTAIROS PRIETO WOOD & BOY

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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 163 16WC 10656 CROWDER, GREGORY JOHN DEERE HARVESTER 01/23/15 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 164 16WC 10728 MILES, CASSANDRA M ROCK ISLAND COUNTY 05/31/13 VANDERGINST LAW PC BROOKS LAW FIRM 165 16WC 11212 PICKREL-MONKUS, ANITA BREAK TIME 01/29/15 THE NEPPL LAW CENTRE BRADY, CONNOLLY & MASUDA, PC 166 16WC 11394 FENWICK, MARTIN MENARDS 12/10/15 LAW OFFICE OF CHRIS DOSCOT GANAN & SHAPIRO 167 16WC 12866 NGUMBU, SERGE LUMUUNGA FARMLAND FOODS 09/15/15 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 168 16WC 12878 GOULD, TRUDY JOHN DEERE 10/27/15 MERTES & MERTES PC BOZEMAN NEIGHBOUR PATTON & N 169 16WC 12903 ALONSO, MANUEL TYSON FRESH MEATS 02/17/15 BUSH MOTTO CREEN KOURY BRYCE DOWNEY & LENKOV LLC 16WC012904 -C 170 16WC 13082 ANDERSON, JAMES ROADRUNNER TRANSPORTATION 04/09/15 RIDGE & DOWNES HINSHAW & CULBERTSON 171 16WC 14670 DOUMASHIE, AKU TYSON FOODS, INC. 05/21/14 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 16WC014712 -C 172 16WC 15099 BARTOSCH, MICHAEL JOHN DEERE 03/13/14 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 173 16WC 15581 PETERSON, KATHY F EXPORT PACKAGING CO, INC. 09/09/13 KATZ HUNTOON & FIEWEGER P RUSIN & MACIOROWSKI LTD 17WC014693 -C 174 16WC 15942 RADER, RONALD JOHN DEERE HARVESTER 06/23/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 175 16WC 16297 SENTERAS, BEVERLY HACIENDA BAR & GRILL 04/27/16 THOMAS E CADY HOLECEK & ASSOCIATES 17WC015009 -C MORENO, INC, D/B/A LA HACI 176 16WC 16447 BERRYMAN, PATRICIA UNITY POINT CLINIC 11/20/15 MARKS INJURY LAW BETTY NEUMAN & MCMAHON 177 16WC 16509 JILES, JESSICA FARMLAND FOODS 02/27/15 DODD & MAATUKA LLC STEPHEN P. KELLY 178 16WC 16776 LEWIS, BONNIE M HELP AT HOME HOLDINGS INC 01/11/16 PIGNATELLI & ASSOCIATES INMAN & FITZGIBBONS 179 16WC 17049 BYRD, MICHAEL WAL-MART, INC. 09/14/15 QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 180 16WC 17628 TORRES, MARIA RICO FARMLAND FOODS INC. 02/03/16 HARVEY & STUCKEL STEPHEN P. KELLY 181 16WC 17681 FRANKS, JENNIFER AUTO ZONE 04/30/15 HOPKINS & HUEBNER PC GILDEA & COGHLAN 182 16WC 18209 RICHARDS, KAMI L JOHN DEERE HARVESTER WORK 11/20/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 183 16WC 18613 JOHNSON, BRUCE D JOHN DEERE HARVESTER 03/02/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 184 16WC 18780 SHAPPARD, HELVETTIA WALMART DISTRIBUTION CENT 04/03/16 RIDGE & DOWNES GANAN & SHAPIRO 185 16WC 20886 BEESON, MARK THE WALLMAN OPTICAL CO 06/15/16 KATZ HUNTOON & FIEWEGER P RUSIN & MACIOROWSKI LTD 186 16WC 21352 NOYES, KEN H NICOR GAS 11/02/15 MERTES & MERTES PC MACIOROWSKI SACKMANN & ULRIC 187 16WC 21974 KIVISTO, GRACE KCCDD 04/22/16 SIMPSON PETERSON 188 16WC 22522 HOFFERT, REBECCA BRADFORD COMMUNITY UNIT S 07/30/13 ANTHONY C RACCUGLIA & ASSO CASSANO & ASSOCIATES 189 16WC 23706 BOLEYN, JOHN LEANDER CONSTRUCTION INC 04/15/16 HORWITZ HORWITZ & ASSOC PERRY GENTILE 190 16WC 23804 THORPE, PAMELA UNITYPOINT HEALTH TRINITY 11/25/15 WINSTEIN KAVENSKY & WALLAC 191 16WC 24461 ROBERSON, MIKE BRANDT CONSTRUCTION CO. 05/07/16 HARTNETT GLADNEY HETTERMAN BETTY NEUMAN & MCMAHON 16WC027390 -C 192 16WC 24525 WALLACE, ANTHONY ILLINOIS DEPARTMENT OF 08/07/16 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 193 16WC 25103 SEBARANZI, ADONIS TYSON FRESH MEATS, INC 08/19/13 BUSH MOTTO CREEN KOURY GANAN & SHAPIRO 194 16WC 25166 BERHILI, RACHID TYSON FOODS, INC 07/11/16 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 195 16WC 25864 MBOUNGOU, FAUVETTE SMITHFIELD FARMLAND 02/28/16 RIDGE & DOWNES 196 16WC 26420 NOBLE, TONY L MILLER CONTAINER CORPORAT 07/14/16 STENGEL BAILEY ROBERTSON 197 16WC 26692 DIAZ, TIM SURFACERS, INC 07/20/16 DREW J FERRACUTI RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M GRANADA, GERALD 022 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 198 16WC 27159 HENDRICKS, PEGGY WEXFORD HEALTH SOURCES 12/17/15 LAW