0000872248-17-000039.txt : 20170522
0000872248-17-000039.hdr.sgml : 20170522
20170522125510
ACCESSION NUMBER: 0000872248-17-000039
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170518
FILED AS OF DATE: 20170522
DATE AS OF CHANGE: 20170522
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: 17860350
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_149547209593593.xml
FORM 4
X0306
4
2017-05-18
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
2017-05-18
4
A
0
7500
0
A
97717
D
Common Stock
17500
I
By wife
Common Stock
39625
I
By IRA FBO E. Wayne Nordberg, Pershing LLC as Custodian Rollover Account
Common Stock
19188
I
By Olivia S. Nordberg Trust
Shares will vest on the earlier of May 18, 2018 or the day of the 2018 annual meeting of stockholders.
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
2017-05-18