0001209191-12-027541.txt : 20120511 0001209191-12-027541.hdr.sgml : 20120511 20120511101513 ACCESSION NUMBER: 0001209191-12-027541 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120509 FILED AS OF DATE: 20120511 DATE AS OF CHANGE: 20120511 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: 12832535 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 c28671_4x0.xml MAIN DOCUMENT DESCRIPTION X0305 4 2012-05-09 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 2012-05-09 4 A 0 7500 0 A 283500 D Nonstatutory Stock Option (right to buy) 5.50 2012-05-09 4 A 0 7500 0 A 2013-05-09 2022-05-08 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 2012-05-09