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