ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 08349 KEY, CHAD BLACK BEAUTY COAL COMPANY 01/11/06 THOMAS R LICHTEN KEEFE & DEPAULI 2 07WC 24390 MAHONE, EVON JAMIE L POWELL II,INDIVID W 05/07/07 SCHIRO & THEMER 3 07WC 34026 BURNSIDE, BECKY S VEOLIA ES INDUSTRIAL SERV # 10/15/06 MEYER, MICHAEL J EVANS & DIXON, LLC 4 08WC 28521 RIFE, MELBA UNIVERSITY OF ILLINOIS @ 06/04/08 SPIROS & WALL HEYL ROYSTER VOELKER & ALLEN 10WC006057 -C 5 09WC 50505 SPARLING, JASON C AMEREN CIPS 03/05/08 SCHUCHAT, COOK & WERNER LEMP & ANTHONY, PC 6 10WC 11924 BOWMAN, MICHAEL R NEW CENTURY TRANSPORTATIO 03/13/10 KANOSKI BRESNEY THOMAS & ASSOCIATES 7 10WC 19315 LASHER, JEROME F ARCHER DANIELS MIDLAND CO 05/06/09 MCCARTHY ROWDEN & BAKER WINTERS FEATHERSTUN ET AL 8 10WC 21762 WILLIAMS, ROGER UNIVERSITY OF IL 03/04/10 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 16WC010625 -C 9 10WC 37896 WILLIAMS, KAWONA HEAD START OF CHAMPAIGN C 10/19/09 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 10WC037899 -C 10 11WC 12905 19B BROOKS, MICHELLE REGIONAL ELITE AIRLINE SR 05/12/10 RITTENBERG & BUFFEN HENNESSY & ROACH 11 11WC 16153 KAISER, DANIEL WITTE ELECTRIC COMPANY 07/10/10 LEE, MARK N LAW OFFICE STEPHEN P. KELLY 12 11WC 16156 WITTE, DARYL WITTE ELECTRIC COMPANY 06/01/10 LEE, MARK N LAW OFFICE STEPHEN P. KELLY 13 11WC 19273 MOORE, RONALD J EASTHAM TRUCKING @ W 06/03/08 ASHER & SMITH 14 11WC 38440 BOWMAN-STAUFFER, LESLIE UNIVERSITY OF ILLINOIS 08/02/11 SPIROS LAW PC GANAN & SHAPIRO 13WC027250 -C 15 12WC 15067 19B BOER, JASON CROSS COUNTY CONSTRUCTION 01/30/12 SHAY & ASSOCIATES GANAN & SHAPIRO 16 12WC 19478 ROBINSON, ANDREW EASTON BELL 03/19/12 MCCARTHY ROWDEN & BAKER COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 12WC 24071 CORNWELL, LINDA RR DONNELLEY 11/15/11 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH 18 12WC 44065 ADAMS, PENNY SIMONTON WINDOWS 09/14/12 LAW OFFICE OF PAUL E SELIN KEEFE CAMPBELL & ASSOC LLC 13WC014293 -C 19 13WC 14431 OSBORN, SARAH REHABCARE GROUP EAST INC 03/09/13 SPIROS LAW PC ARNETT LAW GROUP 20 13WC 18993 MILLER, TALIB FORE TRANSPORTATION INC 03/05/13 WARREN E DANZ, PC SPIEGEL & CAHILL, PC 21 13WC 22117 OWENS, SHAWNA L LOWE'S HOME CENTERS INC 01/04/13 WILLIAMS & SWEE LTD KEEFE CAMPBELL & ASSOC LLC 15WC028846 -C 22 13WC 23943 BYRNE, MARTIN E GOOD VIBES INC 01/14/13 COLLISON LAW OFFICES STEPHEN H LARSON LAW OFFICE 23 13WC 30544 APPERSON, THOMAS KRAFT 10/15/12 FREDERICK & HAGLE RUSIN & MACIOROWSKI LTD 24 13WC 35400 BRAGG, MARK CHAMPAIGN COUNTY SHERIFF 09/22/12 FREDERIC NESSLER & ASSOC HEYL ROYSTER VOELKER & ALLEN 25 13WC 39597 BUCKUS, LINDA ST OF IL DEPT OF DHS @ 07/19/13 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 26 14WC 04799 WORLEY, JEREMY S KRAFT 02/08/13 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 27 14WC 21615 DOWNS, SHAUN D UNIVERSITY OF ILLINOIS 02/22/07 MARSZALEK AND MARSZALEK BRUCE WARREN 28 14WC 22817 ALANIS, MARIA L CHAMPAIGN UNIT 4 06/12/14 DODD & MAATUKA LLC BRUCE WARREN 29 14WC 26096 KIBLER-RUSSELL, SHARILYN TALECRIS PLASMA 12/18/13 ERWIN MARTINKUS & COLE STEPHEN H LARSON LAW OFFICE 30 14WC 28868 ARTURI, DAVID M J B HUNT 02/12/14 MEYER, MICHAEL J RUSIN & MACIOROWSKI LTD 31 14WC 29088 WEST, JAMES BALL CORPORATION 01/07/14 SPIROS LAW PC NYHAN BAMBRICK KINZIE & LOWR 32 14WC 31611 THOMPSON, KENNETH RR DONNELLEY 08/18/14 MCCARTHY ROWDEN & BAKER BRADY, CONNOLLY & MASUDA, PC 33 14WC 31643 BRAGG, JAMES UNIVERSITY OF ILLINOIS 02/26/14 SPIROS LAW PC BRUCE WARREN 34 14WC 31842 HOWARD, LAURA UNIVERSITY OF ILLINOIS 07/31/14 LEE, MARK N LAW OFFICE 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 OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 14WC 37871 BOYD, LAURALEE STATE OF IL - DHS & @ 09/01/09 HELLER HOLMES & ASSOC ASSISTANT ATTORNEY GENERAL 36 14WC 40225 DOLLINS, BECKY BAKER AMBULANCE 10/28/12 FEATHERSTUN GAUMER POSTLEW RUSIN & MACIOROWSKI LTD 37 15WC 00713 GARCIA-BARRAGAN, LUCIO CARLE FOUNDATION HOSPITAL 06/24/14 ERWIN MARTINKUS & COLE BRUCE WARREN 38 15WC 02457 HILLMAN, EDWARD JR. STATE OF ILLINOIS - DOT @ 03/02/14 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 39 15WC 04221 MISSEY, AMANDA UNIVERSITY OF ILLINOIS @ 12/18/13 MEYER CAPEL, PC GANAN & SHAPIRO 40 15WC 05872 STEINER, DAVE UNIV OF ILLINOIS 01/09/15 LEE, MARK N LAW OFFICE BRUCE WARREN 41 15WC 07535 SCHONCHECK, PAMELA VICTOR DANA CORP 02/04/15 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 16WC014850 -C 17WC000550 -C 42 15WC 14479 RAYBECK, SUNJU BOARD OF TRUSTEES, @ 12/02/13 TUMMELSON BRYAN & KNOX HEYL ROYSTER VOELKER & ALLEN 43 15WC 17248 SCHRUM, DONNA SIMONTON WINDOWS, INC. 01/03/15 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 15WC017249 -C PLY GEM 44 15WC 20866 PETERSON, RUSSELL A. IL DEPT OF TRANSPORTATION @ 06/02/15 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 45 15WC 25541 BUTLER, DAVID CITY OF CHAMPAIGN 08/25/14 MEYER CAPEL, PC CITY OF CHAMPAIGN 46 15WC 28638 IRIZARRY, ZORAIDA EASTERN ILLINOIS UNIVERSI @ 08/04/14 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 47 15WC 28814 HOUSTON, JOHN M. JELD-WEN 05/30/15 KANOSKI BRESNEY BRADY CONNOLLY & MASUDA PC 17WC007651 -C 48 15WC 29034 STEVENS, CANDY SIMONTON WINDOWS 08/20/15 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 49 15WC 29835 19B VENEGAS, LEONEL COMCAST 08/19/15 ARGIONIS & ASSOCIATES LLC HENNESSY & ROACH PC 50 15WC 30479 TO, LIEM UNIVERSITY OF ILLINOIS 07/21/15 SPIROS LAW PC 51 15WC 33427 SEHWEIL-ELMUTI, NIDA EASTERN ILLINOIS UNIVERSI @ 09/03/14 BRANKEY & SMITH PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 52 15WC 34556 SEHWEIL-ELMUTI, NIDA EASTERN ILLINOIS UNIVERSI @ 09/03/14 SMITH LAW LTD ASSISTANT ATTORNEY GENERAL 53 15WC 35026 FLAISHANS, SUZETTE ST OF IL DEPT OF @ 08/17/15 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 54 15WC 35072 DEVRIES, STACEY COUNTRY INN & SUITES 11/02/12 DODSON PIRAINO & ASSOC 55 15WC 35098 ALTHOFF, LOIS L CATEPILLAR INC 06/08/15 KANOSKI BRESNEY DARCY GIBSON 56 15WC 38828 JORDAN, JACOB HA ENTERPRISING VENTURES @ 08/12/15 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 57 15WC 41385 COOPER, KARLA STATE OF ILLINOIS - DHS @ 11/17/15 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 58 15WC 42306 19B NICHOLS, PENNY DOLLAR GENERAL 04/09/15 ASHER & SMITH LEAHY EISENBERG & FRAENKEL 59 16WC 00903 SHANNON, REBECCA NEW WAVE COMMUNICATION 11/30/15 MARSZALEK AND MARSZALEK STEPHEN H LARSON LAW OFFICE 16WC037207 -C 16WC037209 -C 60 16WC 02808 FAULKNER, MATT UNIVERSITY OF ILLINOIS 08/01/15 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 61 16WC 03468 OWEN, MARY SIMONTON WINDOWS 03/25/15 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 16WC003470 -C 62 16WC 04435 WEAVER, MARK A EASTERN IL UNIVRSITY @ 08/28/15 FERGUSON, MARK E LTD ASSISTANT ATTORNEY GENERAL 63 16WC 05068 RICHTER, KATHRYN DANVILLE METAL STAMPING 01/13/16 LEONARD LAW GROUP LLC BRUCE WARREN 64 16WC 08222 VIRE, CHARLES W VEE-JAY CEMENT CONTRACTIN 06/12/14 GARY JOE STOKES LEMP & MURPHY 65 16WC 09028 BEAL, BRIAN YARGUS MANUFACTURING, INC 02/05/16 MCCARTHY