Document:

Exhibit
10.6

 

 

Certain
identified information has been omitted from this document because it is both not material and would be competitively harmful
if publicly disclosed, and had been marked with “[***]” to indicate where omissions have been made.

 

STATEMENT
OF WORK # 4 

 

This
Statement of Work (“SOW # 4”), effective as of June 8, 2020 (“Effective Date”), is made by and between
Streamline Health Solutions, Inc., a Delaware corporation (“Company”), with its principal place of business at 1175
Peachtree Street, 10th Floor, Atlanta, GA 30361, and 180 Consulting, LLC, a Georgia limited liability company (“Consultant”),
with its principal place of business at 121 Greenway Boulevard, Carrollton, GA 30117, under the following circumstances:

 

A.
Company and Consultant entered into that certain 180 Consulting, LLC Master Services and Non-Disclosure Agreement, dated as of
March 17, 2020 (the “Agreement”), under which Consultant provided the specified services set forth in those certain
Statements of Work, of even date therewith and attached thereto as Appendix A (“SOW # 1”), Appendix B
(“SOW # 2”) and Appendix C (SOW # 3), for delivery of the consulting services specified in each respective
Statement of Work.

 

B.
Consultant has entered into a license agreement in which Consultant has been granted a license to use Licensed Software (as defined
herein) for its business purposes and has the right under such license agreement to sublicense the Licensed Software to Company.

 

C.
Company and Consultant now desire to enter into this SOW # 4 [***] in connection with the project objectives set forth below.

 

NOW,
THERFORE, by mutual agreement of the parties and in mutual consideration of these premises and for other good and valuable consideration,
the receipt and sufficiency of which is hereby acknowledged, the parties hereby agree as follows:

 

Project:
Production Deployment of Electronic Health Record (“EHR”) System Integrations

 

	Project
    Objective	Utilization
    of the Licensed Software and Software Services, Integration Development Services and Interoperability Systems Management and
    Hosting Services, [***]
	 	 
	Grant
    of Sublicense	Subject
    to, and conditioned upon, the payment by Company to Consultant of the Service Fees (defined below), Consultant hereby grants
    to Company nonexclusive rights to sublicense the proprietary software code, in all formats existing as of the Effective Date,
    including source code and object code forms thereof, of the Core Interoperability Engine and System Interoperability Adapters
    further defined and described herein (collectively, the “Licensed Software”). In conjunction with the sublicensing
    of the Licensed Software, Consultant agrees to provide the Software Services associated with system access and usage of the
    Licensed Software, all as further described below. Consultant represents and warrants that (i) Consultant has all requisite
    capacity, power and authority to sublicense the Licensed Software to the Company, and (ii) the execution, delivery and performance
    by Consultant of its obligations hereunder, including, without limitation, the grant of a sublicense of the Licensed Software
    to Company, will not result in any violation or default of any agreement or other contractual obligation that would prevent
    or impair the full and complete exercise of the sublicense and rights granted to the Company under this SOW # 4.

 

    	1

     

    

 

 

	Description
    of Licensed Software and Associated Software Services	[***]
	 	 
	Description
    of Integration Development Services (“Integration Services”)	[***]
	 	 
	Description
    of Interoperability Systems Management & Hosting Services (“Interoperability Services”)	[***]
	 	 
	Service
    Level Commitment & Technical Support	[***]
	 	 
	Consultant
    Resources	[***]
	 	 
	Time
    Allocation	[***]
	 	 
	Length
    of SOW (“Term”)	[***]
	 	 
	Service
    Fees	For
        purposes of this SOW # 4, the Company and Consultant acknowledge and agree that the provisions regarding payment of services
        set forth in Section 4 of the Agreement shall not apply; instead, as compensation for the Services set forth
        above, Company shall pay to Consultant specified royalties and service fees set forth on Schedule 1 attached hereto
        (collectively, the “Service Fees”) on the terms set forth herein.

         

        Service
        Fees shall not exceed the amounts set forth herein without the prior written consent of Company.

