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 35695,1973-11-13,1965-06-25,Illenberger,Theodora,1408,1960-11-04,J. Sutherland Gould Associates,Old Logging Road,,Yorktown Heights,NY,10598