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Cherokee Nation TEROTribal Employment Rights Office Certification ApplicationThe following checklist is provided to ensure you have submitted all required items to receive consideration for certification.Incomplete applications will not be submitted. All applications shall be subject to a site visit. As of September 1, 2014,all applications will be required a 100 non-refundable application processing fee. If the business is certified, the firstyear certification fee will be waived.Single ProprietorDrivers LicenseCertificate of Degree of Indian Blood (CDIB)Tribal Membership CardFederal Identification Number on Social SecurityEquipment ListCurrent Financial StatementCurrent & Prior 2 years Federal Income Tax Returns (AI I Schedules)Copy of Bank Signature Card3 cancelled checks for accounts payableBusiness Loan InformationOne week’s cancelled payroll checksCopies of any Specialty License or Certificates 100 Processing Fee (Payable to TERO)TERO form C-1LLCArticles of Organization (showing state approval date)Copy of LLC CertificateTERO form P-1 and C-1Drivers LicenseCertificate of Degree of Indian Blood (CDIB)Tribal Membership CardFederal Identification Number or Social SecurityEquipment ListCurrent Financial StatementCurrent & Prior 2 years Federal Income Tax Returns (Al I Schedules)Copy of Bank Signature Card3 cancelled checks for accounts payableOne week’s cancelled payroll checksBusiness Loan InformationOperation AgreementCopies of any Specialty License or Certificates 100 Processing Fee (Payable to TERO)Please make sure application is complete and mail to:Cherokee Nation TEROPO Box 948Tahlequah, OK 74465CorporationArticles of Incorporation (Showing State Approval Date)Complete copy of by-lawsCertification of incorporationFront & Back copies of all issued and/voided stock certificatesMinutes of all corporate organizational meeting and allResolutions affecting ownershipComplete copy of stock transfer ledgers & stock registerProof of stock purchase (i.e. front & back copies of cancelledcheck, cashier’s check, money order, etc.)List of officers & numbers of sharesTERO form P-1 and C-1Drivers LicenseCertificate of Degree of Indian Blood (CDIB)Tribal Membership CardFederal Identification Number or Social SecurityEquipment ListCurrent Financial StatementCurrent & Prior 2 years Federal Income Tax Returns(AI I Schedules)Copy of Bank Signature Card3 cancelled checks for accounts payableOne week’s cancelled payroll checksCopies of any Specialty License or Certificates 100 Processing Fee (Payable to TERO)Partnership/Joint VenturePartnership/Joint Venture Agreement and AmendmentsTERO form P-1 and C-1Drivers LicenseCertificate of Degree of Indian Blood (CDIB)Tribal Membership CardFederal Identification Number or Social SecurityEquipment ListCurrent Financial StatementCurrent & Prior 2 years Federal Income Tax Returns(Al I Schedules)Copy of Bank Signature Card3 cancelled checks for accounts payableOne week’s cancelled payroll checksCopies of any Specialty License or Certificates 100 Processing Fee (Payable to TERO)Page 1

Cherokee Nation TEROTribal Employment Rights Office Certification ApplicationPer Legislative Act 01-04, to be certified as an Indian Owned Business by the Cherokee Nation TERO (TribalEmployment Rights Office), your business must meet these definitions:Section 4. O. “Indian-owned economic enterprise” shall mean any Indian-owned commercial, industrial, or business activity established ororganized for the purpose of profit, provided that such Indian ownership shall constitute not less than 51percent (51%) of the enterprise, and theownership shall encompass active operation and control of the enterprise.Section 4. M. “Indian” shall mean a person who is a member of a federally recognized Indian tribe and/or any person recognized as an Indian bythe United States pursuant to its trust responsibility to American Indians.1. Firm Identification:Federal Identification/Social Security No.Name of FirmDate of ApplicationMailing AddressCityStateZipType of Business: Single ProprietorCorporationLLCPartnershipPercent of Indian Ownership: (Must be 51% or more)Contact NameBusiness PhoneEmailBusiness Fax:Date firm was established: Number of Indian Employees: Non-IndianDirections to business location:PO Box 948 Tahlequah, OK 74465 (918) 453-5334Page 2

