SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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1. Name and Address of Reporting Person*
Moseley & Co VI, LLC

(Last) (First) (Middle)
4200 NORTHSIDE PARKWAY, N.W.
BUILDING 9

(Street)
ATLANTA GA 30327

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/16/2012
3. Issuer Name and Ticker or Trading Symbol
STREAMLINE HEALTH SOLUTIONS INC. [ STRM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series A 0% Convertible Preferred Stock 08/16/2012 (1) COMMON STOCK 986,854 0 I SEE EXPLANATION OF RESPONSE BELOW
Warrants 02/17/2013 02/17/2018 COMMON STOCK 490,000 3.99 I SEE EXPLANATION OF RESPONSE BELOW(2)(3)
1. Name and Address of Reporting Person*
Moseley & Co VI, LLC

(Last) (First) (Middle)
4200 NORTHSIDE PARKWAY, N.W.
BUILDING 9

(Street)
ATLANTA GA 30327

(City) (State) (Zip)
1. Name and Address of Reporting Person*
NORO-MOSELEY PARTNERS VI, L.P.

(Last) (First) (Middle)
4200 NORTHSIDE PARKWAY, N.W.
BUILDING 9

(Street)
ATLANTA GA 30327

(City) (State) (Zip)
Explanation of Responses:
1. The Series A 0% Convertible Preferred stock was acquired for $3.00 per share, is convertible at any time and has no expiration date.
2. This report is filed jointly by Noro-Moseley Partners VI, L.P. and its general partner, Moseley and Company VI, LLC.
3. The foregoing securities are owned directly by Noro-Moseley Partners VI, L.P. Moseley and Company VI, LLC may be deemed to beneficially own all of the foregoing securities.
Allen Moseley, AS CLASS A MEMBER OF EACH REPORTING ENTITY 08/20/2012
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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