0001209191-12-027027.txt : 20120509
0001209191-12-027027.hdr.sgml : 20120509
20120509164610
ACCESSION NUMBER: 0001209191-12-027027
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120508
FILED AS OF DATE: 20120509
DATE AS OF CHANGE: 20120509
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Price Tracy
CENTRAL INDEX KEY: 0001322939
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32681
FILM NUMBER: 12826367
MAIL ADDRESS:
STREET 1: C/O PETROQUEST ENERGY, INC.
STREET 2: 400 E. KALISTE SALOOM RD, SUITE 6000
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
c28644_4x0.xml
MAIN DOCUMENT DESCRIPTION
X0305
4
2012-05-08
0000872248
PETROQUEST ENERGY INC
PQ
0001322939
Price Tracy
400 E. KALISTE SALOOM RD.
SUITE 6000
LAFAYETTE
LA
70508
0
1
0
0
Executive VP ? Land
Common Stock
2012-05-08
4
A
0
68869
0.00
A
68869
D
Stock Option (right to buy)
5.26
2012-05-08
4
A
0
43487
0
A
2013-05-08
2022-05-07
Common Stock
43487
43487
D
One third of the shares will vest on each of the first, second and third anniversaries of the grant date.
/s/ Tracy Price
2012-05-08