Exhibit 10.3



 Exhibit 10.3 
 Execution Version 
 REGISTRATION RIGHTS AGREEMENT 

THIS REGISTRATION RIGHTS AGREEMENT (the “Agreement”) is entered into as of December 7, 2011
by and among STREAMLINE HEALTH SOLUTIONS, INC., a Delaware corporation (“Company”), INTERPOINT PARTNERS, LLC, a Georgia limited liability company (“Interpoint”), and the members of Interpoint as set
forth on the signature page thereto (the “Members”). 
 WHEREAS, Interpoint has agreed
to sell all or substantially all of its assets to IPP Acquisition, LLC, a Georgia limited liability company and an indirect wholly owned subsidiary of Company (“Purchaser”), pursuant to that certain Asset Purchase
Agreement dated as of December 7, 2011 (the “Asset Purchase Agreement”); 

WHEREAS, contemporaneously with the closing under the Asset Purchase Agreement, Company and Purchaser will authorize the
issuance of a convertible unsecured subordinated promissory note in the original principal amount of $3,000,000 (the “Note”) to Interpoint that is convertible into shares of Common Stock (as defined below); and 

WHEREAS, the Company and Interpoint wish to provide for certain arrangements with respect to the registration under the
Securities Act of the shares of Common Stock held by Interpoint pursuant to conversion under the terms of the Note. 
 NOW, THEREFORE, in consideration of the mutual promises and obligations contained herein, the parties agree as follows: 
 1. CERTAIN DEFINITIONS. As used in this Agreement, the following terms will have the following respective meanings: 

“Best Efforts” means the commercially reasonable efforts that a prudent Person desirous of
achieving a result would use in similar circumstances to ensure that such result is achieved as expeditiously as reasonably possible. 
 “Business Day” means any day that is not a Saturday, a Sunday or a day on which banks in the State of Ohio are generally closed for business. 

“Commission” means the U.S. Securities and Exchange Commission, or any other federal agency at
the time administering the Securities Act or the Exchange Act. 
 “Common Stock” means
the common stock, $0.01 par value, of the Company. 
 “Effectiveness Period” means the
period beginning on the date on which a Registration Statement is declared effective and ending on the date on which the Selling Holders shall have sold or otherwise disposed of all the Registrable Shares included in the Registration Statement.

 “Exchange Act” means the Securities Exchange Act of 1934, and any successor to such
statute, and the rules and regulations of the Commission issued under such Act, as they each may, from time to time, be amended and in effect. 







 “Holder” means Interpoint or any Permitted
Transferee thereof in accordance with Section 7.2 hereof. 
 “Majority in Interest of the
Registrable Shares” means the Holders of greater than 50% of all Registrable Shares (or, where reference is made to a Majority in Interest of Registrable Shares proposed to be included in a Registration Statement, the Holders of greater
than 50% of the Registrable Shares so proposed to be included); provided, however, that so long as the Holder is Interpoint, Majority in Interest of the Registrable Shares shall mean W. Ray Cross acting in his capacity as “Seller
Representative” under the Asset Purchase Agreement. 
 “Person” means any
individual, partnership, corporation, company, association, trust, joint venture, limited liability company, unincorporated organization, entity or division, or any government, governmental department or agency or political subdivision thereof.

 “Public Offering” means a public offering and sale of Common Stock for cash pursuant
to an effective Registration Statement. 
 “Register,”
“registered,” and “registration” refer to a registration effected by preparing and filing one or more Registration Statements or similar documents in compliance with the Securities Act and any
applicable rules and regulations promulgated thereunder (including, in the case of a Registration Statement on Form S-3, Rule 415) and the automatic effectiveness or the declaration or ordering of effectiveness of such Registration Statement or
similar document by the Commission. 
 “Registrable Shares” means any shares of Common
Stock issued at any future time to Interpoint or a Permitted Transferee by way of conversion under the terms of the Note, including any Common Stock issued thereafter as a result of a stock dividend or stock split or in connection with a combination
of shares, recapitalization, merger, consolidation, other reorganization or otherwise. Registrable Shares will cease to be Registrable Shares pursuant to the provisions of Section 5.4 hereof. 

“Registration Expenses” means all expenses incurred by the Company in complying with Sections 2
and 3 hereof, including, without limitation, all registration and filing fees, listing fees, all fees and expenses of complying with securities or blue sky laws, all printing expenses, fees and disbursements of counsel for the Company and its
independent public accountants, including the expenses of any special audits required by or incident to such performance and compliance, and legal fees and disbursements of the Selling Holders, but excluding underwriting discounts, selling
commissions, applicable transfer taxes, if any. 
 “Registration Statement” means a
registration statement filed by the Company with the Commission for a Public Offering under the Securities Act (other than a registration statement on Form S-8 or Form S-4, or their successors, or any other form for a similar limited purpose).

 “Rule 144” means Rule 144 promulgated under the Securities Act, and any successor
rule or regulation thereto, and in the case of any referenced section of such rule, any successor section thereto, collectively and as from time to time amended and in effect. 

