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 16544,1971-05-17,1970-03-03,Allen,Charles,2191,1970-03-03,Allen/Van Slyck Group,1041 Third Avenue,,New York,NY,10021 16545,1971-05-17,1970-03-03,Van Slyck,Philip,2191,1970-03-03,Allen/Van Slyck Group,1041 Third Avenue,,New York,NY,10021