rowid,Short_Form_Termination_Date,Short_Form_Date,Short_Form_Last_Name,Short_Form_First_Name,Registration_Number,Registration_Date,Registrant_Name,Address_1,Address_2,City,State,Zip
28766,1965-09-01,1966-01-20,Coleman,"Michael J. , Jr.",1953,1966-01-20,"Dube, Kotsho Lloyd","467 Central Park, West",Apartment 9D,New York,NY,10025