ROWDEN & BAKER HEYL ROYSTER VOELKER & ALLEN 17WC015181 -C 66 16WC 10828 MATHEWS, SCOTT B C-U MASS TRANSIT 04/23/13 67 16WC 11284 DICKERSON, BARBARA MARATHON PETROLEUM # 07/05/14 HOLLORAN & SCHWARTZ GAROFALO SCHREIBER STORM GRA 68 16WC 11646 19B HARDWICK, LARRY BAHLER TRUCKING 12/02/15 GARY JOE STOKES JAMES M KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 69 16WC 14300 WILSON, MICHELLE HEALTHCARE SERVICE CORPOR 06/04/13 GARY JOE STOKES STEPHEN CARTER 70 16WC 14775 MARANA, WILLIAM CITY OF DANVILLE 12/20/13 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 16WC014776 -C 71 16WC 17116 MITCHELL, VICTOR MIDWEST TRANSPORT, INC 04/28/16 NELSON & NELSON HENNESSY & ROACH PC 72 16WC 19938 GLADNEY, TOBIAS RAMCLEAN, LLC 04/11/16 DODSON PIRAINO & ASSOC 73 16WC 20123 MAYS, JACK WIRTZ BEVERAGE GROUP 12/23/15 NELSON & NELSON NYHAN BAMBRICK KINZIE & LOWR 74 16WC 21957 GUTIERREZ MIRANDA, GABRIE VALCOM ENTERPRISES INC 05/06/16 MAATUKA AL-HEETI EMKES LLC LITCHFIELD CAVO 75 16WC 22253 SIMS, CARMEN STARK EXCAVATING 07/01/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 76 16WC 22883 MCCOOL, WILLIAM SYGMA NETWORKS 02/09/15 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 77 16WC 22966 RICH, HALEY CENTRAL IL CARE SERVICES 12/19/15 STRONG LAW OFFICE ROSARIO CIBELLA 78 16WC 24061 HUNTER, LEE A. JOSEPH AND LOUISE TITUS, 03/05/15 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 79 16WC 24490 THOMPSON, CRYSTAL NORTH AMERICAN LIGHTING, 02/27/15 MOSS & MOSS PC LAW OFFICES STEPHEN CARTER 16WC024491 -C 16WC032313 -C 80 16WC 25305 CROUCH, REBECCA CARLE FOUNDATION HOSPITAL 03/07/16 STRONG LAW OFFICE BRUCE WARREN 81 16WC 26968 GARCIA-BARRAGAN, LUCIO CARLE FOUNDATION HOSPITAL 05/09/16 ERWIN MARTINKUS & COLE THOMAS MAMER LLP 82 16WC 27345 BURDEN, STEPHEN CITY OF CHAMPAIGN FIRE DE 04/12/13 CONNOR LAW OFFICES CITY OF CHAMPAIGN 83 16WC 28209 GRANT, DANIEL EASTERN ILLINOIS UNIVERSI @ 08/11/16 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 84 16WC 30247 YOUNG, THERESA KIK CUSTOM PRODUCTS/KCP 10/02/13 LAW OFFICES OF DANIEL BROW NYHAN BAMBRICK KINZIE & LOWR 85 16WC 30610 SKAGGS, DANIELLE DOLLAR GENERAL 10/01/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 86 16WC 32299 COUSETT, VERONICA CHAMPAIGN UNIT 4 TRANSP D 08/19/16 MCCARTHY ROWDEN & BAKER THOMAS MAMER LLP 87 16WC 32408 ASHMORE, JEFFREY K EASTERN ILLINOIS UNIVERSI @ 04/19/16 KEVIN L GEISLER ASSISTANT ATTORNEY GENERAL 88 16WC 35279 PERRY, JEFF CORE CONSTRUCTION 12/19/14 WILLIAMS & SWEE KNELL LAW LLC 89 16WC 36051 PFEIFFER, LISA KIRLIN'S INC D/B/A 01/09/15 ROUSE & CARY 90 16WC 37865 WIRTH, HANNAH (ADMIN OF E BAHLER TRUCKING 09/08/16 MEYERS & FLOWERS JAMES M KELLY 91 16WC 38284 WEINSTEIN, ALAN UNIVERSITY OF ILLINOIS 09/16/16 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 18WC021189 -C 92 16WC 38749 RILEA, MONICA CHAMPAIGN-URBANA NURSING 11/29/16 LAW OFFICES MICHAEL HELLMA BRADY, CONNOLLY & MASUDA, PC 17WC007931 -C 93 16WC 39332 FURNISH, GEORGE ST OF IL DEPT OF @ 12/20/16 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 94 17WC 01469 MCCOOL, JOHN SYGMA, IL 07/01/16 HENNESSY & ROACH 95 17WC 01548 MILLER, ZACHARY A STATE OF ILLINOIS/ILLINOI @ 12/14/16 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 96 17WC 02938 DAVIS, TROY J&V PROST PORK, INC 01/17/17 GAROFALO SCHREIBER STORM GRA 97 17WC 03159 HENRY, SUSAN C HYDRO-GEAR 04/28/16 BRUCE WARREN 98 17WC 03949 CLARK, PHILIP UNIVERSITY OF ILLINOIS @ 01/26/16 DODSON PIRAINO & ASSOC HEYL ROYSTER VOELKER & ALLEN 99 17WC 05062 HERNANDEZ, TRINIDAD EXPRESS EMPLYMNT PROFESSI 11/22/16 MC ANDREWS & NORGLE LLC 100 17WC 06226 MELVIN, CASSANDRA L THOMASBORO CCSD 02/17/16 KANOSKI BRESNEY HENNESSY & ROACH 18WC020982 -C 101 17WC 06372 QUALLS, DAVID A CITY OF CHAMPAIGN 10/05/15 BACH, ROBERT W CITY OF CHAMPAIGN 102 17WC 10332 EATON, CAROLYN VILLA GROVE SD #302 09/20/16 SMITH LAW LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 17WC 11823 DELGADO, DAVID J HORN ELECTRIC, LLC 03/02/17 WILLIAMS & SWEE QUINN JOHNSTON HENDERSON ETA 104 17WC 13009 HOOD, SETH FEDEX GROUND 09/26/16 105 17WC 13443 HART, LARRY W SPORT REDI MIX, LLC 04/24/17 COZZI & GOGGIN-WARD 106 17WC 15041 HULBERT, BARBARA CHAMPAIGN UNIT #4 SCHOOL 03/30/17 FREDERICK & HAGLE BRUCE WARREN 107 17WC 15190 ELDER, LOWELL E EARL WALKER COMPANY INC 07/21/16 KANOSKI BRESNEY 108 17WC 16644 19B BURKEY, CHAZ CARLE FOUNDATION HOSPITAL 02/13/17 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 109 17WC 17390 BELAHI, YURICIE CAMPUS PROPERTY MANAGEMEN 02/16/17 CULLEN HASKINS NICHOLSON 110 17WC 17829 HOPKINS, AURA THE ARTHUR HOME 02/26/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 111 17WC 18495 KAUFFMAN, HOLLY N THE LIBMAN COMPANY 09/07/16 FREDERICK & HAGLE LUCY T. UNGER 112 17WC 18867 HOWARD, VLONDINA K CASEY'S GENERAL STORES IN 05/31/16 KANOSKI BRESNEY 113 17WC 19292 CURRY, KRISTAFER UNIVERSITY OF ILLINOIS 02/13/17 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 114 17WC 19812 WAHAB, SHINA FEDEX GROUND 02/02/17 FREDERICK & HAGLE MCANANY VANCLEVE & PHILLIPS 115 17WC 20414 SCHRAD, BRETT STATE OF IL DEPT- AGRICUL @ 03/09/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 116 17WC 20425 BATES, JO ANN CHAMPAIGN COUNTY NURSING 12/02/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 117 17WC 21173 LAWRENCE, ROGER CRETE CARRIER CORPORATION 01/13/16 BOWMAN & CORDAY RUSIN & MACIOROWSKI LTD 118 17WC 21248 MALONE, BILLIE LSC COMMUNICATIONS 09/08/16 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH 119 17WC 21419 DIVAN, PENNY CRACKED CORP 06/09/17 STRONG LAW OFFICE 120 17WC 22366 VONNER, MONICA CHAMPAIGN-URBANA MTD 07/09/16 FREDERICK & HAGLE BRUCE WARREN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 17WC 23269 HENDERSON, CRYSTAL K LSC COMMUNICATIONS 05/19/17 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 122 17WC 23998 MANNING, RHONDA GENERAL ELECTRIC CO 01/15/15 KATZ FRIEDMAN EAGLE ET AL 123 17WC 24049 RUTHERFORD, LORI UNIVERSITY OF ILLINOIS 06/22/17 SCHIRO & THEMER BRUCE WARREN 124 17WC 24189 WINSTON, AIRON MOVERS 4 LESS 06/23/17 MEYER CAPEL, PC 125 17WC 24693 FLANDERS, SANDRA K CHAMPAIGN URBANA NURSING 05/15/17 KANOSKI BRESNEY BRADY CONNOLLY & MASUDA PC 126 17WC 24752 MEYER, ALAN CITY OF CHAMPAIGN FIRE DE 07/26/17 CONNOR LAW OFFICES CITY OF CHAMPAIGN 127 17WC 25439 VERNON, JOSHUA HELENA CHEMICAL CO 07/12/17 ANKIN LAW OFFICE 128 17WC 26450 BUNCH, JENNIFER SECRETARY OF STATE OF ILL @ 08/15/17 SPIROS LAW PC ASSISTANT ATTORNEY GENERAL 129 17WC 27564 ROSS, HENRY CHAMPAIGN UNIT 4 SD 08/29/17 THOMAS MAMER & HAUGHEY 130 17WC 27942 HOSKINS, BETTINA BAHR'S NOODLES 08/10/17 SPIROS LAW PC GANAN & SHAPIRO 131 17WC 27966 BRUCE, WAYNE L ADVANCED COMMERCIAL ROOFI 07/13/17 FREDERICK & HAGLE CHILTON YAMBERT PORTER LLP 132 17WC 28233 SIMMONS, JEFF WIRCO 06/06/17 MARSZALEK AND MARSZALEK HEYL ROYSTER VOELKER & ALLEN 133 17WC 28670 LANDRUM, SHAUN REX VAULT & MAUSOLEUM SER 03/29/16 HENNESSY & ROACH 134 17WC 30240 CARTER, MAURICE DAWSON LOGISTICS 08/23/17 PATEL LAW PC 135 17WC 30690 CASTLEBERRY, RHONDA CENTRAL ILLINOIS CARE SER 