OFFICE DAVID HUNT RUSIN & MACIOROWSKI LTD 199 16WC 27651 ACEVEDO, MARY D SAM'S CLUB/WALMART STORES 07/26/16 HOPKINS & HUEBNER PC QUINTAIROS PRIETO WOOD & BOY 200 16WC 27738 LARSON, DENNIS JOHN DEERE CYLINDER 09/16/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 201 16WC 27830 SUMMERS, JOSH SENSIENT FLAVORS INT'L IN 03/30/16 SCHWEICKERT & GANASSIN 202 16WC 28140 FLANNERY, CURTIS JR JOHN DEERE HARVESTER 03/23/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 203 16WC 28331 LOPEZ, JORGE MCI MCCARTHY IMPROVEMENT 06/28/16 ANESI OZMON RODIN NOVAK KO BETTY NEUMAN & MCMAHON 204 16WC 29073 CALDWELL, JUSTIN LIFT SYSTEMS INC 03/16/16 WINSTEIN KAVENSKY & WALLAC HENNESSY & ROACH 205 16WC 29826 MANNING, PATRICIA STATE OF IL/DORS @ 08/23/16 BLACK & JONES ASSISTANT ATTORNEY GENERAL 206 16WC 29930 BATES, CAROL WALMART 09/03/16 REHN LAW LLC WIEDNER & MCAULIFFE LTD 207 16WC 31023 BROCKETT, KIRK GATES MANUFACTURING 12/23/15 STEPHEN P. KELLY QUINTAIROS PRIETO WOOD & BOY 16WC031197 -C 208 16WC 31445 MOWER, MICHAEL J ROCK GATE CAPITAL, LLC 12/24/15 KATZ HUNTOON & FIEWEGER P LAW OFFICES JOSEPH MARCINIAK 209 16WC 32210 JORDAN, JOSHUA NATHANIEL FEDEX GROUND 09/23/16 210 16WC 32406 PATTERSON, SANDRA J FULTON CORP 04/05/16 THOMAS E CADY 211 16WC 32752 DE CRUZ, ESTELA TYSON FOODS INC 12/16/14 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 212 16WC 33148 ALI, OSAMA TYSON FOODS 04/20/16 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 213 16WC 33757 TOWNSEND, KEVIN USF HOLLAND 09/30/16 RIDGE & DOWNES HENNESSY & ROACH 214 16WC 33858 NOUR, SOMAYA TYSON FRESH MEATS, INC 12/09/14 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 215 16WC 35111 WOOD, CONNIE JOHN DEERE HARVESTER 03/31/16 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 216 16WC 35356 TOPORAN, MUJO TYSON FOODS INC 04/22/15 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 217 16WC 35557 PETTERA, JEFFERY R METFORM 03/27/15 PIGNATELLI & ASSOCIATES 218 16WC 36126 JAQUET, JODLE VITAS HEALTHCARE CORPORAT 10/07/16 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 219 16WC 36248 SCHUELER, DOUG WALMART 05/04/16 STEPHEN P. KELLY QUINTAIROS PRIETO WOOD & BOY 220 16WC 36409 PETERSON, SHAWN STATE OF ILLINOIS IDOT @ 11/10/16 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 221 16WC 36953 BIRD, DONALD ALL EVENT SVCS RS COMPANI 08/17/16 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 222 16WC 37249 PRINS, MICHELE M FARMERS AUTO MGMT CO DBA 09/20/16 THOMAS E CADY HEYL ROYSTER VOELKER & ALLEN 223 16WC 37273 BRABSON, ANDREW VILLAGE HOME STORES 10/15/14 224 16WC 37336 DEVILDER, DARRELL CITY OF ROCK ISLAND 09/28/16 THOMAS W DUDA BETTY NEUMAN & MCMAHON 225 16WC 37449 LOGSDON, DAVID S GABRIEL M HILLS DBA 06/24/16 THOMAS E CADY RUSIN & MACIOROWSKI LTD 226 16WC 37802 LEATHERS, JAY AMEREN 11/04/16 LAW OFFICE DAVID HUNT CASSIDY & MUELLER 227 16WC 38062 LEATHERS, JAY AMEREN 08/29/16 LAW OFFICE DAVID HUNT CASSIDY & MUELLER 228 16WC 38556 FOSTER, JIM RICK SCOTT, LOANING EMPLO 12/10/16 JAY H JANSSEN HENNESSY & ROACH PC 229 16WC 38663 HODGES, THOMAS F JR PAR ELECTRICAL CONTRACTOR 10/31/16 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 230 16WC 39414 QUICK, KEITH E CITY OF ROCK ISLAND 10/31/16 THOMAS W DUDA BETTY NEUMAN & MCMAHON 231 17WC 00298 HOLMAN, RICHARD EAST MOLINE POLICE DEPART 01/13/16 RIDGE & DOWNES MCCARTHY, CALLAS & FEENEY PC 232 17WC 00469 KNIGHT, PATSY WARREN ACHIEVEMENT 02/26/16 STEPHEN P. KELLY BRADY, CONNOLLY & MASUDA, PC 233 17WC 00892 MORRIS, JOHN YEMM FORD 12/21/16 LAW OFFICE DAVID HUNT HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 234 17WC 01663 NICHOLSON, DIANE MAURICES 06/29/16 CUSACK FLEMING GILFILLAN E SPIEGEL & CAHILL, PC 235 17WC 01732 LAWN, VAN T TYSON FOODS INC 03/05/15 HOPKINS & HUEBNER PC GANAN & SHAPIRO 236 17WC 01940 MARQUEZ, LUIS ASPLUNDH TREE EXPERT CO 01/03/17 WINSTEIN KAVENSKY & WALLAC KNELL & O'CONNOR 237 17WC 02286 PETERSON, SHAWN STATE OF ILLINOIS IDOT @ 10/06/15 JOHN LESAGANICH 238 17WC 02569 LAY, SHERI