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