  
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 “Rule 415” means Rule 415 promulgated under the
Securities Act, or any successor rule or regulation providing for offering securities on a continuous or delayed basis. 
 “Securities Act” means the Securities Act of 1933, and any successor to such statute, and the rules and regulations of the Commission issued under such Act, as they each may, from
time to time, be amended and in effect. 
 “Selling Holder” means any Holder on whose
behalf Registrable Shares are registered pursuant to Section 2 or 3 hereof. 
 2. REQUIRED REGISTRATIONS. 

2.1 Demand Registrations. At any time after the date hereof, a Majority in Interest of the Registrable Shares then
outstanding may, by written notice to the Company, demand that the Company effect the registration for a Public Offering of all Registrable Shares then outstanding either on Form S-1 (or any other form that includes substantially the same
information as would be required to be included in a Registration Statement on such form as currently constituted) or, to the extent the Company is eligible, on Form S-3 (or any successor form relating to secondary offerings). The requests of the
Holders of a Majority in Interest of the Registrable Shares under this Section 2.1, shall be binding on all Holders and, subject to the provisions of Section 4.11, no more than two (2) registration demands may be delivered by the
Holders. 
 2.2 Notice to Other Holders of Registrable Shares. Promptly after receipt of notice
requesting registration pursuant to Section 2.1, the Company will give written notice of such requested registration to all other holders of Registrable Shares. Each Holder shall have twenty (20) days after receipt of the Company’s
notice to provide written notice to the Company that such Holder desires to participate in the registration and the amount of Registrable Shares to be included. Upon receipt of such demand and subject to the limitations set forth in Sections 2.3 and
5.2, the Company will use its Best Efforts to cause all Registrable Shares requested by the Holders to be included in such registration to be registered under the Securities Act. 

2.3 Time and Value Limitations. The Company shall not be required to effect any registration pursuant to this
Section 2 unless the anticipated net aggregate offering price of the Registrable Shares to be registered is at least $1,00,000. Further, the Company will not be required to effect any registration pursuant to this Section 2 within six
(6) months after the effective date of any Registration Statement that was requested pursuant to this Section 2. 
 2.4 Selection of Underwriter. If a Majority in Interest of the Registrable Shares intend to distribute the Registrable Shares in an underwritten offering, they will so advise the Company in their
request. A Majority in Interest of the Registrable Shares participating in such registration will have the right to designate the managing underwriter, subject to the approval of the Company, which approval may not be unreasonably withheld.

 3. INCIDENTAL REGISTRATION. 
 3.1 Company Registration. Subject to Section 3.2, if at any time the Company proposes to register any of Common Stock under the Securities Act, for its own account or for the account of any
holder of its securities other than Registrable Shares, then at least twenty (20) 

  
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days prior to the anticipated filing date of the applicable Registration Statement the Company will give written notice to all Holders of such proposed filing. The notice will describe the
proposed registration and state the intended method of disposition and provide such Holders the opportunity to register the number of Registrable Shares as each such Holder may request, subject in each case to the terms of this Agreement. Upon the
written request of a Holder or Holders given within twenty (20) days after the Company provides such notice, the Company will use its Best Efforts to cause all Registrable Shares that the Company has been requested to register to be registered
under the Securities Act to the extent necessary to permit their sale or other disposition in accordance with the intended methods of distribution specified in the request of such Holder(s); provided that, the Company will have the right to postpone
or withdraw any registration initiated by the Company pursuant to this Section 3.1 without obligation to any Holder; provided, further, that in the case of a proposed underwritten offering, the Company shall use its Best Efforts to cause the
managing underwriter or underwriters to permit each of the Holders who have requested in writing to participate in the offering to include such Holder’s Registrable Shares in such offering on the same terms and conditions as are applicable to
the securities of the Company or other stockholders, as the case may be, included therein. 
 3.2 Excluded
Transactions. The Company will not be obligated to effect any registration of Registrable Shares under this Section 3 incidental to the registration of any of its securities in connection with: (a) a registration on Form S-8 relating
to employee benefit plans or dividend reinvestment plans; or (b) a registration on Form S-4 relating to the acquisition or merger after the date hereof by the Company or any of its subsidiaries of or with any other businesses. 

4. REGISTRATION PROCEDURES. If and whenever the Company is required by the provisions of this Agreement to use its Best
Efforts to effect the registration of any of the Registrable Shares under the Securities Act, the Company and the Selling Holders will take the actions described below in this Section 4. 

