0001127602-21-022425.txt : 20210723 0001127602-21-022425.hdr.sgml : 20210723 20210723161639 ACCESSION NUMBER: 0001127602-21-022425 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210722 FILED AS OF DATE: 20210723 DATE AS OF CHANGE: 20210723 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Andrada Marissa CENTRAL INDEX KEY: 0001680089 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32731 FILM NUMBER: 211111038 MAIL ADDRESS: STREET 1: C/O KATE SPADE & COMPANY 2 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10016 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 1400 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 949-524-4000 MAIL ADDRESS: STREET 1: 610 NEWPORT CENTER DR STREET 2: SUITE 1400 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2021-07-22 0001058090 CHIPOTLE MEXICAN GRILL INC CMG 0001680089 Andrada Marissa C/O CHIPOTLE MEXICAN GRILL, INC. 610 NEWPORT CENTER DR NEWPORT BEACH CA 92660 1 Chief D&I and People Officer common stock 2021-07-22 4 M 0 1961 470.09 A 7616 D common stock 2021-07-22 4 F 0 513 1800.00 D 7103 D common stock 2021-07-22 4 S 0 1448 1800.00 D 5655 D 2018 Sign-on SOSAR 470.09 2021-07-22 4 M 0 1961 0 D 2020-04-27 2025-04-27 common stock 1961 0 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 2021-07-23