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
21062,1986-06-30,1979-07-23,Sturtevant,Robert S.,3043,1979-07-23,"Martin, Marshall, Jaccoma & Mitchell Advertising, Inc.",41 Madison Avenue,,New York,NY,10010