Cherokee Nation TEROTribal Employment Rights Office Certification Application2. Capital & Equipment:A.B.QuantityIdentify amount and source of original and present capital (e.g., contributed by owner, bank loan, or othertype of loan) If loan indicate name(s) of those legally bound to repay.Equipment: List all equipment pertaining to day-to-day operations and businessDescriptionPrice (Book value)How Obtained(Purchased, provided by owner, donated, etc.)Applicant may submit equipment list as Attachment - 2PO Box 948 Tahlequah, OK 74465 (918) 453-5334Page 3

Cherokee Nation TEROTribal Employment Rights Office Certification ApplicationDocumentation RequirementsTERO Form C-1Management1. Provide for each owner of more than 5% interest, all senior management personnel and members of the Board of Director the following:A. NameB. AddressC. Social Security NumberD. If Indian, Tribal Affiliation and Enrollment NumberE. Percentage of ownership2.3.4.5.6.7.Present position (description of all duties)Previous business experiencePrevious work experience in areas in which firm intends to engageEducation and TrainingOther jobs presently heldControl of Company:A. Identify nameB. RaceC. SexD. Title in company those individuals (owners and non-owners) who are responsible for day to day management,including, but not limited to, those with prime responsibility for:a. Financial decisionsb. Management decisions, such as: Marketing & Sales Hiring & Firing Purchase of major equipment & supplies Supervision of field personnel8.Describe or attach any stock options or other ownership options that are outstanding, and any agreements betweenowners & third parties, which restrict ownership or control of Indian owners.9. A sworn statement of the proper officer indicating:A. The total number of share of the capital stock actually issued and the amount of cash paid into the treasury on each sharesold: or, if paid in property, the kind, quantity and value of the same per share.B. Of the stock sold, how much remains unpaid and subject to assessment?FORM C-1PO Box 948 Tahlequah, OK 74465 (918) 453-5334Page 4

Cherokee Nation TEROTribal Employment Rights Office Certification ApplicationTERO Form P-1Documentation Requirements1.Provide for each Owner:A. NameB. AddressC. Tribal AffiliationD. Enrollment NumberE. Percent of OwnershipF. Amount of InvestmentG. Method of Investment Cash EquipmentH.Loan information or promissory note indicating who the loan is fromI.Percent of voting control and position in the firmJ.Name of all other firms in which the owner holds or has within the past year an ownership interest (otherthan publicly-held corporations and similar ownerships solely for investment) or a management position.2. List any management fee, equipment rental, bonuses or other arrangements that will provide payment to non-Indianowners beyond their share of profits and salaries, as indicated above.3. Identify any owner or management official of the named company who is or has been an employee of anothercompany that has an ownership interest in or a present business relationship with said company; present businessrelationships include shared space, equipment, financing, or employees as well as both companies having some of thesame owners.4.Indicate if this company or other companies with any of the same officers have previously received or been deniedcertification or participation as an Indian preference firm and describe the circumstances. Indicate the name of thecertifying authority and the date of such certification or denial.FORM P-1PO Box 948 Tahlequah, OK 74465 (918) 453-5334Page 5

Cherokee Nation TEROTribal Employment Rights Office Certification ApplicationCertificationI do solemnly declare and affirm that the contents of the foregoing documents ae true and correct and include allinformation necessary to identify and explain the operation of (Nameof Business), as well as the ownership therof. The undersigned in addition swears that this business is at least 51%owned by one or more members of a federally recognized Tribe whose management and daily business operation arecontrolled by one or more such individuals.Any material misrepresentation will be grounds for denial or revocation or certification by members of the CherokeeNation TERO. By executing this certification I hereby submit to the jurisdiction of the Cherokee Nation Courts.(Signature)(Date)(Print or Type Name)(Title)On this day of , 20 before me appeared applicant, who being duly sworn did execute the foregoing affidavit, and didstate that she/he was properly authorized by(Name of business)To execute the affidavit and did so as her/his free act and deed.(Notary Signature and Seal)(Date)Page 6

