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FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-114692

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1. INTUIT 21ST CENTURY LEADERSHIP FUND

    2700 Coast Avenue
    Mountain View, CA 94043

    NOTE: Address is different than previously reported

    Fax: 6509442933
    Email: rina_heinze@intuit.com

2. Date: 04/08/2004

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

Affiliated Committees/Organizations

Custodian of Records:

Ms Mary Peterson
4292 Littleworth Way
San Jose, CA 95135
Title: Budget Manager
Phone # (650) 944-2772

Treasurer:

Ms Rina Heinze
1730 Holt Avenue
Los Altos, California 94024
Title: Finance Manager
Phone # (650) 944-5909

Designated Agent(s):

Banks or Depositories

Signed: Ms Rina Heinze
Date Signed: 04/12/2004
Official Committee FAX: 6509442933

(End FEC FORM 1)

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