<?php
$contents = '1234 FIRSTNAME LASTNAME M 4321
1345 LASTNAME F 4621
8223 FIRSTNAME LASTNAME M 4256';
if (preg_match_all('~\b[A-Z]{2,}(?:\h+[A-Z]{2,})?\b~', $contents, $result)) { }
PD9waHAKCiRjb250ZW50cyA9ICcxMjM0ICAgIEZJUlNUTkFNRSAgIExBU1ROQU1FICAgIE0gICAgIDQzMjEKMTM0NSAgICBMQVNUTkFNRSAgICBGICAgICA0NjIxCjgyMjMgICAgRklSU1ROQU1FICAgTEFTVE5BTUUgICAgTSAgICAgNDI1Nic7CmlmIChwcmVnX21hdGNoX2FsbCgnflxiW0EtWl17Mix9KD86XGgrW0EtWl17Mix9KT9cYn4nLCAkY29udGVudHMsICRyZXN1bHQpKSB7CglwcmludF9yKCRyZXN1bHRbMF0pOwp9