391234567
SCOT
123 N Main St
123 N Main St
Madison
WI
53708
WI
X
X
X
X
121212
Form3
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John
A
Doe
6085551212
John
A
Doe
Joe
2006-10-19
2006-10-19
2006-10-19
2006-10-19
2006-10-19
123456789
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391234567
Individual active
Joe
A
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0.12345678
123 N Main St
123 N Main St
Madison
WI
53708
WI
123456