05/11/16 MUELHAUSEN & STEFANI 136 17WC 30733 CARTER, MAURICE DAWSON LOGISTICS 08/23/17 PATEL LAW PC 137 17WC 30881 DOWNS, SHAUN D UNIVERSITY OF ILLINOIS @ 08/23/17 MARSZALEK AND MARSZALEK 138 17WC 31796 FENNELL, AMANDA SIMONTON WINDOWS 07/13/17 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 139 17WC 32068 MCDONALD, REGINA CHAMPAIGN COUNTY NURSING @ 09/06/17 WALTON TELKEN LLC HEYL ROYSTER VOELKER & ALLEN 140 17WC 32360 CHANEY, CHARITY NORDCO EQUIPMENT SVCS 12/02/15 THOMAS R LICHTEN 141 17WC 32398 STEEN, MICHAEL GSI GROUP, INC 04/07/15 MOSS & MOSS PC FEATHERSTUN GAUMER POSTLEWAI 142 17WC 32905 WAGGONER, STEPHANIE CARLE FOUNDATION HOSPITAL 11/04/16 GOLDENBERG HELLER ANTOGNOL 143 17WC 33172 MILES, KENDRA L NORTH AMERICAN LIGHTING 08/09/17 ASHER & SMITH STEPHEN CARTER 144 17WC 33190 MILES, KENDRA L NORTH AMERICAN LIGHTING 10/31/17 ASHER & SMITH STEPHEN CARTER 145 17WC 33744 ADAMS, PENNY SIMONTON WINDOWS 09/08/17 LAW OFFICE OF PAUL E SELIN KEEFE CAMPBELL & ASSOC LLC 146 17WC 33800 MORIN, CHAD AUTO ZONE 10/22/17 TUGGLE SCHIRO & LICHTENBER 147 17WC 34020 EDWARDS, ASHLEY ARBY'S 11/05/17 QUINN JOHNSTON HENDERSON ETA 148 17WC 35469 WOODARD, CLAYTON ILLINOIS STATE POLICE @ 11/10/17 SPIROS LAW PC ASSISTANT ATTORNEY GENERAL 149 17WC 35931 DURBIN, ALEXIS CHRISTIE CLINIC 11/15/17 FREDERICK & HAGLE LAW OFFICES STEVEN PILAND 150 17WC 36964 AULT, SAMUEL T SANVILLE METAL STAMPING 04/24/17 SCHIRO & THEMER BRUCE WARREN 151 17WC 37046 MALONEY, JONATHAN NIEMANN FOODS, INC. 11/19/17 SCHIRO & THEMER HEYL ROYSTER VOELKER & ALLEN 152 17WC 37370 WASHINGTON, CURTIS RANTOUL FOODS 10/23/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 18WC031198 -C 153 17WC 37482 WILCHER, KATINA Y BON TON STORES INC 11/21/17 PETER T BORICH LAWRENCE COZZI - LAW OFFICE 154 18WC 00272 BRESNAHAN, MAURICE IV FEDEX 12/06/17 WILLIAMS & SWEE 155 18WC 00564 ANDERSON, STEFANI STARBUCKS COFFEE COMPANY 02/13/17 BRIAN T. SCHURTER QUINTAIROS PRIETO WOOD & BOY 156 18WC 02196 SILOTTO, ROBERT D DART CONTAINER CORPORATIO 08/25/17 KANOSKI BRESNEY GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 18WC 02355 MILES, KENDRA L NORTH AMERICAN LIGHTING 10/31/17 ASHER & SMITH STEPHEN CARTER 158 18WC 03025 RADER, DAVID HI TECH INDUSTRIAL SVCS C 04/28/16 TAXMAN POLLOCK WIEDNER & MCAULIFFE LTD 159 18WC 03406 MINETZ, JOLEN ANYA UNIVERSITY OF ILLINOIS 01/10/16 MARSZALEK AND MARSZALEK HEYL ROYSTER VOELKER & ALLEN 160 18WC 04115 RIVERA, MILTON RANTOUL TOWNSHIP HIGH SCH 11/18/16 PETER T BORICH RUSIN & MACIOROWSKI LTD 161 18WC 05668 STHAYM DRUCILA EVAPCO INC 12/29/17 KEEFE & GRIFFITHS PC 162 18WC 05733 BUTLER, DAVID CITY OF CHAMPAIGN 01/10/17 MEYER CAPEL, PC CITY OF CHAMPAIGN 163 18WC 05827 KENDRICK, MECHALE CARLE HOSPITAL 02/16/16 BRUCE WARREN 164 18WC 06203 GATES, TERRY CITY OF PARIS 03/27/15 MOSS & MOSS PC INMAN & FITZGIBBONS 18WC006205 -C CIY OF PARIS 18WC006382 -C 18WC006398 -C 18WC023982 -C 18WC038091 -C 18WC038092 -C 18WC038105 -C 18WC038112 -C 165 18WC 06443 GATES, TERRY CITY OF PARIS 12/20/16 MOSS & MOSS PC INMAN & FITZGIBBONS 166 18WC 06674 O'TOOLE, JOHN FEDEX GROUND 01/16/18 TUGGLE SCHIRO & LICHTENBER KOPKA, PINKUS DOLIN, PC 167 18WC 07289 THACKER, WILLIAM R KRAFT HEINZ 01/25/18 COSTIGAN & WOLLRAB PC GAROFALO SCHREIBER STORM GRA 168 18WC 07774 ROSE, KEITH VESUVIUS USA 11/01/16 MICHAEL M WOJITAS QUINN JOHNSTON HENDERSON ETA 169 18WC 08518 LOUCKS, HEIDI PLEASANT MEADOWS SENIOR 12/08/17 HENNESSY & ROACH 170 18WC 08862 MORTON, JOHN EASTERN IL UNIVERSITY @ 08/28/17 JEROME LINDSAY SALMI LL ASSISTANT ATTORNEY GENERAL 171 18WC 08894 HERNANDEZ, MARCO ANTONIO MZR CORPORATION 02/10/18 STANCZAK LAW OFFICES 172 18WC 08955 CREED, RONNIE C SOS PLUMBING, INC 03/23/17 LUCY T. UNGER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 173 18WC 09584 FULFORD, AMANDA MILK SPECIALTY 01/23/18 ASHER & SMITH LUCY T. UNGER 174 18WC 09769 BALDWIN, NATHAN KICKAPOO FIRE PROTECTION 02/12/18 SPIROS LAW PC 175 18WC 10244 SEGGEBRUCH, COLE MIDWEST UNDERGROUND 08/01/17 176 18WC 10663 SNOW, MICHAEL EXCEL MODULAR SCAFFOLD & 01/08/18 MOSS & MOSS PC GAROFALO SCHREIBER STORM GRA 177 18WC 11721 MCDONALD, JIMMIE T CHAMPAIGN UNIT 4 SCHOOL D 10/28/16 STEPHEN P. KELLY THOMAS MAMER & HAUGHEY 178 18WC 13084 ABU-MAHFOUZ, ASAD KRVJA & SON TRUCKING, INC 04/16/18 FREDERICK & HAGLE QUINTAIROS PRIETO WOOD & BOY 179 18WC 13218 HOCH, LENA COURAGE CONNECTION 12/14/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 180 18WC 13633 CONOUR, TOM MASTERBRAND CABINETS 04/23/18 MICHAEL M WOJITAS DUGAN & VOLAND 181 18WC 14362 BRIDER, JAMES ELITE STAFFING 02/28/18 SPIROS LAW PC 182 18WC 15339 SCARBROUGH, SUSAN FEDEX GROUND 04/25/18 KATZ FRIEDMAN EAGLE ET AL KOPKA, PINKUS DOLIN, PC 18WC019985 -C FED EX GROUND 183 18WC 15740 HAVENER, GWENDOLYN CASEY'S GENERAL STORE 01/17/18 JOHNSTON LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 184 18WC 15872 BOLSER, RICH NSI NETWORKING, INC @ W 04/02/18 SPIROS LAW PC PETER T BORICH 185 18WC 16108 AXTELL, CARRIE STEEL GRIP 11/17/17 SPIROS LAW PC HENNESSY & ROACH PC 186 18WC 16731 MOTTON, JERRY D VISTA OUTDOORS INC 01/24/18 KANOSKI BRESNEY LEAHY EISENBERG & FRAENKEL 187 18WC 16890 KAMRADT, JEREMY SULLIVAN-PARKHILL AUTOMOT 10/04/16 SPIROS LAW PC RUSIN & MACIOROWSKI LTD 188 18WC 17337 ROSENQUIST, MARC V STAFF MANAGEMENT 05/24/18 FREDERICK & HAGLE EVANS & DIXON 189 18WC 17570 KIMBERLIN, TRISH CHI OVERHEAD DOOR 01/11/17 HENNESSEY LAW FIRM 190 18WC 18963 CARNAHAN, BRADLEY MATTOON PRECISION 03/15/18 KATZ FRIEDMAN EAGLE ET AL STEPHEN H LARSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 191 18WC 19580 RENFROW, JASON R PRAIRIE STATES WAREHOUSE 01/19/18 GARY JOE STOKES EVANS & DIXON, LLC 192 18WC 20067 KNOX, PHILLIP ILLINOIS DEPARTMENT OF @ 03/11/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 193 18WC 20500 LUNA, ARNOLD MIDWEST UNDERGROUND TECH 01/15/17 WOODRUFF JOHNSON RUSIN & MACIOROWSKI LTD 194 18WC 20501 LUNA, ARNOLD MIDWESET UNDERGROUND TECH 12/14/17 WOODRUFF JOHNSON RUSIN & MACIOROWSKI LTD 18WC020502 -C 195 18WC 20689 RUTHERFORD, LORI UNIVERSITY OF ILLINOIS @ 05/08/18 SCHIRO & THEMER THOMAS MAMER & HAUGHEY 196 18WC 21023 BOWMAN, KENNETH BIG R 11/01/17 SPIROS LAW PC CAPUANI, FRANK S 197 18WC 21726 WILFORD, KELSEY RURAL KING 06/20/18 SPIROS LAW PC ASSISTANT ATTORNEY GENERAL 198 18WC 21797 WARD, DEBRA UNIVERSITY OF ILLINOIS 04/23/18 WOODRUFF JOHNSON THOMAS MAMER & HAUGHEY 199 18WC 23083 LAUE, SHANNON CITY OF MOTTOON 05/18/17 CHRIS WETZEL RUSIN & MACIOROWSKI LTD 200 18WC 23397 WILLIAMS, JASON CLIFFORD JACOBS FORGING C 01/15/18 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD 201 18WC 23660 HOWARD, JENNIFER HOBBICO 08/01/16 FREDERICK & HAGLE 202 18WC 23865 SNOWDEN, AMANDA L SARAH BUSH LINCOLN 01/24/18 COLLISON LAW OFFICES RUSIN & MACIOROWSKI LTD 203 18WC 23977 MELCHI, CHRISTINE MAID TO PERFECTION 05/11/18 PATEL LAW PC 204 18WC 24530 WILLIAMS, JASON CLIFFORD-JACOBS FORGING C 01/15/18 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD 205 18WC 24976 DOWDY, KYLE PRO-AGR D/B/A WALKER AG G 07/13/18 PATRICK JENNETTEN 206 18WC 25122 REYLING, BONNIE