	 	 
	Expenses	Out
    of pocket expenses associated with this SOW # 4 and required for delivery of Services, including, but not limited to all travel
    related expenses, third party software licenses and services, network connectivity, server / data hosting services, data backup
    and other incidental expenses incurred by Consultant or any Consultant Resource on behalf of the Company will be billed as
    incurred in accordance with Section 4.8 of the Agreement; provided, however, that all such expenses
    shall be approved in advance by the Company before the expenses are incurred.

 

    	2

     

    

 

 

	Payment
    Terms	[***]

         

        In
        the event of termination of this SOW with Cause in accordance with Section 7.2 of the Agreement, the Deposit shall be
        allocated as payment only for those Integration Services that are incurred, unpaid, and undisputed as of the date of termination.
        Consultant agrees to retain any disputed amounts until such time of a final resolution, and the remaining undisputed portion
        of the Deposit, if any, shall be refunded to Company.

         

        All
        payments for the Licensed Software, Associated Software Services, Integration Development Services and Interoperability
        Systems Management and Hosting Services shall be payable as follows: Consultant shall submit invoices at the beginning
        of each month setting forth, in reasonable detail, and accounting for any “live” customer during the prior
        month, and prorated to adjust for any new customer go-live at any time in the prior month, the services and associated
        Service Fees to be provided within that month. No Software License Service Fees will be invoiced until the first customer
        is “live” in Consultant’s interoperability platform. Invoices shall be paid by Company within thirty
        (30) days of the invoice date. Should any such invoice fail to be paid by Company within forty-five (45) days of the invoice
        date, the outstanding balance set forth on such invoice shall accrue interest for each day until paid at a rate per annum
        equal to the lesser of: (i) eighteen percent (18%) or (ii) the maximum amount permitted by law. 

	 	 
	Indemnification	For
    the avoidance of doubt, Section 9 of the Agreement shall also apply to any claims, losses, damages, liabilities, judgments
    or settlements, including reasonable attorneys’ fees, costs and other expenses, incurred by the Company on account of
    any act, omission, breach or other activity conducted by the Consultant or its agents or employees in connection with the
    utilization of the Licensed Software and Software Services, Integration Development Services and Interoperability Systems
    Management and Hosting Services.

 

All
aforementioned Consultant Resources, Time Allocation, and Service Fees are estimates based on the Consultant’s current understanding
of the Company’s requirements, and these estimates are subject to change based on ongoing dialog and discovery of the Company’s
detailed requirements. If these project updates result in a material change to the overall project, Consultant shall provide a
written estimate update, which Company retains the right to review and approve.

 

It
is the intention and understanding of the parties hereto that this Appendix D, including the schedules and exhibits attached
hereto, shall act as an extension of the Agreement and shall not act as a novation of the Agreement. Except as specifically amended
hereby, the parties hereto acknowledge and confirm that the Agreement, SOW # 1, SOW # 2, and SOW # 3 remain unmodified and in
full force and effect and are enforceable in accordance with their respective terms. In the event of any conflict or inconsistency
between the Agreement and any SOW, as applicable, the terms and provisions of each SOW shall prevail and be given priority.

 

    	3

     

    

 

 

ACKNOWLEDGED,
ACCEPTED AND AGREED TO:

 

	180
    CONSULTING, LLC	 	streamline
    health solutions, INC.
	 	 	 
	Name:	Greg
    Shilling	 	Name:	Bill
    Garvis
	 	 	 	 	 
	Title:	Managing
    Member	 	Title:	Chief
    Operating Officer
	 	 	 	 	 
		 	 
	(Signature)	 	(Signature)
	 	 	 
	Date:	 	 	Date:	 

 

    	4

     

    

 

 

Schedule
1

Service
Fees

 

 

	1.	The “Service Fees” associated with the sublicense of the Software License Services consists of the following:

 

	[***]	 	[***]
	 	 	 
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]

 

*
[***]

 

	

2. 

