-----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, F0kbKO7gFDvg0cdlYIbSXk0Fq43oxM/7bBn5J6XJ34kTwddTmW+pAqEBjlHqQ+re mlN/BhNWCDdUKD/bNRKaTg== 0001209191-04-024731.txt : 20040510 0001209191-04-024731.hdr.sgml : 20040510 20040510171126 ACCESSION NUMBER: 0001209191-04-024731 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040506 FILED AS OF DATE: 20040510 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: FOURNERAT DANIEL G CENTRAL INDEX KEY: 0001070225 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19020 FILM NUMBER: 04794085 BUSINESS ADDRESS: STREET 1: P O BOX 3507 CITY: LAFAYETTE STATE: LA ZIP: 70502 BUSINESS PHONE: 3182372660 MAIL ADDRESS: STREET 1: DANIEL G FOURNERAT STREET 2: P O BOX 3507 CITY: LAFAYETTE STATE: LA ZIP: 70502 4 1 h15316_3dgf.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-05-06 0 0000872248 PETROQUEST ENERGY INC PQUE 0001070225 FOURNERAT DANIEL G 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 0 1 0 0 Senior VP and General Counsel Incentive stock option (right to buy) 3.38 2004-05-06 4 A 0 45000 0 A 2005-05-06 2014-05-05 Common stock 45000 45000 D One third of the shares will vest on each of the first, second and third anniversaries of the grant date. /s/ Daniel G. Fournerat 2004-05-07 -----END PRIVACY-ENHANCED MESSAGE-----