UNIVERSITY OF ILLINOS 05/30/18 WOODRUFF JOHNSON THOMAS MAMER & HAUGHEY 207 18WC 25188 BURK, KELSEY NORTH AMERICAN LIGHTING 04/15/18 TUGGLE SCHIRO & LICHTENBER STEPHEN CARTER 208 18WC 25702 DOUGHERTY, DALE ARKA EXPRESS 08/06/18 SPIROS LAW PC KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 209 18WC 25974 GARRETT, COLUMBUS CITY OF DANVILLE 03/24/18 BURNETT & CARON, LTD 210 18WC 26118 MOFFITT, DONNA M PREFERRED PEDIATRIC HOME 01/26/18 KEITH SHORT 211 18WC 26363 GIBSON, KARON TEAM CORN & SOIL INC 07/19/16 SCHIRO & THEMER CAPUANI, FRANK S 212 18WC 26490 SHAFFER, SUSAN EAGLE WINGS INDUSTRIES 01/22/14 SCHIRO & THEMER NYHAN BAMBRICK KINZIE & LOWR 213 18WC 27827 THOMPSON, KURTIS RURAL KING SUPPLY 04/20/18 KANOSKI BRESNEY GANAN & SHAPIRO 214 18WC 28386 MCCLUNG, DEANN GIORDANO'S 07/27/18 DWORKIN AND MACIARIELLO EVANS & DIXON 215 18WC 28929 WINLAND, AMANDA K PEPSICO 08/28/18 GARY JOE STOKES THOMAS MAMER & HAUGHEY 216 18WC 29211 NGUYEN, VERONICA IDHS @ 07/19/18 ASSISTANT ATTORNEY GENERAL 217 18WC 29858 CRAIG, MARY STEAK AND SHAKE 01/10/18 DWORKIN AND MACIARIELLO HEPLER BROOM LLC 218 18WC 30024 PHEGLEY, PAUL L STATE OF IL/DOT @ 10/05/17 KEVIN L GEISLER ASSISTANT ATTORNEY GENERAL 219 18WC 30067 GRANT, RACHEL ZF AUTOMOTIVE 12/18/17 ASHER & SMITH HOLTKAMP LIESE 220 18WC 30462 CASTILLO, JOSE HELENA AGRI-ENTERPRISES 05/04/18 MARSZALEK AND MARSZALEK KEEFE & DEPAULI 221 18WC 30926 PERKINS, DWAYNE THYSSEN KRUPP 07/25/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 222 18WC 31205 CURTIS, JACKIE J MEIJER 03/05/18 FREDERICK & HAGLE KNELL O'CONNOR DANIELWICZ 223 18WC 31375 FULLER, JESSICA D OSF SACRED HEART MEDICAL 07/05/18 THOMAS R LICHTEN WIEDNER & MCAULIFFE LTD 224 18WC 31448 MILLER, KAREN FULL-FILL INDUSTRIES 12/19/17 FREDERICK & HAGLE 225 18WC 31494 VINSEL, KEVIN MPC 02/23/17 GAROFALO SCHREIBER STORM G 226 18WC 31594 SHEPHERD, ROBERT A HYSTER-YALE 08/02/18 GARY JOE STOKES BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 227 18WC 31906 DYSON, ALVIA HELP AT HOME 08/17/17 FREDERIC NESSLER & ASSOC 228 18WC 31922 PODGORNY, JULIA DR PEPPER SNAPPLE GROUP 10/03/18 GAROFALO SCHREIBER STORM GRA 229 18WC 33024 MARTIN, SHERRILL VISCOFAN USA, INC. 12/08/17 GARY JOE STOKES SLAVIN & SLAVIN 230 18WC 33215 CHAVEZ, MIGUEL PARKING CORPORATION OF AM 10/13/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 231 18WC 33229 FAIRLEY, DARRIN CLIFFORD-JACOBS FORGING 07/24/18 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD 18WC033234 -C 232 18WC 35104 MAHFOUZ, ASAD ABU KRUJA & SONS TRUCKING, IC 04/16/18 DAMON YOUNG QUINTAIROS PRIETO WOOD & BOY 233 18WC 35602 SPECKMAN, BARTON UNIVERSITY OF ILLINOIS 01/24/18 FREDERIC NESSLER & ASSOC 234 18WC 35678 BENNETT, MICHAEL VILLAGE OF MATTOON 09/17/18 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 235 18WC 36330 SHIELDS, STEVE VESUVIUS USA 08/24/18 KATZ FRIEDMAN EAGLE ET AL 236 18WC 36400 KIMBERLAIN, ZACK CHI OVERHEAD DOOR 07/12/18 MCCARTHY ROWDEN FRANCESCA LARSEN 237 18WC 36452 CRAWLEY, BRAD THYSSENKRUPP 11/14/17 SPIROS LAW PC GAROFALO SCHREIBER STORM GRA 238 18WC 36504 WARREN, MARY L MASTERBRANDS CABINETS, IN 07/01/18 KANOSKI BRESNEY DUGAN & VOLAND 239 18WC 36700 MAHLE, JEFFREY HORIZON HEALTH A/K/A 01/13/18 MOSS & MOSS PC RUSIN & MACIOROWSKI LTD 240 18WC 36972 GALBREATH, RONALD RURAL KING SUPPLY, INC 08/14/18 TAYLOR LAW OFFICES RURAL KING 241 18WC 37047 THOMAS, MARTHA ALPHA BAKING COMPANY, INC 10/02/18 GREGORY L. RYAN LAW OFFICE RUSIN & MACIOROWSKI LTD 242 18WC 37281 WALLS, STEPHANIE WALMART 08/09/18 FREDERICK & HAGLE GANAN & SHAPIRO 243 18WC 37617 MILLER, BARRY L CITY OF CHAMPAIGN 08/27/18 THOMAS W DUDA CITY OF CHAMPAIGN 244 18WC 37949 CRAFT, CANDICE ILLINOIS DEPT OF REHAB SE @ 08/26/18 SCHIRO & THEMER ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 245 18WC 38013 JORDAN, JAMES MARS PETCARE 06/20/17 CHRIS WETZEL 246 19WC 00303 PROFIT, JOSHUA SUPER VALUE 11/20/18 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 247 19WC 00565 LEFFLER, EVERETT JUSTRITE MANUFACTURING CO 12/06/18 SMITH LAW LTD 248 19WC 00644 MANNING, RHONDA GENERAL ELECTRIC COMPANY 01/15/16 KATZ FRIEDMAN EAGLE ET AL 249 19WC 00736 ROBINSON, LISA CITY OF DANVILLE 10/23/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 250 19WC 00910 LAVENCHUCK-STRADER, TERES SARAH BUSH LINCOLN 10/10/18 COLLISON LAW OFFICES RUSIN & MACIOROWSKI LTD 251 19WC 01020 LINEBERRY, KELLY THE HOME DEPOT 04/15/16 KATZ FRIEDMAN EAGLE ET AL ADELSON TESTAN BRUNDO 252 19WC 01192 GINANNI, JOSEPH HORIZON HEALTH-PARIS 09/19/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 253 19WC 01979 DRESSEN, LESLEY HEALTH PRO HERITAGE 07/12/18 SPIROS LAW PC WOLF & LAUDICINA LTD 254 19WC 02098 MITCHELL, VERNA FLEX-N-GATE 12/06/18 SCHIRO & THEMER THOMAS MAMER & HAUGHEY 255 19WC 02124 MOSIER, BLAISE BETTER BUILT BUILDINGS 10/02/18 SCHIRO & THEMER 256 19WC 02265 GEHRT, BRIAN UNIVERSITY OF ILLINOIS 10/03/18 WOODRUFF JOHNSON THOMAS MAMER & HAUGHEY 257 19WC 02642 FLAISHANS, SUZETTE ST OF IL-DEPT OF TRANSPOR @ 10/09/18 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 258 19WC 02660 MCCLAIN, MICHAEL MCLEOD EXPRESS 11/16/18 SHAY & ASSOCIATES INMAN & FITZGIBBONS 259 19WC 03126 FUESTING, MICHAEL DR. MICHAEL L FUESTING DMD PC 03/27/18 TUGGLE SCHIRO & LICHTENBER RUSIN & MACIOROWSKI LTD 19WC003131 -C 19WC003133 -C 260 19WC 03169 CURRY, W.B. STAR KARAOKE CORP 11/27/18 261 19WC 03272 19B TUCKER, MARK DUPONT 01/08/19 COLLISON LAW OFFICES LITCHFIELD CAVO 262 19WC 03367 BRUEHL, JACK DIAMONDBACK SERVICES 09/24/18 JEROME LINDSAY SALMI LL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 263 19WC 03580 VABIC, BARBARA UNIVERSITY OF ILLINOIS 11/13/18 WOODRUFF JOHNSON 264 19WC 04073 WALLACE, MICHAEL ROWE FOUNDRY INC 11/06/18 SMITH LAW LTD HENNESSY & ROACH 265 19WC 04094 BROWN, BRIAN WESLEY COMPANIES, INC 04/13/18 GOLDFINE & BOWLES RUSIN & MACIOROWSKI LTD 266 19WC 04362 DUNAVAN, LESLIE CARLE FOUNDATION HOSPITAL 06/04/18 HORWITZ HORWITZ & ASSOC 267 19WC 04486 POTTER, CHRIS USF HOLLAND 11/14/18 MARSZALEK AND MARSZALEK 268 19WC 05022 BROADWAY, BILLY A GREENWOOD, INC 01/16/19 ANKIN LAW OFFICE 269 19WC 05293 LOVEALL, DANIEL UBER TECHNOLOGIES INC 01/18/19 FREDERIC NESSLER & ASSOC WIEDNER & MCAULIFFE LTD 270 19WC 05340 LUCAS, STEPHANIE CASEY-WESTFIELD HIGH SCHO 01/14/19 MOSS & MOSS PC RUSIN & MACIOROWSKI LTD 19WC005397 -C 271 19WC 06052 VALINEVICIUS, TRACY CHARLESTON COMM UNIT 01/17/18 SMITH LAW LTD INMAN & FITZGIBBONS 272 19WC 06209 CLER, SHANE RG CONSTRUCTION 01/25/19 TURCYCHUTE LLC RUSIN & MACIOROWSKI LTD 273 19WC 06408 HEFFERNAN, ROBERT SULLIVAN-PARKHILL HOLDING 08/22/18 SPIROS LAW PC NOBLE & ASSOC 274 19WC 06609 THOMAS, LEONARD L HOME GOODS, INC 12/17/18 FREDERICK & HAGLE BRADY, CONNOLLY & MASUDA, PC 275 19WC 06859 REESE, JOHN R GAYLE FRERICHS TRUCKING L 10/31/18 KANOSKI BRESNEY LEAHY EISENBERG & FRAENKEL 276 19WC 07285 AULT, JOHNNY D GAYLE FRERICHS TRUCKING L 01/25/19 DEVENS & MCFETRIDGE LTD 277 19WC 07332 DOWDELL, CINDY HYDRO-GEAR 04/19/18 KATZ FRIEDMAN EAGLE ET AL THOMAS MAMER & HAUGHEY 278 19WC 07498 CALDERON, MIRIAM HERFF JONES 09/25/18 