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