# EDGAR Filing Document

**Accession Number:** 0001769759
**File Stem:** 9999999994-23-000093
**Filing Date:** 2023-3
**Character Count:** 1259
**Document Hash:** 22c06142822a254f78f5185c8fedc7df
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**9999999994-23-000093.hdr.sgml**: 20230302

**ACCESSION NUMBER**: 9999999994-23-000093

**CONFORMED SUBMISSION TYPE**: QUALIF

**PUBLIC DOCUMENT COUNT**: 1

**FILED AS OF DATE**: 20230301

**DATE AS OF CHANGE**: 20230302

**EFFECTIVENESS DATE**: 20230301

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** MONOGRAM ORTHOPAEDICS INC
- **CENTRAL INDEX KEY:** 0001769759
- **STANDARD INDUSTRIAL CLASSIFICATION:** SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
- **IRS NUMBER:** 812349540
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** QUALIF
- **SEC ACT:** 1933 Act
- **SEC FILE NUMBER:** 024-12084
- **FILM NUMBER:** 23696234

**BUSINESS ADDRESS:**
- **STREET 1:** 53 BRIDGE STREET UNIT 507
- **CITY:** BROOKLYN
- **STATE:** NY
- **ZIP:** 11201
- **BUSINESS PHONE:** (718) 576-3205

**MAIL ADDRESS:**
- **STREET 1:** 3913 TODD LANE, SUITE 307
- **CITY:** AUSTIN
- **STATE:** TX
- **ZIP:** 78744

### UNITED STATES
### SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## Notice of Qualification

**Date:** March 1, 2023

**Time:** 17:00:00

**Form Type:** 1-A

---

**CIK:** 0001769759

**Company Name:** MONOGRAM ORTHOPAEDICS INC

**File Number:** 024-12084