4.1 Registration Statement. The Company will prepare and (in the case of a registration pursuant to Section 2
hereof, promptly and in any event within 90 days after the demand for registration has been delivered to the Company) file with the Commission a Registration Statement with respect to such Registrable Shares and use its Best Efforts to cause such
Registration Statement to become effective within ninety (90) days after the filing of such Registration Statement. Such Registration Statement shall be for an offering to be made on a continuous or delayed basis (a so-called “shelf
registration statement”) if (i) the Company is eligible for the use thereof and (ii) the Holders requesting such registration have asked for a shelf registration statement, and the Company shall keep such Registration Statement
effective pursuant to Rule 415 for the Effectiveness Period. 
 4.2 Amendments and Supplements. The
Company will prepare and file with the Commission such amendments (including post-effective amendments) and supplements to such Registration Statement and the prospectus used in connection therewith as may be necessary to keep such Registration
Statement effective during the Effectiveness Period, and during such period to comply with the provisions of the Securities Act with respect to the disposition of all Registrable Shares and other securities, if any, covered by such Registration
Statement until the end of the Effectiveness Period. 

  
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 4.3 Cooperation. The Company will use its Best Efforts to cooperate
with the Selling Holders in the disposition of the Registrable Shares covered by such Registration Statement, including without limitation in the case of an underwritten offering pursuant to Section 2.1 entering into and performing customary
agreements (including an underwriting agreement in customary form with the managing underwriter) and causing key executives of the Company and its subsidiaries to participate under the direction of the managing underwriter in a “road show”
scheduled by such managing underwriter in such locations and of such duration as in the judgment of such managing underwriter are appropriate for such underwritten offering. 

4.4 Copies of Prospectus. The Company will furnish to each Selling Holder, without charge, (i) promptly after
such Registration Statement is filed with the Commission, such reasonable numbers of copies of the prospectus, including a preliminary prospectus, in conformity with the requirements of the Securities Act, and any amendments thereto, including
financial statements and schedules and all exhibits, (ii) upon the effectiveness of such Registration Statement, such number of copies of the prospectus included in such Registration Statement, including all amendments and supplements thereto,
and (iii) such other documents, in each case, as the Selling Holder may reasonably request in order to facilitate the public sale or other disposition of the Registrable Shares owned by the Selling Holder. 

4.5 Blue Sky Qualification. The Company will use its Best Efforts to register or qualify the Registrable Shares
covered by the Registration Statement under the securities or “blue sky” laws of such states or jurisdictions in the United States as the Selling Holders reasonably request, and do any and all other acts and things that may be necessary or
desirable to enable the Selling Holders to consummate the public sale or other disposition in such jurisdictions of the Registrable Shares covered by the Registration Statement, including preparing and filing in those jurisdictions such amendments
(including post-effective amendments) and supplements to such registrations and qualifications as may be necessary to maintain the effectiveness thereof during the Effectiveness Period (in the case of a shelf registration statement); provided,
however, that the Company will not be obligated to file any general consent to service of process or to qualify as a foreign corporation in any jurisdiction in which it is not so qualified or to subject itself to taxation in respect of doing
business in any jurisdiction in which it would not otherwise be so subject. The Company shall promptly notify each Selling Holder of the receipt by the Company of any notification with respect to the suspension of the registration or qualification
of any Registrable Shares for sale under the securities or “blue sky” laws of any jurisdiction in the United States or its receipt of actual notice of the initiation or threat of any proceeding for such purpose. 

4.6 Opinion of Counsel; Comfort Letter. In the case of an underwritten offering, the Company will use its Best
Efforts to obtain all legal opinions, auditors’ consents and comfort letters and experts’ cooperation as may be required, including furnishing to each Selling Holder of such Registrable Shares a signed counterpart, addressed or confirmed
to such Selling Holder, of (a) an opinion of counsel for the Company and (b) a “cold comfort” letter signed by the independent public accountants who have certified the Company’s financial statements included in such
Registration Statement, covering substantially the same matters as are customarily covered in opinions of issuer’s counsel and in accountants’ letters delivered to underwriters in underwritten public offerings of securities. 

  
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 4.7 Listing and Transfer Agent. The Company will cause all
Registrable Shares covered by the Registration Statement to be listed on each securities exchange or automated quotation system on which the Common Stock is then listed. The Company will provide and cause to be maintained a transfer agent and
registrar for all Registrable Shares covered by the Registration Statement not later than the effective date of such Registration Statement. The Company will pay all fees and expenses in connection with satisfying its obligations under this
Section 4.7. 
 4.8 General Compliance with Federal Securities Laws; Section 11(a) Earning
Statement. The Company will use its Best Efforts to comply with the Securities Act, the Exchange Act and any other applicable rules and regulations of the Commission, and make available to its securities holders, as soon as reasonably
practicable, an earning statement covering the period of at least twelve (12) months after the effective date of such Registration Statement, which earnings statement shall be in a form complying with and satisfying Section 11(a) of the
Securities Act and any applicable regulations thereunder, including the provisions of Rule 158. 
 4.9 Notice
of Prospectus Defects. The Company will immediately notify the Selling Holders of the happening of any event, as a result of which the prospectus included or to be included in the Registration Statement, as then in effect, includes an untrue
statement of a material fact or omits to state any material fact required to be stated therein or necessary to make the statements therein not misleading in the light of the circumstances then existing (provided that such notice shall not contain
any material, non-public information). The Company will promptly revise such prospectus as may be necessary so that such prospectus shall not include an untrue statement of a material fact or omit to state such a material fact required to be stated
therein or necessary to make the statements therein not misleading in the light of the circumstances then existing. The Company will promptly deliver copies of such revised prospectus to the Selling Holders. Following receipt of the revised
prospectus, the Selling Holders will be free to resume making offers of the Registrable Shares. The Company will extend the period during which the Registration Statement must be kept effective pursuant to this Agreement by the number of days during
the period from and including the date of giving such notice to and including the date when the Selling Holders shall have received copies of the revised prospectus. 