FREDERICK & HAGLE 279 19WC 07617 MEEKER, SHANE TRADESMAN INTERNATIONAL, 02/07/19 SCHIRO & THEMER EVANS & DIXON 280 19WC 08442 FORTNER, CORNELIUS COCA-COLA BOTTLING CO 02/01/19 TUGGLE SCHIRO & LICHTENBER EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 281 19WC 08469 JACKOWSKI, STANLEY GREEN TECH LAWN CARE 09/13/18 TUGGLE SCHIRO & LICHTENBER BRADY, CONNOLLY & MASUDA, PC 282 19WC 09093 MITCHELL, ANTHONY KAR APPLIANCE 01/15/18 WARREN E DANZ, PC STEPHEN H LARSON LAW OFFICE 283 19WC 09305 ZORNS, BRAD WALMART 11/12/18 TUGGLE SCHIRO & LICHTENBER GANAN & SHAPIRO 284 19WC 09414 ALVEY, WALLACE QUAKER OATS 02/14/19 FREDERICK & HAGLE THOMAS MAMER & HAUGHEY 285 19WC 09593 RENDER, PATRICIA SARAH BUSH LINCOLN 01/16/19 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 286 19WC 09628 KOKKOSIS, GERASIMOULA URBANA SCHOOL DISTRICT #1 02/04/19 SPIROS LAW PC THOMAS MAMER & HAUGHEY 287 19WC 09764 MADSON, DARRIEN LOWE'S 06/27/17 SPIROS LAW PC KEEFE CAMPBELL BIERY & ASSOC 288 19WC 09945 COX, FRANCIS LANMAN TRANSPORTATION 03/06/18 THOMAS SCHOOLEY THOMAS & ASSOCIATES 289 19WC 10108 RUSSELL, KELLY W DANVILLE METAL STAMPING 09/04/18 GARY JOE STOKES THOMAS MAMER & HAUGHEY 290 19WC 10621 SIDEBOTTOM, DARLENE WHITELINE EXPRESS LTD 01/29/19 SCHIRO & THEMER SMITH AMUNDSEN LLC 291 19WC 10806 OWENS, DEBORAH TELE NETWORK, INC 11/14/18 HELLER HOLMES & ASSOC STEPHEN H LARSON LAW OFFICE 292 19WC 11520 HYDE, REBECCA LEBANON SEABOARD CORP 03/18/19 KATZ FRIEDMAN EAGLE ET AL LAWRENCE COZZI - LAW OFFICE 293 19WC 11593 STANCIU, GARY ILLINOIS POWER GENERATING 01/27/19 MUELHAUSEN & STEFANI KEEFE & DEPAULI 294 19WC 11745 FOSTER, LESLIE IDOT DISTRICT #5 @ 12/07/18 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 295 19WC 12091 MARTIN, JOHN STARK EXCAVATING, INC. 10/29/18 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 296 19WC 12381 19B SYKES, O'SHAY KIK 03/28/19 SCHIRO & THEMER NYHAN BAMBRICK KINZIE & LOWR 297 19WC 12547 AHSBY, MICHAEL P CITY OF CHAMPAIGN 04/27/18 THOMAS W DUDA CITY OF CHAMPAIGN 298 19WC 13108 HARRIS, KATRENA L WALGREENS 02/20/19 LANGACKER LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 299 19WC 13365 PAGAN SANTIAGO, HECTOR RA RANTOUL FOODS 01/29/19 WOODRUFF JOHNSON HEYL ROYSTER VOELKER & ALLEN 300 19WC 13700 MCANDREW, KEVIN CITY OF CHAMPAIGN 05/04/17 ANN O'CONNELL 301 19WC 14090 CORBETT, ALLAN DENNY URBANA SCHOOL DISTRICT #1 01/17/18 THOMAS MAMER & HAUGHEY 302 19WC 14406 ABBOTT, BRYAN CHAMPAIGN UNIT 4 SCHOL DI 05/06/19 WOODRUFF JOHNSON 303 19WC 14626 LIMENTATO, CYNTHIA J CHAMPAIGN UNIT 4 SCHOOL D 05/23/16 THOMAS MAMER & HAUGHEY 304 19WC 14966 SELSOR, CHRISTINA CHRISTIE CLINIC 10/29/18 SPIROS LAW PC LUCY T. UNGER 305 19WC 15156 HART, JAMES NUTRIEN AG SOLUTIONS 05/13/19 DWORKIN AND MACIARIELLO 306 19WC 15281 RAHN, BETH ANN SUKUP MANUFACTURING 04/12/19 SGRO HANRAHAN DURR RABIN EVANS & DIXON 307 19WC 15534 KLEFT, ALICE CHAMPAIGN COUNTY 04/02/19 STEPHEN P. KELLY HEYL ROYSTER VOELKER & ALLEN 308 19WC 15994 DIERKING, LORALEI NESTLE 04/14/19 MCCARTHY ROWDEN NYHAN BAMBRICK KINZIE & LOWR 309 19WC 16321 ROY, MICHAEL STARK EXCAVATING 09/09/15 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 310 19WC 16551 WRIGHT, CHRISTINA CARLE FOUNDATION HOSPITAL 01/17/19 LEITER LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 311 19WC 16745 WATSON, MICHAEL E LEON BANIER FAMILY, LP 01/29/19 GARY JOE STOKES 312 19WC 16838 EPPERSON, HERBERT TAYLORED RESTORATION 04/24/19 TUGGLE SCHIRO & LICHTENBER 313 19WC 17151 VEACH, CATHERINE LAIJ FAMILY DENTAL 01/08/18 TAPELLA & EBERSPACHER LLC CRAIG & CRAIG 314 19WC 17404 VEACH, CATHERINE LAIJ FAMILY DENTAL 05/13/19 TAPELLA & EBERSPACHER LLC 315 19WC 17512 SCHOENHERR, ALISHIA JP EXCAVATING & TRUCKING 01/14/19 SPIROS LAW PC KNELL O'CONNOR DANIELWICZ 316 19WC 17800 ROBECK, CHERYL UNIVERSITY OF ILLINOIS 05/08/17 WOODRUFF JOHNSON HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 317 19WC 17907 GENTLES, HOPE LOWE'S HOME IMPROVEMENT 05/04/19 MARK N LEE 318 19WC 18089 ANGLEMYER, BETH NORTH AMERICAN LIGHTING 01/18/19 SPIROS LAW PC STEPHEN CARTER 319 19WC 18240 BEACH, GERALD BISHOP BROTHERS 04/03/17 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 320 19WC 18378 RAMIREZ, MARTIN ARTUR EXPRESS, INC 07/03/18 GORDON & CENTRACCHIO LLC HENNESSY & ROACH 321 19WC 18484 GADDIS, BRANDY MARTIN & BAILEY/HUCKS 02/02/19 THOMAS SCHOOLEY 322 19WC 18798 TATAR, JOSEPH EAGLES VIEW SUPPORTIVE LI 05/26/19 SCHUM LAW PC 323 19WC 18926 HENDRICKSON, HAROLD BULK TEK SALES & LEASING 04/11/17 ASHER & SMITH GANAN & SHAPIRO 324 19WC 18937 CARTER, JOHN CHI IVERHEAD DOORS, INC 07/10/18 MICHAEL M WOJITAS 325 19WC 18999 HUTCHCRAFT, JASON NUTRIEN AG SOLUTIONS, INC 06/03/19 DWORKIN AND MACIARIELLO 19WC024709 -C 326 19WC 19125 SMITH, BRANDY EASTERN ILLINOIS UNIVERSI @ 04/15/19 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 327 19WC 19192 HERMELING, JOHN E BARRISTER INVESTIGATIONS 05/29/19 JAMES RUPPERT NYHAN BAMBRICK KINZIE & LOWR 328 19WC 19749 FRANZEN, SHAWN VILLAGE OF RANTOUL 06/24/19 FREDERICK & HAGLE RUSIN & MACIOROWSKI LTD 329 19WC 20457 HOWARD, AMANDA L PIATT COUNTY NURSING HOME 02/04/19 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD 330 19WC 20510 COOK, ALEX REPUBLIC SERVICES 03/05/19 SPIROS LAW PC 331 19WC 20815 STEWART, CHARLES SARA BUSH LINCOLN 07/09/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 332 19WC 21162 WORLEY, TRENT UNIVERSITY OF ILLINOIS @ 03/06/18 MEYER CAPEL, PC HEYL ROYSTER VOELKER & ALLEN 333 19WC 21286 MORGAN, DAVID F SCHNUCK MARKETS, INC. 07/29/18 FREDERICK & HAGLE 334 19WC 21497 GUIDER, SHANICE FEDEX GROUND 03/27/19 LEITER LAW OFFICES KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 335 19WC 21638 CALHOUN, RACHEL VISCOFAN 07/02/18 SPIROS LAW PC WOLF & LAUDICINA LTD 336 19WC 21749 WEBER,KATHY MASTER BRAND CABINETS INC 06/08/18 KATZ FRIEDMAN EAGLE ET AL DUGAN & VOLAND 337 19WC 21991 ELLIS, TODD MCLANE MIDWEST 01/05/19 GALLAGHER LAW PC KEEFE CAMPBELL BIERY & ASSOC 338 19WC 22131 RICHEY, TROY MASTERBRAND CABINETS 06/25/19 SMITH LAW LTD DUGAN & VOLAND 339 19WC 22194 RIGGLE, TYLER GUARDIAN WEST 06/27/19 FREDERICK & HAGLE THOMAS MAMER & HAUGHEY 340 19WC 22228 ELLZEY, LISA EXPRESS EMPLYMNT PROFESSI 05/30/19 STEVEN J MALMAN & ASSOCIAT MC ANDREWS & NORGLE LLC 19WC025565 -C 341 19WC 22364 DOWN, GREGORY P CITY OF CHAMPAIGN 01/29/19 BACH LAW OFFICE CITY OF CHAMPAIGN 342 19WC 22493 ABERNATHY, KIM HORIZON HEALTH D/B/A 04/22/19 MOSS & MOSS PC RUSIN & MACIOROWSKI LTD 343 19WC 22553 SOTERO, JULIUS THOMASBORO CCSD #130 04/09/19 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 344 19WC 22699 ARIE, SEAN RANTOUL POLICE DEPT 08/06/16 SPIROS LAW PC 345 19WC 22854 JOHNSON, JERAD DSC LOGISTICS 03/28/19 LIDOV & BLOCK MC ANDREWS & NORGLE LLC 346 19WC 23029 PERRIGIN, MICHAEL ALLIED WASTE TRANSPORTATI 07/12/19 SCHUM LAW PC 347 19WC 23324 OVERBY, DEDRICK SUPERVALU 07/11/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 348 19WC 23435 JONES, ASHLEE COTILLION RIDGE 08/07/19 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 349 19WC 23556 KNECHT, CURTIS TEASDALE