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
12755,1966-04-05,1965-02-23,Katzen,Maxwell E.,1772,1964-07-21,Groban & Rava,400 Madison Avenue,,New York,NY,10017