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        <name>Biogen Inc</name>
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        <name>Insulet Corp</name>
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      <invstOrSec>
        <name>Align Technology Inc</name>
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        <name>Becton Dickinson &amp; Co</name>
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        <name>IQVIA Holdings Inc</name>
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        <name>Moderna Inc</name>
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        <name>Stryker Corp</name>
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        <name>Cigna Group/The</name>
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        <name>CVS Health Corp</name>
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      <invstOrSec>
        <name>Illumina Inc</name>
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        <name>Incyte Corp</name>
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        <name>State Street Global Advisors</name>
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        <name>Intuitive Surgical Inc</name>
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        <name>Amgen Inc</name>
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        <name>Organon &amp; Co</name>
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        <name>Abbott Laboratories</name>
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        <name>GE HealthCare Technologies Inc</name>
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        <name>Edwards Lifesciences Corp</name>
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        <name>Cencora Inc</name>
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        <name>Laboratory Corp of America Holdings</name>
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      <invstOrSec>
        <name>HCA Healthcare Inc</name>
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      <invstOrSec>
        <name>Bio-Rad Laboratories Inc</name>
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        <name>McKesson Corp</name>
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      <invstOrSec>
        <name>Humana Inc</name>
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        <name>Danaher Corp</name>
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        <name>Regeneron Pharmaceuticals Inc</name>
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      <invstOrSec>
        <name>Teleflex Inc</name>
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        <name>Mettler-Toledo International Inc</name>
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        <name>Merck &amp; Co Inc</name>
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        <name>Cooper Cos Inc/The</name>
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        <name>Quest Diagnostics Inc</name>
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        <name>STERIS PLC</name>
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        <name>West Pharmaceutical Services Inc</name>
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        <name>Waters Corp</name>
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        <name>Eli Lilly &amp; Co</name>
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        <name>Henry Schein Inc</name>
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        <name>Catalent Inc</name>
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        <name>IDEXX Laboratories Inc</name>
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        <name>Hologic Inc</name>
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        <name>Baxter International Inc</name>
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        <name>Bristol-Myers Squibb Co</name>
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        <name>State Street Global Advisors</name>
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        <name>Gilead Sciences Inc</name>
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        <valUSD>736315251.18000000</valUSD>
        <pctVal>1.941868434950</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
    </invstOrSecs>
    <explntrNotes>



    </explntrNotes>
    <signature>
      <ncom:dateSigned>2023-10-24</ncom:dateSigned>
      <ncom:nameOfApplicant>SELECT SECTOR SPDR TRUST</ncom:nameOfApplicant>
      <ncom:signature>Arthur Jensen</ncom:signature>
      <ncom:signerName>Arthur Jensen</ncom:signerName>
      <ncom:title>Deputy Treasurer</ncom:title>
    </signature>
  </formData>
</edgarSubmission>
