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 8813,1996-03-01,1995-11-21,Niedermeyer,Jennifer Ann,3476,1983-05-25,One NorthEast,Meadows Corporate Center,"2850 West Golf Road, Suite 401",Rolling Meadows,IL,60008-4033