MERCER COUNTY HEALTH DEPT 06/20/16 HOPKINS & HUEBNER PC 239 17WC 02616 AHRENS, JEREMY TRAPKUS BUILD 01/24/17 DWORKIN AND MACIARIELLO 240 17WC 02817 AGUE-BECHT, DOTTIE L JOHN MANAGEMENT GROUP LLC 03/02/16 THOMAS E CADY RUSIN & MACIOROWSKI LTD 17WC002818 -C 241 17WC 02896 SMITH, DANIEL JC ASSOCIATES 07/11/15 MC HARGUE & JONES 242 17WC 03072 LEES, JEFF KEWANEE SALE BARN 09/10/16 VANDERGINST LAW PC GAROFALO SCHREIBER STORM 243 17WC 03205 GODFREY, CONNIE KNOX COLLEGE 11/02/16 LEE, MARK N LAW OFFICE HOLECEK & ASSOCIATES 244 17WC 03986 DYE, KEGIN WALMART DISTRIBUTION 08/08/16 PETER F FERRACUTI & ASSOCI QUINTAIROS PRIETO WOOD & BOY 17WC003987 -C CHARTWELL STAFFING SERVICE 245 17WC 04522 BRENTISE, CHARLES E HILL CORRECTIONAL CENTER 10/29/14 MARIO J PEREZ ASSISTANT ATTORNEY GENERAL 246 17WC 05023 SCOVEL, KELLY J MIDWEST UNDERGROUND INC. 12/26/14 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 17WC005024 -C 247 17WC 05066 MOLINA, PHILLIP SMITHFIELD FARMLAND 02/03/17 GOLDFINE & BOWLES STEPHEN P. KELLY 248 17WC 05340 KIRK, TYLER LEGGETT & PLATT 02/14/17 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 249 17WC 05596 SERRANO, JUAN L DEERE & CO/HARVESTER WORK 02/06/17 THOMAS E CADY BOZEMAN NEIGHBOUR PATTON & N 250 17WC 06005 ARRINGTON, JOHNATHAN CHC SOLUTIONS 02/22/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 251 17WC 06284 THAYER, TOMMY L AUTOZONE 11/20/16 MERTES & MERTES PC HENNESSY & ROACH PC 252 17WC 06528 MORGAN, TISSA JOHN DEERE HARVESTER 08/21/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 253 17WC 06695 KPATCHA, AKLESSO TYSON FOODS, INC 11/23/15 STRONG LAW OFFICE GANAN & SHAPIRO 17WC006702 -C 254 17WC 06700 HEDGEPATH, DANIEL L GREAT DANE TRAILERS 02/09/17 HARVEY & STUCKEL SPIEGEL & CAHILL, PC 255 17WC 07183 GALINDO-VAZQUEZ, BEATRIZ FARMLAND FOODS 11/21/15 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 256 17WC 07390 LISENBEE, ASHLEY STEAK'N SHAKE 06/08/16 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 257 17WC 07411 LISENBEE, ASHLEY STEAK N SHAKE, ROCK RIVER 06/08/16 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 258 17WC 07477 EVERSOLL, PATRICIA A-TOWN GAS W 11/19/16 REHN LAW LLC 259 17WC 07486 STEWART, ANGELA JOHN DEERE HARVESTER 01/06/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 260 17WC 07499 SLAUGHTER, DIANNE JOHN DEERE HARVESTER WORK 09/02/15 HOPKINS & HUEBNER PC CALIFF & HARPER PC 261 17WC 07653 VELEZ, ESPERANZA N DEERE & CO/HARVESTER WORK 11/29/16 THOMAS E CADY BOZEMAN NEIGHBOUR PATTON & N 262 17WC 08133 FYE, KENNETH SCOTT'S DISPOSAL 04/21/16 LEE, MARK N LAW OFFICE 263 17WC 08166 PETERSON, ANITA AMI VENDING 10/17/16 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 264 17WC 08568 LINDER, PAUL SENSIENT FLAVORS INT'L, I 10/07/16 SCHWEICKERT & GANASSIN 265 17WC 09006 MCDOWELL, CODY JOHN DEERE PARTS DISTRIBU 06/06/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 266 17WC 09095 VASQUEZ, CARLOS TYSON FOODS INC 06/21/16 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 17WC009949 -C 267 17WC 09413 RODRIGUEZ, LUIS HILL & VALLEY, INC 04/25/16 VANDERGINST LAW PC HOPKINS & HUEBNER PC 268 17WC 09867 ENGELKENS, KAREN TIMKEN DRIVES LLC 02/15/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 269 17WC 09948 WELLMAN, FLOYD STERLING STEEL 11/20/16 WOLFE LAW PC 270 17WC 10090 THOMAS, JEROME MOLINE POLICE DEPARTMENT 05/25/16 RIDGE & DOWNES CALIFF & HARPER PC 271 17WC 10241 GELAUDE, BEJAMIN CALMER CORN HEADS, INC 08/01/16 STRONG LAW OFFICE GANAN & SHAPIRO 272 17WC 10451 SMITH, DEE PROPHET HILLS COUNTRY CLU 07/12/16 BLACK & JONES CAPUANI, FRANK S 273 17WC 11346 ELLIOTT, RANDALL CITY OF ROCK ISLAND 04/22/15 WARNER & ZIMMERLE 274 17WC 11683 SLAUGHTER, DIANNE JOHN DEERE HARVESTER WORK 03/05/12 HOPKINS & HUEBNER PC CALIFF & HARPER PC 275 17WC 11990 TRUJILLO, ERNESTO TYSON FRESH MEATS, INC 06/01/15 GANAN & SHAPIRO 276 17WC 12453 JONES, KEANAN CHEVROLET 04/22/17 VANDERGINST LAW PC 277 17WC 12512 REDINGTON-OVERBECK, BRIDG RC SMITH TRANSPORTATION 09/12/16 BLACK & JONES