FEC Disclosure Form 1M for SENTRY INSURANCE A MUTUAL COMPANY FEDERAL POLITICAL ACTION COMMITTEEForm 1M for SENTRY INSURANCE A MUTUAL COMPANY FEDERAL POLITICAL ACTION COMMITTEE

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-957747

1. SENTRY INSURANCE A MUTUAL COMPANY FEDERAL POLITICAL ACTION COMMITTEE

10 EAST DOTY STREET
SUITE 701
MADISON, WI 53703

2. FEC Committee ID #: C00545194

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: ________________________
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:

	Name	Office Sought	State/District	Date
(i)			____/
(ii)			____/
(iii)			____/
(iv)			____/
(v)			____/

(b) Contributors: The committee received a contribution from its 51st contributor on: 07/01/2014

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 05/22/2013

(d) Qualification: The committee met the above requirements on: 09/22/2014

Treasurer: DWAYNE A GANTZ
Date Signed: 10/15/2014

(End FEC FORM 1M)

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