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
12763,1966-04-05,1964-08-11,Rubenstein,Bernard Wolf,1772,1964-07-21,Groban & Rava,400 Madison Avenue,,New York,NY,10017