X0206 3 2019-08-01 0 0001008586 STREAMLINE HEALTH SOLUTIONS INC. STRM 0001784345 GARVIS WILLIAM GEORGE 1175 PEACHTREE STREET NE, 10TH FLOOR ATLANTA GA 30361 0 1 0 0 SVP & COO Common Stock, $.01 par value 50000 D Common Stock, $.01 par value 100000 D Stock Option (right to buy) 1.19 2026-05-22 Common Stock, $0.01 Par Value 50000 D Stock Option (right to buy) 1.18 2027-03-02 Common Stock, $0.01 Par Value 25000 D Represents an award of Restricted Stock granted outside the Streamline Health Solutions, Inc. Second Amended and Restated 2013 Stock Incentive Plan to the Reporting Person on August 1, 2019, which vests, assuming continued employment, in four substantially equal installments on November 1, 2019, February 1, 2020, May 1, 2020 and August 1, 2020. Represents an award of Restricted Stock, which vests, assuming continued employment, in three substantially equal installments: 33% on January 29, 2020, 33% January 29, 2021, and 34% January 29, 2022. The stock options shall vest and become exercisable in three substantially equal annual installments commencing on May 23, 2017, subject to the provisions in the agreement relating to the effect of termination of employment. The stock options shall vest and become exercisable in thirty-six substantially equal monthly installments commencing on April 2, 2017, subject to the provisions in the agreement relating to the effect of termination of employment. /s/ Thomas Gibson, as attorney-in-fact 2019-08-02