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        <lei>N/A</lei>
        <title>Disc Medicine, Inc.</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Centene Corp.</name>
        <lei>549300Z7JJ4TQSQGT333</lei>
        <title>Centene Corp.</title>
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          <isin value="US15135B1017"/>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>10x Genomics, Inc.</name>
        <lei>5493003Z6741WNLG7H43</lei>
        <title>10x Genomics, Inc., Class A</title>
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          <isin value="US88025U1097"/>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Zevra Therapeutics, Inc.</name>
        <lei>254900CU6T74V18Y1W18</lei>
        <title>Zevra Therapeutics, Inc.</title>
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          <isin value="US4884452065"/>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Axogen, Inc.</name>
        <lei>N/A</lei>
        <title>Axogen, Inc.</title>
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          <isin value="US05463X1063"/>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Hims &amp; Hers Health, Inc.</name>
        <lei>254900V041EIVTSB6D58</lei>
        <title>Hims &amp; Hers Health, Inc.</title>
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          <isin value="US4330001060"/>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Jazz Pharmaceuticals PLC</name>
        <lei>635400GAUMJCLEZRRV50</lei>
        <title>Jazz Pharmaceuticals PLC</title>
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          <isin value="IE00B4Q5ZN47"/>
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        <assetCat>EC</assetCat>
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        <invCountry>IE</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Exelixis, Inc.</name>
        <lei>254900PJQB59O2O95R37</lei>
        <title>Exelixis, Inc.</title>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Erasca, Inc.</name>
        <lei>N/A</lei>
        <title>Erasca, Inc.</title>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Travere Therapeutics, Inc.</name>
        <lei>N/A</lei>
        <title>Travere Therapeutics, Inc.</title>
        <cusip>89422G107</cusip>
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          <isin value="US89422G1076"/>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Roivant Sciences Ltd.</name>
        <lei>549300DL466NY5J6U724</lei>
        <title>Roivant Sciences Ltd.</title>
        <cusip>G76279101</cusip>
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          <isin value="BMG762791017"/>
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        <assetCat>EC</assetCat>
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        <invCountry>BM</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Veracyte, Inc.</name>
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        <title>Veracyte, Inc.</title>
        <cusip>92337F107</cusip>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Krystal Biotech, Inc.</name>
        <lei>549300YONUY68210OE41</lei>
        <title>Krystal Biotech, Inc.</title>
        <cusip>501147102</cusip>
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        <fairValLevel>1</fairValLevel>
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        <name>PACS Group, Inc.</name>
        <lei>N/A</lei>
        <title>PACS Group, Inc.</title>
        <cusip>69380Q107</cusip>
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        <fairValLevel>1</fairValLevel>
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        <name>Nuvation Bio Inc.</name>
        <lei>2549009IT4XP2SCZTR55</lei>
        <title>Nuvation Bio Inc.</title>
        <cusip>67080N101</cusip>
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        <fairValLevel>1</fairValLevel>
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        <name>AbSci Corp.</name>
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        <title>AbSci Corp.</title>
        <cusip>00091E109</cusip>
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        <fairValLevel>1</fairValLevel>
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        <name>Astrana Health, Inc.</name>
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        <title>Astrana Health, Inc.</title>
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        <fairValLevel>1</fairValLevel>
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        <name>Revolution Medicines, Inc.</name>
        <lei>549300JU3X0LBCQ65892</lei>
        <title>Revolution Medicines, Inc.</title>
        <cusip>76155X100</cusip>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Denali Therapeutics Inc.</name>
        <lei>549300ZTQ2HO18L3Q830</lei>
        <title>Denali Therapeutics Inc.</title>
        <cusip>24823R105</cusip>
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        <name>Replimune Group, Inc.</name>
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        <title>Replimune Group, Inc.</title>
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        <name>Moderna, Inc.</name>
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        <title>Moderna, Inc.</title>
        <cusip>60770K107</cusip>
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        <name>NovoCure Ltd.</name>
        <lei>213800YPP55UMHWA4826</lei>
        <title>NovoCure Ltd.</title>
        <cusip>G6674U108</cusip>
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        <invCountry>JE</invCountry>

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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Arcutis Biotherapeutics, Inc.</name>
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        <title>Arcutis Biotherapeutics, Inc.</title>
        <cusip>03969K108</cusip>
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        <fairValLevel>1</fairValLevel>
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        <name>AMN Healthcare Services, Inc.</name>
        <lei>529900W3ARRTCNFH2I39</lei>
        <title>AMN Healthcare Services, Inc.</title>
        <cusip>001744101</cusip>
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        <assetCat>EC</assetCat>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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        <cusip>N/A</cusip>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Trevi Therapeutics, Inc.</name>
