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
4090,1979-01-19,1978-12-22,Southwick,Jessie C.,2986,1978-12-22,Shea & Gould,330 Madison Avenue,,New York,NY,10017