FORM 1023-EZ for HUMAN RIGHTS FRATERNAL BENEFIT SOCIETY

Field Data
EIN 35-2685689
Case Number EO-2020084-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HUMAN RIGHTS FRATERNAL BENEFIT SOCIETY
Organization’s Mailing Address 8116 MOUNTAIN FOREST COURT
City LAS VEGAS
State NV
ZIP 89129
Accounting period End 12
Primary contact name DANIEL GABINO MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARLO DALBY
COMMISSIONER CEO
8116 MOUNTAIN FOREST COURT
LAS VEGAS NV 89129

Officer/Director/Trustee Two

DANIEL GABINO MARTINEZ
COMMISIONER EXTERNAL AFFAIRS OFFICE
8116 MOUNTAIN FOREST COURT
LAS VEGAS NV 89129

Officer/Director/Trustee Three

DENNIS RAY WELLS
COMMISSIONER VICE EXTERNAL AFFAIRS
7504 S CHESTER LANE
SAFFORD AZ 85546

Officer/Director/Trustee Four

DAVID WELLS
COMMISSIONER
7504 S CHESTER LANE
SAFFORD AZ 85546

Officer/Director/Trustee Five

ABELARDO JR MARTINEZ
COMMISSIONER
PO BOX 2350
PINETOP AZ 85935

Organization’s website
Organization’s email MARTINECQ@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2019
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y40 - Fraternal Beneficiary Societies
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANIEL GABINO MARTINEZ
Signature Title COMMISIONER EXTERNAL AFFAIRS OFFICE
Signature Date 3/22/2020

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