0001209191-13-003115.txt : 20130115 0001209191-13-003115.hdr.sgml : 20130115 20130115123942 ACCESSION NUMBER: 0001209191-13-003115 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101102 FILED AS OF DATE: 20130115 DATE AS OF CHANGE: 20130115 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: FOURNERAT DANIEL G CENTRAL INDEX KEY: 0001070225 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 13529875 MAIL ADDRESS: STREET 1: DANIEL G FOURNERAT STREET 2: P O BOX 3507 CITY: LAFAYETTE STATE: LA ZIP: 70502 4/A 1 c31029_4ax0.xml MAIN DOCUMENT DESCRIPTION X0306 4/A 2010-11-02 2010-11-02 0000872248 PETROQUEST ENERGY INC PQ 0001070225 FOURNERAT DANIEL G 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 0 1 0 0 Exec VP and General Counsel Common stock 2010-11-02 4 M 0 20000 3.125 A 412450 D Stock Option (right to buy) 3.125 2010-11-02 4 M 0 20000 0 A 2001-12-01 2010-11-30 Common Stock 20000 20000 D This transaction was omitted from the reporting person's original Form 4 filing. This transaction was omitted from the reporting person's original Form 4 filing. One third of the shares vested on each of the first, second and third anniversaries of the grant date. /s/ Daniel G. Fournerat 2013-01-15