0001209191-11-028466.txt : 20110513
0001209191-11-028466.hdr.sgml : 20110513
20110513174816
ACCESSION NUMBER: 0001209191-11-028466
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110512
FILED AS OF DATE: 20110513
DATE AS OF CHANGE: 20110513
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MITCHELL CHARLES F MD
CENTRAL INDEX KEY: 0001191327
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32681
FILM NUMBER: 11842682
MAIL ADDRESS:
STREET 1: DEVON ENERGY CORPORATION
STREET 2: 20 N. BROADWAY
CITY: OKLAHOMA CITY
STATE: OK
ZIP: 73102
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
c17282_4x0.xml
MAIN DOCUMENT DESCRIPTION
X0303
4
2011-05-12
0000872248
PETROQUEST ENERGY INC
PQ
0001191327
MITCHELL CHARLES F MD
400 E. KALISTE SALOOM RD.
SUITE 6000
LAFAYETTE
LA
70508
1
0
0
0
Common Stock
2011-05-12
4
A
0
7500
0
A
276000
D
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
One third of the shares will vest on each of the first, second and third anniversaries of the grant date.
/s/ Charles F. Mitchell
2011-05-13