oo FORM FOR OFFICE USE ONLY STATEMENT OF ORGANIZATION D-1 PLEASE TYPE OR PRINT IN BLACK INK Full name and complete mailing address of Political Committee: GMEM - Garry McCarthy For Mayor Exploratory Committee 6877 N. Jean Chicago, IL 60646 POLITICAL COMMITTEE MAIL ADDRESS: contact@gamryformayor.com ep iliallsseling cueck Here ir appress cHance_| “SYD! ‘SEE PAMPHLET “A GUIDE TO CAMPAIGN DISCLOSURE” FOR GUIDANCE. bare corres cneateo: 09/13/2017 | 2. [AMOUNT OERUBOS AVALARLE AS OF NEW COMMITTEE (MUST BE FILED WITHIN 10 DAYS OF CREATION OR WITHIN 2 DAYS IF CREATED WITHIN 39 DAYS. BEFORE AN ELECTION) CUAMENDMENT (MUST BE FILED WITHIN 10 DAYS OF ANY CHANGES. ENTER ONLY THOSE CHANGES FROM LAST D-1 ONEILE) CUREACTIVATING POLITICAL COMMITTEE'S DESIGNATION: ‘CANDIDATE POLITICAL COMMITTEE For purposes of conttbuton mits and reporting requirements a Candidate Poltical Commitee supporting a candidate for ‘multiple offces elected at ctferent elections must designate an alzcton cycle by iting the appropriate ofce. This office is POUTICAL ACTION COMMITTEE. Gi Poumca: Paty COMMITTEE BALLOT INMATIVE COMMITTEE. Dy INDEPENDENT-EXPENDITURE-ONLY Ps ** May not make drectcontibutone of coordinated expenditures. POLITICAL COMMITTEE'S AREA OF ACTIVITY, SCOPE, AND PARTY AFFILIATION. ‘A THIS COMMITTEE WILL PRIMARILY OPERATE IN THE FOLLOWING COUNTY(IES) OR DISTRICTS): (not appcabl i perang stlevite or supporingoppeing sllewde candidates cr alot iniebvs) B, POLITICAL PARTY AFFILIATION. . NAME AND ADORESS OF EACH SPONSORING ENTITY: PURPOSE OF THE POLITICAL COMMITTEE. To explore the prospect of the candidacy of Garry McCarthy for Mayor of Chicago [77 [eavorarere re commer surronTwa OR OPFoBWG F ArenOnG LSTA AGF TOOATSONTE) NAME AND ADDRESS [sureort | oPPose. OFFICE Garry MeCarthy 451 W. Huron Street Chicago, IL 60654 PARTY AFFIUATION. Moyoroftme city of chicago | Non-partisan IF MORE SPACE FOR INFORMATION iS REQUIRED, PLEASE ATTACH ADDITIONAL SHEETS. ‘THIS FORMMAY BE REPRODUCED PAGE10F2 Revises 70112COMMITTEE NAME ra cany Hear Fr hor Expt Comme | POLTCAL COMBAT BRATIICATION No Posmon AME MAILING ADDRESS, DAYTIME PHONE NUMBER, AND E-MAIL ADDRESS ‘i STN iin CHAIRMAN hago. Sse Brian McCormack Beas I treasuren| Bernadette McNally ceeeee IN, NAME & MAILING ADDRESS OF EACH CUSTODIAN OF THE COMMITTEE'S BOOKS AND ACCOUNTS. MAILING ADDRESS, DAYTIME PHONE NUMBER, AND E-MAIL ADDRESS "BAO eg Pak Road NAME Treasurer | Bemadette McNally IST OF ALL FINANCIAL INSTITUTIONS AND OTHER REPOSITORIES OF THE COMMITTEE FUNDS. OF AMENOING, LIST ALLAS OF TODAYS OATE NAME: 1 TWAILING AGDRESS AND PHONE NUMBER | 00 Norte Highway | Chicago, I 60631, ‘DISPOSITION OF RESIDUAL FUNDS IN THE EVENT OF DISSOLUTION OR TERMINATION OF THE COMMITTEE: G1 RETURN TO CONTRIBUTORS IN AMOUNTS NOT TO EXCEED THEIR INDIVIDUAL CONTRIBUTIONS. TBA "TRANSFER TO ANOTHER POLITICAL COMMITTEE: Cy TRANSFER TO A CHARITABLE ORGANIZATION: "AGE FOR INFORMATION IS REQUIRED, PLEASE ATTACH ADDITONAL SHEETS. ‘VERIFICATION: BALLOT INTIATIVE COMIITTEES ONLY eras on SGETER PRESTR crostini senet os Groamentok a Comes cae OTD Sermons ret Se eeacR rere renin rar coe convey mee cov ae neces n aren eos ron ee aE [PRINTED AND WRITTEN SIGNATURE OF COMMITTEE CHAIRPERSON. DATE, VERIFICATION: INDEPENDENT EXPENDITURE COMMITTEES ONLY poseune net a mes 1 wen ron Te cune ncerosope ormervass, tt COMBATING M0 SSE mr 8 See rma wares eras a ae SRAu eS On hte arias Pe Sera anes cae PRINTED AND WRITTEN SIGNATURE OF COMMITTEE CHAIRPERSON. DATE, ‘VERIFICATION: ALL POUTICALCOMMITTEES Poe Re EnCana ae "THE LNOIS STATE BOARD OF ELECTIONS REQUIRES THE USCLOSURE OF FORWATION THATS NEGESSIRY @ VOU GUAIPY AY APOUNEAL ComaTeE AS ‘Quruneo UNDER PUBLIC ACT 78113, WALFULFALURE TOFLE OR WALL FLING Cr PALSE OR NEOMDLETE MNFORMATON REGUIAEO BY Tis ARTICLE SHALL Constirste a eusmeSs OFFENSE SUSJEET TOAFNE Or Ur T sneaT Forha ts COMM AKCE MH Fe FOS HNNACEMENT PROGRAM ACT, ‘AL POUT RETURN TO “SIATE BOARO OF EETIONS ‘STATE Bongo or Buzcrons Dates R THOMPSON CENTER Skacarcrun ssowranoormasr ste 1e00 SPRINGrIELO. We27OE4503 ASS 008 tax 217-782-900 one siaaieous att IMELEC TIONS GO ONLY) secHOne mat CIRELECTIONS I GOVIO-6 ONLY) ‘Wweretoctonsiigov PAGE2 OF 2