0000872248-17-000041.txt : 20170522
0000872248-17-000041.hdr.sgml : 20170522
20170522125645
ACCESSION NUMBER: 0000872248-17-000041
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: Jolly Joseph Gerard
CENTRAL INDEX KEY: 0001692436
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32681
FILM NUMBER: 17860354
MAIL ADDRESS:
STREET 1: 400 EAST KALISTE SALOOM ROAD
STREET 2: SUITE 6000
CITY: LAFAYETTE
STATE: LA
ZIP: 70508
4
1
wf-form4_149547219104492.xml
FORM 4
X0306
4
2017-05-18
0
0000872248
PETROQUEST ENERGY INC
PQ
0001692436
Jolly Joseph Gerard
301 MAIN STREET
SUITE 2150
BATON ROUGE
LA
70801
1
0
0
0
Common Stock
2017-05-18
4
A
0
7500
0
A
7500
D
Common Stock
70000
I
By IRA
Shares will vest on the earlier of May 18, 2018 or the day of the 2018 annual meeting of stockholders.
/s/J. Gerard Jolly
2017-05-18