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 34915,1988-11-01,1980-05-12,Haddad,Jeanne K.,2567,1975-03-28,"William Cook Agency, Inc.",225 Water Street,Suite 1600,Jacksonville,FL,32202