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 5968,1988-02-02,1981-01-07,Szaz,Zoltan Michael,3187,1981-01-07,"Szaz, Zoltan Michael",6415 Franconia Court,,Springfield,VA,22150