0001209191-18-059835.txt : 20181121 0001209191-18-059835.hdr.sgml : 20181121 20181121194212 ACCESSION NUMBER: 0001209191-18-059835 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181029 FILED AS OF DATE: 20181121 DATE AS OF CHANGE: 20181121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Theodoredis Roger E CENTRAL INDEX KEY: 0001559525 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-32731 FILM NUMBER: 181199065 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: 1401 WYNKOOP STREET 2: SUITE 500 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 3035954000 MAIL ADDRESS: STREET 1: 1401 WYNKOOP STREET 2: SUITE 500 CITY: DENVER STATE: CO ZIP: 80202 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2018-10-29 2018-10-30 0 0001058090 CHIPOTLE MEXICAN GRILL INC CMG 0001559525 Theodoredis Roger E 1401 WYNKOOP STREET, SUITE 500 DENVER CO 80220 0 1 0 0 Chief Legal Officer & GC 2018 sign-on SOSARs 484.96 2018-11-21 4 A 0 8586 0.00 A 2020-10-29 2025-10-29 Common stock 8586 8586 D This form is filed to report a correction to the award of stock-only stock appreciation rights made to the reporting person on October 29, 2018, which was intended by the parties to have an exercise price equal to 110% of the closing market price of the issuer's common stock on the grant date. As a result of adjustment of the exercise price, the valuation of the award was different and the number of shares subject to the award was also adjusted accordingly. /s/ Michael McGawn, as attorney-in-fact 2018-11-21