0000872248-16-000199.txt : 20160929 0000872248-16-000199.hdr.sgml : 20160929 20160929134932 ACCESSION NUMBER: 0000872248-16-000199 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160927 FILED AS OF DATE: 20160929 DATE AS OF CHANGE: 20160929 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: CLEMENT JAMES BOND CENTRAL INDEX KEY: 0001429215 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 161909303 MAIL ADDRESS: STREET 1: 400 E. KALISTE SALOOM ROAD, SUITE 6000 CITY: LAFAYETTE STATE: LA ZIP: 70508 4 1 wf-form4_147517135882893.xml FORM 4 X0306 4 2016-09-27 0 0000872248 PETROQUEST ENERGY INC PQ 0001429215 CLEMENT JAMES BOND 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 0 1 0 0 Exec VP, CFO and Treasurer Incentive stock option (right to buy) 3.17 2016-09-27 4 A 0 100000 0 A 2017-09-27 2026-09-26 Common Stock 100000.0 100000 D Vests with respect to 1/3 of the shares annually beginning on September 27, 2017 /s/ James Bond Clement 2016-09-27