ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 32768 HORSMAN, MATTHEW B POWELL CONSTRUCTION 08/30/03 HOPKINS & HUEBNER PC 2 10WC 25114 MARTINEZ, JERONIMO MCLAUGHLIN BODY CO 06/22/09 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 10WC025115 -C 3 10WC 27034 JONES, JEREMY LUMEA STAFFING W 07/19/09 BLACK & JONES SPIEGEL & CAHILL, PC 4 10WC 28412 KINTZ, NIKKI DAN KOSTH D/B/A SPORTRONS 07/16/10 MALVIK, JOHN 5 10WC 39371 ESCAMILLA, ISRAEL THE BEDDING GROUP 02/02/09 HOPKINS & HUEBNER PC 6 11WC 35982 MILBY, ELIZABETH E CJ SCOTTS INC DBA 12/03/10 AMES LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 11WC040569 -C C.J. SCOTTS D/B/A DAIRY QU 7 11WC 45513 SABIEL, AMKALSOUM TYSON FRESH MEATS INC 03/15/11 WIEDNER & MCAULIFFE LTD 8 12WC 11097 GREENO, MICHAL W STERLING RAIL SERVICE 10/12/11 MERTES & MERTES PC BRADY, CONNOLLY & MASUDA, PC 9 12WC 18370 CASEY, LAWRENCE J COLONY BRANDS INC 11/01/11 THOMAS R LICHTEN WOLFE & JACOBSON, LTD 10 12WC 27062 PUSKAR, JOHN M JENSEN CONSTRUCTION 05/18/12 STEPHENS FIDDES MCGILL ASS 11 12WC 29912 BRODY, MATTHEW P AG FAB LLC W 10/19/11 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 12WC029913 -C 12 12WC 40583 JENNINGS, CHADWICK JOHN DEERE HARVESTER 01/24/12 BELCHER LAW OFFICE CALIFF & HARPER PC 12WC040663 -C 13 13WC 03467 FLORES, JOSE XPAC 07/09/12 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 18WC029525 -C 14 13WC 08393 ALI, PAMELA MCLAUGHLIN BODY CO 01/14/13 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 13WC 09536 19B WILDERMUTH, BRADLEY T ABF FREIGHT SYSTEMS INC 01/09/12 AMES LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 16 13WC 11688 ADAMS, DANIEL ROCK ISLAND SCHOOL DIST 10/06/11 WINSTEIN KAVENSKY & WALLAC INMAN & FITZGIBBONS 13WC012074 -C 17 13WC 18979 MANSARAY, WANDA A SAL FAMILY & COMMUNITY SV 11/01/12 KATZ HUNTOON & FIEWEGER P 18 13WC 19079 19B JONES, RHONDA SBM BUSINESS EQUIPMENT 12/21/12 WOLFE LAW PC HEYL ROYSTER VOELKER & ALLEN 19 13WC 22230 19B ROBERTS, LLOYD USF HOLLAND 05/04/12 RIDGE & DOWNES HENNESSY & ROACH 20 13WC 26694 KELLY, TIMOTHY JOHN DEERE HARVESTER 10/28/10 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 21 13WC 28164 19B WOOD, SHELLEY GENERAL GRIND AND MACHINE 07/31/13 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 22 13WC 29165 SHELDON, DEBBIE JOHN DEERE 09/10/10 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 23 13WC 29655 SHELDON, DEBBIE JOHN DEERE 08/18/13 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 24 13WC 35502 MARTINEZ, JERONIMO MCLAUGHLIN BODY COMPANY 07/13/13 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 25 14WC 18134 DOMINGUEZ, NATASHA UNITY POINT TRINITY 03/14/14 WARNER & ZIMMERLE CALIFF & HARPER PC 26 14WC 18857 FITZSIMMONS, ROB HARTLAND CONTROLS 01/24/14 BLACK & JONES RUSIN & MACIOROWSKI LTD 27 14WC 19188 EWING, WILLIAM MCLAUGHLIN BODY COMPANY 02/28/14 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 28 14WC 20418 MEERDINK, KARIA SMITHFIELD FOODS, INC. 03/19/14 WINSTEIN KAVENSKY & WALLAC STEPHEN P. KELLY 29 14WC 22195 BOGGS, HERMAN E JR COUNTY WASTE SYSTEMS, INC W 03/02/14 KATZ HUNTOON & FIEWEGER P 14WC022196 -C JAMES L WATTS DBA 14WC022197 -C 14WC022198 -C JAMES L WATTS DBA 30 14WC 23044 BLACK, JIMMY JOHN DEERE HARVESTER 06/05/13 ANKIN LAW OFFICE BOZEMAN NEIGHBOUR PATTON & N 14WC041179 -C 14WC041180 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 14WC 35917 RAUSCH, CANDY L WALMART STORES INC 08/15/14 KATZ HUNTOON & FIEWEGER P 32 14WC 40813 BROWNFIELD, MATT BOLDT MECHANICAL 11/13/14 RUSIN & MACIOROWSKI LTD 33 15WC 00926 REED, LISA ST OF IL DEPT OF ILLINOIS @ 11/18/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 34 15WC 02822 EDWARDS, RAYMOND JOHN DEERE HARVESTER 08/12/13 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 35 15WC 08485 SEDAM, FRANNIE VALSPAR CORPORATION 11/24/14 HOPKINS & HUEBNER PC RUSIN & MACIOROWSKI LTD 15WC017842 -C THE VALSPAR CORPORATION 36 15WC 09160 PEREZ, ANTONIO D JR RELATED MANAGEMENT CO DBA 11/21/14 JOHN LESAGANICH RIPES NELSON BAGGOT KALOBRAT 15WC009325 -C 37 15WC 09733 DELOOSE, GERALD JOHN DEERE CYLINDER 04/17/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 38 15WC 10693 VEGA, MARIO FARMLAND FOODS INC 02/06/15 HOPKINS & HUEBNER PC 39 15WC 12005 DAVIS, CINDY METROLINK 03/25/15 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 40 15WC 13643 APPENZELLER, TIMOTHY UPM RAFLATAC 04/23/12 HORWITZ HORWITZ & ASSOC WOLFE & JACOBSON, LTD 15WC014339 -C 41 15WC 16488 PEREZ, APOLONIA FARMLAND FOODS 08/06/14 VANDERGINST LAW PC STEPHEN P. KELLY 42 15WC 18409 SWANSON, KEN IFH GROUP 04/01/15 DWORKIN AND MACIARIELLO 43 15WC 18999 D'AGOSTIN, SPENCER MJ ELECTRIC LLC 03/13/15 GESMER & REYNOLDS PC RUSIN & MACIOROWSKI LTD 44 15WC 20379 WHEELER, MICHAEL DEERE HARVESTER 12/14/10 VANDERGINST LAW PC BOZEMAN NEIGHBOUR PATTON & N 45 15WC 21374 WOOD, ADAM JOHN DEERE HARVESTER WORK 02/13/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 15WC021375 -C 46 15WC 21433 CRAWFORD, MICHELLE A IOWA PHYSICIANS CLINIC 01/10/14 CADY LAW FIRM, P.C. BETTY NEUMAN & MCMAHON 47 15WC 26838 19B HILLER, SONJA UNIQUE PERSONNEL CONSULTA 07/17/15 REHN LAW LLC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 15WC 27525 ALI, PAMELA MCLAUGHLIN BODY CO 06/30/15 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 49 15WC 28416 ALLEN, ERIC ILLINOIS YOUTH CENTER KEW @ 08/23/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 50 15WC 28524 ADAMS, ROBERT JOHN DEERE PARTS 01/01/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 16WC011812 -C 51 15WC 29374 KELLY, TIMOTLHY JOHN DEERE HARVESTER 06/12/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 52 15WC 31110 HARPER, FRANCISCO JETCO INC 06/16/13 O'CONNOR & NAKOS 53 15WC 33446 MC GEE, STACEY R ILLINOIS YOUTH CENTER KEW @ 08/29/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 54 15WC 35720 MASSAROLO, ANGELA WAL-MART STORES, INC 10/04/15 WINSTEIN KAVENSKY & WALLAC QUINTAIROS PRIETO WOOD & BOY 55 15WC 35806 MATHRE, RICHARD IL DEPT OF AGRICULTURE @ 03/17/15 LEE, MARK N LAW OFFICE 56 15WC 37670 BOLIO, WILLIAM JOHN DEERE SEEDING GROUP 10/12/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 57 15WC 38497 COVEMAKER, MICHAEL DEERE & COMPANY - JOHN DE 04/01/93 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 58 15WC 38600 ANDERSON, WES LEGGETT & PLATT 08/31/15 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 59 15WC 39841 SWARTS, DARREL W TYSON FRESH MEATS INC 09/15/15 KATZ HUNTOON & FIEWEGER P WIEDNER & MCAULIFFE LTD 19WC008940 -C 60 16WC 01945 MUNTHER, PAULA JOHNSONS OIL INC 10/17/14 STRONG LAW OFFICE CAPUANI, FRANK S 61 16WC 02309 HAAN, DARREN JOHN DEERE HARVESTER 01/17/13 