	The “Service Fees” associated with the Consultant’s Integration Services consists of the following:

 

	INTEGRATION
    SERVICE FEES	 	Per
        

        Interface

	 	 	 
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]

 

*
[***]

 

**
Consultant shall require this setup and configuration fee, on a per interface basis, for the system interfaces that currently
exist within Consultant’s Licensed Software, as well as for integration of Company’s existing customer system interfaces.
For clarity, Consultant shall require this setup and configuration fee, on a per interface basis, as Consultant integrates each
existing customer interface into Consultant’s native integration operating platform.

 

[***]

 

	INTEROPERABILITY
    SYSTEMS MGMT. & HOSTING SERVICES FEES	 	Due
    Monthly
	 	 	 
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]
	[***]	 	[***]

 

    	5

     

    

 

 

Schedule
2

Service
Level Commitment

 

[***]

 

    	6

     

    

 

 

Schedule
3

Technical
Support

 

[***]

 

    	7Exhibit 4.1

 

SPECIMEN
UNIT CERTIFICATE

[__________]
UNITS

U-[●]

 

SEE
REVERSE FOR CERTAIN DEFINITIONS

 

CUSIP
31810N 302

 

FINTECH
ACQUISITION CORP. IV

 

UNITS
CONSISTING OF ONE SHARE OF CLASS A COMMON STOCK AND ONE-THIRD WARRANT TO PURCHASE ONE SHARE OF CLASS A COMMON STOCK

 

THIS
CERTIFIES THAT ______________ is the owner of   _______________ Units.

 

Each
Unit (“Unit”) consists of one (1) share of Class A common stock, $0.0001 par value per share (the
“Common Stock”), of FinTech Acquisition Corp. IV, a Delaware corporation (the “Corporation”),
and one-third of one warrant (each, a “Warrant”). Each whole Warrant entitles the holder to purchase
one (1) share of Common Stock for $11.50 per share (subject to adjustment). Each Warrant will become exercisable on
the later of: (i) thirty (30) days after the Corporation’s consummation of a merger, capital stock exchange, asset
acquisition, stock purchase, reorganization or similar business combination, involving the Corporation and one or more businesses
(a “Business Combination”), or (ii) twelve (12) months from the completion of the Corporation’s
initial public offering (excluding any overallotment exercise), and will expire unless exercised before 5:00 p.m., New York City
Time, on the date that is five (5) years after the date on which the Corporation consummates its initial Business Combination,
or earlier upon redemption of all outstanding shares of Common Stock included in the Units sold in the initial public offering
by the Corporation of the Units (the “IPO”) or liquidation of the Corporation (the “Expiration
Date”).   The Warrant included in this Unit will not become exercisable and will expire worthless
in the event the Corporation fails to consummate a Business Combination within 24 months of the date of the completion of the
Corporation’s IPO (excluding any overallotment exercise).  

 

The
shares of Common Stock and Warrants comprising the Units represented by this certificate are not transferable separately prior
to the 52nd day following the date of the final prospectus relating to the IPO unless Cantor Fitzgerald & Co., acting as representative
of the underwriters, elects to allow separate trading earlier, subject to the Corporation’s filing of a Current Report on
Form 8-K with the Securities and Exchange Commission containing an audited balance sheet reflecting the Corporation’s receipt
of the gross proceeds of the offering and issuing a press release announcing when separate trading will begin. The terms of the
Warrants are governed by a Warrant Agreement, dated as of                                       , 2020, between the Corporation and Continental Stock Transfer &
Trust Company, as Warrant Agent, and are subject to the terms and provisions contained therein, all of which terms and provisions
the holder of this certificate consents to by acceptance hereof. Copies of the Warrant Agreement are on file at the office of
the Warrant Agent at 1 State Street Plaza, New York, New York 10004, and are available to any Warrant holder on written request
and without cost.

 

This
certificate is not valid unless countersigned by the Transfer Agent and Registrar of the Corporation.

 

Witness
the facsimile signature of its duly authorized officers.

