0000872248-16-000222.txt : 20161115 0000872248-16-000222.hdr.sgml : 20161115 20161115145737 ACCESSION NUMBER: 0000872248-16-000222 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: CLEMENT JAMES BOND CENTRAL INDEX KEY: 0001429215 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 161999322 MAIL ADDRESS: STREET 1: 400 E. KALISTE SALOOM ROAD, SUITE 6000 CITY: LAFAYETTE STATE: LA ZIP: 70508 4 1 wf-form4_147923984381230.xml FORM 4 X0306 4 2016-11-12 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 Common Stock 2016-11-12 4 M 0 7779 0 A 76226 D Common Stock 2016-11-12 4 F 0 2595 3.20 D 73631 D Common Stock 2016-11-12 4 F 0 1771 3.20 D 71860 D Restricted Stock Units 2016-11-12 4 M 0 7779 0 D Common Stock 7779.0 7780 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 reported transaction have been adjusted to reflect the one for four reverse split of the common stock effective May 18, 2016 (the "Reverse Split"). Also includes 407 post-reverse split shares of common stock acquired under PetroQuest's employee stock purchase plan on January 31, 2016. On November 12, 2014 the reporting person was granted 23,339 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/ James Bond Clement 2016-11-15