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			09/17/2025
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Units Withdrawn			46.900660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.

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