0001127602-21-022438.txt : 20210723 0001127602-21-022438.hdr.sgml : 20210723 20210723163406 ACCESSION NUMBER: 0001127602-21-022438 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: Schalow Laurie CENTRAL INDEX KEY: 0001772380 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32731 FILM NUMBER: 211111270 MAIL ADDRESS: STREET 1: 610 NEWPORT CENTER DRIVE STREET 2: SUITE 1300 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 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 0001772380 Schalow Laurie C/O CHIPOTLE MEXICAN GRILL, INC. 610 NEWPORT CENTER DR NEWPORT BEACH CA 92660 1 Chief Corp Affairs, Food Sft common stock 2021-07-22 4 M 0 1597 355.42 A 6461 D common stock 2021-07-22 4 F 0 324 1755.99 D 6137 D common stock 2021-07-22 4 S 0 2162 1747.65 D 3975 D 2018 SOSAR 355.42 2021-07-22 4 M 0 1597 0 D 2020-03-29 2025-03-29 common stock 1597 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. The SOSAR granted to the reporting person vests in equal amounts on the second and third anniversaries of the grant date, subject to possible acceleration of vesting. /s/ Helen Kaminski, pursuant to power of attorney previously filed 2021-07-23