0001209191-11-018915.txt : 20110318 0001209191-11-018915.hdr.sgml : 20110318 20110318181326 ACCESSION NUMBER: 0001209191-11-018915 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110318 FILED AS OF DATE: 20110318 DATE AS OF CHANGE: 20110318 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH DALTON F III CENTRAL INDEX KEY: 0001158723 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 11699369 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 c14377_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2011-03-18 0000872248 PETROQUEST ENERGY INC PQ 0001158723 SMITH DALTON F III 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 0 1 0 0 Senior VP - Bus Develop Common Stock 2011-03-18 4 S 0 5000 8.63 D 112890 D /s/ Dalton F. Smith III 2011-03-18