 

	 	 	 
	President	 	Secretary

 

Transfer
Agent:

	 	 	 
	 	 	 
	Name:

    Title:	 	 

 

     

     

    

 

FINTECH
ACQUISITION CORP. IV

 

The
Corporation will furnish without charge to each stockholder who so requests, a statement of the powers, designations, preferences
and relative, participating, optional or other special rights of each class of shares or series thereof of the Corporation and
the qualifications, limitations, or restrictions of such preferences and/or rights. This certificate and the Units represented
hereby are issued and shall be held subject to the terms and conditions applicable to the securities underlying and comprising
the Units, including, as applicable, the Certificate of Incorporation and all amendments thereto, the Warrant Agreement and the
resolutions of the Board of Directors providing for the issue of securities (copies of which may be obtained from the secretary
of the Corporation), to all of which the holder(s) of this certificate by acceptance hereof assent(s).

 

The
following abbreviations, when used in the inscription on the face of this certificate, shall be construed as though they were
written out in full according to applicable laws or regulations:

 

	TEN
    COM	 	—	 	as
    tenants in common	 	UNIF
    GIFT MIN ACT —	 	 	 	Custodian	 	 

 

	TEN
    ENT	 	—	 	as
    tenants by the entireties	 	 	 	(Cust)	 	 	 	(Minor)
	 	 	 	 	 	 	 	 	 	 	 	 	 
	JT
    TEN	 	—	 	as
    joint tenants with right of survivorship and not as tenants in common	 	 	Under
                                         Uniform

        Gifts
        to Minors

 

	 	Act 	 
	 	 	(State)

 

Additional
abbreviations may also be used though not in the above list.

 

For
value received, ________________ hereby sells, assigns and transfers unto

 

	 
	(PLEASE
    INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER(S) OF ASSIGNEE(S))

  

	 
	(PLEASE
    PRINT OR TYPEWRITE NAME(S) AND ADDRESS(ES), INCLUDING ZIP CODE, OF ASSIGNEE(S))
	 
	 
	 
	 
	 

 

_________________
Units represented by the within Certificate, and do(es) hereby irrevocably constitute(s) and appoint(s) _______________________________
attorney to transfer the said Units on the books of the within named Corporation with full power of substitution in the premises.

 

Dated
:                                        

	 	 	 	 
	 	Notice:  	 	The
    signature(s) to this assignment must correspond with the name(s) as written upon the face of the certificate in every particular,
    without alteration or enlargement or any change whatever.

 

     

     

    

 

	Signature(s)
    Guaranteed:	 	 
	 	 	 
	 	 	 
	THE
    SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND
    CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM, PURSUANT TO S.E.C. RULE 17Ad-15).	 	 

 

As
more fully described in the Corporation’s final prospectus relating to the IPO dated                                   , 2020, the holder(s) of this certificate
shall be entitled to receive a pro-rata portion of funds from the trust account referred to therein only in the event that (a)
the Corporation redeems the shares of Common Stock sold in its initial public offering because it does not acquire, engage in
a merger, capital stock exchange, asset acquisition, stock purchase, reorganization or similar business combination, involving
the Corporation and one or more businesses (a “Business Combination”) within 24 months from the date
of the completion of the Corporation’s initial public offering (excluding any overallotment exercise), or (b) if the holder(s)
seek(s) to redeem for cash his, her or its respective shares of Common Stock sold in the Corporation’s initial public offering
(“Public Shares”) in connection with (i) a tender offer (or proxy, solely in the event the Corporation
is required to seek stockholder approval of the proposed Business Combination) setting forth the details of a proposed Business
Combination or (ii) the Corporation seeking stockholder approval of an amendment to its Certificate of Incorporation (x) to modify
the timing or substance of its obligation to repurchase 100% of Public Shares if the Corporation does not complete an initial
Business Combination within the 24 month timeframe or (y) with respect to any other provisions relating to stockholders’
rights or pre-initial Business Combination activity.  In no other circumstances shall the holder(s) have any right or
interest of any kind in or to the trust account.

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