0001209191-11-047749.txt : 20110913
0001209191-11-047749.hdr.sgml : 20110913
20110913172650
ACCESSION NUMBER: 0001209191-11-047749
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110909
FILED AS OF DATE: 20110913
DATE AS OF CHANGE: 20110913
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: 111088776
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
c22396_4x0.xml
MAIN DOCUMENT DESCRIPTION
X0304
4
2011-09-09
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
2011-09-09
4
A
0
91448
0.00
A
369624
D
Stock Option (right to buy)
7.54
2011-09-09
4
A
0
33800
0
A
2012-09-09
2021-09-08
Common Stock
33800
33800
D
One third of the shares will vest on each of the first, second and third anniversaries of the grant date.
/s/ Arthur M. Mixon III
2011-09-12