0001209191-12-049046.txt : 20121011 0001209191-12-049046.hdr.sgml : 20121011 20121011105511 ACCESSION NUMBER: 0001209191-12-049046 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121009 FILED AS OF DATE: 20121011 DATE AS OF CHANGE: 20121011 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLEMENT JAMES BOND CENTRAL INDEX KEY: 0001429215 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 121139294 MAIL ADDRESS: STREET 1: 400 E. KALISTE SALOOM ROAD, 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 c30168_4x0.xml MAIN DOCUMENT DESCRIPTION X0306 4 2012-10-09 0000872248 PETROQUEST ENERGY INC PQ 0001429215 CLEMENT JAMES BOND 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 0 1 0 0 Exec VP, CFO and Treasurer Common Stock 2012-10-09 4 F 0 1644 6.86 D 209306 D /s/ James Bond Clement 2012-10-10