MUSCOGEE (CREEK) NATION NONSTOCK
CERTIFICATE OF DISSOLUTION
TO: MUSCOGEE (CREEK) NATION SECRETARY OF THE NATION
Okmulgee, OK 74447
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)
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
FILING FEE: $25.00