-----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, APvoA99B07ayCjx7gu5Kp0XJfA2cZOOt4vimvFchBw53UUkpoOBP6st4uo+U1FJU KiOnNQp13ndjFv2lrIofWg== 0001209191-05-026973.txt : 20050519 0001209191-05-026973.hdr.sgml : 20050519 20050519152114 ACCESSION NUMBER: 0001209191-05-026973 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050518 FILED AS OF DATE: 20050519 DATE AS OF CHANGE: 20050519 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: 05844702 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 h25336_8ewn.xml MAIN DOCUMENT DESCRIPTION X0202 4 2005-05-18 0 0000872248 PETROQUEST ENERGY INC PQUE 0001111624 NORDBERG E WAYNE 61 BROADWAY, 31ST FLOOR NEW YORK NY 10006 1 0 0 0 Common Stock 300000 D Common Stock 110160 I By wife Common Stock 3000 I By Delaware Charter Custodian FBO Janet Mavec Common Stock 2005-05-18 4 A 0 4000 5.320 A 10000 I By J. Mavec & Co. Ltd. Common Stock 150000 I By Anna & Samuel Nordberg Trust Common Stock 110000 I By Olivia S. Nordberg Trust Common Stock 2005-05-18 4 A 0 20000 5.325 A 60000 I By Hollow Brook Associates, LLC Deferred Benefit Pension Plan Common Stock 80000 I By E. Wayne Nordberg CGM IRA Custodian Common Stock 10000 I By daughter Common Stock 10000 I By son Common Stock 2005-05-18 4 A 0 2000 5.325 A 2000 I By Delaware Charter Custodian FBO E. Wayne Nordberg In the reporting person's prior ownership reports, the reporting person reported that an additional 20,000 shares of common stock were directly owned that were actually indirectly owned by By E. Wayne Nordberg CGM IRA Custodian. /s/ E. Wayne Nordberg 2005-05-18 -----END PRIVACY-ENHANCED MESSAGE-----