0000872248-16-000218.txt : 20161115 0000872248-16-000218.hdr.sgml : 20161115 20161115145434 ACCESSION NUMBER: 0000872248-16-000218 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161112 FILED AS OF DATE: 20161115 DATE AS OF CHANGE: 20161115 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: GOODSON CHARLES T CENTRAL INDEX KEY: 0001070218 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 161999306 4 1 wf-form4_147923966055800.xml FORM 4 X0306 4 2016-11-12 0 0000872248 PETROQUEST ENERGY INC PQ 0001070218 GOODSON CHARLES T 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 1 1 0 0 Chairman, CEO and President Common Stock 2016-11-12 4 M 0 16928 0 A 836544 D Common Stock 2016-11-12 4 F 0 5646 3.20 D 830898 D Common Stock 2016-11-12 4 F 0 4109 3.20 D 826789 D Restricted Stock Units 2016-11-12 4 M 0 16928 0 D Common Stock 16928.0 16930 D Each Restricted Stock Unit represents a contingent right to receive one share of PetroQuest common stock. The number of shares acquired and the number of shares beneficially owned following the transaction have been adjusted to reflect the one for four reverse split of the common stock effective May 18, 2016 (the "Reverse "Split") On November 12, 2014 the reporting person was granted 50,784 post Reverse Split 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/ Charles T. Goodson 2016-11-15