4.10 Company Lock-Up. In the case of an underwritten offering requested to be effected by the Holders pursuant to
Section 2, the Company will refrain, without the consent of the managing underwriter, for a period from fifteen (15) days before the effective date of the registration sale until ninety (90) days after such effective date, from
directly or indirectly selling, offering to sell, granting any option for the sale of, or otherwise disposing of any Common Stock or securities convertible into Common Stock other than pursuant to Company employee equity plans. The Company Lock-Up
may be extended for an additional ninety (90) days (not to exceed one hundred eighty (180) days total) if required in the reasonable judgment of the underwriter. 

4.11 Delay of Registration and Suspension of Offering. If at any time (a) after a request to effect a
registration pursuant to Section 2 of this Agreement or (b) after a Registration Statement has become effective, the Company is engaged in any plan, proposal or agreement 

  
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with respect to any financing, acquisition, recapitalization, reorganization or other material transaction or development the public disclosure of which would be detrimental to the Company, then
the Company or the Holders may direct that such request be delayed or that use of the prospectus contained in the Registration Statement be suspended, as applicable, for a period of up to ninety (90) days. The Company will notify all Holders
requesting the registration or all Selling Holders, as the case may be, of the delay or suspension. In the case of notice suspending an effective Registration Statement, each Selling Holder will immediately discontinue any sales of Registrable
Shares pursuant to such Registration Statement until such Selling Holder has received copies of a supplemented or amended prospectus or until such Selling Holder is advised in writing by the Company that the then-current prospectus may be used and
has received copies of any additional or supplemental filings that are incorporated or deemed incorporated by reference in such prospectus. The Company or the Holders may exercise the rights provided by this Section 4.11 not more than once per
requested registration. The Holders shall have the demand right reinstated if the request is delayed or suspended as provided herein or the circumstances set forth in Section 4.14 occur and that Section 4.14 comes into effect. 

4.12 Participation by Selling Security Holders. In connection with the preparation and filing of each Registration
Statement, and before filing any such Registration Statement or any other document in connection therewith, the Company must give the participating Holders and their underwriters, if any, and their respective counsel and accountants, the opportunity
to participate in the preparation of such Registration Statement, each prospectus included therein or filed with the Commission, each amendment thereof or supplement thereto and any related underwriting agreement or other document to be filed, and
give each of the aforementioned Persons such access to its books and records and such opportunities to discuss the business of the Company with its officers and the independent public accountants who have certified its financial statements as shall
be necessary, in the opinion of such Holders, underwriters, counsel or accountants, to conduct a reasonable investigation within the meaning of the Securities Act. 

4.13 Requests by Selling Holders. If requested by a Selling Holder, the Company shall (i) as soon as
practicable incorporate in a prospectus supplement or post-effective amendment such information as a Selling Holder reasonably requests to be included therein relating to the sale and distribution of Registrable Shares, including, without
limitation, information with respect to the number of Registrable Shares being offered or sold, the purchase price being paid therefor and any other terms of the offering of the Registrable Shares to be sold in such other offering provided that such
information is required to be included in the Registration Statement by the Securities Act; (ii) as soon as practicable make all required filings of such prospectus supplement or post-effective amendment after being notified of the matters to
be incorporated in such prospectus supplement or post-effective amendment; and (iii) as soon as practicable, supplement or make amendments to any Registration Statement if reasonably requested by a Selling Holder of such Registrable Shares.

 4.14 Stop Orders. The Company shall use its Best Efforts to prevent the issuance of any stop order or
other suspension of effectiveness of a Registration Statement, or the suspension of the qualification of any of the Registrable Shares for sale in any jurisdiction and, if such an order or suspension is issued, to obtain the withdrawal of such order
or suspension at the earliest possible moment and to notify each Selling Holder of the issuance of such order and the resolution thereof or its receipt of actual notice of the initiation or threat of any proceeding for such purpose. 

  
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 4.15 Certificates. The Company shall reasonably cooperate with the
Selling Holders and, to the extent applicable, facilitate the timely preparation and delivery of certificates representing the Registrable Shares to be offered pursuant to a Registration Statement and enable such certificates to be in such
denominations or amounts, as the case may be, as the Selling Holders may reasonably request and registered in such names as the Selling Holders may request. 
 4.16 Notice of Effectiveness. Within two Business days after a Registration Statement that includes the Registrable Shares is declared effective by the Commission, the Company shall deliver, and
shall cause legal counsel for the Company to deliver, to the transfer agent for such Registrable Shares (with copies to the Selling Holders) written confirmation that such Registration Statement has been declared effective by the Commission.

