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
11017,1966-03-29,1964-09-24,Perlo,Victor,1613,1963-04-02,"Druzhinin, Alexander Nikolaevich",11 Riverside Drive,,New York,NY,