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 4948,1973-01-31,1973-12-05,Sassine,Claude,1901,1965-06-16,Haiti Government Tourist Bureau,C/O Consulate General of Haiti,271 Madison Avenue 17th Floor,New York,NY,10017