Sqhaak Dmoknxmems Rhfgss Nex00660069be Beqshx00660069bashnm AookhbashnmCherokee Nation TEROPes Legismative Act 0105 to be cestix00660069ee as an Ineian Ownee Business by the Chesokee Nati ID: 819274
Download Pdf The PPT/PDF document "PO Box 948 • Tahlequah, OK 74465 ..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
PO Box 948 • Tahlequah, OK 74465
PO Box 948 • Tahlequah, OK 74465 | (918) 453-5334 Page 2 Sqhaak Dmoknxmems Rhfgss Ne�be | Beqsh�bashnm AookhbashnmCherokee Nation TEROPes Legismative Act 01-05, to be cesti�ee as an Ineian Ownee Business by the Chesokee Nation TERO )Tsibam Empmoyment Rights Of�ce), yous business must meet these ee�nitions:Section 5. O. “Indian-owned economic enterprise” shall mean any Indian-owned commercial, industrial, or business activity established or osganizee fos the puspose of pso�t, psovieee that such Ineian ownesship shamm constitute not mess than 61pescent )61&) of the entespsise, ane the ownership shall encompass active operation and control of the enterprise. “Indian” shall mean a person who is a member of a federally recognized Indian tribe and/or any person recognized as an Indian by the United States pursuant to its trust responsibility to American Indians.Feeesam Ieenti�cation/Sociam Secusity No. _____________________________________ Date of AppmicationMailing Address City State
ZipType of Business: _________ Sin
ZipType of Business: _________ Singme Psopsietos _________ Cosposation _________ LLC __________ PastnesshipPescent of Ineian Ownesship: __________ )Must be 61& os mose)Date �sm was estabmishee: ___________________________ Numbes of Ineian Empmoyees: __________ Non-Ineian ____________Disections to business mocation:Sqhaak Dmoknxmems Rhfgss Ne�be | Beqsh�bashnm AookhbashnmPO Box 948 • Tahlequah, OK 74465 | (918) 453-5334 Page 3 Cherokee Nation TEROA. Ieentify amount ane sousce of osiginam ane psesent capitam )e.g., contsibutee by ownes, bank moan, os othes type of moan) If moan ineicate name)s) of those megammy boune to sepay.B. Equipment: List amm equipment pestaining to eay-to-eay opesations ane businessAppmicant may submit equipment mist as Attachment - 2)Book vamue) )Puschasee, psovieee by ownes, eonatee, etc.)Iow ObtaineeSqhaak Dmoknxmems Rhfgss Ne�be | Beqsh�bashnm AookhbashnmPO Box 948 • Tahlequah, OK 74465 | (918) 453-5334 Page 4 Cherokee Nation TEROTERO Fosm C-1 Documentation RequirementsManagement
1. Psoviee fos each ownes of mose tha
1. Psoviee fos each ownes of mose than 6& intesest, amm senios management pessonnem ane membess of the Boase of Disectos the fommowing:A. Name Address . Sociam Secusity Numbes. If Ineian, Tsibam Af�miation ane Ensommment Numbes Pescentage of ownesship2. Psesent position )eescsiption of amm euties)3. Psevious business expesience5. Psevious wosk expesience in aseas in which �sm intenes to engage6. Eeucation ane Tsaining7. Othes kobs psesentmy heme7. Control of Company: A. Identify name Race C. Sex. Titme in company those ineivieuams )owness ane non-owness) who ase sesponsibme fos eay to eay management, including, but not limited to, those with prime responsibility for: a. Financial decisions . Management decisions, such as: 8. Describe or attachany stock options os othes ownesship options that ase outstaneing, ane any agseements between owness & thise pasties, which sestsict ownesship os contsom of Ineian owness.:. A swosn statement of the psopes of�ces ineicating: The totam numbes of shase of the capitam stock actuammy issuee ane the amount of cash paie into the tseasusy on each
