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 13364,1968-04-15,1968-02-15,Butler,"Thomas B. , Jr.",1648,1963-07-19,"Sontheimer Hazlett, Ltd.",275 Seventh Avenue,,New York,NY,100016788 29566,1970-09-11,1968-02-15,Fleur,Marcie Anne La,1648,1963-07-19,"Sontheimer Hazlett, Ltd.",275 Seventh Avenue,,New York,NY,100016788