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
35273,1979-11-05,1976-04-30,Carlson,Jack Jay,2542,1974-10-24,Kearns International,155 Sansome Street,,San Francisco,CA,94104