shase os, if paie in psopesty, the kine
shase os, if paie in psopesty, the kine, quantity ane vamue of the same pes shase. Of the stock some, how much semains unpaie ane subkect to assessment?Sqhaak Dmoknxmems Rhfgss Ne�be | Beqsh�bashnm AookhbashnmPO Box 948 • Tahlequah, OK 74465 | (918) 453-5334 Page 5 Cherokee Nation TEROTERO Fosm P-1 Documentation Requirements1. Psoviee fos each Ownes: A. Name B. Address C. Tsibam Af�miation D. Ensommment Numbes E. Pescent of Ownesship F. Amount of Investment G. Method of Investment • Cash • Equipment I. Loan infosmation os psomissosy note ineicating who the moan is fsomescent of voting contsom ane position in the �smwnes homes os has within the past yeas an ownesship intesest )othes than pubmicmy-heme cosposations ane simimas ownesships somemy fos investment) os a management position.2. List any management fee, equipment sentam, bonuses os othes assangements that wimm psoviee payment to non-Ineian owness beyone theis shase of pso�ts ane samasies, as ineicatee above.3. Ieentify any ownes os management
of�ciam of the namee company
of�ciam of the namee company who is os has been an empmoyee of anothes company that has an ownership interest in or a present business relationship with said company; present business semationships incmuee shasee space, equipment, �nancing, os empmoyees as wemm as both companies having some of the same owners.5. Ineicate if this company os othes companies with any of the same of�cess have pseviousmy seceivee os been eeniee cesti�cation os pasticipation as an Ineian psefesence �sm ane eescsibe the ciscumstances. Ineicate the name of the cestifying authosity ane the eate of such cesti�cation os eeniam.Sqhaak Dmoknxmems Rhfgss Ne�be | Beqsh�bashnm AookhbashnmCherokee Nation TEROI eo somemnmy eecmase ane af�sm that the contents of the fosegoing eocuments ae tsue ane cossect ane incmuee amm infosmation necessasy to ieentify ane expmain the opesation of __________________________________ )Nameof Business), as wemm as the ownesship thesof. The uneessignee in aeeition sweass that this business is at meast 61& owned by one or more members of a federally recognized Tribe whose management and daily business operation are controlled by one or more such
individuals.Any matesiam missepsesentati
individuals.Any matesiam missepsesentation wimm be gsounes fos eeniam os sevocation os cesti�cation by membess of the ChesokeeNation TERO. By executing this cesti�cation I heseby submit to the kusiseiction of the Chesokee Nation Cousts.On this ____________________ eay of _____________________, 20____ befose me appeasee appmicant_______________________________________, who being eumy swosn eie execute the fosegoing af�eavit, ane eiestate that she/he was psopesmy authosizee by ___________________________________________________ To execute the af�eavit ane eie so as hes/his fsee act ane eeee.______________________________________________ _________________________ )Notasy Signatuse ane Seam) )Date)__________________________________________ ___________________________ )Signatuse) )Date) )Psint os Type Name)4444444444444444444444444444Sqhaak Dmoknxmems Rhfgss Ne�be | Beqsh&
