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
26744,1996-08-15,1978-05-08,Kallman,Gerald G.,2897,1978-05-08,"Kallman, Gerald G.",20 Harrison Avenue,,Waldwick,NJ,07463-1709