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