Fillable CERTIFICATE OF MERGER OR CONSOLIDATION

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CERTIFICATE OF MERGER OR CONSOLIDATION

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CERTIFICATE OF MERGER OR CONSOLIDATION
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O. Box 580
Okmulgee, OK 74447
(918) 549-2607
SPECIAL INSTRUCTIONS: Submit this form to file a merger or consolidation pursuant to the Muscogee (Creek)
Nation General Corporation Act. Please consult this Act carefully. Use this form ONLY when each constituent
corporation is a MUSCOGEE (CREEK) NATION corporation.
FILING FEE: IF the authorized capital of the surviving or resulting corporation is increased to a figure greater than
the combined authorized capital of all corporations involved plus $50,000.00, the filing fee shall be equal to one-tenth
of one percent (1/10th of 1%) of such increase. IF the surviving corporation is a NOT FOR PROFIT corporation, the
filing fee shall be $25.00.
A. The Agreement of Merger or Consolidation, adopted, approved, certified, executed, and acknowledged by each
of the constituent corporations in accordance with the Muscogee (Creek) Nation General Corporation Act, is
ATTACHED HERETO.
OR
B. In lieu of filing, an executed agreement of merger or consolidation the surviving or resulting corporation hereby
states and certifies as follows:
1. The name and state of incorporation of each of the constituent corporations are:
NAME OF CORPORATION STATE OF INCORPORATION
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
2. An agreement of merger or consolidation (circle one) has been approved, adopted, certified, executed and
acknowledged by each of the constituent corporations in accordance with the provisions of Section 1081C of
the Muscogee (Creek) Nation General Corporation Act.
3. The name of the surviving or resulting corporation is:
_____________________________________________________________________________________________
FILING FEE:
$100.00 - Minimum
PRINT CLEARLY
4. Check the statement applicable to the merger or consolidation:
9 No amendments or changes are desired so that the certificate of incorporation of the surviving
corporation shall be its certificate of incorporation.
9 Any amendments or changes in the certificate of incorporation of the surviving corporation as are
desired to be effected by the terms of the merger are set out in an attachment hereto.
9 The certificate of incorporation of the corporation resulting from the consolidation is set forth in an
attachment hereto.
5. The executed agreement of merger or consolidation is on file at the principal place of business of the surviving
corporation at the following address:
_____________________________________________________________________________________________
STREET ADDRESS CITY STATE ZIP CODE
6. A copy of the agreement of merger or consolidation will be furnished by the surviving corporation, on request
and without cost, to any shareholder of any constituent corporation.
IN WITNESS WHEREOF, the surviving or resulting corporation has caused this certificate of merger or
consolidation to be executed by its President or Vice President and attested by its Secretary or Assistant Secretary this
_______ day of ___________________, _______.
____________________________________
By its _______ President
____________________________________
Please Print Name
ATTEST:
______________________________________
By its _______ Secretary
______________________________________
Please Print Name
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CERTIFICATE OF MERGER OR CONSOLIDATION

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Completed 1 February 2022

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