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 32317,1967-10-05,1964-06-16,Dobrich,Joseph J.,1602,1963-02-28,"Bloch, Henry S.",555 Madison Avenue,,New York,NY,10022