0000872248-16-000204.txt : 20161003 0000872248-16-000204.hdr.sgml : 20161003 20161003155039 ACCESSION NUMBER: 0000872248-16-000204 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160217 FILED AS OF DATE: 20161003 DATE AS OF CHANGE: 20161003 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: NORDBERG E WAYNE CENTRAL INDEX KEY: 0001111624 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 161915727 MAIL ADDRESS: STREET 1: C/O HOLLOW BROOK WEALTH MANAGEMENT LLC STREET 2: 420 LEXINGTON AVENUE, SUITE 2840 CITY: NEW YORK STATE: NY ZIP: 10170 4 1 wf-form4_147552422661014.xml FORM 4 X0306 4 2016-02-17 0 0000872248 PETROQUEST ENERGY INC PQ 0001111624 NORDBERG E WAYNE 420 LEXINGTON AVENUE, SUITE 2840 NEW YORK NY 10170 1 0 0 0 Common Stock 2016-02-17 4 P 0 500 0 A 89213 D Common Stock 2016-09-27 4 P 0 967 0 A 90180 D Common Stock 2016-02-17 4 P 0 2000 0 A 35725 I By IRA FBO E. Wayne Nordberg, Pershing LLC as Custodian Rollover Account Common Stock 2016-09-27 4 P 0 3900 0 A 39625 I By IRA FBO E. Wayne Nordberg, Pershing LLC as Custodian Rollover Account Common Stock 2016-02-17 4 P 0 1000 0 A 17238 I By Olivia S. Nordberg Trust Common Stock 2016-09-27 4 P 0 1950 0 A 19188 I By Olivia S. Nordberg Trust Common Stock 17515 I By wife The number of shares acquired and the number of shares beneficially owned following the reported transaction have been adjusted to reflect the one for four reverse split of the common stock effective May 18, 2016. These shares were received in exchange for the issuer's 10% senior notes 2017 in an issuer exchange offer. These shares were received in exchange for the issuer's 10% second lien senior secured notes due 2021 in an issuer exchange offer. Previously reported as beign held by Delaware Charter Charter FBO Wayne Nordberg R/O IRA. In addition, the reporting person no longer has a reportable benefical interest in 19,988 shares owned by the Anna & Samuel Nordber Trust and included in the reporting person's prior ownership reports. /s/ E. Wayne Nordberg 2016-10-03