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 16WC002310 -C 16WC008373 -C 16WC008374 -C 16WC008375 -C 16WC008376 -C 62 16WC 04479 MAYES, DAVID REPUBLIC SERVICES INC 08/15/14 RIDGE & DOWNES GILDEA & COGHLAN 16WC004480 -C 16WC004481 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 63 16WC 05384 HERMEYER, KIRBY OSCAR J. BOLDT 02/03/14 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 64 16WC 07119 DURAN, ROSA ST OF IL DEPT OF CORRECTI @ 01/14/16 PIGNATELLI & ASSOCIATES KRISTINA D DION 65 16WC 08101 MILLER, JAMES R ROCK ISLAND COUNTY 02/24/16 RIDGE & DOWNES BROOKS LAW FIRM 66 16WC 08564 WHITELY, BRAD J STERLING CHEVROLET 11/12/15 MERTES & MERTES PC INMAN & FITZGIBBONS 67 16WC 09408 MESSER, EARL LEON COOKS QUICK LUBE & AUTO R W 03/03/16 WOODRUFF & JOHNSON WARD MURRAY PACE & JOHNSON P 68 16WC 10729 MILES, CASSANDRA M ROCK ISLAND COUNTY 12/31/14 VANDERGINST LAW PC BROOKS LAW FIRM 69 16WC 12236 LIBERG, MATTHEW T RESCAR 02/01/16 THOMAS R LICHTEN INMAN & FITZGIBBONS 70 16WC 12322 FATAH, ABDI TYSON FRESH MEATS, INC 09/05/14 GANAN & SHAPIRO 71 16WC 12489 JENKINS, CORY MCLAUGHLIN BODY COMPANY 02/29/16 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 72 16WC 12868 EDWARDS, TERRY JOHN DEERE 11/25/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 73 16WC 12892 CASEY, THOMAS F III CF INDUSTRIES 02/20/14 CADY LAW FIRM, P.C. NYHAN BAMBRICK KINZIE & LOWR 16WC012893 -C 74 16WC 13960 WEST, ANDREW W CITY OF ROCK ISLAND 11/04/15 THOMAS W DUDA BETTY NEUMAN & MCMAHON 75 16WC 14405 REID, AMANDA L. C.R. ENGLAND, INC. 12/17/15 MERTES & MERTES PC SPIEGEL & CAHILL, PC 76 16WC 15947 DAVIS, JOSHUA ILLINOIS DEPT OF CORRECTI @ 04/02/16 REHN & SKINNER LLC KRISTINA D DION 77 16WC 16541 SEGAR, KARLA JOHN DEERE HARVESTER 09/09/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 78 16WC 17063 THOMPSON, CINDY GENESIS MEDICQAL CENTER A 03/25/16 WINSTEIN KAVENSKY & WALLAC HOPKINS & HUEBNER PC 79 16WC 17854 DEWITH, ENYO CITY OF ROCK ISLAND 06/23/13 THOMAS W DUDA BETTY NEUMAN & MCMAHON 80 16WC 21881 FRANK, DALE JOHN DEERE HARVESTER 12/15/15 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 HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 81 16WC 22495 BECK, PAMELA WAHL CLIPPER CORPORATION 02/03/16 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 82 16WC 23146 MINI, AARON CHICAGO BRIDGE & IRON CO 03/14/16 WILSON LAW OFFICES LLC RIPES NELSON BAGGOT KALOBRAT 83 16WC 23757 JOHNSON, DANNY K SMITHFIELD FOODS INC 01/02/15 JOHN LESAGANICH 84 16WC 25619 BEAL, JOSEPHINE GOOD SAMARITAN NURSING HO 04/23/16 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM GRA 85 16WC 28103 DAY, THADDEUS ELITE STAFFING 06/16/16 86 16WC 28169 FERGUSON, ANGELA JOHN DEERE HARVESTER WORK 03/09/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 18WC014034 -C 87 16WC 28658 WHITE, BRIAN J COCA COLA REFRESHMENTS, I 01/07/15 VANDERGINST LAW PC BRADY, CONNOLLY & MASUDA, PC 88 16WC 29826 MANNING, PATRICIA STATE OF IL/DORS @ 08/23/16 BLACK & JONES ASSISTANT ATTORNEY GENERAL 89 16WC 30171 STACH, STUART XPAC 09/09/16 RUSIN & MACIOROWSKI LTD 90 16WC 31140 DOUTENA, AFIWA TYSON FOODS, INC 07/02/15 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 91 16WC 31530 REED, ALAN GALESBURG CASTINGS, INC 07/09/15 WINSTEIN KAVENSKY & WALLAC HEYL ROYSTER VOELKER & ALLEN 92 16WC 32751 CHAVEZ, LINDA XPAC 06/19/14 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 16WC032754 -C 93 16WC 34488 ALFREDM EDELYN NAVIGATION INC 09/17/16 94 16WC 35763 ROSALES, LIZBETH GREAT DANE TRAILERS 12/09/15 SPIEGEL & CAHILL, PC 95 16WC 37247 PARKS, LARRY JOHN DEERE HARVESTER 01/16/14 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 96 16WC 37828 OLSON, JACKLYN K WEST CENTRAL CUSD #235 08/31/16 THOMAS E CADY RUSIN & MACIOROWSKI LTD 97 16WC 38812 CURTIS, NEIL ILLINOIS DEPARTMENT OF IL 12/12/16 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 98 17WC 01386 EASLEY, KIMBERLY WINNIGN WHEELS INC 01/13/17 DWORKIN AND MACIARIELLO WARD MURRAY PACE & JOHNSON P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 99 17WC 01930 VAN VOLTENBURG, DEANNA MILLER CONTAINER CORPORAT 11/30/16 WARNER & ZIMMERLE WIEDNER & MCAULIFFE LTD 100 17WC 02008 PETERSON, SHAWN STATE OF ILLINOIS - IDOT @ 10/28/14 JOHN LESAGANICH 101 17WC 02107 KLASSEN, CRAIG WEST ROCK 10/24/16 CROWLEY & PRILL SPIEGEL & CAHILL, PC 102 17WC 02120 19B SCOTT, CYNTHIA ANNAWAN SD UNIT 226 02/24/15 CAPRON & AVGERINOS PC ROSARIO CIBELLA 103 17WC 03007 JOHNSON, JOHN JOHN DEERE HARVESTER 03/10/14 CAPRON & AVGERINOS PC CALIFF & HARPER PC 17WC003008 -C 104 17WC 03053 ROYSE, JEFFREY JOHN DEERE HARVESTER WORK 01/19/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 105 17WC 03285 MILLER, RICKY J PRECISION LASER ALIGNMENT 12/01/15 HOPKINS & HUEBNER PC 106 17WC 03615 MATTHEWS, TAQUANA JOHN DEERE HARVESTER 02/01/14 DONOVAN ROBERTSON CALIFF & HARPER PC 107 17WC 05609 EDWARDS, TERRY JOHN DEERE HARVESTER WORK 08/01/16 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 108 17WC 06989 AKPLA, AMA TYSON FOODS INC 07/09/16 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 109 17WC 07019 OGOUBI, AFI TYSON FRESH MEATS INC 02/28/17 LEADERS LAW CENTER LLC 110 17WC 07487 STEWART, ANGELA JOHN DEERE HARVESTER 06/01/16 DAVID HUNT BOZEMAN NEIGHBOUR PATTON & N 111 17WC 07500 STEWART, ANGELA JOHN DEERE HARVESTER 05/02/14 DAVID HUNT BOZEMAN NEIGHBOUR PATTON & N 112 17WC 10247 GALINDO-VAZQUEZ, BEATRIZ FARMLAND FOODS 03/01/17 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 113 17WC 10644 MORALES FLORES, VICTOR FE PERFORMANCE FOOD GROUPS 08/25/16 WOODRUFF & JOHNSON BRYCE DOWNEY & LENKOV LLC 114 17WC 11375 FREDERICK, JENNIFER APERION CARE 03/08/17 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 115 17WC 11776 EDWARDS, TERRY JOHN DEERE HARVESTER WORK 08/06/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 116 17WC 12551 SPROUSE, STEVEN H HIRSCHBACH MOTOR LINES, I 03/21/16 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 HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 17WC 14700 GORANSON, MICHAEL JOHN DEERE HARVESTER 01/03/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 118 17WC 15726 VERBOUT, JESSICA GREAT DANE 03/08/17 CAPRON & AVGERINOS PC SPIEGEL & CAHILL, PC 119 17WC 16095 MARTINEZ, GUILLERMINA TYSON FRESH MEATS, INC. 08/15/14 ANDREW BRIBRIESCO WIEDNER & MCAULIFFE LTD 120 17WC 16099 GETSON, PATTI VAN WESTERN ILLINOIS BROADCAS 08/08/15 VANDERGINST LAW PC HENNESSY & ROACH 121 17WC 16480 ABOYTES, ERIKA RAYA SMITHFIELD FARMLAND CORP 11/12/16 CADY LAW FIRM, P.C. STEPHEN P. KELLY 122 17WC 17642 HADDOCK, COY CASEYS GENERAL 06/11/17 123 17WC 17738 SCHEMEL, GERHARD ILLINOIS QUAD CITY CIVIC 04/21/17 BLACK & JONES