0001127602-20-029571.txt : 20201119 0001127602-20-029571.hdr.sgml : 20201119 20201119163022 ACCESSION NUMBER: 0001127602-20-029571 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201117 FILED AS OF DATE: 20201119 DATE AS OF CHANGE: 20201119 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Theodoredis Roger E CENTRAL INDEX KEY: 0001559525 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32731 FILM NUMBER: 201329170 MAIL ADDRESS: STREET 1: 1225 SEVENTEENTH STREET STREET 2: SUITE 1000 CITY: DENVER STATE: CO ZIP: 80202 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHIPOTLE MEXICAN GRILL INC CENTRAL INDEX KEY: 0001058090 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING PLACES [5812] IRS NUMBER: 841219301 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 610 NEWPORT CENTER DR STREET 2: SUITE 1300 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 949-524-4000 MAIL ADDRESS: STREET 1: 610 NEWPORT CENTER DR STREET 2: SUITE 1300 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2020-11-17 0001058090 CHIPOTLE MEXICAN GRILL INC CMG 0001559525 Theodoredis Roger E CHIPOTLE MEXICAN GRILL, INC. 610 NEWPORT CENTER DRIVE NEWPORT BEACH CA 92660 1 Chief Legal Officer & GC common stock 2020-11-17 4 M 0 4293 484.96 A 4293 D common stock 2020-11-17 4 F 0 1642 1268.50 D 2651 D common stock 2020-11-17 4 S 0 2651 1267.1675 D 0 D 2018 Sign-on SOSARs 484.96 2020-11-17 4 M 0 4293 0 D 2020-10-29 2025-10-29 Common Stock 4293 4293 D Consists of shares of common stock retained by Chipotle to satisfy the reporting person's payment obligation upon exercise of the stock appreciation right. /s/ Helen Kaminski, pursuant to power of attorney previously filed 2020-11-19