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
