0001209191-13-003114.txt : 20130115 0001209191-13-003114.hdr.sgml : 20130115 20130115123703 ACCESSION NUMBER: 0001209191-13-003114 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121231 FILED AS OF DATE: 20130115 DATE AS OF CHANGE: 20130115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOODSON CHARLES T CENTRAL INDEX KEY: 0001070218 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 13529870 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 5 1 c31028_5x0.xml MAIN DOCUMENT DESCRIPTION X0306 5 2012-12-31 0 1 0000872248 PETROQUEST ENERGY INC PQ 0001070218 GOODSON CHARLES T 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 1 1 0 0 Chairman, CEO and President Common Stock 2012-01-05 4 G 0 16000 0 D 3478228 D /s/ Charles T. Goodson 2013-01-15