INMAN & FITZGIBBONS 278 17WC 12947 KIRK, TYLER LEGGETT & PLATT D/B/A 04/22/17 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 279 17WC 13156 AYERS, CORBIN E CITY OF ROCK ISLAND 04/02/17 THOMAS W DUDA BETTY NEUMAN & MCMAHON 280 17WC 13728 FORNEY, BARBARA CASEY'S 04/24/17 JOHN E LUSAK HEYL ROYSTER VOELKER & ALLEN 281 17WC 13907 TIDABACK, TONYA WALMART 08/23/15 WOLFE LAW PC QUINTAIROS PRIETO WOOD & BOY 282 17WC 14079 HART, LYLE CONSUMER FRIENDLY TRADING 01/21/17 GOLDFINE & BOWLES GANAN & SHAPIRO 283 17WC 14737 PAXTON, GARY STANDARD FORWARDING 11/21/16 VANDERGINST LAW PC HENNESSY & ROACH 284 17WC 15028 HEATH, STEVEN W HY-VEE, INC 01/21/16 BROOKS LAW FIRM HOPKINS & HUEBNER PC 285 17WC 15110 BROOKS, JAMES N JR. DEERE & CO/HARVESTER WORK 02/14/17 THOMAS E CADY BOZEMAN NEIGHBOUR PATTON & N 286 17WC 15263 FIGUEROA-HABANA, MIGUEL SMITHFIELD FOODS 04/19/17 WOODRUFF & JOHNSON STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 287 17WC 15503 ALI, OSAMA TYSON FOODS 07/09/15 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 288 17WC 15832 WILSON, ALEX T SEEDORFF MASONRY, INC 03/13/17 BOZEMAN NEIGHBOUR PATTON & WIEDNER & MCAULIFFE LTD 289 17WC 16141 GIBSON, KEVIN QUAD CITY MALLARDS 04/15/17 FLOYD LAW FIRM 290 17WC 16480 ABOYTES, ERIKA RAYA SMITHFIELD FARMLAND CORP 11/12/16 THOMAS E CADY STEPHEN P. KELLY 291 17WC 17030 SWANSON, TONY RUSSELL CONSTRUCTION 03/11/17 LEE, MARK N LAW OFFICE 292 17WC 17738 SCHEMEL, GERHARD ILLINOIS QUAD CITY CIVIC 04/21/17 BLACK & JONES 293 17WC 18497 INGRAM, LINDSAY J MCDONALD'S CORPORATION 03/25/17 KANOSKI BRESNEY 294 17WC 18629 COLLINSON, RICHARD JOHN DEERE HARVESTER WORK 05/14/15 BLACK & JONES BOZEMAN NEIGHBOUR PATTON & N 295 17WC 18717 PATTERSON, BRIAN JOHN DEERE HARVESTER WORK 06/01/17 STRONG LAW OFFICE BOZEMAN NEIGHBOUR PATTON & N 296 17WC 18782 PEREZ-HERNANDEZ, ROSA FARMLAND FOODS 03/01/14 VANDERGINST LAW PC STEPHEN P. KELLY 297 17WC 18885 THOMPSON, MELVIN ILPEA INDUSTRIES 04/17/17 LAW OFFICE DAVID HUNT GRANT & FANNING 298 17WC 18989 SLOAN, LISA FARMLAND FOODS, INC 08/13/15 REHN & SKINNER LLC 299 17WC 19285 NAJERA FIGUEROA, JAVIER BELLOTA AGRISOLUTIONS 01/22/17 LOGAN LAW 300 17WC 19289 FREEMAN, JEFFERY ERIKSEN CHEVROLET 03/14/16 LOGAN LAW 301 17WC 19510 VEAL, CELENA JOHN DEERE HARVESTER 03/02/17 HOPKINS & HUEBNER PC CALIFF & HARPER PC 302 17WC 19666 REIHM, RENE DOLLAR TREE STORES, INC 08/29/16 REHN & SKINNER LLC 303 17WC 19830 GREEN, MARY HOPE CREEK CARE CTR 05/19/17 CAPRON & AVGERINOS PC 304 17WC 19907 ALANIZ, EDWARD MOLINE POLICE DEPARTMENT 01/06/17 RIDGE & DOWNES CALIFF & HARPER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 305 17WC 20208 VALLAS, RAYMOND G TRI-CITY ELECTRIC CO OF I 10/20/16 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 306 17WC 20915 RADOSEVICH, MARTHA ARAMARK 06/26/17 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 307 17WC 21487 HART, HEIDI DEPT OF REHAB SERVICES 07/07/17 PIGNATELLI & ASSOCIATES 308 17WC 21599 BARTHOLOMEW, PAUL TYSON FRESH MEATS 10/24/16 WARNER & ZIMMERLE GANAN & SHAPIRO 309 17WC 21826 FENDER CHRISTOPHER JOHN DEERE HARVESTER WORK 04/06/17 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 310 17WC 22296 FIGUEROA, JAVIER NAJERA BELLOTA AGRISOUTIONS 01/22/17 LOGAN LAW 311 17WC 22845 BRIGGS, PEBBLES FARMLAND FOODS 06/30/17 REHN LAW LLC STEPHEN P. KELLY 312 17WC 22982 WILSON, RICHARD D HUTCHINSON MAYRATH 12/09/15 TAPELLA & EBERSPACHER LLC 313 17WC 23090 ACCLASSATO, YAWAVI A TYSON FRESH MEATS INC 11/19/14 THOMAS E CADY GANAN & SHAPIRO 314 17WC 23278 SAAVEDRA ZAMORA, JORGE TYSON 02/17/17 LAW OFFICE DAVID HUNT 315 17WC 23443 BORKHARDT, LORNA ALDI, INC 04/26/17 WINSTEIN KAVENSKY & WALLAC 316 17WC 23850 ROSS, MICHAEL WOODARD & CURRAN 02/08/17 LAW OFFICE OF CHRIS DOSCOT LAW OFFICE PAUL LARIMORE 317 17WC 23991 CASHION, DAVID K YRC FREIGHT 04/18/17 RIDGE & DOWNES 318 17WC 24069 ALFARO, ALICIA SMITHFIELD FARMLAND FOODS 07/05/17 LAW OFFICE OF CHRIS DOSCOT 319 17WC 24204 GARCIA-ANYONA, LOURDES HILL & VALLEY INC 08/10/15 ANDREW