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 34588,2009-10-31,2008-10-09,Footlik,Jay,5886,2008-10-09,"Footlik, Jay",3035 Meeting Street,,Falls Church,VA,22044