0001209191-11-028462.txt : 20110513
0001209191-11-028462.hdr.sgml : 20110513
20110513173723
ACCESSION NUMBER: 0001209191-11-028462
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110512
FILED AS OF DATE: 20110513
DATE AS OF CHANGE: 20110513
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: 001-32681
FILM NUMBER: 11842588
MAIL ADDRESS:
STREET 1: 2 WORLD TRDE CENTER 85TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10048
4
1
c17281_4x0.xml
MAIN DOCUMENT DESCRIPTION
X0303
4
2011-05-12
0000872248
PETROQUEST ENERGY INC
PQ
0001111624
NORDBERG E WAYNE
410 PARK AVENUE, 17TH FLOOR
NEW YORK
NY
10022
1
0
0
0
Common stock
2011-05-12
4
A
0
7500
0
A
265000
D
Common stock
90090
I
By wife
Common stock
79950
I
By Anna & Samuel Nordberg Trust
Common stock
64950
I
By Olivia S. Nordberg Trust
Common stock
134900
I
By Delaware Charter FBO Wayne Nordberg R/O IRA
Nonstatutory Stock Option (right to buy)
7.58
2011-05-12
4
A
0
7500
0
A
2012-05-12
2021-05-12
Common Stock
7500
7500
D
Since the date of the reporting person's last report, 4,950 shares previously owned though the Hollow Brook Associates, LLC Deferred Benefit Pension Plan were rolled over into the Delaware Charter FBO Wayne Nordberg R/O IRA.
One third of the shares will vest on each of the first, second and third anniversaries of the grant date.
/s/ Lillian Preziosi, Attorney-in-Fact
2011-05-13