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CORPORATION OR ASSOCIATION <br />(To be filledout by in O€E= dthe Corporation or Association) <br />List thename or corporation or association, St. Anthony address and phone number and home orrice address <br />Name _ Chipotle Mexican .1.:hCC91Qra-do_, r r <br />State of Inc. or Assoc. _ Co <br />Fridleyaddress 970 2yLh._Av� _1 Su to _128y St_tk o yCillag-e�MN�� ZL <br />Phone number---- <br />IIome office address _15[' <br />Phone nu tuber <br />List the kt[I names, home addresses, phone numbers mid datc-of birth of all of -Beers of said corporation or association. <br />P'j�es#leitt- LI,C Manager Matthew _ Steven ELI,s_____ <br />Full narne Fast Huddle Last __—_ <br />Home Address: <br />Phone Nmnber <br />Date of Birth <br />LLC Manager <br />Vice-I''res8.d-alt <br />Full name <br />Home Address: <br />Phone Number <br />Date oiBil h <br />Secretary <br />Fullname <br />Home Address: <br />Phone Number <br />Date ofBir;h <br />Treasurer <br />Full name <br />Home Address: <br />Phone Number <br />Date of Birth <br />100 S. Marion, Plcwy.,_.Denver, CO_830209______ <br />Horse 303-744-3002 1^'01k 303-595_4000 <br />65 <br />Fast Kevin Middlo Michaels. Last Reddy <br />LIt <br />I'irt Middle Last <br />Work <br />Fust Middle Last <br />Work <br />Last the full namos, home addresses and phone numbers of all persons who singly or oge her wi h heir spouse, pavan s, <br />brothers, sisters or children, own or control an interest in said corporation or association in excess of 5% and date -of <br />buth. Applicant is a wholly-owned subsidiary of Chipotle Mexican Grill, Inc. <br />FulIo"Ime First a Delaware 'Corp. -Middle Last <br />Homedchess: -- - -..---- <br />Phone Number <br />Hone Work <br />- - ----- <br />Interest <br />--- <br />Date ofBiria <br />FLM name <br />First Middle Last <br />Home Address: <br />Phone Number <br />Home Work <br />- `—_ <br />Interest <br />_------------_ <br />__ __ <br />Date of Birth <br />Full name <br />First Middle Last <br />Home Address: <br />Phone Number <br />Home work <br />Interest <br />Date of Birth <br />