MUSCOGEE (CREEK) NATION
CERTIFICATE OF
RENEWAL, REVIVAL,
EXTENSION AND RESTORATION
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O.
Box 580
Okmulgee, OK 74447
(918) 549-2607
IF the corporation is a NOT FOR PROFIT corporation, the filing fee is $25.00.
The undersigned corporation, organized pursuant to the laws of Oklahoma, for the purpose of extension,
restoration, renewal or revival of its certificate of incorporation to Section 1120 of the Muscogee (Creek)
Nation General Corporation Act hereby certifies:
1. A. The name of the corporation is:
_____________________________________________________________________________________
B. In the event the corporation is to be renewed or revived under a new name because the
original corporation name is unavailable, the new name is:
_____________________________________________________________________________________
(Please note: The new name of the corporation MUST contain one of the following words: association,
company, corporation, club, foundation, fund, incorporated, institute, society, union, syndicate or
limited or one of the abbreviations co., corp., inc. or ltd.)
2. The name of the registered agent and the street address of the registered office in the Muscogee
(Creek) Nation is:
_____________________________________________________________________________________
Name of Agent Street Address City County Zip Code
(P.O. BOXES ARE NOT ACCEPTABLE)
3. The date of incorporation is:________________________________________________________
FILING FEE: $50.00
PRINT CLEARLY
4. The renewal, restoration, or revival is to be perpetual, OR if not perpetual, the time for which the
renewal, restoration, or revival is to continue is:________________; and, in case of renewal before the
expiration of the time limited for its existence, the date when the renewal is to commence is
_____________________(which shall be prior to the date of the expiration of the old certificate of
incorporation which it is desired to renew.)
5. The date when the certificate of incorporation would expire (if such is the case)
____________________ OR such other facts as may show that the certificate of incorporation has become
forfeited or that the validity of any renewal has been brought into question:
_____________________________________________________________________________________
_____________________________________________________________________________________
6. This certificate for renewal or revival is filed by authority of those who were directors or members
of the governing body of the corporation at the time its certificate or incorporation expired or who were
elected directors or members of the governing body of the corporation as provided for in subsection H of Title
3, Section 1120.
7. The corporation was originally organized pursuant to the laws of the Muscogee (Creek) Nation.
IN WITNESS WHEREOF, said corporation has caused this certificate to be signed by its last and
acting President or Vice President and attested by its last and acting Secretary or Assistant Secretary, this
_______ day of _______________, _______.
_________________________________
By _______President
_________________________________
(PLEASE PRINT NAME)
ATTEST:
_______________________________
By _______Secretary
_______________________________
(PLEASE PRINT NAME)