HOLECEK & ASSOCIATES 124 17WC 17739 SCHEMEL, GERHARD ILLINOIS QUAD CITY CIVIC 03/23/17 BLACK & JONES HOLECEK & ASSOCIATES 125 17WC 18979 GOOCH, CRYSTAL JOHNSON OIL 07/20/16 WARNER & ZIMMERLE EVANS & DIXON 126 17WC 19511 VEAL, CELENA JOHN DEERE HARVESTER 06/09/17 HOPKINS & HUEBNER PC CALIFF & HARPER PC 127 17WC 20713 MCGHEE, POWELL ROCK ISLAND/MILAN SCHOOL 02/01/16 MARSZALEK AND MARSZALEK BRYCE DOWNEY & LENKOV LLC 128 17WC 20890 BROWN, ERIC B MOLINE POLICE DEPT 01/10/14 RIDGE & DOWNES ANCEL GLINK PC 129 17WC 21003 WAYLAND, JESSE W III ROCK ISLAND HIGH SCHOOL 06/27/15 WINSTEIN KAVENSKY & WALLAC 130 17WC 21613 HARRISON, WILLIAM C IL DEPT OF EMPLOYMENT SEC @ 06/05/17 HOPKINS & HUEBNER PC ASSISTANT AT0TORNEY GENERAL 131 17WC 22589 CHANDLER, MICHAEL EAST MOLINE SCHOOL 03/02/17 HOPKINS & HUEBNER PC HEYL ROYSTER VOELKER & ALLEN 18WC021312 -C 132 17WC 22995 YEAGER, DALE (DECEASED) THA MAY COMPANY # 01/09/81 RIDGE & DOWNES KNELL LAW LLC 133 17WC 24763 SWANSON, TINA JOHN DEERE HARVESTOR WORK 05/08/17 RIDGE & DOWNES BOZEMAN NEIGHBOUR PATTON & N 134 17WC 24989 IVES, DAKOTA W KROGER 04/25/17 MERTES & MERTES PC STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 135 17WC 25356 MANGO, BARBARA KEWANEE LIFE SKILLS @ 11/18/16 DAMON YOUNG 136 17WC 25638 GIBSON, ANGELA HY-VEE 02/02/17 WARREN E DANZ, PC HOPKINS & HUEBNER PC 137 17WC 26767 JOHNSON, JENNIFER ALDI 06/09/17 BLACK & JONES BRADY, CONNOLLY & MASUDA, PC 17WC026768 -C 138 17WC 27365 PLATT, DENNIS J OLD DOMINION FREIGHT LINE 08/03/17 CADY LAW FIRM, P.C. 139 17WC 28092 MARKS, KELLY STERLING CHEVROLET 11/01/16 WOLFE LAW PC 140 17WC 30328 HEMMINGER, MARVIN LEE MAZEL & COMPANY 07/15/17 LAW OFFICE PAUL LARIMORE 141 17WC 31076 LINDSAY (VOLOVITZ), JAMIE AUNT MARTHA'S HEALTH 02/20/17 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 142 17WC 31148 CORK, TERRY GREEN GABLES 08/08/17 DAVID W OLIVERO POWER & CRONIN LTD 143 17WC 32641 FOSTER, STEVEN UNITED PARCEL SERVICE INC 08/17/17 WINSTEIN KAVENSKY & WALLAC NYHAN BAMBRICK KINZIE & LOWR 144 17WC 32658 PARVIN, THOMAS J KENDRA & RENE SOTELO DBA W 04/15/17 145 17WC 32981 WOODS, CAROLE KNOX COLLEGE 07/27/17 DAMON YOUNG HOLECEK & ASSOCIATES 146 17WC 33798 RETTENBERGER, RANDY SCHAFER TRUCKING, INC 10/20/17 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 147 17WC 34111 STEPHENS, GARY T ELITE STAFFING INC 10/20/17 ANESI OZMON RODIN NOVAK KO 148 17WC 35044 CLARK, IVORY BHASED 10/22/15 VANDERGINST LAW PC 149 17WC 35118 SANFO, SOULEYMANE TYSON FRESH MEATS 10/26/17 CROWLEY BUNGER PRILL WIEDNER & MCAULIFFE LTD 150 17WC 35897 HART, ANGELA FRIENDSHIP MANOR 10/27/16 VANDERGINST LAW PC RIPES NELSON BAGGOT KALOBRAT 17WC035898 -C 17WC035899 -C 151 17WC 35954 WRIGHT, DENISE DICK BLICK HOLDINGS, INC 08/30/17 JOHN LESAGANICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 152 17WC 36395 BORYS, MICHAEL JAY NATIONAL FREIGHT INCORPOR 06/27/17 WARNER & ZIMMERLE RUSIN & MACIOROWSKI LTD 153 17WC 36578 ZINKE, CHAD SENSIENT TECHNOLOGIES COR 09/22/17 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM GRA 154 17WC 36647 SHAFFER, PENNY JOHN DEERE HARVESTER WORK 05/16/17 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 155 17WC 38031 BAHENA, VICENTE MICRO INDUSTRIES, INC 03/16/17 REESE & REESE 156 18WC 01538 BELL, YVONNE HALLCON CORPORATION 12/24/17 REHN LAW LLC KNELL & O'CONNOR 157 18WC 03112 RANDALL, WILLIAM ALB FREIGHT TRANSPORTATIO W 09/10/17 REHN LAW LLC 158 18WC 03123 WHITTINGTON, RODNEY JOHN DEERE HARVESTER 11/15/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 159 18WC 03293 RICO-MORALES, EVA TYSON FRESH MEATS INC 08/05/13 WIEDNER & MCAULIFFE LTD 160 18WC 03468 MBEMBA, JEAN PAUL EXPORT PACKAGING CO INC 03/30/16 CADY LAW FIRM, P.C. RUSIN & MACIOROWSKI LTD 18WC003469 -C 161 18WC 04534 BAH, ADAMA HOPE CREEK CARE CENTER 03/21/17 RUBENS AND KRESS BROOKS LAW FIRM 162 18WC 05683 GUERRERO, RITA GREAT DANE TRAILERS 02/22/16 WILSON LAW OFFICES LLC SPIEGEL & CAHILL, PC 163 18WC 05829 CUEVAS, DAVID HY-VEE INC 11/04/17 REHN LAW LLC QUINN JOHNSTON HENDERSON ETA 164 18WC 06029 ALBERTSON, DANIEL STERLING RESTORATIONS 09/28/17 PIGNATELLI & ASSOCIATES 165 18WC 06813 SWIFT, JUSTIN E KREIDER SERVICES 02/10/18 REESE & REESE GALLIANI DOELL & COZZI LTD 166 18WC 06993 SHORT, SALLY WESTROCK 02/22/18 STRONG LAW OFFICE HENNESSY & ROACH PC 167 18WC 07307 BUNTON, RONALD JOHN DEERE PDC 09/14/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 168 18WC 08827 BENNETT, PEGGY A MUSELMAN INVESTMENTS, LTD 04/21/16 CADY LAW FIRM, P.C. 169 18WC 08929 DEYO, DEBRA L MACLEAN-FOGG COMPONENT 12/06/17 TUITE LAW WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 170 18WC 09514 ANDERSON, EMILY SEDONA STAFFING 03/01/18 MARC J SHUMAN & ASSOCIATES BETTY NEUMAN & MCMAHON 171 18WC 10236 WADSAGER, DAVID A JOHN DEERE HARVESTER 01/05/18 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 172 18WC 10671 WALES, PALEMA J GENERAL EXPRESS DIVISION 01/09/18 WINSTEIN KAVENSKY & WALLAC SCOPELITIS GARVIN LIGHT 18WC010698 -C OB TRUCKING, INC 19WC017222 -C 173 18WC 10840 SIMMONS, LORI LYNN PETERSEN HEALTH CARE 04/01/17 174 18WC 11471 PERLEY, LISA M NEW PERSPECTIVE 03/25/18 CADY LAW FIRM, P.C. WOLFE & JACOBSON, LTD 175 18WC 11839 DAVIS, PIPER C LONG SHOT SPORTS BAR & GR 04/11/17 MERTES & MERTES PC KOPKA, PINKUS DOLIN, PC 176 18WC 12052 RUBINGH, KRISTINA JOHN DEERE HARVESTOR 01/05/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 177 18WC 12404 KOSTMAN, PAULA MONDELEZ INTERNATIONAL 01/28/18 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 178 18WC 12791 WRIGHT, SANDRA AS WIDOW O DOHRN ENTERPRISES, INC. F # 03/28/18 COSTIGAN & WOLLRAB PC GANAN & SHAPIRO 179 18WC 13350 CONWAY, DENNIS LANE GALESBURG WELLNESS CENTER 10/25/16 COLLISON LAW OFFICES RUSIN & MACIOROWSKI LTD 180 18WC 13549 KOSTMAN, PAULA MONDELEZ INTERNATIONAL 09/08/16 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 181 18WC 13799 SMITH, ABIGIL HEALTH CARE SVC GROUP 01/14/18 REHN LAW LLC 182 18WC 14108 CHURCHILL, STEVEN ARAMARK UNIFORM SERVICES 03/09/18 RIDGE & DOWNES INMAN & FITZGIBBONS 183 18WC 14344 STOVER, CALEB HILL CORRECTIONAL CENTER @ 04/23/18 GOLDFINE & BOWLES ASSISTANT ATTORNEY GENERAL 184 18WC 14495 SCHLUNG, RICHARD JOHN DEERE HARVESTER WORK 04/04/18 MCDONALD WOODWARD & CARLSO BOZEMAN NEIGHBOUR PATTON & N 185 18WC 14887 BOSENGA, JULIE SMITHFIELD FARMLAND CORP 02/05/18 REHN LAW LLC STEPHEN P. KELLY 186 18WC 15152 HARRELSON, TRACY L JOHN DEERE 11/15/16 CADY LAW FIRM, P.C. CALIFF & HARPER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 187 18WC 15667 MILLER, TANNER S TRISTATE FIRE CONTROL INC 01/05/18 ANKIN LAW OFFICE GANAN & SHAPIRO 188 18WC 16105 REED-WILMINGTON, DIANE HEARTLAND HEALTHCARE 