0001209191-13-052553.txt : 20131115 0001209191-13-052553.hdr.sgml : 20131115 20131115163023 ACCESSION NUMBER: 0001209191-13-052553 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131112 FILED AS OF DATE: 20131115 DATE AS OF CHANGE: 20131115 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: MIXON ART M III CENTRAL INDEX KEY: 0001133135 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 131224245 MAIL ADDRESS: STREET 1: 400 E KALISTE SALOOM RD STREET 2: STE 3000 CITY: LAFAYETTE STATE: LA ZIP: 70508 4 1 c629854_4x0.xml MAIN DOCUMENT DESCRIPTION X0306 4 2013-11-12 0000872248 PETROQUEST ENERGY INC PQ 0001133135 MIXON ART M III 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 0 1 0 0 Exec VP - Operations and Prod Common Stock 2013-11-12 4 A 0 65490 0 A 441362 D Incentive stock option 4.18 2013-11-12 4 A 0 38021 0 A 2014-11-12 2023-11-12 Common stock 38021 38021 D 12,674 shares will vest on each of 11/12/2014 and 11/12/2015 and 12,673 shares will vest on 11/12/2016. /s/ Arthur M. Mixon III 2013-11-15