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FEC Form 1 for Intuit 21st Century Leadership FundForm 1 for Intuit 21st Century Leadership Fund

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-182929


1. Intuit 21st Century Leadership Fund

    2700 Coast Avenue
    Mountain View, CA 94043
    Fax: 6509442988

2. Date: 07/29/2005

3. FEC Committee ID #: C00361741 This committee is a Separate Segregated Fund

Affiliated Committees/Organizations

Custodian of Records:

Mary Peterson
4292 Littleworth Way
San Jose, CA 95135
Title: Custodian of Records
Phone # (650) 944-2772

Treasurer:

Joaquin Portugal
4410 Borina Dr
San Jose, California 95129
Title: Treasurer
Phone # (650) 944-3666

Designated Agent(s):

Banks or Depositories

Signed: Joaquin Portugal
Date Signed: 07/29/2005
Official Committee FAX: 6509442988

(End FEC FORM 1)


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