0001209191-13-028002.txt : 20130522 0001209191-13-028002.hdr.sgml : 20130522 20130522120546 ACCESSION NUMBER: 0001209191-13-028002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130521 FILED AS OF DATE: 20130522 DATE AS OF CHANGE: 20130522 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: 13864134 MAIL ADDRESS: STREET 1: 600 JEFFERSON STREET SUITE 701 CITY: LAFAYETTE STATE: LA ZIP: 70501 4 1 c542378_4x0.xml MAIN DOCUMENT DESCRIPTION X0306 4 2013-05-21 0000872248 PETROQUEST ENERGY INC PQ 0000939484 RUCKS WILLIAM W IV 600 JEFFERSON STREET SUITE 701 LAFAYETTE LA 70505 1 0 0 0 Common Stock 2013-05-21 4 A 0 15000 0 A 1332500 D /s/ William W. Rucks IV 2013-05-21