#x00660069;bashnm AookhbashnmCherokee N
#x00660069;bashnm AookhbashnmCherokee Nation TERO Akk aookhbashnms sgakk ae staiebs sn a shse uhshs- As of September 1, 2014, akk aookhbashnms vhkk ae qepthqec a $0// mnm,qeetmcaake aookhbashnm oqnbesshmf eee- Ie sge atshmess hs beqsh�ec, sge �qss xeaq beqsh�bashnm eee vhkk ae vahuecDrivers LicenseCesti�cate of Degsee of Ineian Bmooe )CDIB)!"#$%&##'()*+%,Storage FacilityStorm Sewer InstallationEEEEEEVideo Conferencing-Equipment/ServiceEEEVideo ProductionsEEEVideo SurveillanceEEEWall Paper-Installation EEEWall Paper SalesEEEWaste Management-Sales/ServiceEEEWater Boiler/Chiller-Sales/ServiceEEEWater Dispenser-Sales/Service/RentalsEEEWaterline InstallationEEEWaterproofingEEEWater Pump-Sales/ServiceEEEWater-Restoration & ExtractionsEEEWater-Treatment PlantsEEEWater-Treatment ServiceEEEWater-Well DrillingEEEWater-Well-Sales/ServiceEEEWeb Design-InteractiveEEEWebsite Design & E MarketingEEEWelding-General/Supplies/EquipmentEEEWildlife Control-Animal, Bird, Rodant EEEWindows-CleaningEEEWindows-CustomEEEWindows-InstallationEEEWindows-RepairEEEWindows-SuppliesEEEWine-Distribution/SalesEEEWinery ProductionEEEWire RopeEEEWrecker Service/Towing!"#$%&##'()*+%,EEEPatio CoversEEEPercolations TestEEEPharmacyEEEPhotography-AerialEEEPhotography-
GeneralEEEPipeline Employee ServicesEEEP
GeneralEEEPipeline Employee ServicesEEEPlexiglasEEEPlotters-ServiceEEEPlumbing-ContractorEEEPlumbing-SuppliesEEEPorta PottiesEEEPoultry Grower EEEPower Washing-Sales/ServiceEEEPrinters-ServiceEEEPrinting-BlueprintsEEEPrinting-Custom (in house printers only)EEEPrinting-FormsEEEPrivate InvestigationEEEPromotional ItemsEEEPropane-Supplies/SalesEEEPublishingEEEReal Estate-AbstractsEEEReal Estate-AppraisalEEEReal Estate-ConsultingEEEReal Estate-Rental PropertyEEEReal Estate-SalesEEERecycling-Computers/CartridgesEEERecycling-Metals EEERecycling-Paper/Plastic/GlassEEERehabilitation Massage TherapyEEERemediation-AsbestosEEERemediation-Lead Base Paint Inspection/RemovalEEERemediation-MoldEEERemediation-WaterEEERestaurantEEERestaurant/Bar Equipment-Sales/SuppliesEEERestaurant/CateringEEERetail Store-ClothingEEERetail Store-FirearmsEEERoofing-Gravel/Fiberglass ShinglesEEERoofing-Hot Asphalt/TPOEEERoofing-KevlarEEERoofing-Metal/Guttering EEERoofing-SuppliesEEERoofing-Wood ShinglesEEESafety TrainingEEESalon/Barber Shop/SuppliesEEESandblastingEEESanitary Sewer InstallationEEESatellites-InstallationEEEScreen Printing (In House)EEESecurityEEESecurity-Alarm SystemsEEESeptic Tank-SalesEEESeptic Tank-Service/PumpingEEESewage Treatment Plants-ConstructionEEESheet Metal-Sales/SuppliesEEESiding-Me
talEEESiding-VinylEEESiding-WoodEEESigns
talEEESiding-VinylEEESiding-WoodEEESigns-BillboardsEEESigns-CommercialEEESigns-WindowEEESilk ScreeningsEEESludge-RemovalEEESmall Engine-Sales/ServiceEEESmoke ShopEEESober Living HomeEEESoil StabilizationEEESpeech-TherapyEEESporting GoodsEEESports OfficiatingEEEStaffing Service/RecruitingEEESteel-ErectionEEESteel-FabricationEEESteel-Stainless Steel FabricationEEESteel-SuppliesEEEStorage Building-Sales!"