Sec Form 3 Filing - Chan Koon Keung @ Fortune Rise Acquisition Corp - 2021-11-02

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Chan Koon Keung
2. Issuer Name and Ticker or Trading Symbol
Fortune Rise Acquisition Corp [ FRLA]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director X __ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
I/C/O FORTUNE RISE ACQUISITION CORP, 48 BRIDGE STREET, BUILDING A
3. Date of Earliest Transaction (MM/DD/YY)
11/02/2021
(Street)
METUCHEN, NJ08840
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Class B Common Stock ( 1 ) 2,000,000 ( 2 ) I See footnote ( 3 )
Class A Common Stock 505,500 ( 2 ) ( 3 ) I See footnote ( 3 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Chan Koon Keung
I/C/O FORTUNE RISE ACQUISITION CORP
48 BRIDGE STREET, BUILDING A
METUCHEN, NJ08840
X
Signatures
/s/ Koon Keung Chan 11/08/2021
Signature of Reporting Person Date
Explanation of Responses:
( 1 )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 upon the consummation of an initial business combination.
( 2 )In connection with the closing of the initial public offering of the Issuer and the exercise of over-allotment option in full by underwriters on November 5, 2021, Koon Keung Chan is deemed to beneficially own 2,000,000 shares of Class B Common Stock and 505,500 shares of Class A Common Stock held by Fortune Rise Sponsor LLC.
( 3 )Fortune Rise Sponsor LLC is the record holder of the shares reported herein. Koon Keung Chan is the manager of Fortune Rise Sponsor LLC. As such. Mr. Chan is deemed to have beneficial ownership of the shares of common stock held directly by Fortune Rise Sponsor LLC. Mr. Chan disclaims beneficial ownership over any securities owned by our sponsor in which he does not have any pecuniary interest.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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