0001209191-13-052555.txt : 20131115
0001209191-13-052555.hdr.sgml : 20131115
20131115163043
ACCESSION NUMBER: 0001209191-13-052555
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: NORDBERG E WAYNE
CENTRAL INDEX KEY: 0001111624
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32681
FILM NUMBER: 131224250
MAIL ADDRESS:
STREET 1: 2 WORLD TRDE CENTER 85TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10048
4
1
c627956_4x0.xml
MAIN DOCUMENT DESCRIPTION
X0306
4
2013-11-12
0000872248
PETROQUEST ENERGY INC
PQ
0001111624
NORDBERG E WAYNE
410 PARK AVENUE, 17TH FLOOR
NEW YORK
NY
10022
1
0
0
0
Common stock
2013-11-12
4
M
0
40000
3.17
A
347500
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)
3.17
2013-11-12
4
M
0
40000
0
D
2004-01-26
2014-01-25
Common stock
40000
0
D
20,000 shares vested on January 26, 2004; 6,667 shares vested on April 30, 2004; 6,667 shares vested on May 23, 2004; and 6,666 shares vested on April 30, 2005.
/s/ E. Wayne Nordberg
2013-11-13