02/16/2011 Raymond Jackson, Full Withdrawal in Stock 02/16/2011 Raymond Jackson, Full Withdrawal in Stock

02/16/2011 Raymond Jackson, Full Withdrawal in Stock

Report Preparation Date			02/22/2026
Member Valuation Date			02/15/2011

Unit Value			13.270176
Units Withdrawn			46.900660
Withdrawal Value			622.38

Cash			28.36
Investments' FMV			594.02
Withdrawal Value			622.38

Member's Basis Before Withdrawal			496.32
Current Income Allocation			-
(A) Adjusted basis			496.32

Member's Cost Basis of Property Distributed:

Cash			28.36
Stock			467.96
(B) Total			496.32

Member's Basis After Withdrawal

Gain/(Loss) Realized on Withdrawal (B)-(A)

Note- any gain/loss realized on withdrawal must be reported on Form 8949, checking box C or F, as appropriate. This report should be run as of the end of the year to ensure that all adjustments for the year have been reflected.

Note- because you received stock as part of this withdrawal, you may need to file Form 7217 - Partner's Report of Property Distributed By a Partnership with your federal tax return. Information in this withdrawal report will help you complete the form. Consult with your tax advisor to see if this applies to you.

Investments Transferred, Market Value 02/16/2011

Name

Acquisition
Date

Shares

Price per
Share

Market
Value

Club's
Cost Basis

Member's Adj.
Cost Basis

Chipotle Mexican Grill Inc (CMG)

02/22/2010

2.250000

264.0100

594.02

234.87

467.96

594.02

234.87

467.96