0001127602-22-000115.txt : 20220103
0001127602-22-000115.hdr.sgml : 20220103
20220103162948
ACCESSION NUMBER: 0001127602-22-000115
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211231
FILED AS OF DATE: 20220103
DATE AS OF CHANGE: 20220103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Baldocchi Albert S
CENTRAL INDEX KEY: 0001351044
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32731
FILM NUMBER: 22502517
MAIL ADDRESS:
STREET 1: 1601 HIGH STREET
CITY: BOULDER
STATE: CO
ZIP: 80304
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
5
1
form5.xml
PRIMARY DOCUMENT
X0306
5
2021-12-31
0
0
0001058090
CHIPOTLE MEXICAN GRILL INC
CMG
0001351044
Baldocchi Albert S
C/O CHIPOTLE MEXICAN GRILL, INC.
610 NEWPORT CENTER DRIVE, SUITE 1400
NEWPORT BEACH
CA
92660
1
common stock
2021-10-25
5
G
0
48
0
D
38375
D
common stock
30500
I
Trust established for benefit of Children
/s/ Helen Kaminski, pursuant to power of attorney previously filed
2022-01-03