Sos Form 101a 01/13 - Registration Statement Of Charitable Organization - Oklahoma Secretary Of State Page 4

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EXECUTION AND ACKNOWLEDGMENT
Any registration form required to be filed under this section shall be executed by signature, without more, of the
person or persons signing the form.
I, the undersigned, under penalty of perjury, have caused this registration to be executed this _____ day of
_____________, _______; and that the contents of the application are true and complete.
Signature
Type or Print Name
Title
Page 4 of 4
(SOS FORM 101-01/13)

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