03/31/18 WINSTEIN KAVENSKY & WALLAC 18WC031643 -C 189 18WC 16225 SHANER, TAMMY L FIRSTGROUP AMERICA, INC D 04/10/18 REESE & REESE WIEDNER & MCAULIFFE LTD 190 18WC 16616 POLITE, GEORGE YRC FREIGHT 04/24/18 RIDGE & DOWNES HENNESSY & ROACH 191 18WC 16779 SCRITCHFIELD, STEPHEN ROCK ISLAND COUNTY 08/19/16 RIDGE & DOWNES BROOKS LAW FIRM 192 18WC 16887 MANONDZO, PHILIPPINE SMITHFIELD FARMLAND CORP 09/21/17 REHN LAW LLC STEPHEN P. KELLY 193 18WC 17184 WALLACE-MCKENNA, KELLIE HENRY COUNTY HUMANE SOCIE 03/19/18 STEPHENS FIDDES MCGILL ASS QUINN JOHNSTON HENDERSON ETA 194 18WC 17819 CRAM, KEVIN MULTIBAND, INC. 06/04/18 PIGNATELLI & ASSOCIATES 195 18WC 18053 MYERS, JESSICA PETERSON HEALTH CARE 05/28/18 REHN LAW LLC KNELL LAW LLC 196 18WC 18881 DAVIS, RUTHY JOHN DEERE HARVESTER 06/05/18 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 197 18WC 19684 STRIPLING, CHRIS CLOVERHILLS APPLIANCE 03/15/18 DWORKIN AND MACIARIELLO CAPUANI, FRANK S 198 18WC 19797 VAN WINKLE, CHRISTOPHER FRANSEN TRUCKINGINC 11/01/17 VANDERGINST LAW PC GANAN & SHAPIRO 199 18WC 20784 WELCH, JASON TCI MANUFACTURING 05/02/18 ACEVES & PEREZ PC EVANS & DIXON 200 18WC 21053 WERDERMAN, JOSEPH EAGLE ENTERPRISES RECYCLI 11/07/17 JOHN LESAGANICH WOLFE & JACOBSON, LTD 201 18WC 21755 LAPORTE, NOLAN QUAD CITY MALLARDS 12/23/16 FLOYD LAW FIRM INMAN & FITZGIBBONS 202 18WC 21902 STROM, TODD JOHN DEERE HARVESTER 05/27/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 203 18WC 23228 MORGAN, CODY R MH EQUIPMENT 08/02/16 MERTES & MERTES PC HENNESSY & ROACH 204 18WC 23362 RYBERG, NARCISA DICK BLICK HOLDINGS, INC 07/16/18 SKINNER & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 205 18WC 23586 FORBES, LEROY JR. TYSON FRESH MEATS INC 05/24/17 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 206 18WC 23991 MATEJKA, SCOTT MENK USA 08/07/17 THOMAS W DUDA WOLFE & JACOBSON, LTD 207 18WC 24406 ABDENNEBI, NADIA TYSON FOODS, INC. 10/30/17 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 208 18WC 25467 CUSUMANO, CHRISTOPHER CHARTWELL STAFFING SOLUTI 04/23/18 CAPRON & AVGERINOS PC 209 18WC 26108 TAYLOR, RODNEY JOHN DEERE HARVESTER 02/21/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 210 18WC 26126 STUART, CHERYL LUDENS POTTER MAHAFFEY AN 11/11/15 WARD MURRAY PACE & JOHNSON 211 18WC 26420 FRIEND, DAVID HELP INDUSTRIAL SERVICES 03/22/18 ANKIN LAW OFFICE EVANS & DIXON 212 18WC 26929 DENBROOK, LINDA D&D SERVICES D/B/A PREFER 04/03/18 WINSTEIN KAVENSKY & WALLAC 213 18WC 27124 CHRISTIE, RHONDA MERCER COUNTY SCHOOL DIST 05/01/17 ASHER, RAYMOND L LTD INMAN & FITZGIBBONS 214 18WC 27609 RUIZ, JAIME MARTIN BAUISTA TRANSPORT 08/30/18 WOODRUFF JOHNSON 215 18WC 27823 ANGEL, ANTHONY C LA LEASING, INC, D/B/A 09/07/16 CADY LAW FIRM, P.C. 216 18WC 28301 BAHRS, JASON JOHN DEERE HARVESTER WORK 03/15/18 KATZ FRIEDMAN EAGLE ET AL BOZEMAN NEIGHBOUR PATTON & N 217 18WC 28690 HARMS, JOHN T VOLT MANAGEMENT CORP 07/23/18 CADY LAW FIRM, P.C. ORENSTEIN & ASSOCIATES 218 18WC 29025 THURMAN, JOHN P HALVERSTON CONSTRUCTION C 08/07/18 ANESI OZMON RODIN NOVAK KO JAMES M KELLY 219 18WC 29118 GRAY, LUETHER ROCK ISLAND-MILAN SCHOOL 08/29/18 CADY LAW FIRM, P.C. BRYCE DOWNEY & LENKOV LLC 220 18WC 29198 ANDERSON, MICHAEL TYSON FRESH MEATS, INC 02/09/18 GANAN & SHAPIRO 221 18WC 29677 RICHARDS, JEREMIAH SLOAN IMPLEMENT CO 04/26/18 PIGNATELLI & ASSOCIATES EVANS & DIXON 222 18WC 30640 DOBEREINER, BENJAMIN ILLINOIS DOT DISTRICT 2 @ 09/20/17 VANDERGINST LAW PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 223 18WC 31332 LINDSEY, DAVID W BIRKEYS FARM STORE 09/21/18 SHANNON LAW GROUP ACCIDENT FUND HOLDINGS 224 18WC 31364 DEJAYNES, SCOTT WESTROCK 05/24/18 STRONG LAW OFFICE HENNESSY & ROACH PC 19WC012382 -C 225 18WC 32046 PINTO, HUGUETTE GENESIS MED CTR 05/23/17 WOODRUFF JOHNSON HOPKINS & HUEBNER PC 226 18WC 32848 LEWIS, MICHAEL W WHITESIDE COUNTY SHERIFFS 10/09/18 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 227 18WC 33023 BROWN, BRANDON SERVICE STEEL 08/02/18 WINSTEIN KAVENSKY & WALLAC GRIFFIN, LORETTA M LAW OFFIC 228 18WC 33172 CHAVEZ, JESSICA I PARKWAY CENTER, INC. 10/09/18 REESE & REESE 229 18WC 33579 REED, BETTY CGH MEDICAL CENTER 09/30/18 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 230 18WC 33793 HULSANDER, HOLDEN GREAT DANE TRAILERS 10/18/18 NO ATTORNEY SPIEGEL & CAHILL, PC 231 18WC 33859 BROWNLEE, DANIEL HILL CORRECTIONAL CENTER @ 10/12/18 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 232 18WC 34500 NUNEZ, ELODIA SMITHFIELD FOODS 04/28/17 DAMON YOUNG 233 18WC 35099 SIMPSON, RENEE TYSON FOODS, INC 03/31/18 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 234 18WC 35504 DOSS, ANTWONY JOHN DEERE HARVESTER 01/27/16 HOPKINS & HUEBNER PC BOZEMAN NEIGHBOUR PATTON & N 235 18WC 35729 BITLER, DOUGLAS CLIMCO COILS CO 08/30/18 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 236 18WC 36210 TOMSIC, DAVID JOHN DEERE CYLINDER 08/15/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 237 18WC 36447 GARCIA, DANIEL J DEERE & CO/HARVESTER WORK 03/12/18 KATZ NOWINKSI PC BOZEMAN NEIGHBOUR PATTON & N 238 18WC 36799 BOSS, VANESSA WALMART DISTRIBUTION CTR 11/01/17 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 239 18WC 37393 BURMEISTER, RICK JOHN DEERE HARVESTER WORK 08/06/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 240 18WC 37581 DESHANE, ADAM UNITED PARCEL SERVICE, IN 04/09/18 HOPKINS & HUEBNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 241 18WC 37967 BAILEY, LAKEETA BAYMONT INN SUITES 11/11/18 REHN LAW LLC GANAN & SHAPIRO 242 18WC 38054 WHITMAN, RANDALL ILLINI FEEDS 04/07/17 REHN LAW LLC BRADY, CONNOLLY & MASUDA, PC 243 18WC 38073 MISTIC, LARRY HY-VEE 10/09/18 STEPHEN P. KELLY QUINN JOHNSTON HENDERSON ETA 244 18WC 38411 FOX, SAMANTHA L IL DEPT OF CORRECTIONS @ 11/30/18 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 245 19WC 00048 MINRICK, JACOB KEWANEE LIFE SKILLS 11/16/18 RIDGE & DOWNES 246 19WC 00141 KATES, MARK MURPHY CONTAINER 11/02/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 247 19WC 00579 NYMAN, EMILY DICK BLICK HOLDINGS INC 08/16/18 SKINNER & ASSOC JOSEPH MARCINIAK 248 19WC 00795 DUCEY, JAMES E CITY OF ROCK ISLAND 01/06/18 THOMAS W DUDA BETTY NEUMAN & MCMAHON 249 19WC 01158 COOPER, RON JONES LEASING PROPERTIES, 12/25/18 MARSZALEK AND MARSZALEK 250 19WC 01669 GIRMAN, STEPHEN BASTIAN AUTO OUTLET 04/03/18 GOMEZ MAY LLP 251 19WC 01686 DENNIS, KELLY REN & KEN ENTERPRISES INC 03/30/18 PIGNATELLI & ASSOCIATES HENNESSY & ROACH 252 19WC 01913 LOCKWOOD, DONALD EUGENE OFFICE MACHINE CONSULTANT 07/30/18 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO 253 19WC 02154 WASHINGTON, DEMARCO TYSON FRESH MEATS 06/29/18 