-----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, EtSDD66ACbNiT+h1IV9AE6dzzUlCEbVHse724qTFdJbwa+kdz3VJiKevxZ5WY/ug 5McAWb8ucQYUR/e31zQeeA== 0001209191-04-025351.txt : 20040512 0001209191-04-025351.hdr.sgml : 20040512 20040512182500 ACCESSION NUMBER: 0001209191-04-025351 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040512 FILED AS OF DATE: 20040512 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: 04800513 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 h15316_8ewn.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-05-12 0 0000872248 PETROQUEST ENERGY INC PQUE 0001111624 NORDBERG E WAYNE 61 BROADWAY, 31ST FLOOR NEW YORK NY 10006 1 0 0 0 Nonstatutory stock option (right to buy) 3.21 2004-05-12 4 A 0 20000 0 A 2005-05-12 2014-05-11 Common stock 20000 20000 D One third of the shares will vest on each of the first, second and third anniversaries of the grant date. /s/ E. Wayne Nordberg 2004-05-12 -----END PRIVACY-ENHANCED MESSAGE-----