-----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, RtpFDu8r554yasB9/qLgw/0eRAcTSdRLYevwQMI7oLhiNBLkeEknlBuayZPukEGm KS3EuUSbZ0sjXUJDshc2yg== 0001209191-04-029882.txt : 20040604 0001209191-04-029882.hdr.sgml : 20040604 20040604183531 ACCESSION NUMBER: 0001209191-04-029882 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040602 FILED AS OF DATE: 20040604 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAIGLE RALPH J CENTRAL INDEX KEY: 0001070221 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19020 FILM NUMBER: 04850753 BUSINESS ADDRESS: STREET 1: P O BOX 51205 CITY: LAFAYETTE STATE: LA ZIP: 70505 BUSINESS PHONE: 3182327028 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 4 1 h15980_5rjd.xml MAIN DOCUMENT DESCRIPTION X0202 4 2004-06-02 0 0000872248 PETROQUEST ENERGY INC PQUE 0001070221 DAIGLE RALPH J 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 1 1 0 0 Executive Vice President Common Stock 2004-06-02 4 A 0 6537 0 A 2885532 D Common Sock 31200 I By daughter /s/ Ralph J. Daigle 2004-06-03 -----END PRIVACY-ENHANCED MESSAGE-----