rowid,Short_Form_Termination_Date,Short_Form_Date,Short_Form_Last_Name,Short_Form_First_Name,Registration_Number,Registration_Number_label,Registration_Date,Registrant_Name,Address_1,Address_2,City,State,Zip 33058,1985-10-17,1984-01-23,Berke,Terry,3553,"Lawson, Francis Norman",1984-01-23,"Lawson, Francis Norman",34 Maple Street,,Summit,NJ,07901