0001104659-23-003227.txt : 20230112 0001104659-23-003227.hdr.sgml : 20230112 20230112061104 ACCESSION NUMBER: 0001104659-23-003227 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221222 FILED AS OF DATE: 20230112 DATE AS OF CHANGE: 20230112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davidov Michael CENTRAL INDEX KEY: 0001763376 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40990 FILM NUMBER: 23524883 MAIL ADDRESS: STREET 1: 60 EAST 42 STREET CITY: NEW YORK STATE: NY ZIP: 10165 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Fortune Rise Acquisition Corp CENTRAL INDEX KEY: 0001849294 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 861850747 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 48 BRIDGE STREET STREET 2: BUILDING A CITY: BUILDING A STATE: NJ ZIP: 08840 BUSINESS PHONE: (909)214-2482 MAIL ADDRESS: STREET 1: 48 BRIDGE STREET STREET 2: BUILDING A CITY: BUILDING A STATE: NJ ZIP: 08840 4 1 tm233166-4_4seq1.xml OWNERSHIP DOCUMENT X0306 4 2022-12-22 1 0001849294 Fortune Rise Acquisition Corp FRLAU 0001763376 Davidov Michael 48 BRIDGE STREET, BUILDING A METUCHEN NJ 08840 1 0 0 0 Class B Common Stock 2022-12-22 4 S 0 10000 0.0102 D 10000 D Class B common stock will automatically convert into Class A common stock on one-for-one basis, subject to certain adjustments as provided in the 2nd amended and restated certificate of incorporation of Fortune Rise Acquisition Corporation (the "Issuer") upon the consummation of an initial business combination. Representing 10,000 shares of Class B Common Stock that Mr. Davidov transferred to Fortune Rise Sponsor LLC (the "Sponsor") pursuant to certain securities transfer agreement dated December 22, 2022 among Sponsor and certain initial stockholders of the Issuer. On the same day, Mr. Davidov resigned as director of the Issuer. /s/ Michael Davidov 2023-01-12