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
30181,1973-09-21,1972-11-03,Seymour,"Thomas Fletcher , III",1991,1967-11-06,"Philip Van Slyck, Inc.",17 East 45th Street,Suite 406,New York,NY,10017