0001209191-19-022423.txt : 20190402
0001209191-19-022423.hdr.sgml : 20190402
20190402161804
ACCESSION NUMBER: 0001209191-19-022423
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20190329
FILED AS OF DATE: 20190402
DATE AS OF CHANGE: 20190402
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Schalow Laurie
CENTRAL INDEX KEY: 0001772380
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32731
FILM NUMBER: 19725126
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 1300
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
BUSINESS PHONE: 3035954000
MAIL ADDRESS:
STREET 1: 610 NEWPORT CENTER DR
STREET 2: SUITE 1300
CITY: NEWPORT BEACH
STATE: CA
ZIP: 92660
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2019-03-29
0
0001058090
CHIPOTLE MEXICAN GRILL INC
CMG
0001772380
Schalow Laurie
C/O CHIPOTLE MEXICAN GRILL, INC.
310 NEWPORT CENTER DR
NEWPORT BEACH
CA
92660
0
1
0
0
Chief Communications Officer
2018 SOSAR
355.42
2020-03-29
2025-03-29
common stock
3194
D
2019 SOSAR
582.77
2021-02-08
2026-02-08
common stock
1922
D
The SOSAR granted to the reporting person vests in equal amounts on the second and third anniversaries of the grant date, subject to possible acceleration of vesting.
/s/ Helen Kaminski, by power of attorney filed herewith
2019-04-02
EX-24.3_845475
2
poa.txt
POA DOCUMENT
LIMITED POWER OF ATTORNEY FOR
SECTION 16 REPORTING OBLIGATIONS
LIMITED POWER OF ATTORNEY
FOR SECTION 16(a) REPORTING
KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned hereby makes,
constitutes and appoints Roger Theodoredis, Michael McGawn and Helen Kaminski,
and each of them, as the undersigned's true and lawful attorney-in-fact (the
"Attorney-in Fact"), with full power of substitution and re-substitution, each
with the power to act alone for the undersigned and in the undersigned's name,
place and stead, in any and all capacities to:
1. prepare, execute in the undersigned's name and on the undersigned's behalf,
and submit to the U.S. Securities and Exchange Commission (the "SEC") a Form ID,
including amendments thereto, and any other documents necessary or appropriate
to obtain codes and passwords enabling the undersigned to make electronic
filings with the SEC of reports required by Section 16(a) of the Securities
Exchange Act of 1934 (the "Exchange Act") or any rule or regulation of the SEC;
2. prepare, execute and file with the SEC, any national securities exchange or
securities quotation system any and all reports (including any amendment
thereto) of the undersigned required or considered advisable under Section 16(a)
of the Exchange Act and the rules and regulations thereunder, with respect to
the equity securities of Chipotle Mexican Grill, Inc. (the "Company"), including
Forms 3, 4 and 5 and Form 144; and
3. obtain, as the undersigned's representative and on the undersigned's behalf,
information regarding transactions in the Company's equity securities from any
third party, including the Company and any brokers, dealers, employee benefit
plan administrators and trustees, and the undersigned hereby authorizes any such
third party to release any such information to the Attorney-in-Fact.
The undersigned acknowledges that:
1. this Limited Power of Attorney authorizes, but does not require, the
Attorney-in-Fact to act at his or her discretion on information provided to such
Attorney-in-Fact without independent verification of such information;
2. any documents prepared or executed by the Attorney-in-Fact on behalf of the
undersigned pursuant to this Limited Power of Attorney will be in such form and
will contain such information as the Attorney-in-Fact, in his or her discretion,
deems necessary or desirable;
3. neither the Company nor the Attorney-in-Fact assumes any liability for the
undersigned's responsibility to comply with the requirements of Section 16 of
the Exchange Act, any liability of the undersigned for any failure to comply
with such requirements, or any liability of the undersigned for disgorgement of
profits under Section 16(b) of the Exchange Act; and
4. this Limited Power of Attorney does not relieve the undersigned from
responsibility for compliance with the undersigned's obligations under Section
16 of the Exchange Act, including, without, limitation, the reporting
requirements under Section 16(a) of the Exchange Act.
The undersigned hereby grants to the Attorney-in-Fact full power and authority
to do and perform each and every act and thing requisite, necessary or
convenient to be done in connection with the foregoing, as fully, to all intents
and purposes, as the undersigned might or could do in person, hereby ratifying
and confirming all that the Attorney-in-Fact, or his or her substitute or
substitutes, shall lawfully do or cause to be done by authority of this Limited
Power of Attorney.
This Limited Power of Attorney revokes any earlier-dated power of attorney
relating to reporting obligations of the undersigned under Section 16(a) of the
Exchange Act, and shall remain in full force and effect until the undersigned is
no longer required to file Forms 4 or 5 with respect to the undersigned's
transactions in equity securities of the Company, unless earlier revoked by the
undersigned in a signed writing delivered to the Attorney-in-Fact or the
Company.
This Limited Power of Attorney shall be governed and construed in accordance
with the laws of the State of Colorado without regard to conflict-of-law
principles.
IN WITNESS WHEREOF, the undersigned has executed this Limited Power of Attorney
as of March 29, 2019
/s/ Laurie Schalow