BRIBRIESCO 320 17WC 24277 JACKSON, AMY EASTER SEALS CENTRAL ILL 10/19/15 REHN LAW LLC 321 17WC 24529 LODWIG, YOLANDA MANPOWER 06/14/17 RIDGE & DOWNES HENNESSY & ROACH PC 322 17WC 24595 PONTIOUS, TINA TRI-COUNTY OPPORTUNITIES 01/13/17 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 323 17WC 24661 BURCIAGA, CASSIE SMITHFIELD FARMLAND FOODS 03/13/17 DWORKIN AND MACIARIELLO 324 17WC 24853 DELACRUZ, TERRIE FARMLAND FOODS 11/18/15 REHN LAW LLC 325 17WC 24988 IVES, DAKOTA W KROGER 04/18/17 MERTES & MERTES PC STONE & JOHNSON CHARTERED 326 17WC 25073 WOMACK, DWAIN HIGH CLIFF ESTATES 07/25/17 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 327 17WC 25544 BELL, WILLIE J CRST DEDICATED SERVICES, 12/14/16 BOZEMAN NEIGHBOUR PATTON & 328 17WC 26062 TRANCOSO, JEFF STERLING STEEL 04/12/17 WOLFE LAW PC 329 17WC 27971 BROWN, LESLIE R TYSON FRESH MEATS INC 08/14/17 THOMAS E CADY GANAN & SHAPIRO 330 17WC 28091 SHARP, TIMOTHY BLACK IRON TRANSIT INC 02/26/16 MARKS INJURY LAW 331 17WC 28174 ADOTE, KOSSI TYSON FRESH MEATS, INC 01/12/17 THOMAS E CADY WIEDNER & MCAULIFFE LTD 332 17WC 28181 YENZER, DAVID THE UPCHURCH GROUP, INC 09/06/17 SHAY & ASSOCIATES WOLFE & JACOBSON, LTD 333 17WC 28661 EVANS, GREG CRIBBS LANDSCAPING 05/05/16 WARNER & ZIMMERLE QUINN JOHNSTON HENDERSON ETA 334 17WC 29342 SHELTON, JAMES GUS BLANKS 07/01/17 PETER F FERRACUTI & ASSOCI 335 17WC 29402 HENNIGAR, COLLIN MOLINE POLICE DEPARTMENT 10/15/16 RIDGE & DOWNES CALIFF & HARPER PC 336 17WC 29541 SHAW, CORY J Z-BEST ENTERPRISES INC 06/22/14 TUITE LAW 337 17WC 29705 BLANTON, ANTHONY TYSON FOODS INC 08/28/17 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 338 17WC 29861 HARRELL, COREY ROCK ISLAND MASS TRANSIT 07/14/16 BROOKS LAW FIRM RUSIN & MACIOROWSKI LTD 339 17WC 30250 WEST, ROBERT GATES CORP 01/16/17 REHN LAW LLC QUINTAIROS PRIETO WOOD & BOY 340 17WC 30316 WEST, ROBERT GATES CORP 06/01/17 REHN LAW LLC QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 341 17WC 30794 ECHEBARRIA, FRANCISCO STERLING RAIL SERVICES 03/14/17 RODDY LAW LTD 342 17WC 30921 GRUBB, FERNANDA GALESBURG COTTAGE HOSPITA 10/06/17 GOLDFINE & BOWLES 343 17WC 31039 BOYSEN, JOHNATHON JOHN DEERE PARTS DISTR CT 02/09/17 VANDERGINST LAW PC CALIFF & HARPER PC 344 17WC 31187 WOOD, MICHAEL CGB TWOMEY GROUP 09/30/17 ANKIN LAW OFFICE CAPUANI, FRANK S 345 17WC 31528 FREDRICKSON, KRIS RIVER BEND FOODBANK 02/09/17 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 346 17WC 31588 PEEL, LINDA JOHN DEERE SEEDING GROUP 10/12/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 347 17WC 31694 JOHNSON, SHANNON MECHANICAL SVC OF GALESBU 08/23/17 CAPRON & AVGERINOS PC KNELL LAW LLC 348 17WC 31793 HABBEN, JUSTIN CATER CONSTRUCTION AND 07/19/17 GESMER LAW OFFICES, PC 349 17WC 32254 SMITH, CLARISSA WALMART DISTRIBUTION CENT 11/05/16 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 350 17WC 32416 WATKINS, KEVIN HEINZ BROTHERS TRUCKING 07/21/17 LAW OFFICE DAVID HUNT QUINN JOHNSTON HENDERSON ETA 351 17WC 32470 PAGAN, DAVID DICK BLICK HOLDINGS 08/31/17 REHN LAW LLC 352 17WC 32485 HUFF, MICHAEL T COUNTY OF ROCK ISLAND 12/31/87 BROOKS LAW FIRM 353 17WC 32551 FREELOVE, GERALD R PERFORMANCE FOOD GROUP, I 04/10/17 HOPKINS & HUEBNER PC 354 17WC 32657 PRESTON, MASON T KENDRA & RENE SOTELO DBA W 04/15/17 REESE & REESE 355 17WC 32961 GRIFFIN, RAY DCM TRANSPORT 10/22/17 SIMPSON PETERSON 356 17WC 33798 RETTENBERGER, RANDY SCHAFER TRUCKING, INC 10/20/17 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 357 17WC 33992 SCHATTI, SONJA FED EX GROUND 05/05/17 WINSTEIN KAVENSKY & WALLAC 358 17WC 34117 DAVIS, RUTHY JOHN DEERE HARVESTER 07/26/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 359 17WC 34125 PETERSON, JUSTIN CITY OF KEWANEE 06/19/17 CROWLEY & PRILL ANCEL GLINK DIAMOND BUSH & E 360 17WC 34191 BURNETT, JOHN D KVF QUAD CORP 11/18/16 THOMAS E CADY 361 17WC 34418 WILLIAMS, LISA STEAK & SHAKE 09/20/17 RIDGE & DOWNES QUINN JOHNSTON HENDERSON ETA 362 17WC 34689 PHEIFFER, BARRY A.C. MCCARTNEY 12/12/14 LAW