#$%&##'()*+%,EEEHardware StoreEEEHay Baling/Brush HoggingEEEHead Stone/MemorialsEEEHeavy Equipment-Moving/SettingEEEHeavy Equipment-Sales/Supplies/LeasingEEEHeavy Equipment-ServiceEEEHome Health/HospiceEEEHotel/HospitalityEEEHousekeeping-Service/CleaningEEEHunter/Gun-SafetyEEEHVAC-Installation/RepairEEEHVAC-SuppliesEEEIndustrial-Supplies EEEInsulation-Install/RemoveEEEInsulation-MechanicalEEEInsuranceEEEIron Work-Custom/ArtEEEJanitorial-SuppliesEEEJewelryEEELand Development-CommercialEEELand Development-ResidentialEEELandscaping-Commercial IrrigationEEELandscaping-Mowing/Trimming/PlantingEEELandscaping-Residential IrrigationEEELandscaping-Sod Sales/InstallationEEELandscaping-SuppliesEEELaundry-Dry Cleaning/AlterationsEEELaundry-Industrial LinenEEELawn & Garden-Supplies/Sales/ServiceEEELawn Work/MowingEEELawn Work-SprayingEEELighting-CommercialEEELighting-IndustrialEEELighting-
ResidentialEEELinen-SalesEEELiquor Distr
ResidentialEEELinen-SalesEEELiquor DistributorEEELivestock-Buyer EEELivestock-Sales EEELivestock-SuppliesLocksmith-Rekey/Installation Lumber Yard EEE!"#$%&##'()*+%,EEEEEEems) EEEConstruction-Roads /MaterialsConstruction-Wood Framing Store Rental ServicesServicesStudioStorage MediaSystems-ConsultingDaycare CenterDefensive TrainingDental-Sales/Equipment/Supplies& Outpatient Alcohol-AssessmentsDrywall FinishingInstallationEducational-ConsultingElectrical-SuppliesEEEEEEEngravingEEEEntertainment-BookingEEEEnvironmental & Industrial Odor ControlEEEEnvironmental-Assessment EEEEnvironmental-ConsultingEEEEnvironmental-TestingEEEExcavation-MiningEEEExcavation-Site Prep/DemolitionEEEExcavation-Site UtilitiesEEEExcavation-Snow RemovalEEEExcavation-Storm Drainage/WaterEEEExtermination-PestEEEExtermination-PlantEEEFencing-InstallationEEEFencing-Sales/SuppliesEEEFinancial-InvestmentsEEEFire Equipment-Sales/ServiceEEEFire Restoration & CleaningEEEFire Wood/Pallets-SalesEEEFleet Management MaintenanceEEEFloor Cleaning-Hard SurfacesEEEFlooring-InstallationEEEFlooring-SalesEEEFloristEEEFood Concession and CateringEEEFood Service-Sales/SuppliesEEEFoundation-RepairsEEEFurniture-Custom MadeEEEFurniture-HomeEEEFurniture-MedicalEEEFurniture-OfficeEEEG.P.S. BraceletsEEEGames-ArcadeEEEGaming Ma
chinesEEEGeologistEEEGlass-InstallationE
chinesEEEGeologistEEEGlass-InstallationEEEGlass-RepairsEEEGlass-SalesEEEGraphic Design!"#$%&##'()*+%,EEEAboveground Tanks-Inspection/Install/ServiceEEEAccounting ServicesEEEEEEAcupuncturistEEEEEEEEEEEEAgricultural-Equipment/Sales/SuppliesEEEEEEAppliance-Commercial-Service/Repair/SalesEEEEEEAppliance-Home-Service/Repair/Sales EEEEEEArchitectEEEEEEArt-Commercial/GraphicEEEEEEEEEEEEArt-SuppliesEEEEEEAsphalt/Concrete-StripingEEEEEEAsphalt-PavingEEEEEEAsphalt-Seal CoatingEEEEEEAsphalt-SweepingEEEEEEATM-Full ServiceEEEEEEAttorney at LawEEEEEEAuction-GeneralEEEEEEAuthorEEEEEEAutomobile-Body WorkEEEEEEAutomobile-DetailingEEEEEEAutomobile-Emergency Vehicle OutfittingEEEEEEAutomobile-GlassEEEEEEAutomobile-New Sales/SuppliesEEEEEEAutomobile-Service/RepairEEEEEEAutomobile-Tires EEEEEEAutomobile-Used SalesEEEEEEAviation-ServicesEEEEEEEEEEEEBakeryEEEEEEBank EEEEEEBanquets/EventsEEEEEEBeauty SalonEEEEEEBehavioral Health/CounselingEEEEEEBlueprint Machine-Service/SalesEEEBooks-SuppliesEEEEEECabinets-Design/BuildEEEEEECabinets-InstallationEEEEEECabling-InfrastructureEEECarpet CleaningCarports-SalesConstruction-EIFS (Exterior Insulation Finish SystConstruction-Inspection Servi