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 6166,1976-02-05,1976-02-05,"Henry, Jr.",Rene A.,2657,1976-02-05,ICPR,9255 Sunset Boulevard,Eiighth Floor,Los Angeles,CA,90069