        <lei>N/A</lei>
        <title>Trevi Therapeutics, Inc.</title>
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          <isin value="US89532M1018"/>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>National HealthCare Corp.</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Oruka Therapeutics, Inc.</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>uniQure N.V.</name>
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          <isin value="NL0010696654"/>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Tango Therapeutics Inc.</name>
        <lei>N/A</lei>
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      <invstOrSec>
        <name>Guardian Pharmacy Services, Inc.</name>
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        <name>Illumina, Inc.</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Guardant Health, Inc.</name>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Viatris Inc.</name>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>agilon health, Inc.</name>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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        <name>Twist Bioscience Corp.</name>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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        <name>MBX Biosciences, Inc.</name>
        <lei>N/A</lei>
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        <fairValLevel>1</fairValLevel>
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        <name>Cytokinetics, Inc.</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Arrowhead Pharmaceuticals, Inc.</name>
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        <name>Clover Health Investments, Corp.</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Invesco Government &amp; Agency Portfolio</name>
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        <name>TG Therapeutics, Inc.</name>
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        <name>Invesco Private Government Fund</name>
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        <name>Humana Inc.</name>
        <lei>529900YLDW34GJAO4J06</lei>
        <title>Humana Inc.</title>
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        <name>Establishment Labs Holdings Inc.</name>
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        <name>Enliven Therapeutics, Inc.</name>
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        <title>Enliven Therapeutics, Inc.</title>
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        <fairValLevel>1</fairValLevel>
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        <name>Amneal Pharmaceuticals, Inc.</name>
        <lei>549300VV176ZO5WQHZ61</lei>
        <title>Amneal Pharmaceuticals, Inc.</title>
        <cusip>03168L105</cusip>
        <identifiers>
          <isin value="US03168L1052"/>
        </identifiers>
        <balance>143351.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2626190.32000000</valUSD>
        <pctVal>1.116521641174</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>
      <invstOrSec>
        <name>Liquidia Corp.</name>
        <lei>549300O826O5VQJTG707</lei>
        <title>Liquidia Corp.</title>
        <cusip>53635D202</cusip>
        <identifiers>
          <isin value="US53635D2027"/>
        </identifiers>
        <balance>84234.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>7084921.74000000</valUSD>
        <pctVal>3.012145916652</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>
          <loanByFundCondition isLoanByFund="Y" loanVal="6956933.20000000"/>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>BrightSpring Health Services, Inc.</name>
        <lei>N/A</lei>
        <title>BrightSpring Health Services, Inc.</title>
        <cusip>10950A106</cusip>
        <identifiers>
          <isin value="US10950A1060"/>
        </identifiers>
        <balance>158696.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>9475738.16000000</valUSD>
        <pctVal>4.028598628658</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>
      <invstOrSec>
        <name>Spyre Therapeutics, Inc.</name>
        <lei>52990017AIJPRH3HQH40</lei>
        <title>Spyre Therapeutics, Inc.</title>
        <cusip>00773J202</cusip>
        <identifiers>
          <isin value="US00773J2024"/>
        </identifiers>
        <balance>48127.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4732327.91000000</valUSD>
        <pctVal>2.011943492599</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>
          <loanByFundCondition isLoanByFund="Y" loanVal="1999854.50000000"/>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Alkermes PLC</name>
        <lei>549300YHRMYLL071E243</lei>
        <title>Alkermes PLC</title>
        <cusip>G01767105</cusip>
        <identifiers>
          <isin value="IE00B56GVS15"/>
        </identifiers>
        <balance>52682.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2580891.18000000</valUSD>
        <pctVal>1.097262766541</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>IE</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <loanByFundCondition isLoanByFund="Y" loanVal="2609164.56000000"/>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Relay Therapeutics, Inc.</name>
        <lei>N/A</lei>
        <title>Relay Therapeutics, Inc.</title>
        <cusip>75943R102</cusip>
        <identifiers>
          <isin value="US75943R1023"/>
        </identifiers>
        <balance>280758.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>5286673.14000000</valUSD>
        <pctVal>2.247622697287</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>
          <loanByFundCondition isLoanByFund="Y" loanVal="5403248.90000000"/>
        </securityLending>
      </invstOrSec>
    </invstOrSecs>
    <signature>
      <ncom:dateSigned>2026-08-30</ncom:dateSigned>
      <ncom:nameOfApplicant>Invesco Exchange-Traded Fund Trust</ncom:nameOfApplicant>
      <ncom:signature>Adrien Deberghes</ncom:signature>
      <ncom:signerName>Adrien Deberghes</ncom:signerName>
      <ncom:title>Vice President</ncom:title>
    </signature>
  </formData>
  <documents>XXXX</documents>
</edgarSubmission>