 4.17 Governmental Approvals. The Company shall use its Best Efforts to cause the Registrable Shares
covered by the Registration Statement to be registered with or approved by such other governmental agencies or authorities as may be necessary to consummate the disposition of such Registrable Shares. 

5. CERTAIN OTHER PROVISIONS. 
 5.1 Additional Procedures. Each Selling Holder will take all such actions and execute all such documents and instruments that are reasonably requested by the Company to effect the sale of its
Registrable Shares in such Public Offering, including, without limitation, being parties to the underwriting agreement entered into by the Company and any other Selling Holders in connection therewith; provided, however, that the aggregate
amount of any liability of any Selling Holder pursuant to such underwriting or other agreement will not exceed such Selling Holder’s net proceeds from such offering. In addition, each Selling Holder will furnish to the Company such information
regarding such Selling Holder and the distribution proposed by such Selling Holder as the Company may reasonably request in writing and as will be required in connection with any registration, qualification or compliance referred to in
Section 4. 
 5.2 Underwriter’s Cutback. Notwithstanding any other provision of this Agreement,
if the managing underwriter determines that the inclusion of all shares requested to be registered in an underwritten offering would adversely affect the offering, the Company may limit the number of Registrable Shares to be included in the
Registration Statement for such offering. If the registration has been requested by the Holders pursuant to Section 2 hereof, the number of shares that are entitled to be included in the registration and underwriting will be reduced in the
following manner: (a) first, shares of Company equity securities, other than Registrable Shares, requested to be included in such registration by stockholders will be excluded, (b) second, shares of Company equity securities that the
Company desires to include in such registration will be excluded and (c) third, Registrable Shares requested to be included in such registration by the Holders will be excluded. If the registration has been initiated other than pursuant to
Section 2 hereof, the number of shares that are entitled to be included in the Registration Statement for such offering will be reduced in the following manner: (x) first, shares of Company equity


  
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securities, other than Registrable Shares, requested to be included in such registration by stockholders will be excluded and Registrable Shares requested to be included in such registration by
Holders will be excluded on a pro-rata basis and (y) second, shares of Company equity securities that the Company desires to include in such registration will be excluded. If any other stockholders of the Company exercise a contractual demand
right for registration of equity securities of the Company concurrent with a demand request by the Holders pursuant to Section 2 hereof, then all such demanding holders shall be aggregated with the Holders for purposes of determining the
category of stockholders to be cutback pursuant to this Section 5.2 provided that such other stockholders agree in writing to provide the Holders with reciprocal rights with respect to any demand request by such other stockholders. To the
extent that the underwriters do not deem it necessary to exclude all of the shares requested to be registered by any category of stockholders contemplated above, the number of shares that may be included in the registration will be allocated to the
members of such category requesting registration in proportion, as nearly as practicable, to the respective number of shares of Common Stock (assuming conversion of any convertible securities held by such stockholders) that they held at the time the
Company gives the notice specified in Section 2 or 3. 
 5.3 Registration Expenses. The Company
hereby agrees to pay all Registration Expenses in connection with all registrations effected pursuant to this Agreement. The Company, however, shall not be required to pay for any expenses of a registration requested pursuant to Section 2 if
the registration request is withdrawn at any time at the request of a Majority in Interest of the Registrable Shares (in which case all Holders requesting such withdrawal shall bear such expenses). However, if the requesting Holders have learned of
information (other than information known to them at the time they made their request) that, in the good faith judgment of the requesting Holders, is reasonably likely to have a material adverse effect on the business or prospects of the Company,
then the Holders shall not be required to pay any of such expenses in the case of a registration requested pursuant to Section 2. 
 5.4 Termination of Status as Registrable Shares. Registrable Shares will cease to be Registrable Shares and cease to have the rights accorded to such shares under this Agreement upon the earliest
to occur of the following events: (x) such shares shall have been sold pursuant to an effective Registration Statement under the Securities Act or (y) such shares shall have been sold (or have become eligible for sale without limitation as
to volume) pursuant to a transaction under Rule 144. 
 6. INDEMNIFICATION. 