Cherokee NationTribal Employment Rights OfficeMaster Skills ListAboveground anufacturing/SalesAccounting ce/Repair/SalesAquaponic Greenhouse/SuppliesAquaponic Art crete-StripingAsphalt-PavingAsphalt-Seal CoatingAsphalt-SweepingAsset Inspections-AerialATM-Full ServiceAttorney at LawAuction-GeneralAuthorAutomobile-Body WorkAutomobile-DetailingAutomobile-Emergency Vehicle OutfittingAutomobile-GlassAutomobile-New TiresAutomobile-Used SalesAviation-ServicesBackground ChecksBakeryBankBanquets/EventsBeauty SalonBeef-ProducerPage 1Behavioral Health/CounselingBlueprint ar WashCarpet ockCell TowersCeramic Art offee-SalesCommunity ta StorageComputer-IT er-Research & DevelopmentComputer-SalesComputer-Software oncrete-Pads/Flat ion/Millwork-Trim Commercial/General ContractorConstruction-Commercial Management8/13/2019

Cherokee NationTribal Employment Rights OfficeMaster Skills ListConstruction-EIFS (Exterior Insulation Finish Systems)Construction-Inspection ServiceConstruction-Metal BuildingsConstruction-Metal FramingConstruction-Residential/General ion-Residential ManagementConstruction-Roads tion-Wood FramingConvenience StoreCounter Tops-SalesCourier/DeliveryCrane Rental ServicesCrane ServicesDance StudioData Storage MediaData Systems-ConsultingDaycare CenterDefensive eneral & SuppliesDrug & Alcohol-AssessmentsDrug Screening/TestingDrywall FinishingDrywall sElectrical-ContractorElectrical-High VoltageElectrical-SuppliesPage ingEnvironmental & Industrial Odor ion-Site Prep/DemolitionExcavation-Site UtilitiesExcavation-Snow RemovalExcavation-Storm al-InvestmentsFire Equipment-Sales/ServiceFire Restoration & CleaningFire Wood/Pallets-SalesFleet Management MaintenanceFloor Cleaning-Hard Food Concession and CateringFood Custom e8/13/2019

Cherokee NationTribal Employment Rights OfficeMaster Skills ListG.P.S. BraceletsGames-ArcadeGaming ass-SalesGraphic DesignHardware StoreHay Baling/Brush HoggingHead Stone/MemorialsHeavy Equipment-Moving/SettingHeavy Equipment-Sales/Supplies/LeasingHeavy Equipment-ServiceHome es-Party calInsuranceIron Work-Custom/ArtJanitorial-SuppliesJewelryLand Development-CommercialLand Development-ResidentialLand Mapping (Orthomosaic, Topographical-Aerial)Landscaping-Commercial scaping-Residential IrrigationLandscaping-Sod Sales/InstallationLandscaping-SuppliesLaundry-Dry Cleaning/AlterationsLaundry-Industrial LinenLawn & Garden-Supplies/Sales/ServicePage 3Lawn Work/MowingLawn lLighting-ResidentialLinen-SalesLiquor DistributorLitigation Support pliesLocksmith-Rekey/InstallationLumber YardLumber-Sales/SuppliesMachine Job ShopMachine Job Shop-Control PanelsMachinery-Metal nt-ProjectManagement-PropertyMarble/Granite age TherapistMattresses-SalesMedia ServicesMedical-Doctor/SurgeonMedical l Service-Ambulance/NEMTMedical-SuppliesMerchant ServicesMining PermitsMobile struments8/13/2019