-----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, NmVlxrIdbPEi4Stn/gEZHmETJ966aiknbvppOOy514KOifR2KS4FbrgDaL9FPDfo 5LfhmPzvO/6fBIp59mFDcQ== 0001209191-04-005131.txt : 20040128 0001209191-04-005131.hdr.sgml : 20040128 20040128165325 ACCESSION NUMBER: 0001209191-04-005131 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040126 FILED AS OF DATE: 20040128 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: RUCKS WILLIAM W IV CENTRAL INDEX KEY: 0000939484 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19020 FILM NUMBER: 04549746 BUSINESS ADDRESS: STREET 1: 600 JEFFERSON STREET STREET 2: SUITE 701 CITY: LAFAYETTE STATE: LA ZIP: 70501 BUSINESS PHONE: 3182328460 MAIL ADDRESS: STREET 1: 600 JEFFERSON STREET SUITE 701 CITY: LAFAYETTE STATE: LA ZIP: 70501 4 1 h12226_1wwr.xml MAIN DOCUMENT DESCRIPTION X0201 4 2004-01-26 0 0000872248 PETROQUEST ENERGY INC PQUE 0000939484 RUCKS WILLIAM W IV 600 JEFFERSON STREET SUITE 701 LAFAYETTE LA 70505 1 0 0 0 Nonstatutory stock option (right to buy) 3.17 2004-01-26 4 A 0 40000 0 A 2004-01-26 2014-01-25 Common stock 40000 40000 D 20,000 shares vested on January 26, 2004; 6,667 shares will vest on April 30, 2004; 6,667 shares will vest on May 23, 2004; 6,666 shares will vest on April 30, 2005 /s/ William W. Rucks IV 2004-01-28 -----END PRIVACY-ENHANCED MESSAGE-----