0001127602-21-024905.txt : 20210903 0001127602-21-024905.hdr.sgml : 20210903 20210903165849 ACCESSION NUMBER: 0001127602-21-024905 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210903 FILED AS OF DATE: 20210903 DATE AS OF CHANGE: 20210903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brandt Christopher W CENTRAL INDEX KEY: 0001675463 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32731 FILM NUMBER: 211237222 MAIL ADDRESS: STREET 1: 2202 NORTH WESTSHORE BLVD CITY: TAMPA STATE: FL ZIP: 33607 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 2021-09-03 0001058090 CHIPOTLE MEXICAN GRILL INC CMG 0001675463 Brandt Christopher W C/O CHIPOTLE MEXICAN GRILL, INC. 610 NEWPORT CENTER DRIVE NEWPORT BEACH CA 92660 1 Chief Marketing Officer common stock 2021-09-03 4 M 0 2000 403.89 A 11136 D common stock 2021-09-03 4 F 0 424 1907.50 D 10712 D common stock 2021-09-03 4 S 0 1576 1907.00 D 9136 D 2018 Sign-on SOSAR 403.89 2021-09-03 4 M 0 2000 0 D 2020-03-29 2025-03-29 common stock 2000 1783 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 2021-09-03