0001127602-22-000153.txt : 20220103 0001127602-22-000153.hdr.sgml : 20220103 20220103171304 ACCESSION NUMBER: 0001127602-22-000153 CONFORMED SUBMISSION TYPE: 4 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: Schalow Laurie CENTRAL INDEX KEY: 0001772380 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32731 FILM NUMBER: 22503021 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 2021-12-31 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 2021-12-31 4 F 0 377 1747.22 D 3598 D Consists of shares of common stock retained by Chipotle to satisfy the reporting person's tax obligation in connection with the vesting of performance share units awarded in 2018. /s/ Helen Kaminski, pursuant to power of attorney previously filed 2022-01-03