0001692436-16-000001.txt : 20161215 0001692436-16-000001.hdr.sgml : 20161215 20161215171310 ACCESSION NUMBER: 0001692436-16-000001 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161213 FILED AS OF DATE: 20161215 DATE AS OF CHANGE: 20161215 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: Jolly Joseph Gerard CENTRAL INDEX KEY: 0001692436 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 162054405 MAIL ADDRESS: STREET 1: 400 EAST KALISTE SALOOM ROAD STREET 2: SUITE 6000 CITY: LAFAYETTE STATE: LA ZIP: 70508 3 1 wf-form3_148183997795837.xml FORM 3 X0206 3 2016-12-13 0 0000872248 PETROQUEST ENERGY INC PQ 0001692436 Jolly Joseph Gerard 301 MAIN STREET SUITE 2150 BATON ROUGE LA 70801 1 0 0 0 Common Stock 0 D /J. Gerard Jolly/ 2016-12-15