-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, IrWyATFvvs6db6EOJeinP/osUpMVKoij5u5f1Tu6uMR09pJZhy2oytF0PLMPdDyy k4lrBMs6ePiIGD/tTXWt4Q== 0001209191-03-007235.txt : 20030611 0001209191-03-007235.hdr.sgml : 20030611 20030611114146 ACCESSION NUMBER: 0001209191-03-007235 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030609 FILED AS OF DATE: 20030611 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: 000-19020 FILM NUMBER: 03740046 BUSINESS ADDRESS: STREET 1: 2 WORLD TRADE CENTER 85TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10048 BUSINESS PHONE: 2124324506 MAIL ADDRESS: STREET 1: 2 WORLD TRDE CENTER 85TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10048 4 1 boh06719_boh1ewn.xml MAIN DOCUMENT DESCRIPTION X0101 42003-06-0900000872248PETROQUEST ENERGY INC PQUE0001111624NORDBERG E WAYNE 1000Common Stock2003-06-104P000A295000DCommon Stock2003-06-104P000A72160IBy wifeCommon Stock2003-06-094P0300001.56842A100000IBy TrustCommon Stock2003-06-104P0200001.5959A120000IBy TrustCommon Stock2003-06-094P0300001.5677A110000IBy TrustCommon Stock2003-06-104P0100001.5930A20000IDeferred Benefit Pension Plan160 of these shares are held in a custodial account (of which Janet Mavec is the custodian) for the benefit of Akasha MavecBy Olivia S. Nordberg TrustBy Anna & Samuel TrustBy Hollow Brook Associates, LLC Deferred Benefit Pension Plan/s/ E. Wayne Nordberg2003-06-10 -----END PRIVACY-ENHANCED MESSAGE-----