OFFICE PATRICK JENNETT GAROFALO SCHREIBER STORM 363 17WC 34845 SCHOMBURG, MARK DARLING FOODS 10/16/17 DWORKIN AND MACIARIELLO QUINN JOHNSTON HENDERSON ETA 364 17WC 35060 FRAHM, RICHARD BIMBO BAKERIES USA, INC 11/16/17 HETHERINGTON KARPEL BOBBER 365 17WC 35125 SPENCER, STEVEN MIDLAND DAVIS CORPORATION 03/28/17 RIPES NELSON BAGGOT KALOBRAT 366 17WC 35151 RIDLEN, JASON L ILLINOIS STATE POLICE @ 06/09/17 367 17WC 35459 COOPER, JAY ALUMINUM CASTINGS CORP 10/16/16 SIMPSON PETERSON WOLF LAW LTD 368 17WC 35477 ELLIOTT, BRIAN CLOVERLEAF COLD STORAGE 11/06/17 GOLDFINE & BOWLES KNELL LAW LLC 369 17WC 35893 REIMERS, CYNTHIA PROJECT NOW 04/14/17 MARSZALEK AND MARSZALEK 370 17WC 36142 NIEVES, CLAUDIA E HARDEE'S 09/05/17 VANDERGINST LAW PC PERRY GENTILE 371 17WC 36410 DENNIS, JOEL VILLAGE INN- 10/05/16 VANDERGINST LAW PC BRYCE DOWNEY & LENKOV LLC 372 17WC 36496 FRANK, REGINA FIORINI KROGER CORP 08/20/17 PIGNATELLI & ASSOCIATES 373 17WC 36778 HARVEY, MELVIN R SCHNEIDER NATIONAL CARRIE 06/18/17 KANOSKI BRESNEY HENNESSY & ROACH 374 17WC 37063 CONARD, LORI DICK BLICK HOLDINGS INC D 08/29/17 JOHN LESAGANICH LAW OFFICES JOSEPH MARCINIAK 375 17WC 37090 FOSTER, MARYANN 7-ELEVEN 02/28/17 MCDONALD WOODWARD & CARLSO MC ANDREWS & NORGLE LLC 376 17WC 37115 DALLAS, JENNA SMITHFIELD FARMLAND 07/14/15 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 377 17WC 37489 STORM, RANDAL COUNTRY CORNER 10/29/17 LAW OFFICE DAVID HUNT 378 17WC 37615 DONAHUE, FRANCIS H JR MENK-USA, LLC 12/01/15 MERTES & MERTES PC GRANT & FANNING 379 17WC 37767 HALL, MICHAEL FRONTIER COMMUNICATION 05/15/17 DWORKIN AND MACIARIELLO PAUL LARIMORE 380 18WC 00007 CANTU, ADELA ADDUS HEALTH CARE 05/30/17 JOHN J CASTANEDA HENNESSY & ROACH 381 18WC 00361 NGUYEN, NEWYORK TYSON FRESH MEATS 10/02/17 BLACK & JONES GANAN & SHAPIRO 382 18WC 00433 HIATT, BARBARA MORRISON-A SUBSIDIARY OF 11/28/17 REHN LAW LLC 383 18WC 01084 COLEMAN, DEONN WEST ROCK CP, LLC 10/11/17 GOLDFINE & BOWLES SPIEGEL & CAHILL, PC 384 18WC 01507 SMITH, ROSE SHERRARD COMMUNITY UNIT S 12/19/17 WINSTEIN KAVENSKY & WALLAC 385 18WC 01544 THORNTON, JUDY MONMOUTH ROSEVILLE 07/11/17 REHN LAW LLC NOBLE & ASSOCIATES PC 386 18WC 01752 GLOGOWSKI, JERRY MOLINE POLICE DEPARTMENT 11/23/16 RIDGE & DOWNES CALIFF & HARPER PC 387 18WC 01927 LAWSON, PAUL STATE OF IL HILL CORRECTI @ 03/25/17 RIDGE & DOWNES 388 18WC 02208 JONES, LONNIE D DEERE & CO./HARVESTOR WOR 12/01/17 THOMAS E CADY BOZEMAN NEIGHBOUR PATTON & N 389 18WC 02484 BALLARD, PATRICIA LOWE'S 02/26/17 DWORKIN AND MACIARIELLO 390 18WC 02626 BOGGS, TAMRA L TEAM COMPANY, INC. 10/24/17 SIMPSON PETERSON HENNESSY & ROACH 391 18WC 02671 STEVENS, TAMMY WALMART ASSOCIATES 12/03/17 GOLDFINE & BOWLES GANAN & SHAPIRO 392 18WC 02812 TORRES, MARIA RICO SMITHFIELD FARMLAND 02/03/16 HARVEY & STUCKEL 393 18WC 03119 CABALLERO-RODRIGUEZ, MARI MOLINE HOTEL, LLC, D/B/A 05/26/17 SCHWEICKERT & GANASSIN HENNESSY & ROACH 394 18WC 03266 DOYLE, BOBBIE WAHL CLIPPER CORPARATION 03/25/15 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 395 18WC 03287 DOYLE, BOBBIE WAHL CLIPPER CORPORATION 05/01/17 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 396 18WC 03609 MAYARES-SOBERANIS, JENNIF MOLINE-COAL VALLEY SCHOOL 11/14/17 WINSTEIN KAVENSKY & WALLAC RIPES NELSON BAGGOT KALOBRAT 397 18WC 03777 BLY, SHERRI FULTON CORPORATION 09/26/17 WARD MURRAY PACE & JOHNSON RIPES NELSON BAGGOT KALOBRAT 398 18WC 03805 MURPHY, JANOAH E PHASE LINE CONSTRUCTION 10/21/17 PORRO NIERMANN LAW GROUP 399 18WC 03865 WILLHARDT, DONALD SMITHFIELD FARMLAND CORP 07/07/17 REHN LAW LLC 400 18WC 04064 AMATO, ANDREW PERFORMANCE FOOD GROUP 12/19/16 ELFENBAUM EVERS & AMARILIO 401 18WC 04202 COLEMAN, MAURICE STERLING PARK DISTRICT 07/23/14 BLACK & JONES HENNESSY & ROACH PC 402 18WC 04634 FABIS, JOSEPH SR EAGLE EXPRESS LINES 01/04/18 ROBERT WARSASKI HINSHAW & CULBERTSON 403 18WC 05189 DAVIS, CECIL JR. MIDWESTERN PET FOOD 06/14/17 DWORKIN AND MACIARIELLO 404 18WC 05406 KEEFER, DAVID PLUMBERS & PIPEFITTERS 11/22/17 LEE, MARK N LAW