0000872248-16-000206.txt : 20161004
0000872248-16-000206.hdr.sgml : 20161004
20161004170153
ACCESSION NUMBER: 0000872248-16-000206
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160217
FILED AS OF DATE: 20161004
DATE AS OF CHANGE: 20161004
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/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32681
FILM NUMBER: 161919853
MAIL ADDRESS:
STREET 1: C/O HOLLOW BROOK WEALTH MANAGEMENT LLC
STREET 2: 420 LEXINGTON AVENUE, SUITE 2840
CITY: NEW YORK
STATE: NY
ZIP: 10170
4/A
1
wf-form4a_147561490051227.xml
FORM 4/A
X0306
4/A
2016-02-17
2016-10-03
0
0000872248
PETROQUEST ENERGY INC
PQ
0001111624
NORDBERG E WAYNE
420 LEXINGTON AVENUE, SUITE 2840
NEW YORK
NY
10170
1
0
0
0
Common Stock
2016-02-17
4
P
0
500
0
A
89250
D
Common Stock
2016-09-27
4
P
0
967
0
A
90217
D
Common Stock
2016-02-17
4
P
0
2000
0
A
35725
I
By IRA FBO E. Wayne Nordberg, Pershing LLC as Custodian Rollover Account
Common Stock
2016-09-27
4
P
0
3900
0
A
39625
I
By IRA FBO E. Wayne Nordberg, Pershing LLC as Custodian Rollover Account
Common Stock
2016-02-17
4
P
0
1000
0
A
17238
I
By Olivia S. Nordberg Trust
Common Stock
2016-09-27
4
P
0
1950
0
A
19188
I
By Olivia S. Nordberg Trust
Common Stock
17500
I
By wife
The number of shares acquired and the number of shares beneficially owned following the reported transaction have been adjusted to reflect the one for four reverse split of the common stock effective May 18, 2016.
These shares were received in exchange for the issuer's 10% senior notes 2017 in an issuer exchange offer.
These amounts were erroneously reported as 89,213 and 90,180 shares, respectively, on the original Form 4.
These shares were received in exchange for the issuer's 10% second lien senior secured notes due 2021 in an issuer exchange offer.
Previously reported as being held by Delaware Charter FBO Wayne Nordberg R/O IRA. In addition, the reporting person no longer has a reportable beneficial interest in 19,988 shares owned by the Anna & Samuel Nordberg Trust and included in the reporting person's prior ownership reports
The reporting person no longer has a reportable beneficial interest in 15 shares owned by Janet Mavec Custodian FBO Akash Mavec, UBMA.
/s/ E. Wayne Nordberg
2016-10-04