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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington , DC 20549 ( Mark One ) [ X ] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 ( d ) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended January 31 , 2021 [ X ] [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 ( d ) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from to FORM 10 - K OR Delaware ( State or other jurisdiction of incorporation or organization ) Commission File Number : 000-28132 STREAMLINE HEALTH SOLUTIONS , INC . ( Exact name of registrant as specified in its charter ) Title of each class Common Stock , $ 0.01 par value per share 11800 Amber Park Dr. , Suite 125 Alpharetta , GA 30009 ( Address of principal executive offices ) ( Zip Code ) ( 888 ) 997-8732 ( Registrant's telephone number , including area code ) Securities registered pursuant to Section 12 ( b ) of the Act : 31-1455414 ( I.R.S. Employer Identification No. ) Trading Symbol STRM Name of each exchange on which registered Nasdaq Capital Market Securities registered pursuant to Section 12 ( g ) of the Act : None Indicate by check mark if the registrant is a well - known seasoned issuer , as defined in Rule 405 of the Securities Act . Yes [ ] No [ X ] Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15 ( d ) of the Act . Yes [ ] No Indicate by check mark whether the registrant ( 1 ) has filed all reports required to be filed by Section 13 or 15 ( d ) of the Securities Exchange Act of 1934 during the preceding 12 months ( or for such shorter period that the registrant was required to file such reports ) , and ( 2 ) has been subject to such filing requirements for the past 90 days . Yes [ X ] No [ ] Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S - T during the preceding 12 months ( or for such shorter period that the registrant was required to submit such files ) . Yes [ X ] No [ ] Indicate by check mark whether the registrant is a large accelerated filer , an accelerated filer , a non - accelerated filer , a smaller reporting company or an emerging growth company . See the definitions of " large accelerated filer , " " accelerated filer " , " smaller reporting company " and " emerging growth company " in Rule 12b - 2 of the Exchange Act . ( Check one ) :