OFFICE LAWRENCE COZZI - LAW OFFICE 405 18WC 05439 JOHNSON, JACOB SBA COMMUNICATIONS 09/22/17 ANGELINI & ORI LLC 406 18WC 05528 MCCARTY, JEFFERY E NAUVOO-COLUSA #325 07/02/16 KANOSKI BRESNEY QUINTAIROS PRIETO WOOD & BOY 407 18WC 05584 LA PORTE, NOLAN QUAD CITY MALLARDS 12/23/16 FLOYD LAW FIRM 408 18WC 05644 ST CLAIR, KYLE CLIMCO COILS INC 02/06/18 MC HARGUE, JAMES P LAW OFF HEYL ROYSTER VOELKER & ALLEN 409 18WC 05773 DUNN, ADAM W DEERE & CO/HARVESTER WORK 07/24/17 THOMAS E CADY BOZEMAN NEIGHBOUR PATTON & N 410 18WC 05786 RUBALCAVA, ALPHONSO P CRB EMPLOYMENT INC D/B/A 01/17/18 THOMAS E CADY LITCHFIELD CAVO 411 18WC 05826 JOHNSON, PAUL E CITY OF MOLINE, IL 10/03/17 HOPKINS & HUEBNER PC CALIFF & HARPER PC 412 18WC 05853 BRANDON, CASSANDRA APERION CARE 12/25/15 CROWLEY & PRILL FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 413 18WC 05977 BERHOW-RYAN, MARIA ROCK ISLAND CASINO RESORT 02/13/17 TYLER & ASSOC 414 18WC 06003 KIRBY, MIRANDA HARDEE'S 10/26/17 VANDERGINST LAW PC 415 18WC 06061 KELLY, LOURNE SUPERIOR GUTTER INC 07/01/17 HOPKINS & HUEBNER PC 416 18WC 06624 BARNES, BRIAN MAPES ASPHALT SERVICES * 07/14/15 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 417 18WC 06971 DODGE, KARLA K (KALIN) ILLINI RESTORATIVE CARE * 07/16/15 JACK A. SCHWARTZ & ASSOC. 418 18WC 07090 MUNN, JEANINE JMF MANUFACTURING * 08/08/17 DAMISCH & DAMISCH LTD LAWRENCE COZZI - LAW OFFICES 419 18WC 07154 SWILER, SCOTT BIG RIVER RESOURCES LLC * 12/07/17 REHN LAW LLC 420 18WC 07353 KEIM, MEGHAN COURTYARD ESTATES * 02/08/18 DWORKIN AND MACIARIELLO 421 18WC 07449 ALBRIGHT, CODTEY WALMART DISTRIBUTION CENT * 02/15/18 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 422 18WC 07595 MAPES, GEORGIA MHC KENWORTH QUAD CITIES * 01/17/18 WINSTEIN KAVENSKY & WALLAC 423 18WC 07683 GILMORE, WAYNE RYAN EISSENS CONSTRUCTION * 02/05/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICES 424 18WC 07996 HILL, AMY YEMM AUTO GROUP * 01/18/18 RIDGE & DOWNES 425 18WC 08059 BITNER, CORY SMITHFIELD FOODS, INC. * 12/04/17 DAVID HUNT STEPHEN P. KELLY 426 18WC 08259 MENDEZ, ANGELA R ACHIEVEMENT UNLIMITED, IN * 10/15/17 SIMPSON PETERSON 427 18WC 08307 BAILEY, DONALD GILLESPIE & POWERS, INC. * 02/12/18 ELFENBAUM EVERS & AMARILIO 428 18WC 08370 TOURNEAR, GEORGE XPAC; EXPORT PACKAGING CO * 01/22/16 DUDLEY & LAKE LLC RUSIN & MACIOROWSKI LTD 429 18WC 08406 FLOMING, LINDA M LIGHTHOUSE HOMECARE, LLC * 01/08/18 THOMAS E CADY 430 18WC 08487 SCHEUER, STEVE G5 TECH SOLUTIONS * 04/07/17 CHRIS DOSCOTCH WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 431 18WC 08779 EJJREFI, KHALID H.C. DUKE & SON LLC * 01/22/18 VANDERGINST LAW PC 432 18WC 08831 PERSON, BRIAN XENA INTERNATIONAL * 10/24/14 BLACK & JONES 433 18WC 08913 STANBERRY, KEVIN DCM TRANSPORTATION, INC * 08/23/17 DWORKIN AND MACIARIELLO JAMES M KELLY 434 18WC 08997 CONIBEAR, GRANT CGH MEDICAL CTR * 11/16/17 VRDOLYAK LAW GROUP LLC 435 18WC 09053 MISSAK, BRIAN HUB GROUP INC C/O ILLINOI * 01/22/18 HETHERINGTON KARPEL BOBBER 436 18WC 09533 OVIEDO, ROSA PACKERS SANITATION SVCS, * 07/06/17 CHRISTINE A KEYS PC 437 18WC 09592 ANDERSON, KRISTOL WAHL CLIPPER CORPORATION * 02/15/18 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 438 18WC 09710 HOLT, MORGAN ALLIED POWER, INC * 03/22/18 SCHWEICKERT & GANASSIN LAWRENCE COZZI - LAW OFFICES 439 18WC 09840 BOWDRE, DONNA STEEP MEADOW * 12/19/16 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 440 18WC 09942 BASS, SULLIVAN TYSON FOODS INC * 02/16/18 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 441 18WC 09973 NITZ, PAULA ROCK RIDGE * 03/01/18 CAPRON & AVGERINOS PC 442 18WC 10090 NYSTROM, STACY MARIE THE CENTER FOR NEUROSCIEN * 09/25/17 HEIPLE LAW OFFICE 443 18WC 10235 WADSAGER, DAVID A JOHN DEERE HARVESTER * 06/15/16 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 444 18WC 10253 TIMM, TIMOTHY MENASHA PACKAGING * 01/02/18 WINSTEIN KAVENSKY & WALLAC 445 18WC 10698 WALES, PAMELA OB TRUCKING, INC * 01/09/18 WINSTEIN KAVENSKY & WALLAC 446 18WC 10820 