FOODS 04/08/19 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 350 19WC 23739 WINN, CAROL UNIVERSITY OF ILLINOIS 07/29/19 SPIROS LAW PC THOMAS MAMER & HAUGHEY 351 19WC 23892 JUSTICE, TODD JF ELECTRIC 12/19/18 WILLIAMS & SWEE STEPHEN H LARSON LAW OFFICE 352 19WC 23914 DANN, CRYSTAL KIRBY FOODS, INC 07/12/19 SPIROS LAW PC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 353 19WC 24100 LUCKENBILL, JILL CENTRAL COMMUNITY UNIT 08/25/16 WOODRUFF JOHNSON NOBLE & ASSOC 354 19WC 24216 SAVANNAH, SONDRA CUNNINGHAM CHILDREN'S 06/04/19 SPIROS LAW PC HENNESSY & ROACH 355 19WC 24463 BOCKHOLD, MIKE PARIS TRANSPORT 01/22/19 MCCARTHY ROWDEN JAMES M KELLY 356 19WC 24532 PEPPERDINE, DONALD EASTERN ILLINOIS UNIVERSI @ 07/18/19 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 357 19WC 24792 SCOTT, JAMES CARLE 07/25/19 FREDERICK & HAGLE THOMAS MAMER LLP 358 19WC 25234 THOMAS, DAWANNA UNIVERSITY OF ILLINOIS 08/23/19 WOODRUFF JOHNSON GANAN & SHAPIRO 359 19WC 25388 WARREN, SAMANTHA FEDEX GROUND 08/22/19 COSTA IVONE LLC KOPKA, PINKUS DOLIN, PC 360 19WC 25422 BECK, JASON FEDERAL EXPRESS CORP 09/18/17 COLLISON LAW OFFICES 361 19WC 25485 HEATER, JAMES HARBOR FREIGHT TOOLS 11/27/18 SPIROS LAW PC ADELSON TESTAN BRUNDO 362 19WC 25850 LUPIAN, KRISTINA M WATCHFIRE SIGNS 06/24/19 PETER T BORICH 363 19WC 25873 PRYOR, HOLLIE NICOLE ST JOSEPH SCHOOL DISTRICT 01/29/19 SPIROS LAW PC ACCIDENT FUND HOLDINGS 364 19WC 26186 CYPRIAN, ERIC DYNAMITE DRYWALL 07/19/19 STRONG LAW OFFICE 365 19WC 26234 MILLER, ZACHARY STATE OF ILLINOIS-DOT @ 06/25/19 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 366 19WC 26299 LIRA, JOSE KUHN'S CONSTRUCTION 02/20/19 ALEKSY BELCHER CHILTON YAMBERT PORTER LLP 367 19WC 26425 GREGG, JOSEPH PAP R PRODUCTS 05/23/18 DWORKIN AND MACIARIELLO 368 19WC 26992 WENDELL, DEREK C.V. LLOYDE 08/05/19 SPIROS LAW PC 369 19WC 27179 ENSIGN, JEFF CHISTOPIAN SVCES INC & VA 06/30/19 SPIROS LAW PC LUCY T. UNGER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 370 19WC 27217 COCHRAN, JESSE L STAFF QUICK 08/14/19 SCHROEDER, JOSEPH R LEMP & MURPHY 371 19WC 27826 PETERSON, KURT NORTH AMERICAN LIGHTING 08/08/19 DWORKIN AND MACIARIELLO STEPHEN CARTER 20WC007867 -C 372 19WC 27944 LOUCKS, MARK TOYOTA LIFT 01/21/19 FREDERICK & HAGLE 373 19WC 28193 KESSLER, ALTON JR. MURRAY CONCRETE 08/21/19 JEROME LINDSAY SALMI LL 374 19WC 28286 LANE, DUSTIN NCH MANAGEMENT CORPORATIO W 04/05/19 SPIROS LAW PC 375 19WC 28300 LOGSDON, LAUREN VILLAS OF HOLLY BROOK AND 09/23/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 376 19WC 28340 MOON, TIMOTHY GP TRANSCO 08/21/19 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 377 19WC 28650 EAKLE, TARA SHILOH CUSD #1 09/12/19 DWORKIN AND MACIARIELLO NOBLE & ASSOC 378 19WC 28740 MASSIE, PORTER MASTER BRAND CABINETS 08/13/19 DAVID W MARTAY DUGAN & VOLAND 379 19WC 28840 MC GHEE, MARY OSF HEART OF MARY 09/17/19 FREDERICK & HAGLE WIEDNER & MCAULIFFE LTD 380 19WC 29190 SHEPHERD, WILLIAM CEAD COUNCIL 01/27/19 SPIROS LAW PC 381 19WC 29276 STEPHEN, CHRISTINA COLES COUNTY SHERIFF'S DE 12/06/17 SMITH LAW LTD RUSIN & MACIOROWSKI LTD 382 19WC 29380 COX, BRAD ANAMET INC 02/08/19 MICHAEL M WOJITAS 383 19WC 30287 CRAWFORD, DONALD FLEX N GATE CORPORATION 06/07/19 MOSS & MOSS PC THOMAS MAMER LLP 384 19WC 30897 FREESE, BRANDON M OKAW FARMERS CO-OP, INC. 01/31/19 KANOSKI BRESNEY EVANS & DIXON, LLC 385 19WC 31031 COOPER, KENNEDY GREENWOOD PLASTICS INDUST 10/02/19 MCCARTHY ROWDEN BRYCE DOWNEY & LENKOV LLC 386 19WC 31102 STONE, KAYLYN MEIJER 08/26/19 SCHIRO & THEMER KNELL O'CONNOR DANIELWICZ 387 19WC 31311 RUTHERFORD, LORI UNIVERSITY OF ILLINOIS @ 05/15/18 SCHIRO & THEMER THOMAS MAMER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 19WC 31404 SCHWAPPACH, ANITA EASTERN ILLINOIS AREA 07/02/19 HELLER HOLMES & ASSOC BRYCE DOWNEY & LENKOV LLC 389 19WC 31678 WALTERS, RACEY SPRINGFIELD ELECTRIC 02/13/19 SPIROS LAW PC 390 19WC 31729 WILLIAMS, WESLEY D CHAMPAIGN UNIT 4 08/28/19 KANOSKI BRESNEY 391 19WC 31806 FELLMANN, STEPHANIE LYN UNIVERSITY OF ILLINOIS @ 09/25/19 STEIGMANN LAW HEYL ROYSTER VOELKER & ALLEN 392 19WC 31834 HARBIN, KASEY M DANA INCORPORATED 09/17/17 MEYER, MICHAEL J 393 19WC 31839 BROUGHER, ELIZABETH SERV-U-SUCCESS 01/28/18 KANOSKI BRESNEY 394 19WC 31894 ANDERSON, ANTOINE PLASTIC CONTAINER 10/17/19 SPIROS LAW PC 395 19WC 32643 CROSS, CHAQUERA RESIDENTIAL DEVELOPERS 10/31/19 FREDERICK & HAGLE KEEFE CAMPBELL BIERY & ASSOC 396 19WC 32968 BLAKENEY, TODD C CABLE ONE 04/24/19 JAMES RUPPERT LITCHFIELD CAVO 397 19WC 33285 SANDERS, ELIZABETH NORTH AMERICAN LIGHTING, 06/18/19 CHRISTIAN & MANNO STEPHEN CARTER 398 19WC 33458 YOUNG, PATRICIA EAGLE WINGS INDUSTRIES 10/31/19 SPIROS LAW PC NYHAN BAMBRICK KINZIE & LOWR 399 19WC 33528 FIGGINS, WAYNE SARAH BUSH LINCOLN HEALTH 01/03/19 SMITH LAW LTD RUSIN & MACIOROWSKI LTD 400 19WC 33684 ABERCROMBIE, GLENDA PREFERRED PEDIATRICS 09/11/18 STRONG LAW OFFICE 401 19WC 33763 CAGLE, KEVIN AMEREN ILLINOIS 09/18/19 THOMAS MAMER LLP LEMP & MURPHY 402 19WC 33855 MILLER, RITA MARTINSVILLE CUSD #C3 06/21/19 MICHAEL M WOJITAS NOBLE & ASSOC 403 19WC 34094 ROBERTSON, RUTH QUAKER OATS 09/07/18 SCHIRO & THEMER THOMAS MAMER LLP 404 19WC 34170 PEREZ, JOSE A CAMPUS LIVING VILLAGES 10/11/19 PATEL LAW PC 405 19WC 34234 HAYWOOD, SEYON THYSSENKRUPP PRESTA 10/26/19 FREDERICK & HAGLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 19WC 34267 LEE, BRAD MASTERGUARD 07/12/19 TUGGLE SCHIRO & LICHTENBER 407 19WC 34503 MORRIS, JAMES BRIAN SIMPSON 06/28/18 BRADY, CONNOLLY & MASUDA, PC 408 19WC 34861 MIDGETTE, RENATE RANTOUL CITY SCHOOLS 10/18/19 SCHIRO & THEMER HEYL ROYSTER VOELKER & ALLEN 409 19WC 35357 JOHNSON, CHAD J CITY OF URBANA 09/25/19 THOMAS W DUDA THOMAS MAMER LLP 410 19WC 35574 WELLS, TIMMY E JR. CLIFFORD-JACOBS FORGING 04/02/19 GARY JOE STOKES KEEFE & DEPAULI 411 19WC 35696 TRIMBLE, JAY DAVIS HOUK MECHANICAL 02/25/19 MARK N LEE STEPHEN H LARSON LAW OFFICE 412 19WC 35939 SMITH, CYNTHIA J U.S. TRANSPORT SERVICES, 10/30/19 SPIROS LAW PC 413 19WC 36675 ENGLUND, BILLY (INDEPENDE SOUTH EAST EMPLOYEE # 12/06/19 STEVEN J MALMAN & ASSOCIAT QUINTAIROS PRIETO WOOD & BOY 414 19WC 36800 LANGE, BRIAN CITY OF DANVILLE POLICE D 04/06/19 SPIROS LAW PC INMAN & FITZGIBBONS 415 19WC 36991 LEWIS, JOE MAYFIELD CONSTRUCTION 09/30/19 SCHIRO & THEMER 416 19WC 37001 MC CLELLAND, KYLE ANAMET ELECTRIC 09/04/19 HELLER HOLMES & ASSOC WOLFE & JACOBSON, LTD 417 19WC 37037 MODEST, KERWIN T GUARDIAN WEST 11/21/19 PATEL LAW PC 418 19WC 37062 DUCKWORTH, BONNIE CARLE FOUNDATIONS HOSPITA 12/09/19 SCHUM LAW PC 419 19WC 37108 JOHNSON, PERRY PEPSI-COLA 10/14/19 TUGGLE SCHIRO & LICHTENBER RUSIN & MACIOROWSKI LTD 420 19WC 37223 FITZWATER, FRANKLIN PRAIRIE MATERIAL 11/11/19 ELFENBAUM EVERS ZIELINSKA PRETZEL & STOUFFER, CHRTD 421 19WC 37570 JACOBS, JEREMIAH W CARLE FOUNDATION HOSPITAL 09/09/19 FEATHERSTUN GAUMER 422 20WC 00332 HOTT, BRYAN AT&T 01/16/19 MARK N LEE INMAN & FITZGIBBONS 423 20WC 00512 PEREZ, JOSE A CAMPUS LIVING VILLAGES 10/11/19 PATEL LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 424 20WC 00545 