6.1 Company Indemnification. In the event of any registration of any of the Registrable Shares under the
Securities Act pursuant to this Agreement, then to the extent permitted by law, the Company will indemnify and hold harmless each Selling Holder, its partners, directors and officers and each other Person, if any, who controls such Selling Holder
within the meaning of the Securities Act or the Exchange Act (each such Person being a “Covered Person”) against any losses, claims, damages or liabilities, joint or several, to which such Covered Person may become subject under the
Securities Act, the Exchange Act, state securities laws or otherwise, insofar as such losses, claims, damages or liabilities (or actions in respect thereof) arise out of or are based upon (a) any untrue statement or alleged untrue statement of
any material fact contained in any Registration Statement under which such 

  
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Registrable Shares were registered under the Securities Act, any preliminary or final prospectus contained in the Registration Statement, or any amendment or supplement to such Registration
Statement or (b) the omission or alleged omission to state a material fact required to be stated therein or necessary to make the statements therein not misleading; and the Company will reimburse such Covered Person for any legal or any other
expenses reasonably incurred by such Covered Person in connection with investigating or defending any such loss, claim, damage, liability or action; provided, however, that the Company will not be liable to any Covered Person in any such case
(x) to the extent that any such loss, claim, damage or liability arises out of or is based upon any untrue statement or omission made in such Registration Statement or prospectus, or any such amendment or supplement, in reliance upon and in
conformity with information furnished to the Company, in writing, by or on behalf of such Covered Person specifically for use in the preparation thereof or (y) in the case of a sale directly by a Selling Holder (including a sale of such
Registrable Shares through any underwriter retained by such Selling Holder engaging in a distribution solely on behalf of such Selling Holder), such untrue statement or omission was contained in a preliminary prospectus and corrected in a final or
amended prospectus, and such Selling Holder failed to deliver a copy of the final or amended prospectus at or prior to the confirmation of the sale of the Registrable Shares to the person asserting any such loss, claim, damage or liability in any
case in which such delivery is required by the Securities Act. 
 6.2 Seller Indemnification. In the
event of any registration of any of the Registrable Shares under the Securities Act pursuant to this Agreement, then to the extent permitted by law, each Selling Holder will indemnify and hold harmless the Company, each of its directors and officers
and each Person (other than such Selling Holder), if any, who controls the Company within the meaning of the Securities Act or the Exchange Act, against any losses, claims, damages or liabilities to which the Company, such directors and officers, or
controlling person may become subject under the Securities Act, Exchange Act, state securities laws or otherwise, insofar as such losses, claims, damages or liabilities (or actions in respect thereof) arise out of or are based upon (a) any
untrue statement of a material fact contained in any Registration Statement under which such Registrable Shares were registered under the Securities Act, any preliminary or final prospectus contained in the Registration Statement, or any amendment
or supplement to the Registration Statement or (b) the omission to state a material fact required to be stated therein or necessary to make the statements therein not misleading, if the statement or omission was made in reliance upon and in
conformity with information furnished in writing to the Company by or on behalf of such Selling Holder, specifically for use in connection with the preparation of such Registration Statement, prospectus, amendment or supplement; provided, however,
that the obligations of such Selling Holder hereunder will be limited to an amount equal to the net proceeds to such Selling Holder (after deducting all underwriter’s discounts and commissions and all other expenses paid by such Holder in
connection with the registration in question) from the disposition of Registrable Shares pursuant to such registration. 
 6.3 Notice of Claims, etc. Promptly after receipt by an indemnified party of notice of the commencement of any action or proceeding involving a claim of the type referred to in the foregoing
provisions of this Section 6, such indemnified party will, if a claim in respect thereof is to be made against any indemnifying party, give written notice to each such indemnifying party of the commencement of such action; provided, however,
that the failure of any indemnified party to give such notice will not relieve such indemnifying party of its obligations under this 

  
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Section 6, except to the extent that such indemnifying party is materially prejudiced by such failure. In case any such action is brought against an indemnified party, each indemnifying
party will be entitled to participate in and to assume the defense thereof, jointly with any other indemnifying party similarly notified, to the extent that it may wish, with counsel reasonably satisfactory to such indemnified party, and (subject to
the following sentence) after notice from an indemnifying party to such indemnified party of its election so to assume the defense thereof, such Indemnifying party will not be liable to such indemnified party for any legal or other expenses
subsequently incurred by the latter in connection with the defense thereof. The indemnified party may participate in such defense at such party’s expense; provided, however, that the indemnifying party will pay such expense if representation of
such indemnified party by the counsel retained by the indemnifying party would be inappropriate due to actual or potential conflict of interests between the indemnified party and any other party represented by such counsel in such proceeding;
provided, further, that in no event will the indemnifying party be required to pay the expenses of more than one law firm as counsel for all indemnified parties pursuant to this sentence. If, within 30 days after receipt of the notice, such
indemnifying party has not elected to assume the defense of the action, such indemnifying party will be responsible for any legal or other expenses reasonably incurred by such indemnified party in connection with the defense of the action, suit,
investigation, inquiry or proceeding. An indemnifying party may, in the defense of any such claim or litigation, consent to the entry of a judgment or enter into a settlement without the consent of the indemnified party only if such judgment or
settlement contains a general release of the indemnified party in respect of such claims or litigation. 
 6.4
Contribution. If the indemnification provided for in Sections 6.1 or 6.2 hereof is unavailable to a party that would have been an indemnified party under any such Section in respect of any losses, claims, damages or liabilities (or actions or
proceedings in respect thereof) referred to therein, then each party that would have been an indemnifying party thereunder will, in lieu of indemnifying such indemnified party, contribute to the amount paid or payable by such indemnified party as a
result of such losses, claims, damages or liabilities (or actions or proceedings in respect thereof) in such proportion as is appropriate to reflect the relative fault of such indemnifying party on the one hand and such indemnified party on the
other in connection with the statements or omissions which resulted in such losses, claims, damages or liabilities (or actions or proceedings in respect thereof). The relative fault will be determined by reference to, among other things, whether the
untrue or alleged untrue statement of a material fact or the omission or alleged omission to state a material fact relates to information supplied by such indemnifying party or such indemnified party and the parties’ relative intent, knowledge,
access to information and opportunity to correct or prevent such statement or omission. The parties agree that it would not be just and equitable if contribution pursuant to this Section 6.4 were determined by pro rata allocation or by any
other method of allocation that does not take account of the equitable considerations referred to in the preceding sentence. The amount paid or payable by a contributing party as a result of the losses, claims, damages or liabilities (or actions or
proceedings in respect thereof) referred to in this Section 6.4 will include any legal or other expenses reasonably incurred by such indemnified party in connection with investigating or defending any such action or claim. No Person guilty of
fraudulent misrepresentation (within the meaning of Section 11(f) of the Securities Act) will be entitled to contribution from any Person who was not guilty of such fraudulent misrepresentation. 