SANDOVAL, FLORENTINA DIXLINE CORPORATION * 11/01/16 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 447 18WC 10876 BROWN, JASON S WAL-MART DISTRIBUTION CEN * 02/08/18 MERTES & MERTES PC QUINTAIROS PRIETO WOOD & BOY 448 18WC 11089 CHURCHILL, ANNETTE M UNITYPOINT HEALTH TRINITY * 09/19/17 STENGEL BAILEY ROBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 18WC 11097 HARTUNG, TERRY KBC * 04/25/17 GESMER & REYNOLDS PC KOPKA, PINKUS DOLIN, PC 450 18WC 11243 OLESON, ELRIK JOHN DEERE HARVESTER * 12/11/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 451 18WC 11377 MUZZEY, APRIL HILL & VALLEY PREMIUM BAK * 02/01/18 BLACK & JONES HOLECEK & ASSOCIAT0ES 452 18WC 11594 CRAMBLET, BRADLEY JOHN DEERE HARVESTER-1 * 12/17/16 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 453 18WC 11810 HARPER, CLARA XPAC * 12/13/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 454 18WC 11979 BRUNAT, MARC R JOHN DEERE HARVESTER * 11/21/15 CALIFF & HARPER PC 455 18WC 12049 WILLIAMS, TIMOTHY M FEDEX FREIGHT, INC * 11/21/17 THOMAS E CADY GANAN & SHAPIRO 456 18WC 12082 CAMERON, KEVIN NESCO RESOURCE * 04/06/18 KAT0Z FRIEDMAN EAGLE ET AL 457 18WC 12146 FOUTCH, JESSE COURTESY * 09/23/16 WINSTEIN KAVENSKY & WALLAC 458 18WC 12199 CROSS-MONTAGUE, BARBARA JOHN DEERE SEEDING * 02/05/18 DONOVAN ROBERTSON 459 18WC 12334 GIBBONS, CHRISTOPHER TYSON FRESH MEATS INC 11/20/17 GANAN & SHAPIRO 460 18WC 12695 SPIKER, ALEXANDER OQUAWKA BOATS & * 04/12/18 CROWLEY & PRILL HEYL ROYSTER VOELKER & ALLEN 461 18WC 12751 KAVOCS, JUSTIN QUAD CITY MALLARDS * 01/12/17 FLOYD LAW FIRM 462 18WC 12852 PEED, ERIC CITY OF KEWANEE * 08/04/16 ANCEL GLINK DIAMOND BUSH & E 463 18WC 12939 LEWIS, LISA DOLLAR TREE STORES, INC. * 05/10/17 REHN LAW LLC 464 18WC 13289 MEYERS, EDWARD JOHN DEERE HARVESTER WORK * 03/21/18 VANDERGINST LAW PC 465 18WC 13345 WELLS, CRYSTAL RIVERSIDE STAFFING * 10/19/17 WINSTEIN KAVENSKY & WALLAC RODDY LAW LTD 466 18WC 13586 STEVENS, JESSICA CLOVERLEAF COLD STORAGE I * 07/11/17 LEFANTE LAW OFFICES KNELL LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 467 18WC 13711 JONES, ANTHONY HILL & VALLEY PREMIUM BAK * 04/12/16 DWORKIN AND MACIARIELLO 468 18WC 13903 WREN, JOSH M ILLINOIS STATE POLICE @ * 08/27/17 RIDGE & DOWNES 469 18WC 14054 MAGER, TORI ANGELO'S PIZZERIA * 01/09/17 HANNIGAN & BOTHA, LTD CAPUANI, FRANK S 470 18WC 14343 ROPER, JULIE JOHNSON OIL COMPANY INC * 10/20/16 GOLDFINE & BOWLES 471 18WC 14385 MUSULMANOVA, FERUZA TYSON FRESH MEATS, INC * 08/25/16 GANAN & SHAPIRO 472 18WC 14473 ENGELS, JOETTA F EAST MOLINE SCHOOL DIST # * 03/03/16 HEIPLE LAW OFFICE 473 18WC 14499 ORSBORN, COLE P QUAD CITY INSULATORS INC * 02/07/18 THOMAS E CADY 474 18WC 14682 KILSTROM, GARY CITY OF KEWANEE * 01/05/18 DAMON YOUNG 475 18WC 14838 WHITE, MONICA HILL AND VALLEY, INC * 10/04/16 COSTELLO LAW FIRM 476 18WC 14912 RAHMAN, HAMIDUR TYSON FOODS, INC * 03/23/18 GOLDFINE & BOWLES 477 18WC 15014 BRANDT, SHAUN NAPA AUTO PARTS * 10/06/17 BLACK & JONES 478 18WC 15074 JEWELL, RICHARD CITY OF MOLINE PUBLIC WOR * 10/27/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 479 18WC 15573 SPINDEL, RAYMOND JEWEL OSCO * 03/16/18 WINSTEIN KAVENSKY & WALLAC 480 18WC 15768 HUTT, STEVEN F&F INVESTMENTS OF IL D/B * 12/07/17 WINSTEIN KAVENSKY & WALLAC 481 18WC 15844 SCHROCK, RICHARD CITY OF AMBOY * 11/01/17 KALEEL, DAVID M 482 18WC 16552 VYNCKE, BRIAN D CITY OF MOLINE * 12/22/17 THOMAS W DUDA 483 18WC 16668 MARANDA-MORGAN, KATIE ROCK ISLAND COUNTY COURT * 04/02/18 WINSTEIN KAVENSKY & WALLAC 484 18WC 16868 ALMAGUER, PAUL WEST ROCK * 04/06/17 ELFENBAUM EVERS & AMARILIO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 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 07/12/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 485 18WC 16972 FELDER, ANTHONY ALL AMERICAN BAR & GRILL * 03/11/18 CAPRON & AVGERINOS PC 486 18WC 17051 INGRAM, DOUGLAS RASK TRANSPORTATION * 04/24/17 DWORKIN AND MACIARIELLO 487 18WC 17083 ROBERTS, PAUL JOHN DEERE SEEDING * 09/08/16 CALIFF & HARPER PC