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
39930,1972-12-31,1962-12-14,Clark,Nelly Burgos,1195,1959-01-29,Philippine Tourist & Travel Association,212 Stockton Street,,San Francisco,CA,94108