0001209191-12-032028.txt : 20120604 0001209191-12-032028.hdr.sgml : 20120604 20120604173014 ACCESSION NUMBER: 0001209191-12-032028 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120523 FILED AS OF DATE: 20120604 DATE AS OF CHANGE: 20120604 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RUCKS WILLIAM W IV CENTRAL INDEX KEY: 0000939484 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 12887056 MAIL ADDRESS: STREET 1: 600 JEFFERSON STREET SUITE 701 CITY: LAFAYETTE STATE: LA ZIP: 70501 4 1 c28958_4x0.xml MAIN DOCUMENT DESCRIPTION X0305 4 2012-05-23 0000872248 PETROQUEST ENERGY INC PQ 0000939484 RUCKS WILLIAM W IV 600 JEFFERSON STREET SUITE 701 LAFAYETTE LA 70505 1 0 0 0 Common Stock 2012-05-23 4 P 0 10500 4.5 A 1303000 D /s/ William W. Rucks IV 2012-06-01