Fillable MUSCOGEE (CREEK) NATION NONSTOCK CERTIFICATE OF DISSOLUTION

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MUSCOGEE (CREEK) NATION NONSTOCK CERTIFICATE OF DISSOLUTION

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MUSCOGEE (CREEK) NATION NONSTOCK
CERTIFICATE OF DISSOLUTION
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
P.O.
Box 580
Okmulgee, OK 74447
(918) 549-2607
PLEASE NOTE: In the event of a dissolution of a not for profit corporation, a notice of dissolution has been
published one (1) time in a newspaper having general circulation in the county in which the principal place
of business of such corporation is located.
The undersigned, for the purpose of dissolving said corporation pursuant to Section 1097 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)
4. The date of dissolution was authorized:_______________________________________________
5. Check the applicable statement:
_____ The dissolution has been authorized by the governing body and members of the corporation.
_____ The dissolution has been authorized by a vote of the members of the corporation entitled to
vote for the election of its governing body.
_____ If there is not member entitled to vote thereon, the dissolution of the corporation has been
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authorized at a meeting of the governing body, upon the adoption of a resolution to dissolve
by the vote of a majority of members of its governing body then in office.
6. The names and addresses of its officers are:
NAME ADDRESS CITY STATE ZIP CODE
PRESIDENT __________________________________________________________________
VICE PRESIDENT _________________________________________________________________
SECRETARY _________________________________________________________________
ASST. SECRETARY _________________________________________________________________
TREASURER _________________________________________________________________
7. The names and addresses of its directors are:
NAME ADDRESS CITY STATE ZIP CODE
DIRECTOR _________________________________________________________________
DIRECTOR _________________________________________________________________
DIRECTOR _________________________________________________________________
IN WITNESS WHEREOF, said corporation has caused this certificate of dissolution to be executed this
_______ day of ____________________________, _______.
_________________________________
Signature
List Title_________________________
_________________________________
Type or Print Name
ATTEST:
________________________________
Signature
List Title_________________________
_________________________________
Type or Print Name
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MUSCOGEE (CREEK) NATION NONSTOCK CERTIFICATE OF DISSOLUTION

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Completed 1 February 2022

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