GARRETT, COURTNEY MCDONALDS 12/21/19 FREDERICK & HAGLE 425 20WC 01312 RIVERA, JOSE VISTA OUTDOOR 04/03/19 WOODRUFF JOHNSON LEAHY EISENBERG & FRAENKEL 426 20WC 01541 CRADDOCK, JERRY HERFF JOENS 11/01/19 FREDERICK & HAGLE 427 20WC 01660 NOVITSKI, STEVEN CARLE FOUNDATION HOSPITAL 12/05/19 SPIROS LAW PC 428 20WC 01923 WITTENMEYER, SANDRA THE SYGMA NETWORK, INC 12/23/19 MOSS & MOSS PC HENNESSY & ROACH 429 20WC 02037 WEDDLE, MONICA LSC COMMUNICATIONS 12/03/18 ASHER & SMITH HENNESSY & ROACH 430 20WC 02060 GILBERT, STEVE CHAMPAIGN UNIT 4 SCHOOL D 01/02/19 FREDERICK & HAGLE 431 20WC 02118 COLE, ERIC CHARLES INDUSTRIES, LLC 09/10/19 TUGGLE SCHIRO & LICHTENBER GAROFALO SCHREIBER STORM GRA 432 20WC 02207 BURRIS, DECODA RECTOR CONSTRUCTION, INC 12/27/19 SPIROS LAW PC 433 20WC 02309 SPENCER, BEVERLY RURAL KING 09/24/19 SMITH LAW LTD RURAL KING 434 20WC 02483 THOMPSON, WANDA UNIVERSITY REHAB CENTER O 12/21/19 MARC J SHUMAN & ASSOCIATES BRADY, CONNOLLY & MASUDA, PC 435 20WC 03044 STONER, LAURA LUCIA'S CATERING 12/19/17 SCHIRO & THEMER HENNESSY & ROACH 436 20WC 03071 LUTZ, EDWARD CATERPILLAR INC 08/10/17 DARCY GIBSON 437 20WC 03349 BIBB, SHERON ACCESS CONTROL CO 11/18/19 DWORKIN AND MACIARIELLO EVANS & DIXON 438 20WC 03811 ALSTON, JESSIE HARTWIG TRANSIT, INC 09/26/19 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 439 20WC 04697 PARSON, DUSTIN TOWNE MACHINE & TOOLS CO 09/17/19 TUGGLE SCHIRO & LICHTENBER 440 20WC 05053 COPE, NOELLE SARAH BUSH LINCOLN CTR 10/01/19 COLLISON LAW OFFICES RUSIN & MACIOROWSKI LTD 441 20WC 05249 WILLIAMS, TRAVIS B&K DAVIS MCDONALDS 01/13/20 WARREN E DANZ, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 442 20WC 05342 VICE, MICHAEL VERMILION CNTY SHERIFF'S 01/26/20 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 443 20WC 05352 MCCAMMON, JAMES CHAMPAIGN AUTOMOTIVE LLC 12/12/19 SPIROS LAW PC NOBLE & ASSOC 444 20WC 05676 ANDERSON, BRENT CROSS OIL & WELL SERVICE 08/05/19 KEEFE & DEPAULI 445 20WC 05713 GULLEY, DEBORAH RANTOUL SCHOOL DIST 137 11/22/19 SPIROS LAW PC 446 20WC 05883 CLAYBORN, SHERRY K UNIVERSITY OF ILLINOIS (U 01/30/20 PETER T BORICH 447 20WC 05912 STIFANOS, DEHAB CARLE HOSPITAL 03/05/19 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 448 20WC 06038 GOODEN, JEREMY A SPECCHIO FARMS & ASSOCIAT 10/01/18 FREDERICK & HAGLE BRADY, CONNOLLY & MASUDA, PC 449 20WC 06115 WASHINGTON, FAITH L RAM HOTEL GROUP D/B/A 02/16/20 FREDERICK & HAGLE MCANANY VANCLEVE & PHILLIPS 450 20WC 06135 FERBER, DAVID CITY OF CHAMPAIGN 06/20/18 CITY OF CHAMPAIGN 451 20WC 06162 MARSHALL, RENEE KIDD EASTERN ILLINOIS UNIVERSI @ 08/16/19 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 452 20WC 06199 RODRIGUEZ, JANICE CUSTOM CARE DRY CLEANERS 05/24/19 SCHIRO & THEMER 453 20WC 06201 HESTER, KASSAUNDRA UNIVERSITY OF ILLINOIS SY 01/15/19 ANKIN LAW OFFICE POWER & CRONIN LTD 454 20WC 06400 LEE, APRIL (WIDOW) OAKLAND CITY HALL # 02/11/20 WARREN E DANZ, PC POWER & CRONIN LTD 455 20WC 06484 BATES, TALMER QUAKE OATS 05/22/19 KANOSKI BRESNEY THOMAS MAMER LLP 456 20WC 06621 HUCKSTADT, MARK HYSTER- YALE GROUP 11/20/19 FREDERICK & HAGLE BRADY, CONNOLLY & MASUDA, PC 457 20WC 06678 STIERWALT, PAULA PLEASANT MEADOWS 12/04/19 SPIROS LAW PC 458 20WC 06733 GALLINELLI, PETER CHG HEALTHCARE SERVICES 02/25/20 EAMES LAW GROUP LTD 459 20WC 07114 KINDRED, MARILYN CASEY'S 11/14/19 ASHER & SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 460 20WC 07282 FLOYD, ERIC UNIFY SUPERVALU 03/02/20 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 461 20WC 07368 SCHENDEL, ROBERT MCLANE COMPANY,INC 01/24/19 KEEFE CAMPBELL BIERY & ASSOC 462 20WC 07456 GULLEY, DEBORAH RANTOUL CITY SCHLS DIST 1 02/19/20 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 463 20WC 07619 SWEENEY, ERIC C.H.I. OVERHEAD DOORS INC 10/11/19 COSTIGAN & WOLLRAB PC 464 20WC 07676 THOMPSON, BRIAN HERMAN & KITTLE PROPERTIE 11/22/19 BURNETT & CARON, LTD LITCHFIELD CAVO 465 20WC 07942 WILLIAMS, GREG EFFINGHAM BUILDERS SUPPLY 07/08/19 SCHIRO & THEMER BRADY, CONNOLLY & MASUDA, PC 466 20WC 08023 NARANJO, ROLAND WALMART 02/03/20 SPIROS LAW PC GANAN & SHAPIRO 467 20WC 08173 FIGGINS, CAROL COLES COUNTY ILLINOIS 03/30/17 TAPELLA & EBERSPACHER LLC 468 20WC 08219 TRICKLE, LINDA HELP AT HOME 03/04/20 SCHIRO & THEMER 469 20WC 08441 SMITH, ANGELA R UNIVERSITY OF ILLINOIS (U @ 03/08/20 PETER T BORICH 470 20WC 08674 SAVAGE, LAQUISHA AMBER GLEN ALZHEIMER'S 02/20/20 DWORKIN AND MACIARIELLO 471 20WC 08762 MCGUIRE, LISA THYSSENKRUPP CRANKSHAFT 08/03/19 SPIROS LAW PC 472 20WC 08883 PAINTER, WILLIAM CITY OF CHAMPAIGN 01/21/19 CITY OF CHAMPAIGN 473 20WC 08963 BOOKER, NORMAN L JR. BH 92 TRUCKING INC 06/16/18 FREDERICK & HAGLE 474 20WC 08979 DELANEY, TODD CENTRAL ILLINOIS PRODUCE 03/03/20 WARREN E DANZ, PC BRADY, CONNOLLY & MASUDA, PC 475 20WC 09288 JEFFERS JR, JAMES VILLAGE MARKET IGA 06/08/18 SPIROS LAW PC NYHAN BAMBRICK KINZIE & LOWR 476 20WC 09333 GRIFFET, CALEB SUPERVALU 11/21/19 DAVID W MARTAY LEAHY EISENBERG & FRAENKEL 477 20WC 09457 MATTHEWS, JAMIE UNIVERSITY OF ILLINOIS 01/31/20 MARK N LEE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 478 20WC 09473 FOLLOWELL, CHRISTOPHER A&R MECHANICAL CONTRACTOR 05/01/18 MOSS & MOSS PC RIPES NELSON BAGGOT KALOBRAT 479 20WC 09511 SUTHERLAND, SANDRA L UNIVERSITY OF ILLINOIS 10/01/19 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 480 20WC 09756 HALL, ANDREW C NORRIS TRUCKING INC 01/27/20 DEVIN M JONES 481 20WC 09792 MURPHY, MARK MCLANE MIDWEST 11/24/19 SPIROS LAW PC KEEFE CAMPBELL BIERY & ASSOC 482 20WC 09847 GILONSKE JR, WALTER SFD TRUCKING LLC 10/17/19 SCHIRO & THEMER MCANANY VANCLEVE & PHILLIPS 483 20WC 10080 HEARD, CAMESHA Q CHAMPAIGN UNIT 4 02/25/20 KANOSKI BRESNEY THOMAS MAMER LLP 484 20WC 10696 BOBO, IVORY EXPRESS EMPLOYMENT 04/10/20 SKLARE LAW GROUP MC ANDREWS & NORGLE LLC 485 20WC 10887 YAMBA, PAULINE M ARBOR MANAGEMENT INC 03/06/20 PETER T BORICH 486 20WC 10910 STERLING, EARLINA BROOKDALE ASSISTED LIVING 01/13/20 MCCARTHY ROWDEN ROSARIO CIBELLA 487 20WC 10952 CAMACHO NAVEDO, JOSE I RANTOUL FOODS 04/24/20 EPSTEIN, JACK R LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 488 20WC 11180 PLUMMER, SHERI L GSI GROUP, INC 02/25/19 KANOSKI BRESNEY 489 20WC 11261 PADDOCK, KATIE INNOVATIVE STAFF SOLUTION 02/06/20 WARREN E DANZ, PC THOMAS MAMER LLP 490 20WC 11406 HARRIS, PHILLIP CITY OF SULLIVAN 06/01/19 THOMAS MAMER LLP 491 20WC 11415 TUCKER, STEVEN WALMART 01/06/20 SCHIRO & THEMER GANAN & SHAPIRO 492 20WC 11483 BERNER, TERRY MIDSTATE TANK CO 01/22/20 MCCARTHY ROWDEN 493 20WC 11556 HARRIS, WILLIAM COLMAC COIL MIDWEST INC 10/17/19 DWORKIN AND MACIARIELLO 494 20WC 11726 GOOCH, HOLLI CARLE FOUNDATION HOSPITAL 04/08/19 SPIROS LAW PC 495 20WC 11802 CHI DU, HUNG UNIVERSITY OF ILLINOIS 03/22/20 FREDERICK & HAGLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 20WC 12121 SANDOVAL, MARCOS J KIK CUSTOM PRODUCTS INC 04/16/20 FREDERICK & HAGLE NYHAN BAMBRICK KINZIE & LOWR 497 20WC 12282 RIVERA, JAHAIRA BRG SPORTS, INC 01/06/20 KATZ FRIEDMAN EISENSTEIN LEAHY EISENBERG & FRAENKEL 498 20WC 12423 WRIGHT, RANDY