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 254 19WC 02378 CORNETT, MAURICE UPS FREIGHT 01/12/19 RIDGE & DOWNES ASA LAW GROUP 255 19WC 02590 GLORIA, ALEXIS HAPPY TAILS INC 09/17/18 PIGNATELLI & ASSOCIATES 256 19WC 02610 PETERS, RONALD L JR. SIMPSON TRUCKING & 07/17/17 MCDONALD WOODWARD & CARLSO QUINN JOHNSTON HENDERSON ETA 257 19WC 02967 LOUCKS, NICHOLAS L DEERE & CO./SEEDING GROUP 12/14/18 KATZ NOWINKSI PC CALIFF & HARPER PC 258 19WC 03129 GENDE, SARAH HCCS CODING & CONSULTING 08/27/18 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 259 19WC 03152 HULKE, GINGER WAL-MART DISTRIBUTION CEN 10/27/18 REESE & REESE QUINTAIROS PRIETO WOOD & BOY 260 19WC 03324 BOWMAN, JOHNNY E LCI CONCRETE, INC 10/31/18 SKINNER & ASSOC 261 19WC 03345 FRANTZ, THOMAS L BILL THOMPSON TRANSPORT, 01/14/18 CADY LAW FIRM, P.C. RUSIN & MACIOROWSKI LTD 19WC003346 -C 262 19WC 04077 KELSO, SHANNON WALMART 12/10/18 LESKERA LAW FIRM GANAN & SHAPIRO 263 19WC 04525 FIELDS, JONIE K XPO LOGISTICS INC 12/12/17 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 264 19WC 04980 COMBS, CHERYL LOWE'S HOME IMPROVEMENT 08/13/18 RIDGE & DOWNES 265 19WC 05235 SIMMER, RODNEY HOPE CREEK CARE CENTER 02/08/19 HOPKINS & HUEBNER PC BROOKS LAW FIRM 266 19WC 05273 EDDY, MICHAEL R SR. SHAWN HAMBELTON TRUCKING 06/21/18 NO ATTORNEY HEYL ROYSTER VOELKER & ALLEN 267 19WC 05295 ENOS, SILVA CLOVERLEAF COLD STORAGE 06/27/18 CROWLEY & PRILL KNELL LAW LLC 268 19WC 05405 STRISSEL, THOMAS XPO LOGISTICS 03/23/18 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 269 19WC 06113 STOKES, GREG WYFEELS HYBRIDS 09/28/18 STEPHEN P. KELLY MCANANY VANCLEVE & PHILLIPS 270 19WC 06389 DAVIS, LEROY CLOVERLEAF COLD STORAGE 01/23/19 REHN LAW LLC KNELL LAW LLC 271 19WC 06709 CLARKE, AMANDA WESTROCK 11/07/18 STRONG LAW OFFICE HENNESSY & ROACH PC 272 19WC 06799 ALLEN, DAVID C GALESBURG TOYOTA 01/09/19 SIMPSON PETERSON HEYL ROYSTER VOELKER & ALLEN 273 19WC 07273 BERNARDINI, ANGELA ANNE GOOD SAMARITAN SOCIETY 11/25/17 NO ATTORNEY 274 19WC 07764 LUEDTKE, MARY SEDONA STAFFING 01/17/19 CAPRON & AVGERINOS PC BETTY NEUMAN & MCMAHON 275 19WC 07970 BRONSTON, JEFFREY KUNES COUNTRY FORD LINCOL 01/23/19 ROBERT WARSASKI RIPES NELSON BAGGOT KALOBRAT 276 19WC 08085 THOMPSON, TERRILL QUAD CITY TOWING, INC. 10/20/18 WINSTEIN KAVENSKY & WALLAC 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 HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 277 19WC 08647 TUKIYA, NADINE SMITHFIELD FARMLAND CORP 05/12/18 REHN LAW LLC STEPHEN P. KELLY 278 19WC 09622 SANCHEZ, BONITA MAPLE CROSSING AT AMBOY L 03/06/19 SCHWEICKERT & GANASSIN FRIEDRICH LAW LLC 279 19WC 09775 ROBERTS, JEFFREY QUAD CITY FAMILY ENTERTAI 07/19/18 WINSTEIN KAVENSKY & WALLAC 280 19WC 09922 DESSEYN, SCOTT JOHN DEERE HARVESTER WORK 12/22/16 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 19WC009923 -C 281 19WC 10071 MANG, CHAN FARMLAND A/K/A 04/16/18 MARSZALEK AND MARSZALEK STEPHEN P. KELLY 282 19WC 10525 DECKER, MARGARET KNOX COUNTY NURSING HOME 10/18/18 REHN LAW LLC BUSH MOTTO CREEN KOURY 283 19WC 10682 NOSA, JOHN XPAC 02/15/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 284 19WC 10836 LYNN, DAVID LYNNBROOK FARMS 11/26/18 DAVID HUNT 285 19WC 11349 MILLS, KELLI AVADYNE HEALTH 02/20/19 VANDERGINST LAW PC 286 19WC 11537 WHITTLE, LEWIS SERVICE STEEL 03/26/19 CAPRON & AVGERINOS PC 287 19WC 11888 MACK, KEVIN ALLIED POWER SERVICES 03/24/19 MARK N LEE LAWRENCE COZZI - LAW OFFICE 288 19WC 12114 NICHOLS, JOSHUA ZACHARY BEINTEMA, CONTRAC 09/20/18 JANSSEN LAW CENTER WIEDNER & MCAULIFFE LTD 289 19WC 12191 TAYLOR, RODNEY JOHN DEERE HARVESTER 07/17/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 290 19WC 13046 SPINKS, RENEE SCHNEIDER NATIONAL 03/29/19 VASILATOS & COTTER LLC ASA LAW GROUP 291 19WC 13052 WELSH, DAPHINE CASEY'S GENERAL STORE 10/04/18 CAPRON & AVGERINOS PC 292 19WC 13091 MC LEAN, LILY K&K FAST FOOD, INC 12/06/18 REHN LAW LLC BRYCE DOWNEY & LENKOV LLC 293 19WC 13130 TIWA, KOMLAN TYSON FRESH MEATS INC 03/25/19 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 294 19WC 13177 GROSS, SHIRLEY MISS MAMIE'S 02/13/19 WINSTEIN KAVENSKY & WALLAC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 295 19WC 13411 MASTON, DONALD HIRSCHBACH MOTOR LINES IN 01/31/19 REHN LAW LLC CHICAGO TRANSIT AUTHORITY 296 19WC 13760 RHYNES, CRYSTALL SEDONA STAFFING 11/01/18 CAPRON & AVGERINOS PC 297 19WC 13875 EDEUS, JOSEPH W HAROLD'S FURNITURE 12/10/18 MERTES & MERTES PC 298 19WC 14213 MILLORO, MICHELLE GENERAL GRIND AND MACHINE 02/28/19 WINSTEIN KAVENSKY & WALLAC ANCEL GLINK PC 299 19WC 14365 SANDERS, TODD A SCHNEIDER TRUCKING 03/29/18 PIGNATELLI & ASSOCIATES ASA LAW GROUP 300 19WC 14572 FREDERICK, JENNIFER JOHN DEERE HARVESTER WORK 04/26/19 REESE & REESE BOZEMAN NEIGHBOUR PATTON & N 301 19WC 14770 FOSTER, STEVEN UNITED PARCEL SERVICE, IN 05/06/19 WINSTEIN KAVENSKY & WALLAC NYHAN BAMBRICK KINZIE & LOWR 302 19WC 14831 NIMRICK, JEFF OTTO BAUM 01/04/19 PETER F FERRACUTI & ASSOCI KNELL LAW LLC 19WC014832 -C 303 19WC 14949 FURNALD, KAREN WEST CENTRAL CUSB 235 11/02/18 BROOKS LAW FIRM 304 19WC 15435 WADE, RANDEE HAPPY JOE'S PIZZA 05/13/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 305 19WC 15548 RICHARDS, DANIEL SADONA STAFFING 03/01/19 DWORKIN AND MACIARIELLO 306 19WC 15658 STEINBAUGH, MARIA IL DEPT OF EMPLOYMENT SEC @ 04/05/18 HOPKINS & HUEBNER PC 307 19WC 15707 MCCOY, DAVID IL DEPT OF TRANSPORTATION 03/26/19 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 308 19WC 15786 MAYES, DANA JOHN DEERE PARTS 08/02/18 CALIFF & HARPER PC 309 19WC 15963 HUIZENGA, ROBERT WILLIAMS WHITE & COMPANY 01/18/18 WINSTEIN KAVENSKY & WALLAC 310 19WC 15996 STEINBAUGH, MARIA ILLINOIS DEPARTMENT OF @ 04/05/18 HOPKINS & HUEBNER PC 311 19WC 16025 MOONEY, ANDREW TODD MUELLER D/B/A TODD'S W 05/10/19 PIGNATELLI & ASSOCIATES 312 19WC 16332 VELEZ DEGONZALEZ, ROBERTA XPAC 03/06/17 HOPKINS & HUEBNER PC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 313 19WC 16341 HESS, JASON CITI TRENDS 03/25/19 WINSTEIN KAVENSKY & WALLAC 314 19WC 16775 HANNAH, TIMOTHY MIDNITE TRUCKING 04/27/19 WINSTEIN KAVENSKY & WALLAC SCOPELITIS GARVIN LIGHT 315 19WC 17012 HOPES, FRANKLIN CITY OF STERLING 05/05/19 FOOTE MIELKE CHAVEZ O'NEIL 316 19WC 17129 MONJARAZ, MARTHA SET AND SERVICE RESOURCES 05/21/19 MILLON & PESKIN LTD 317 19WC 17250 QUIROZ, RODRIGO UNITYPOINT AT HOME 03/24/19 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 318 19WC 17443 JACKSON, LARRY BELLOTA AGRISOLUTIONS 02/20/19 VANDERGINST LAW PC JOSEPH MARCINIAK 319 19WC 17676 BOUJAWARI, SADDAM AL TYSON FRESH MEATS INC 09/01/17 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 320 19WC 17687 