Fillable CERTIFICATE OF DISSOLUTION

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CERTIFICATE OF DISSOLUTION

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CERTIFICATE OF DISSOLUTION
(Before the Issuance of Shares or Beginning Business)
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O.
Box 580
Okmulgee, OK 74447
(918) 549-2607
The undersigned, being a majority of the incorporators, or, if directors were named in the original certificate
of incorporation or have been elected, a majority of the directors, of the corporation hereinafter named, for
the purpose of dissolving said corporation pursuant to Section 1095 of the Muscogee (Creek) Nation General
Corporation Act, hereby certifies:
1. The name of the corporation is:
_____________________________________________________________________________________
2. The date of incorporation of such corporation is:_______________________________________
3. The name of its registered agent and the street address of its registered office in the Muscogee (Creek)
Nation is:
_____________________________________________________________________________________
Name Street Address City County Zip Code
(P.O. BOXES ARE NOT ACCEPTABLE)
CHECK APPLICABLE STATEMENT IN THE FOLLOWING:
4. _______ No shares of stock have been issued.
OR
_______ The business or activity for which the corporation was organized has not begun.
5. _______ No part of the capital of said corporation has been paid.
OR
FILING FEE: $50.00
PRINT CLEARLY
_______ If some capital has been paid, the amount, if any, actually paid in for its shares, less any
part thereof disbursed for necessary expenses, has been returned to those entitled thereto.
6. _______ If the corporation has begun business but it has not issued shares, all debts of the
corporation have been paid.
OR
_______ If the corporation has not begun business but has issued stock certificates, all issued stock
certificates, if any, have been surrendered and canceled.
7. All rights and franchises of the corporation are surrendered.
MAJORITY OF INCORPORATORS OR DIRECTORS MUST SIGN BELOW
IN WITNESS WHEREOF, we have hereunto set our respective hands this _______ day of
_______________, _______.
__________________________ __________________________
SIGNATURE Please Print Name and Title
__________________________ __________________________
SIGNATURE Please Print Name and Title
__________________________ __________________________
SIGNATURE Please Print Name and Title
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CERTIFICATE OF DISSOLUTION

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Completed 1 February 2022

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