UNIVERSITY OF ILLINOIS 03/02/20 WOODRUFF JOHNSON 499 20WC 12435 TINER, JUSTIN ENTERPRISE RENT-A-CAR 06/01/20 WOODRUFF JOHNSON KNELL O'CONNOR DANIELWICZ 500 20WC 12593 THOMAS, CLAY DECATUR AERATION AND 05/21/20 DWORKIN AND MACIARIELLO 501 20WC 12644 BONILLA, JENIFER PRICILA E-Z TRAIL INC. 05/14/20 KATZ FRIEDMAN EISENSTEIN 502 20WC 13109 CRANK, KAREN THE PAVILLION BEHAVIORAL * 10/02/19 FREDERICK & HAGLE MC ANDREWS & NORGLE LLC 503 20WC 13355 GAZDZIAK, DYLAN JAMES AMEREN ILLINOIS * 11/12/19 FREDERICK & HAGLE HOLTKAMP LIESE 504 20WC 13536 BATES, JACOLBY EXPRESS EMPLOYMENT * 04/23/20 SPIROS LAW PC 505 20WC 13597 BARTLEY, DAVID HOUSING AUTHORITY OF CHAM * 02/25/20 SPIROS LAW PC 506 20WC 13674 FUNNEMAN, ELIZABETH A MATTOON REHAB &HEALTH CAR * 04/19/20 HASSAKIS & HASSAKIS PC 507 20WC 13860 TUCKER, STEVEN WALMART * 01/06/20 TUGGLE SCHIRO & LICHTENBER 508 20WC 13904 SHEPHERD, RYAN USF HOLLAND * 04/30/18 BURNETT & CARON, LTD 509 20WC 13974 MELVIN, CASSANDRA THOMASBORO CCSD * 06/20/17 COLLISON LAW OFFICES HENNESSY & ROACH 510 20WC 14188 RUIZ, ROGELIO PROFESSIONAL CLEANING CO, * 04/19/20 AIOSSA LAW FIRM BRYCE DOWNEY & LENKOV LLC 511 20WC 14221 TSHIMANGA NTUMA, SEBASTIE KRAFT * 05/30/20 CISCO LAW, P.C. GAROFALO SCHREIBER STORM GRA 512 20WC 14336 GIST, DERRICK PLASTIC CONTAINER * 04/30/20 FREDERICK & HAGLE 513 20WC 14408 JORDAN, JAMES MARS PETCARE * 08/31/17 CHRIS WETZEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 20WC 14432 RENVICK, SAMANTHA EXPRESS EMPLOYMENT PROFES * 01/20/20 GOLDFINE & BOWLES MC ANDREWS & NORGLE LLC 515 20WC 14454 CREIGHTON, FRANK CHAMPAIGN AUTOMOTIVE, LLC * 03/08/19 SPIROS LAW PC NOBLE & ASSOC 516 20WC 14603 BIRD, WILLIAM EMD MILIPORE CORP * 08/08/19 HOLECEK & ASSOCIATES 517 20WC 14680 GRAVES, JERIMIAH CLIFFORD-JACOBS FORGING C * 07/09/18 KEEFE & DEPAULI 518 20WC 14729 FLETCHER, NICK BIRKEY'S FIRM STORE * 05/05/20 MARK N LEE ACCIDENT FUND HOLDINGS 519 20WC 14783 STONE, HANK MANPOWER, INC * 08/01/19 RUSIN & MACIOROWSKI LTD 520 20WC 14861 JONES, RICKY RANTOUL FOODS * 04/14/20 SKLARE LAW GROUP HEYL ROYSTER VOELKER & ALLEN 521 20WC 14961 MONTEZ, KENDRA GRDN OF SU MOODY FARMS # * 05/19/20 WOODRUFF JOHNSON BRADY, CONNOLLY & MASUDA, PC 522 20WC 15074 DEMARCOS, ARMONDO CHAMPAIGN UNIT 4 SCHOOL D * 05/21/20 SPIROS LAW PC 523 20WC 15096 GONZALEZ, JOEDWIN SPHERION * 10/28/19 PETER T BORICH 524 20WC 15156 HUTCHINGS, AMBER CASEY'S GENERAL STORE * 09/14/19 FREDERICK & HAGLE 525 20WC 15181 KNAPP, RONALD LOWE'S * 06/04/20 FREDERICK & HAGLE 526 20WC 15292 FORBES, VICTORIA J ERWIN, MARTINKUS & COLE L * 08/20/19 CRAIG & CRAIG 527 20WC 15338 LUND, LYLE KS ENERGY SERVICES * 08/02/18 CHAPIN & LONG PC STONE & JOHNSON CHARTERED 528 20WC 15407 DRAKE, KEVIN BRYANT'S INDUSTRIES * 04/01/20 DWORKIN AND MACIARIELLO 529 20WC 15563 PATE, TROY QUAKER OATS/PEPSI CO * 12/11/19 KATZ FRIEDMAN EISENSTEIN THOMAS MAMER LLP 530 20WC 15759 DONES, DANIEL COLON EXPRESS EMPLOYMENT * 03/04/20 EPSTEIN, JACK R LAW OFFICE 531 20WC 15899 YORK, STEVEN ADVANCED COMMERCIAL ROOFI * 06/29/20 WOODRUFF JOHNSON CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 20WC 16091 HARDYMAN, DIRK KEMPER INDUSTRIAL EQUIPME * 02/21/19 FREDERICK & HAGLE GANAN & SHAPIRO 533 20WC 16104 MEINHART, JOHN MID-ILLINOIS CONCRETE * 10/04/19 TAPELLA & EBERSPACHER LLC 534 20WC 16127 STEPHEN, CHRISTINA COLES COUNTY SHERIFF'S DE * 04/06/20 SMITH LAW LTD RUSIN & MACIOROWSKI LTD 535 20WC 16135 NAVARRETE-SOTO, SERGIO TRIRINSE * 10/26/18 KANOSKI BRESNEY 536 20WC 16217 BLANDEN, SHERARD AUTOZONE * 01/17/20 SPIROS LAW PC 537 20WC 16509 HUDSON, JAYLIN FEDEX GROUND * 09/12/18 DWORKIN AND MACIARIELLO 538 20WC 16584 EMERY, HIRON E POPEYE'S CHICKEN * 06/08/20 KANOSKI BRESNEY 539 20WC 16809 BURRIS, TYLER IL DEPT OF CORRECTIONS * 06/12/20 SCHIRO & THEMER 540 20WC 16843 MAIDENS, MARK ANTHONY CHAMPAIGN COUNTY * 09/15/18 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 541 20WC 16939 JENNINGS, STANLEY INNOVATIVE STAFF SOLUTION * 05/01/20 FREDERICK & HAGLE THOMAS MAMER LLP 542 20WC 17194 EMERICK, LORI WALGREENS, INC * 08/09/19 SPIROS LAW PC 543 20WC 17341 AUSTIN, WILLMARIA ARCADIA CARE * 03/14/20 DWORKIN AND MACIARIELLO 544 20WC 17435 MCKEE, AMBER L FEDEX GROUND * 03/31/20 KANOSKI BRESNEY 545 20WC 17453 TEATER, TED KELLY SERVICES * 01/08/20 MOSS & MOSS PC 546 20WC 17459 TUGGLE, TONY WALMART * 02/29/20 NO ATTORNEY 547 20WC 17478 HATON, DEBRA S PLEASANT MEADOWS SENIOR L * 03/14/20 DODSON PIRAINO & ASSOC 548 20WC 17494 JENNINGS, STANLEY INNOVATIVE STAFF SOLUTION * 05/01/20 FREDERICK & HAGLE THOMAS MAMER LLP 549 20WC 17555 LATIMORE-MARTIN, VIRGINIA JELD-WEN * 06/16/20 WOODRUFF JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 20WC 17595 WATSON, PAUL EXPRESS EMPLOYMENT PROFES * 07/06/20 DAVID W MARTAY MC ANDREWS & NORGLE LLC 551 20WC 17699 YEARGIN, DYLEN QUICKLUBE * 06/23/20 SCHUM LAW PC 552 20WC 17777 BRICKER, GALE POTASH HOLDIGN COMPANY * 09/06/19 SHAY & ASSOCIATES INMAN & FITZGIBBONS 553 20WC 17820 BROWN, BRANDY NORTH AMERICAN LIGHTING * 10/09/19 ASHER & SMITH 554 20WC 17875 REED, DENNIS MCLANE MIDWEST * 02/19/19 SPIROS LAW PC KEEFE CAMPBELL BIERY & ASSOC 555 20WC 17893 MANN, AMBER OTTO BAUM COMPANY * 06/15/20 MARK N LEE 556 20WC 18053 BAUER, TIM WHITELINE EXPRESS, LTD. * 06/18/18 SPIROS LAW PC 557 20WC 18400 CRYOR, LESTER MCLANE * 07/01/20 TAXMAN POLLOCK KEEFE CAMPBELL BIERY & ASSOC 558 20WC 18832 WILSON, MATHIEU JIFFY LUBE * 07/17/20 WOODRUFF JOHNSON 559 20WC 18860 MOODY, AMBER C CARLE FOUNDATION HOSPITAL * 01/03/20 KANOSKI BRESNEY 560 20WC 18896 GOODSON, SHARIF FINISH LINE DELIVERY * 06/28/20 SCHIRO & THEMER 561 20WC 19201 OSMANI, SAMI TARABA TRANSPORT, INC * 02/12/20 SHORT AND DAUGHERTY 562 20WC 19341 COLE, ROBIN DEVELOPMENTAL FOUNDATIONS * 07/05/20 DWORKIN AND MACIARIELLO 563 20WC 19584 ARMES, CHRISTOPHER T DHL EXPRESS * 10/11/19 KANOSKI BRESNEY 564 20WC 19643 THOELE, PHILIP ILLINOS DEPARTMENT @ * 08/01/18 TAYLOR LAW OFFICES 565 20WC 19662 BAYMAN, SHERYL A HERITAGE OPERATIONS GROUP * 05/11/20 FREDERICK & HAGLE 566 20WC 19748 BRENNAN, TERESA I-OPERATIONS LLC * 02/26/20 GANAN & SHAPIRO 567 20WC 19814 WASHINGTON, DUANE UNIVERSITY OF ILLINOIS * 07/14/20 MARSZALEK AND MARSZALEK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR URBANA 48001 ON 10/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 568 20WC 19972 ZEIGLER, DEBBIE LYON METAL, LLC * 05/11/20 LAW OFFICE OF JEROME SALMI 569 20WC 20069 KARA, ANTHONY DAVID FERELL ROBINSON * 08/04/20 FREDERICK & HAGLE BRADY, CONNOLLY & MASUDA, PC 570 20WC 20080 LIPSCOMB, BLESSING W.I.S. INTERNATIONAL * 07/09/20 SPIROS LAW PC 571 20WC 20106 DOUGLAS, JULIE CASEY'S GENERAL STORE * 04/07/20 SPIROS LAW PC 572 20WC 20354 BROWNLEE, GREGORY MID-STATE TANK COMPANY, I * 03/03/20 HEYL ROYSTER VOELKER & ALLEN 573 20WC 20484 BROWN, WALTER THYSSENKRUPP * 08/29/19 SPIROS LAW PC 574 20WC 20556 MARTIN, QUENTIN QUALITY MED TRANSPORT * 08/17/20 SPIROS LAW PC 575 20WC 21227 GRANT, VIRGIL ROAD READY, INC * 01/25/19 EVANS & DIXON, LLC 576 20WC 21258 DAVIS, TIMOTHY MARTINSVILLE ROOFING CO. * 06/05/20 BRADY, CONNOLLY & MASUDA, PC