  
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 7. MISCELLANEOUS. 

7.1 Reports under the Exchange Act. With a view to making available to the Holders the benefits of Rule 144 and
any other rule or regulation of the Commission that may at any time permit such Holder to sell securities of the Company to the public without registration and with a view to making it possible for Holders to register the Registrable Shares pursuant
to a registration statement on Form S-3, the Company agrees from the date hereof to use its Best Efforts to: 
 (a) make and keep public information available, as those terms are understood and defined in Rule 144 under the Securities Act; 

(b) file with the Commission in a timely manner all reports and other documents required of the Company
under the Securities Act and the Exchange Act, so long as the Company remains subject to such requirements and the filing of such reports and other documents are required for the applicable provisions of Rule 144 to apply; 

(c) file with the Commission in a timely manner all reports and other documents required of the Company
under the Securities Act and the Exchange Act and take such other actions as will permit Holders to use Form S-3 for the resale of their Registrable Shares; and 

(d) furnish to any Holder forthwith upon request (i) a written statement by the Company as to its
compliance with the reporting requirements of Rule 144, the Securities Act and the Exchange Act, or as to its qualification as a registrant whose securities may be resold pursuant to Form S-3 (at any time after it so qualifies), and (ii) such
information as may be reasonably requested in availing any Holder of any rule or regulation of the Commission that permits the selling of any such securities without registration or pursuant to such form. 

7.2 Transfer of Rights. The rights to cause the Company to register Registrable Shares pursuant to Sections 2 and
3 may be assigned by any Holder to a Permitted Transferee (as defined below), and by such Permitted Transferee to a subsequent Permitted Transferee, but only if such rights are transferred to a Member or any of its successors after satisfaction of
all of its obligations set forth in the Asset Purchase Agreement. Any transferee to whom rights under this Agreement are transferred will (x) as a condition to such transfer, deliver to the Company a written instrument by which such transferee
agrees to be bound by the obligations imposed upon Holders under this Agreement to the same extent as if such transferee were a Holder under this Agreement and (y) be deemed to be a Holder hereunder. Any Person to whom rights under this
Agreement are transferred in accordance with this Section 7.2 shall be a “Permitted Transferee.” 
 7.3 Governing Law. This Agreement, the rights of the parties and all claims, actions, causes of action, suits, litigation, controversies, hearings, charges, complaints or proceedings arising in
whole or in part under or in connection herewith, will be governed by and construed in accordance with the domestic substantive laws of the State of Ohio, without giving effect to any choice or conflict of law provision or rule that would cause the
application of the laws of any other jurisdiction. 

  
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 7.4 Entire Agreement; Amendment and Waiver. This Agreement, together
with any documents, instruments and certificates explicitly referred to herein, constitutes the entire agreement among the parties hereto with respect to the subject matter hereof and supersedes any and all prior discussions, negotiations,
proposals, undertakings, understandings and agreements, whether written or oral, with respect thereto. Any term of this Agreement may be amended or terminated and the observance of any term of this Agreement may be waived (either generally or in a
particular instance and either retroactively or prospectively) with the written consent of the Company and a Majority in Interest of the Registrable Shares; provided, however, that any such amendment or waiver treats all Holders the same
(without regard to any differences in effect that such amendment or waiver may have on the Holders due to the differing amounts of Registrable Shares held by such Holders). Any such amendment, termination or waiver will be binding on all Holders.

