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