X0508 4 2025-08-12 1 0001008586 STREAMLINE HEALTH SOLUTIONS INC. STRM 0001400173 Starkey Judith 2400 OLD MILTON PARKWAY BOX 1353 ALPHARETTA GA 30009 1 0 Common Stock, $0.01 par value 2025-08-12 4 D 0 75820 D 0 D This Form 4 reports securities disposed pursuant to the Agreement and Plan of Merger (the "Merger Agreement"), dated as of May 29, 2025, by and among the Issuer, Mist Holding Co. ("Parent"), and MD BE Merger Sub, Inc., a wholly owned subsidiary of Parent ("Merger Sub"), pursuant to which Merger Sub merged with and into the Issuer, effective as of August 12, 2025, with the Issuer surviving the Merger as a wholly owned subsidiary of Parent (the "Merger"). Pursuant to the terms of the Merger Agreement, at the effective time of the Merger (the "Effective Time"), each share of common stock, par value $0.01 per share, of the Company ("Common Stock") issued and outstanding as of immediately prior to the Effective Time was canceled and converted into the right to receive $5.34 in cash, without interest (the "Merger Consideration"). /s/ Judith Starkey 2025-08-14