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