FORM 1023-EZ for CECIL LAWRENCE POTTER COMMUNITY YOUTH RANCH INC

Field Data
EIN 47-5005793
Case Number EO-2021260-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CECIL LAWRENCE POTTER COMMUNITY YOUTH RANCH INC
Organization’s Mailing Address 110 W 56TH STREET NORTH
City TULSA
State OK
ZIP 74126
Accounting period End 12
Primary contact name CHERYL WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARION POTTER
PRESIDENT
110 W 56TH STREET NORTH
TULSA OK 74126

Officer/Director/Trustee Two

MARLA MAYBERRY
VICE PRESIDENT
110 W 56TH STREET NORTH
TULSA OK 74126

Officer/Director/Trustee Three

PAULA TEASE
FINANCIAL SECRETARY
110 W 56TH STREET NORTH
TULSA OK 74126

Officer/Director/Trustee Four

CHERYL WRIGHT
PROGRAM DIRECTOR
110 W 56TH STREET NORTH
TULSA OK 74126

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CHERYL WRIGHT
Signature Title PROGRAM DIRECTOR
Signature Date 9/15/2021
EIN 47-5005793
Case Number EO-2015257-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CECIL LAWRENCE POTTER COMMUNITY YOUTH RANCH INC
Organization’s Mailing Address 110 WEST 56TH STREET NORTH
City TULSA
State OK
ZIP 74126
Accounting period End 12
Primary contact name BIRDIE CLIFTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MC POTTER
CHAIRMAN AND DIRECTOR
110 WEST 56TH STREET NORTH
TULSA OK 74126

Officer/Director/Trustee Two

PAULA TEASE
TREASURER AND DIRECTOR
1821 EAST YOUNG STREET
TULSA OK 74110

Officer/Director/Trustee Three

BIRDIE CLIFTON
DIRECTOR
218 EAST 58TH STREET NORTH
TULSA OK 74126

Officer/Director/Trustee Four

WILLIE WILSON
DIRECTOR
911 EAST 66TH STREET NORTH
TULSA OK 74126

Officer/Director/Trustee Five

ANNETTE COMBES
DIRECTOR
1163 NORTH VANCOUVER
TULSA OK 74127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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