FORM C |
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 | OMB APPROVAL |
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Form C: Filer Information
Filer CIK: | 0001769759 |
Filer CCC: | XXXXXXXX |
Period: | 12-31-2022 |
Is this a LIVE or TEST Filing? | LIVE TEST |
Is this an electronic copy of an official filing submitted in paper format in connection with a hardship exemption? | |
Would you like a Return Copy? |
Submission Contact Information
Name: | |
Phone Number: | |
Contact E-Mail Address: | |
Notify via Filing Website only? |
Form C: Issuer Information
Issuer Information
Name of Issuer: | MONOGRAM ORTHOPAEDICS INC |
Legal Status of Issuer:
Form: | Corporation |
Jurisdiction of Incorporation/Organization: |
DELAWARE
|
Date of Incorporation/Organization: | 04-21-2016 |
Physical Address of Issuer:
Address 1: | 3913 Todd Lane |
Address 2: | Suite 307 |
City: | AUSTIN |
State/Country: |
TEXAS
|
Mailing Zip/Postal Code: | 78744 |
Website of Issuer: | www.monogramorthopedics.com |
Form C: Offering Information
Offering Information
Form C: Annual Report Disclosure Requirements
Annual Report Disclosure Requirements
Current Number of Employees: | 27.00 |
Total Assets Most Recent Fiscal Year-end: | 13690063.00 |
Total Assets Prior Fiscal Year-end: | 8715366.00 |
Cash and Cash Equivalents Most Recent Fiscal Year-end: | 10468645.00 |
Cash and Cash Equivalents Prior Fiscal Year-end: | 5535710.00 |
Accounts Receivable Most Recent Fiscal Year-end: | 0.00 |
Accounts Receivable Prior Fiscal Year-end: | 0.00 |
Short-term Debt Most Recent Fiscal Year-end: | 0.00 |
Short-term Debt Prior Fiscal Year-end: | 0.00 |
Long-term Debt Most Recent Fiscal Year-end: | 0.00 |
Long-term Debt Prior Fiscal Year-end: | 0.00 |
Revenue/Sales Most Recent Fiscal Year-end: | 0.00 |
Revenue/Sales Prior Fiscal Year-end: | 628246.00 |
Cost of Goods Sold Most Recent Fiscal Year-end: | 0.00 |
Cost of Goods Sold Prior Fiscal Year-end: | 458675.00 |
Taxes Paid Most Recent Fiscal Year-end: | 0.00 |
Taxes Paid Prior Fiscal Year-end: | 0.00 |
Net Income Most Recent Fiscal Year-end: | -13690947.00 |
Net Income Prior Fiscal Year-end: | -11814968.00 |
Form C: Signature
Signature
Issuer: | MONOGRAM ORTHOPAEDICS INC. |
Signature: | /s/ Benjamin Sexson |
Title: | Chief Executive Officer |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
Signature: | /s/ Benjamin Sexson |
Title: | Chief Executive Officer, Director |
Date: | 04-25-2023 |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
Signature: | /s/ Noel Knape |
Title: | Chief Financial Officer, Principal Financial Officer, Principal Accounting Officer |
Date: | 04-25-2023 |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
Signature: | /s/ Douglas Unis |
Title: | Director |
Date: | 04-25-2023 |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
Signature: | /s/ Rick Van Kirk |
Title: | Director |
Date: | 04-25-2023 |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
Signature: | /s/ Paul Riss |
Title: | Director |
Date: | 04-25-2023 |