OECHSNER, RICHARD FANTH & CURRY HOME IMPROV 06/08/17 MCDONALD WOODWARD & CARLSO BRYCE DOWNEY & LENKOV LLC 321 19WC 17742 PARADISO, BRIDGET SPRINGFIELD ARMORY 03/02/18 RUBENS KRESS MULHOLLAND 322 19WC 17884 MAVES, SCOTT TETTEN'S GRAIN, INC. 11/01/18 CAPRON & AVGERINOS PC 323 19WC 17996 MORRIS, PHILLIP MANPOWER GROUP 01/18/19 REHN LAW LLC WIEDNER & MCAULIFFE LTD 324 19WC 18039 ZENATI, YOUNES TYSON FOODS 01/16/18 WIEDNER & MCAULIFFE LTD 325 19WC 18349 POWELL, CONSTANCE ACRO SERVICE CORPORATION 07/01/18 MARSZALEK AND MARSZALEK 326 19WC 18522 MASTERS, BRIAN STATE OF ILLINOIS STATE P @ 04/25/19 CROWLEY & PRILL ASSISTANT ATTORNEY GENERAL 327 19WC 19615 LEWIS, BRANDON R CITY OF ROCK FALLS 04/08/19 THOMAS W DUDA 328 19WC 19664 LONGNECKER, JAMES JOHN DEERE HARVESTER 05/09/19 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 329 19WC 19679 BROWNLEE, NANCY MIDWESTERN PET FOODS INC 09/13/17 REHN LAW LLC BRADY, CONNOLLY & MASUDA, PC 330 19WC 19929 RATHBURN, SHARON VALLEY MEATS 02/27/18 HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 331 19WC 20370 SPIKER, VERNON CONSOLIDATED GRAIN & BARG 02/07/19 LOGAN LAW 332 19WC 20375 SPIKER, VERNON CONSOLIDATED GRAIN & BARG 03/21/17 LOGAN LAW 333 19WC 20395 LEATHERS, MICHAEL AGAN'S QUALITY CONSTRUCTI 05/31/19 VANDERGINST LAW PC 334 19WC 20492 HERNANDEZ, DAVID SCHNEIDER NATIONAL TRUCKI 12/11/18 O'CONNOR & NAKOS ASA LAW GROUP 335 19WC 20659 REID, JASON K CITY OF EAST MOLINE 04/24/19 THOMAS W DUDA POWER & CRONIN LTD 336 19WC 20803 DOUGLAS, KYLE QCOMM911 02/07/19 WILSON LAW OFFICES LLC BRADY, CONNOLLY & MASUDA, PC 337 19WC 21092 DE BOER, KENNETH STERLING COMMERCIAL ROOFI 07/28/18 CULLEN HASKINS NICHOLSON HOPKINS & HUEBNER, P.C. 338 19WC 21274 SEIBER, CHARLES ROCK ISLAND MILAN SCHOOL 11/20/18 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 339 19WC 21643 MESSERLY, THEODORE GOETZ CONCRETE CO 07/08/19 WINSTEIN KAVENSKY & WALLAC JAMES M KELLY 340 19WC 21792 FRANKLIN, GARY II SEDONA STAFFING 04/08/19 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 341 19WC 21847 BUSHUR, LAWRENCE JOHN DEERE PDC 05/16/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 342 19WC 21939 PIZANO, DIANA TYSON FOODS, INC 11/16/18 WINSTEIN KAVENSKY & WALLAC 343 19WC 22218 BOCK JR, DOUGLAS L WALMART SUPERCENTER (1) 12/19/18 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 344 19WC 22327 WELVAERT, JUSTIN T CITY OF ROCK ISLAND 02/01/17 THOMAS W DUDA BETTY NEUMAN & MCMAHON 345 19WC 22374 DESPAIN, KENNETH SWANSON TRUCKING INC 12/11/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 346 19WC 22477 BORNSHEUER, MICHAEL GREAT DANE TRAILERS 07/03/19 PERONA PETERLIN ANDREONI 347 19WC 23005 WOODS, GEOFFREY IFH GROUP 05/10/19 BLACK & JONES EVANS & DIXON 348 19WC 23104 ZENATI, YOUNES TYSON FOODS, INC 01/16/18 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 349 19WC 23506 DEBOER, KENNETH STERLING COMMERCIAL ROOFI 07/10/19 CULLEN HASKINS NICHOLSON HOPKINS & HUEBNER, P.C. 350 19WC 23577 SALOMON, FRANK KROGER CORP 06/15/17 PIGNATELLI & ASSOCIATES GANAN & SHAPIRO 19WC023578 -C 351 19WC 23843 HULL, SCOTT JOHN DEERE HARVESTER 07/19/19 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 352 19WC 23898 LANDON, MONICA HEARTLAND HEALTH CARE CEN 02/04/19 SIMPSON PETERSON 353 19WC 24344 HASSON, JEFF MIDAMERICAN ENERGY COMPAN 03/02/18 BETTY NEUMAN & MCMAHON 354 19WC 24542 CEDENO, CINDY JOHN DEERE 05/01/18 DWORKIN AND MACIARIELLO BOZEMAN NEIGHBOUR PATTON & N 355 19WC 24667 KLING, JAMES DEL'S METAL 07/11/19 BLACK & JONES HENNESSY & ROACH 356 19WC 25193 BROCK, RONALD THARP BORTHERS 08/12/19 LEFANTE LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 357 19WC 25239 THIRTYACRE, JULIE JOHN DEERE HAVESTER 07/18/19 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 358 19WC 25416 GODSIL, KRISTA DICK BLICK 11/15/17 REHN LAW LLC 359 19WC 25488 BABLER, DARRYL E PAUL TRUCKING, INC 01/23/19 TUITE LAW ANCEL GLINK PC 360 19WC 25491 WILSON, SHANNON IL DEPT OF HUMAN SERVICES @ 02/13/19 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 361 19WC 25979 BOCK, DOUGLAS L JR. WAL-MART SUPERCENTER 1 01/26/19 MARSZALEK AND MARSZALEK 362 19WC 26147 MCGANN, BARBARA CONSOLIDATED GRAIN & BARG 04/08/19 LOGAN LAW CAPUANI, FRANK S 363 19WC 26890 BRISBON, LONNELL WEST SIDE TRANSPORT INC 08/02/19 GRAZIAN & VOLPE PC 364 19WC 26996 NEFF, KIMBERLY IL DIVISION OF REHABILITA @ 05/29/19 REHN LAW LLC 365 19WC 27143 GANYO, KODZO TYSON FRESH MEATS, INC 02/28/19 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 366 19WC 27321 POUNDERS, LUKAS R TAILORED MANAGEMENT 09/01/19 MERTES & MERTES PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 367 19WC 27449 WEIS, DOUGLAS J THERMO KING CHRISTENSEN I 02/12/19 NYHAN BAMBRICK KINZIE & LOWR 368 19WC 27866 EATON, ARCHIE MCLAUGHLIN BODY COMPANY 12/17/18 CAPRON & AVGERINOS PC 369 19WC 27992 HARRIS, JOHN T TYSON FOODS 02/01/19 WIEDNER & MCAULIFFE LTD 370 19WC 28066 KOVACIC, TRUDY MERCER MANOR REHABILITATI 06/05/19 WINSTEIN KAVENSKY & WALLAC 371 19WC 28115 FARHAN, MOHAMMED TYSON FOODS INC 07/01/18 STENGEL BAILEY ROBERTSON WIEDNER & MCAULIFFE LTD 372 19WC 28338 HABBEN, JUSTIN STERLING STEEL 12/23/18 RUSIN & MACIOROWSKI LTD 373 19WC 28523 LOCOH, AYOKO LILI V TYSON FRESH MEATS, INC. 10/13/18 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 374 19WC 28658 GREENE, ALBERT EAST MOLINE CORRECTIONAL @ 04/01/19 RIDGE & DOWNES 375 19WC 29111 HAMM, JIMMY PINES TRAILER 04/09/19 SIMPSON PETERSON 376 19WC 29204 CHARLES, TIFFANY MBM JANITORIAL SERVICES L 07/06/19 REHN LAW LLC ANCEL GLINK PC 377 19WC 29241 BIRDSALL, DANIEL CHARNOR, INC. 09/05/17 STEPHEN P. KELLY 378 19WC 29686 RABE, DANIEL V SELF HELP ENTERPRISES 09/23/19 PIGNATELLI & ASSOCIATES 379 19WC 29712 BOYSEN, JOHNATHAN JOHN DEERE PDC 11/28/16 VANDERGINST LAW PC CALIFF & HARPER PC 380 19WC 29759 YOUNGREN, LAWANDA OSF ST MARY MEDICAL CENTE 09/19/19 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 381 19WC 29842 DENNIS, REBECCA SUMMIT PIZZA INC DBA PIZZ 07/09/19 STRONG LAW OFFICE HENNESSY & ROACH 382 19WC 29854 HEDGCOTH, JOHN KEWANEE PARTNERS, LLC 07/15/19 JOHN LESAGANICH GANAN & SHAPIRO 383 19WC 29897 RICHARDS, STEPHEN XPAC 08/12/19 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 384 19WC 30067 CUELLAR-RINCON, EDUARDO MERIT CONTRACTORS, LLC 04/23/18 CHEPOV & SCOTT LLC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 385 19WC 30215 BIANCHI, CORY CITY OF STERLING 02/27/19 ANCEL GLINK PC 386 19WC 30372 KEPLER, COLLEEN IMPERIAL VENDING 09/16/19 PIGNATELLI & ASSOCIATES HOLECEK & ASSOCIATES 387 19WC 31112 MYERS, FRANK UNITED AMERICAN CAB COMPA 10/12/19 WILSON LAW OFFICES LLC 388 19WC 31360 KANGAS, CLARA BURKE CLEANERS, INC 07/13/19 