0000872248-15-000095.txt : 20151116 0000872248-15-000095.hdr.sgml : 20151116 20151116172648 ACCESSION NUMBER: 0000872248-15-000095 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151112 FILED AS OF DATE: 20151116 DATE AS OF CHANGE: 20151116 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PETROQUEST ENERGY INC CENTRAL INDEX KEY: 0000872248 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 721440714 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 E KALISTE SALOOM RD SUITE 6000 CITY: LAFAYETTE STATE: LA ZIP: 70508 BUSINESS PHONE: 3372327028 MAIL ADDRESS: STREET 1: 400 E KALISTE SALOOM RD SUITE 6000 CITY: LAFAYETTE STATE: LA ZIP: 70508 FORMER COMPANY: FORMER CONFORMED NAME: OPTIMA PETROLEUM CORP DATE OF NAME CHANGE: 19950726 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MIXON ART M III CENTRAL INDEX KEY: 0001133135 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 151236384 MAIL ADDRESS: STREET 1: 400 E KALISTE SALOOM RD STREET 2: STE 3000 CITY: LAFAYETTE STATE: LA ZIP: 70508 4 1 wf-form4_144771279808658.xml FORM 4 X0306 4 2015-11-12 0 0000872248 PETROQUEST ENERGY INC PQ 0001133135 MIXON ART M III 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 0 1 0 0 Exec VP - Operations and Prod Common Stock 2015-11-12 4 M 0 31996 0 A 460521 D Common Stock 2015-11-12 4 F 0 23265 1.05 D 437256 D Restricted Stock Units 2015-11-12 4 M 0 31996 0 D Common Stock 31996.0 63991 D Each Restricted Stock Unit represents a contingent right to receive one share of PetroQuest common stock. Includes 4,266 shares acquired under PetroQuest's employee stock purchase plan on July 31, 2015. On November 12, 2014 the reporting person was granted 95,987 Restricted Stock Units. One third of the Restricted Stock Units vest on each of the first, second and third anniversaries of the grant date. The applicable number of shares of PetroQuest common stock will be delivered to the reporting person on each such vesting date. /s/ Arthur M. Mixon III 2015-11-16