-----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, MJohujezj2gewlO+HHL1+6maSIKent/ib6Dg1nwgjNzWq5abUeFMd0nax3tSgAaq 3bwmFBVvbuUo4T/T2uydng== 0001209191-10-049992.txt : 20101012 0001209191-10-049992.hdr.sgml : 20101011 20101012120447 ACCESSION NUMBER: 0001209191-10-049992 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101009 FILED AS OF DATE: 20101012 DATE AS OF CHANGE: 20101012 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MIXON ART M III CENTRAL INDEX KEY: 0001133135 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 101118253 MAIL ADDRESS: STREET 1: 400 E KALISTE SALOOM RD STREET 2: STE 3000 CITY: LAFAYETTE STATE: LA ZIP: 70508 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 c06796_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2010-10-09 0000872248 PETROQUEST ENERGY INC PQ 0001133135 MIXON ART M III 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 0 1 0 0 Exec VP - Operations and Prod Common Stock 2010-10-09 4 F 0 1911 6.19 D 295409 D /s/ Arthur M. Mixon III 2010-10-11 -----END PRIVACY-ENHANCED MESSAGE-----