 7.5 Notices. All notices, requests, demands, and other communications to be made under this Agreement
must be in writing and will be deemed duly given, unless otherwise expressly indicated to the contrary in this Agreement, (i) when personally delivered, (ii) upon receipt of a telephonic facsimile transmission with a confirmed telephonic
transmission answer back, (iii) three (3) Business Days after having been deposited in the United States mail, certified or registered, return receipt requested, postage prepaid, or (iv) one (1) Business Day after having been
dispatched by a nationally recognized overnight courier service, addressed to the parties or their permitted assigns at the following addresses (or at such other address or number as is given in writing by any party to the other party) as follows:

  

			September 30,		September 30,
	If to Company to:	    		    	 Streamline Health Solutions, Inc.
 10200 Alliance Road
 Cincinnati, Ohio 45242

Attention: Stephen H. Murdock, SVP and CFO
 Facsimile No.: (513) 672-2112
 Email:
steve.murdock@streamlinehealth.net

			
	with a copy to:	    		    	Benesch, Friedlander, Coplan & Aronoff LLP
		    		    	 200 Public Square
 Suite
2300
 Cleveland, Ohio 44114
 Attention: John S. Gambaccini, Esq.
 Facsimile No.: (216) 363-4588

Email: jgambaccini@beneschlaw.com



  
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			September 30,		September 30,
	If to Interpoint:	    		    	 Interpoint Partners, LLC
 c/o
W. Ray Cross
 P.O. Box 7083
 Tifton,
Georgia 31793
 Facsimile No.:______________
 Email:_____________________

			
	with a copy to:	    		    	 Simpson Law and Mediation Service
 1020 East College Avenue
 Tifton, Georgia 31794

Attention: Ralph F. Simpson
 Facsimile No.:
(229) 388-8419
 Email: rfs@simpsonmediation.com


 7.6 Binding Effect; Assignment. This Agreement will be binding upon and inure to
the benefit of the personal representatives, successors and permitted assigns of the respective parties hereto, including any Permitted Transferees. 
 7.7 Severability. If any provision of this Agreement is found by any court of competent jurisdiction to be invalid or unenforceable, the parties hereby waive such provision to the extent that it is
found to be invalid or unenforceable. Such provision will, to the maximum extent allowable by law, be modified by such court so that it becomes enforceable, and, as modified, will be enforced as any other provision hereof, all the other provisions
hereof continuing in full force and effect. 
 7.8 Headings. The headings contained in this Agreement are
for convenience purposes only and will not in any way affect the meaning or interpretation hereof. 
 7.9
Counterparts. This Agreement may be executed in any number of counterparts, each of which will be deemed an original, but all of which together will constitute but one and the same instrument. 

[Signature Page to Follow] 

  
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 IN WITNESS WHEREOF, the parties have executed this Agreement under seal as
of the date first above written. 
  

									
	 COMPANY:
	 		 	 INTERPOINT:

	  
 STREAMLINE HEALTH SOLUTIONS, INC.
	 		 	  
 INTERPOINT PARTNERS,
LLC

					
	By:	 	 /s/ Stephen H. Murdock
	 		 	By:	 	 /s/ Matt Seefeld

	Name: Stephen H. Murdock	 		 	Name: Matt Seefeld
	Title: SVP and CFO	 		 	Title: CEO
				
		 		 		 	 MEMBERS:

			
	 /s/ Matt Seefeld
	 		 	 /s/ Matt Seefeld

	 KURT SEEFELD, executed by Matthew S.
	 		 	 MATTHEW S. SEEFELD, individually

	 Seefeld as agent and attorney in fact
	 		 	
			
	 /s/ Matt Seefeld
	 		 	 /s/ Matt Seefeld

	 PHILLIP SEEFELD, executed by Matthew S.
	 		 	 JAMES SKRINSKA, executed by Matthew S.

	 Seefeld as agent and attorney in fact
	 		 	 Seefeld as agent and attorney in fact

			
	 /s/ Matt Seefeld
	 		 	 /s/ Matt Seefeld

	 SUSAN SEEFELD, executed by Matthew S.
	 		 	 CLAY HALE, executed by Matthew S.

	 Seefeld as agent and attorney in fact
	 		 	 Seefeld as agent and attorney in fact

			
	 /s/ Matt Seefeld
	 		 	 /s/ Matt Seefeld

	 PEYTON MERONEY, executed by Matthew S.
	 		 	 JOHN SKRINSKA, executed by Matthew S.

	 Seefeld as agent and attorney in fact
	 		 	 Seefeld as agent and attorney in fact

			
	 /s/ Matt Seefeld
	 		 	 /s/ Matt Seefeld

	 E. DICE ROBERTS, executed by Matthew S.
	 		 	 MICHAEL ROBERTS, executed by Matthew S.

	 Seefeld as agent and attorney in fact
	 		 	 Seefeld as agent and attorney in fact

			
		 		 	 INTERPOINT INVESTMENT GROUP

				
	 /s/ Matt Seefeld
	 		 	By:	 	 /s/ Matt Seefeld

	 LELAND DICE ROBERTS, executed by
	 		 	Name: Matthew S. Seefeld
	 Matthew S. Seefeld as agent and attorney in fact
	 		 	Title: Agent and Attorney in Fact

 Signature Page to Registration Rights Agreement 

  
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