HOPKINS & HUEBNER, P.C. 389 19WC 31510 TINKHAM, TANYA ILPEA INDUSTRIES INC 08/08/19 DAVID HUNT WOLF & LAUDICINA LTD 390 19WC 31647 JONES, ALLEN N JOHN DEERE HARVESTER WORK 12/05/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 391 19WC 32374 ANDERSON, JON GALESBURG CASTING 06/04/19 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 392 19WC 32970 MAYER, PHILIPPE GRAY MACHINE & WELDING IN 06/25/19 MCDONALD WOODWARD & CARLSO HEYL ROYSTER VOELKER & ALLEN 393 19WC 33004 RANSOM, KELLY BLUE CHIP RETAIL GROUP, 01/31/19 WINSTEIN KAVENSKY & WALLAC BRADY CONNOLLY & MASUDA PC 394 19WC 33090 BALDWIN, RICHARD TYSON FOODS, INC 08/29/19 MCDONALD WOODWARD & CARLSO WIEDNER & MCAULIFFE LTD 395 19WC 33129 JORDAN, MARK GREAT DANE TRAILERS 10/08/19 ROCHFORD & ASSOC 396 19WC 33194 BOYNETON, LEANNA GALESBURG DISTRICT #205 04/03/19 DWORKIN AND MACIARIELLO 397 19WC 33320 BIRDSONG, MARLA WALMART 11/09/19 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 398 19WC 33474 NEY, JENNIFER CDAC, INC 08/30/18 STRONG LAW OFFICE HENNESSY & ROACH PC 399 19WC 33567 HENRY, DENNIS P MATT STOOKEY TRUCKING INC 05/14/19 CADY LAW FIRM, P.C. 400 19WC 33908 MCNEELY, JEROME HOLLAND 04/29/19 RIDGE & DOWNES HENNESSY & ROACH 401 19WC 34044 MORONI, GREGORY MCLAUGHLIN MOTORS 02/02/19 WINSTEIN KAVENSKY & WALLAC 402 19WC 34108 COE, DAWSON MANPOWER 11/19/19 DAVID W MARTAY WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 403 19WC 34251 HALE, THOMAS L STATE OF ILLINOIS @ 07/24/19 TUITE LAW ASSISTANT ATTORNEY GENERAL 404 19WC 34755 DEJAYNES, ROGER CENTRAL MANAGEMENT SRV DE @ 10/21/19 MARK N LEE ASSISTANT ATTORNEY GENERAL 405 19WC 34927 ROGERS, THOMAS BLACK FABRICATION 11/11/19 DWORKIN AND MACIARIELLO HANSON LAW OFFICE 406 19WC 35049 WAYSON, ANGELA M HY-VEE, INC 11/07/18 CADY LAW FIRM, P.C. QUINN JOHNSTON HENDERSON ETA 407 19WC 35189 NELSON, DEAN C SAVANNA FIRE DEPARTMENT 07/12/18 MERTES & MERTES PC RUSIN & MACIOROWSKI LTD 408 19WC 35410 TOWNZEL, TYRAE JOHN DEERE 12/02/19 DAVID W MARTAY BOZEMAN NEIGHBOUR PATTON & N 409 19WC 35537 BUESING, MATTHEW WP BEVERAGES 07/19/19 VANDERGINST LAW PC 410 19WC 35626 O'NEILL, TIMOTHY EAST MOLINE SCHOOL DISTR 05/04/18 RIDGE & DOWNES 411 19WC 35764 DEWAELE, PHILLIP FS GRAIN LLC 05/16/19 HEYL ROYSTER VOELKER & ALLEN 412 19WC 35933 ZEBADA, KOFFI D TYSON FRESH MEATS 06/28/18 REHN LAW LLC 413 19WC 36389 COOKSEY, JOSEPH S ROCK ISLAND-MILAN SCHOOL 06/18/19 CADY LAW FIRM, P.C. 414 19WC 36459 DOBBELS, JOSHUA L BRICE R. WEBER AND KELLY W 09/04/19 TUITE LAW 415 19WC 36694 IANNO, MARCIA TRUE MANUFACTURING COMPAN 10/07/19 KATZ FRIEDMAN EISENSTEIN 416 19WC 37056 BEAN, LARRY W BANK ORION 11/05/19 WINSTEIN KAVENSKY & WALLAC HOLECEK & ASSOCIATES 417 19WC 37159 MEEGAN, THOMAS ROCK ISLAND TRINITY WEST 01/28/19 BROOKS LAW FIRM CALIFF & HARPER PC 418 19WC 37403 MCGOWAN, MARVIN WALMART DISTRIBUTION CENT 10/28/19 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 419 19WC 37533 RUFFIN, ANDRE A APPLEBEE'S GRILL + BAR 08/30/19 REESE & REESE 420 20WC 00015 MENDOZA, MARK CITY OF STERLING 12/28/19 FOOTE MIELKE CHAVEZ O'NEIL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 421 20WC 00065 DOYLE, MARCUS KNOX COUNTY MARY DAVIS HO 11/13/19 KROL BONGIORNO & GIVEN LTD BUSH MOTTO CREEN KOURY 422 20WC 00118 STEFFENS, CHAD WALMART DISTRIBUTION CENT 08/16/19 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 423 20WC 00814 GIBBS, KEVIN ROCK ISLND CNTY SHERIFF'S 07/03/19 MARKS INJURY LAW 424 20WC 00855 PEKIOS, STEPHEN L PAK SOURCE 04/10/18 HOPKINS & HUEBNER, P.C. 425 20WC 01334 MARTIN, TROY JOHN DEERE HARVESTER WORK 03/06/19 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 426 20WC 01612 HAINES, SHAWN SIMPLEX LEASING 09/03/19 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 427 20WC 01778 HENRIQUEZ, WILDA SEDA ARAMARK UNIFORM SERVICES 11/15/19 RIDGE & DOWNES INMAN & FITZGIBBONS 428 20WC 02032 ADAM, ELSHAZALI O TYSON FRESH MEATS, INC 09/10/18 CROWLEY & PRILL WIEDNER & MCAULIFFE LTD 429 20WC 02288 MCREYNOLDS, CAROL MOLINE-COAL VLLY SCHL DIS 10/31/18 GOLDFINE & BOWLES RIPES NELSON BAGGOT KALOBRAT 20WC002289 -C 430 20WC 02423 JENKINS, CYNTHIA GANA A'YOO LTD 11/14/19 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 431 20WC 02788 SWISHER, ADAM M.A. MORTENSON CO. 05/12/19 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 432 20WC 03217 MILLS, ROBERT SENSIENT FLAVORS, INC 06/21/19 BLACK & JONES GAROFALO SCHREIBER STORM GRA 433 20WC 03367 CHADWICK, MICHAEL BHI ENERGY 11/03/19 WILSON LAW OFFICES LLC 434 20WC 03376 MAPLES, TRINITY XENA INTERNATIONAL 01/10/20 PIGNATELLI & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 435 20WC 03516 PETERS, TEVIN TYSON FRESH MEATS INC 12/07/19 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 436 20WC 03613 PICHA, TODD HILL & VALLEY BAKERY 11/22/19 CAPRON & AVGERINOS PC HOLECEK & ASSOCIATES 437 20WC 03695 ERICSON, JASON UNITED FACILITIES 11/04/19 RIDGE & DOWNES COZZI & ZAPF LAW OFFICE 438 20WC 03852 PEDRO, EDUARDO MARTIN SMITHLAND FOODS 06/05/19 WOODRUFF JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 439 20WC 04134 DESIDERIO, ARISTEO G&G ASPHALT 09/19/19 COVEN LAW GROUP 440 20WC 04378 INGLE, CALIB HENRY COUNTY 07/17/19 INMAN & FITZGIBBONS 441 20WC 04666 LAKE, KAREN INDIVIDUAL ADVOCACY GROUP 02/07/19 VANDERGINST LAW PC 442 20WC 04720 WASHINGTON, DERRON WW TRANSPORTATION INC. 01/17/20 GOLDFINE & BOWLES 443 20WC 04735 ADOTE, MOKPOKPO J TYSON FOODS 09/06/18 WIEDNER & MCAULIFFE LTD 444 20WC 05039 VELEZ, ESPERANZA JOHN DEERE HARVESTER WORK 12/04/19 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 445 20WC 05213 ROSENBAUM, ANDY HELENA AGRI-ENTERPRISES 10/16/19 RIDGE & DOWNES 446 20WC 05254 WISE, JAMMIE L WAHL CLIPPER 05/03/19 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 447 20WC 05348 WEGTER, DANIELLE SAMUELSON ENTERPRISES INC 09/06/19 STRONG LAW OFFICE HENNESSY & ROACH 448 20WC 05560 CLARK, BRETT MOLINE FIRE DEPARTMET 01/13/20 RIDGE & DOWNES ANCEL GLINK PC 449 20WC 05657 CONNER, CARLIN JOHN DEERE SEEDING 10/15/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 450 20WC 05772 VELEZ, ESPERANZA JOHN DEERE HARVESTER WORK 01/02/20 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 451 20WC 05822 SCHEID, GRETA CEFCU 01/27/20 BLACK & JONES HENNESSY & ROACH 452 20WC 05956 DAWSON, KEVIN JOHN DEERE SEEDING 03/05/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 453 20WC 05969 DAWSON, KEVIN JOHN DEERE SEEDING 10/20/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 454 20WC 05999 CHAYER, GEORGE CHARNOR 07/26/19 MARKS INJURY LAW 455 20WC 06049 HENSLEY, JUSTIN COMCAST 08/15/19 DALE THOMAS 456 20WC 06061 JONES, ALLEN JOHN DEERE HARVESTER WORK 12/09/19 