FEC Disclosure Form 1M for Checksmart Financial LLC Political Action CommitteeForm 1M for Checksmart Financial LLC Political Action Committee

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-461572

1. Checksmart Financial LLC Political Action Committee

7001 Post Road
Suite 200
al Action Committee, OH 43016

2. FEC Committee ID #: C00433805

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)	SUZANNE KOSMAS	House of Representatives	Florida/24	12/29/2009
(ii)	JOHN T SALAZAR	House of Representatives	Colorado/03	12/29/2009
(iii)	JIM MR. COSTA	House of Representatives	California/20	12/29/2009
(iv)	MICHAEL AVERY ROSS	House of Representatives	Arkansas/04	11/12/2009
(v)	RICHARD C SHELBY	Senate	Alabama/00	12/29/2009

(b) Contributors: The committee received a contribution from its 51st contributor on: 06/15/2009

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 04/11/2007

(d) Qualification: The committee met the above requirements on: 06/15/2009

Treasurer: Bridgette Caryn Roman
Date Signed: 04/15/2010

(End FEC FORM 1M)

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