0001209191-13-024547.txt : 20130507 0001209191-13-024547.hdr.sgml : 20130507 20130507160453 ACCESSION NUMBER: 0001209191-13-024547 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130503 FILED AS OF DATE: 20130507 DATE AS OF CHANGE: 20130507 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: NORDBERG E WAYNE CENTRAL INDEX KEY: 0001111624 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 13819952 MAIL ADDRESS: STREET 1: 2 WORLD TRDE CENTER 85TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10048 4 1 c532561_4x0.xml MAIN DOCUMENT DESCRIPTION X0306 4 2013-05-03 0000872248 PETROQUEST ENERGY INC PQ 0001111624 NORDBERG E WAYNE 410 PARK AVENUE, 17TH FLOOR NEW YORK NY 10022 1 0 0 0 Common stock 2013-05-03 4 M 0 20000 1.53 A 292500 D Common stock 90060 I By wife Common stock 79950 I By Anna & Samuel Nordberg Trust Common stock 64950 I By Olivia S. Nordberg Trust Common stock 134900 I By Delaware Charter FBO Wayne Nordberg R/O IRA Nonstatutory Stock Option (right to buy) 1.53 2013-05-03 4 M 0 20000 0 A 2004-05-07 2013-05-07 Common Stock 20000 20000 D The number of shares beneficially owned was previoulsy erroneously reported on prior Form 4s as being 90,090. The option vested in 1/3 installments on each of 5/7/04, 5/7/05 and 5/7/06. /s/ Lillian Preziosi, Attorney-in-Fact 2013-05-06