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 457 20WC 06140 WADSAGER, LYLE P STATE OF ILLINOIS 01/04/19 CADY LAW FIRM, P.C. ASSISTANT ATTORNEY GENERAL 458 20WC 06174 MOUSTAFA, MARIAMA TYSON FRESH MEATS, INC 09/15/19 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 459 20WC 06216 PARTAIN, LISA MERCER COUNTY SCHOOL DIST 08/14/19 CAPRON & AVGERINOS PC 460 20WC 06877 RANDALL, TYLER A BR DELIVERY 08/26/19 MCDONALD WOODWARD & CARLSO 461 20WC 07668 SMITH, JESSE D ALUMINUM CASTINGS CORP 02/26/20 HARVEY & STUCKEL 462 20WC 07852 ELSHAIKH, FAIZA M SEDONA STAFFING, INC 07/24/19 CADY LAW FIRM, P.C. 463 20WC 07858 SEARCY, JAMES WALMART DISTRIBUTION CENT * 03/16/20 WILSON LAW OFFICES LLC WIEDNER & MCAULIFFE LTD 464 20WC 08135 GARVIN, WILLIAM ADAM'S PROPERTY MAINTENAN 10/04/18 DAVID W MARTAY 465 20WC 08162 CERDA, ISAAC IOWA BATH SOLUTIONS 03/01/19 BLACK & JONES BETTY NEUMAN & MCMAHON 466 20WC 08257 CARLSON, DEBRA GOOD'S FURNITURE HOUSE IN 07/17/18 VANDERGINST LAW PC 467 20WC 08265 STRONG, LISA GATES CORPORATION 12/13/19 CUSACK GILFILLAN & O'DAY 468 20WC 08376 KIRBY, TERRY L JR. THE CROWN GROUP 08/24/19 CADY LAW FIRM, P.C. GAROFALO SCHREIBER STORM GRA 469 20WC 08398 CORDER, BRYAN C EXPORT PACKAGING CO 02/24/20 CADY LAW FIRM, P.C. RUSIN & MACIOROWSKI LTD 470 20WC 08533 DRUHL, RICKY JEWEL FOOD STORES, INC 07/25/19 BRADY CONNOLLY & MASUDA PC 471 20WC 08761 POOL, CHRISTOPHER JOHN DEERE PDC * 08/18/19 VANDERGINST LAW PC 472 20WC 08771 LENZ, RUBY HEARTLAND HEALTHCARE CTR * 01/17/19 REHN LAW LLC BRYCE DOWNEY & LENKOV LLC 473 20WC 09378 CARRENO, HARRY HUB GROUP * 04/02/20 ANCEL GLINK PC 474 20WC 09450 WIERSEMA, SETH WALMART, INC * 09/29/19 QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 475 20WC 09590 BARRERA, GREGORIO PSSI * 05/19/19 EPSTEIN, JACK R LAW OFFICE 476 20WC 09785 MILLER, RYAN PERFORMANCE LEARNING SOLU * 06/19/19 COZZI & ZAPF LAW OFFICE 477 20WC 09939 TODD, PAUL CHARNOR * 04/08/19 STEPHEN P. KELLY 478 20WC 10055 CAVIN, SHARON LOU WARREN ACHIEVEMENT CENTER * 03/02/18 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 479 20WC 10056 CAVIN, SHARON LOU WARREN ACHIEVEMENT CENTER 07/11/18 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 480 20WC 10198 MARTIN, TROY JOHN DEERE HARVESTER WORK * 02/24/20 MARSZALEK AND MARSZALEK 481 20WC 10294 BAILEY, RICHARD IDOT 12/16/19 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 482 20WC 10471 TROMBLEE, BRITANY ALEDO VETERINARY CLINIC * 10/02/19 DWORKIN AND MACIARIELLO 483 20WC 10874 NTANGU, NESTY SMITHFIELD FOODS * 10/28/19 WIEDNER & MCAULIFFE LTD 484 20WC 11295 DOWNIN, NICHOLAS PREMIER EMPLOYEE SOLUTION * 10/17/19 REHN LAW LLC 485 20WC 11326 JACKSON, JAMES CITY OF MOLINE * 05/15/17 THOMAS W DUDA ANCEL GLINK PC 486 20WC 11438 VANSKIKE, JUSTIN HIRSCHBACH MOTOR LINES IN * 01/23/20 REHN LAW LLC 487 20WC 11533 MCPHERSON, FREDERICK JOHN DEERE PARTS DIST CTR * 07/09/18 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 488 20WC 11582 NESSELER, MICHELLE ROCK ISLAND COUNTY SHERIF * 09/22/18 RIDGE & DOWNES 489 20WC 11673 TOMSIC, DAVID JOHN DEERE CYLINDER * 02/21/20 WINSTEIN KAVENSKY & WALLAC 490 20WC 11701 BRADLEY, KASSADI SMITHFIELD FARMLAND CORP * 10/10/18 REHN LAW LLC 491 20WC 11728 HARRIS, CARRIE J LOVAN, INC * 06/04/18 VANDERGINST LAW PC 492 20WC 11736 WAKE, LATASHA TYSON FRESH MEAT, INC * 02/25/20 VANDERGINST LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 493 20WC 11751 CLARK, LISHA BORDER FOODS, INC (TACO B * 10/26/19 VANDERGINST LAW PC 494 20WC 11792 MC FADDEN, BRIAN WALMART * 10/20/19 VANDERGINST LAW PC 495 20WC 11968 BROWN, JAMES R RL HOENER CO * 02/15/17 KNELL LAW LLC 496 20WC 12081 PARKINSON, SUSAN NEW PERSPECTIVE SENIOR LI * 05/16/19 WINSTEIN KAVENSKY & WALLAC 497 20WC 12097 SMITH, JOHN KOPPERS INC * 10/22/18 REHN LAW LLC RUSIN & MACIOROWSKI LTD 498 20WC 12110 ENGLEMANN, LARRY COMPLETE ASPHALT SVC * 10/01/19 GALANTI LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 499 20WC 12193 BUSHMAN, AMY A WALMART ASSOCIATES, INC * 10/12/19 GANAN & SHAPIRO 500 20WC 12349 SKINNER, AARON M CITY OF GALESBURG * 10/17/18 THOMAS W DUDA 501 20WC 12825 APPLEGATE, STEVEN MIDWEST AWNINGS * 05/08/20 RIDGE & DOWNES 502 20WC 13021 TOPPERT, JAMES E ST OF IL-DEPT OF CORRECTI @ * 11/30/18 CULLEN HASKINS NICHOLSON 503 20WC 13113 OELBERG, RUDY A GALESBURG WELDING INC * 02/28/20 QUINN JOHNSTON HENDERSON ETA 504 20WC 13303 HUIZER, FRANCISCO ARAMARK UNIFORM SERVICES * 01/07/20 RIDGE & DOWNES 505 20WC 13367 FOLLMER, KYLE QUAD CITY MALLARDS * 04/12/18 WOLFE LAW PC 506 20WC 13520 HOPPE, GERALD S CITY OF MOLINE * 07/16/19 CADY LAW FIRM, P.C. 507 20WC 13535 BRADLEY, KASSADI SMITHFIELD FARMLAND CORP * 03/09/20 REHN LAW LLC 508 20WC 13554 PHILLIPS, SONYA M HALO BRANDED SOLUTIONS * 01/15/20 MERTES & MERTES PC 509 20WC 13702 ROMINE, DOUGLAS SCOTT CITY OF ROCK ISLAND FIRE * 03/07/18 MORICI FIGLIOLI & ASSOC 510 20WC 13718 RICHARDSON, LYNETTE GREAT DANE * 04/24/20 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 511 20WC 13851 THOMPSON, MELVIN ILPEA INDUSTRIES * 05/05/20 DAVID HUNT 512 20WC 13864 MILLER, MICHELLE L UNITYPOINT HEALTH/QC TRIN * 12/24/17 CADY LAW FIRM, P.C. 513 20WC 13870 COWAN, BILLIE JO HAMMOND HENRY HOSPITAL * 02/15/17 WINSTEIN KAVENSKY & WALLAC 514 20WC 13897 FIGUEROA, ALBERTO TYSON FOODS, INC * 03/28/20 WINSTEIN KAVENSKY & WALLAC 515 20WC 13934 SKINNER, AARON M CITY OF GALESBURG * 01/15/18 THOMAS W DUDA 516 20WC 14091 PHILLIPS, ELAINE MRC VENTURES, INC. * 02/14/19 RUSIN & MACIOROWSKI LTD 517 20WC 14171 PATRIN, ROBERT MANPOWER * 03/28/20 MERTES & MERTES PC 518 20WC 14298 HARDING, JOHN BREAKTHRU BEVERAGE ILLINO * 04/09/19 GWC INJURY LAWYERS LLC 519 20WC 14398 REYES, EMILIO SEDONA STAFFING * 03/10/20 PIGNATELLI & ASSOCIATES 520 20WC 14399 PAGAKIS, CHRISTINA CHARTWELL STAFFING 01/04/19 PIGNATELLI & ASSOCIATES 521 20WC 14411 SIGEL, JAMES D JOHNSON OIL COMPANY * 12/09/19 REESE & REESE 522 20WC 14598 DAWSON, DONALD LIFT SYSTEMS INC * 01/22/20 RUSIN & MACIOROWSKI LTD 523 20WC 14649 CASTO, CHARLES XPAC * 06/09/20 DWORKIN AND MACIARIELLO 524 20WC 14742 PAXSTON, JEFFREY WYFFELS HYBRIDS, INC * 06/19/19 KOPKA, PINKUS DOLIN, PC 525 20WC 14771 WOODS, PAULA COVENANT SURGICAL PARTNER * 11/21/18 BRADY, CONNOLLY & MASUDA, PC 526 20WC 15045 ORTEGA, MARTHA MIER HILL & VALLEY, INC * 11/21/19 BRIBRIESCO LAW FIRM 527 20WC 15105 LAMBERT, DORIS WALMART STORES, INC * 05/02/20 REHN LAW LLC 528 20WC 15124 BALZER, LISA PREFERRED HOME HEALTH CAR * 11/21/19 MCCARTHY ROWDEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 529 20WC 15143 NEWBURY, DAVID WILLET, HOFFMANN & ASSOC, * 07/31/19 HOPKINS & HUEBNER, P.C. 530 20WC 15195 WILSON, JERRY S UNITED TOWNSHIP HIGH * 09/03/19 MARKS INJURY LAW