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        <name>Options Clearing Corp.</name>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Medtronic PLC</name>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>DIVERSIFIED HEALTHCARE T</name>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Goldman Sachs Bank USA</name>
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          <other otherDesc="Trade Identifier" value="21FSKBB6MTC"/>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>UnitedHealth Group Inc</name>
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      <invstOrSec>
        <name>Tenet Healthcare Corp</name>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Zoetis Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>LABORATORY CORP OF AMER</name>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Boston Scientific Corp</name>
        <lei>Y6ZDD9FP4P8JSSJMW954</lei>
        <title>Boston Scientific Corp</title>
        <cusip>101137107</cusip>
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          <isin value="US1011371077"/>
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        <balance>42319.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>1809560.44000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Zimmer Biomet Holdings Inc</name>
        <lei>2P2YLDVPES3BXQ1FRB91</lei>
        <title>Zimmer Biomet Holdings Inc</title>
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          <isin value="US98956P1021"/>
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        <balance>57419.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>9234123.58000000</valUSD>
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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>Otsuka Holdings Co Ltd</name>
        <lei>N/A</lei>
        <title>Otsuka Holdings Co Ltd</title>
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          <isin value="JP3188220002"/>
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        <balance>41616.00000000</balance>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>JP</invCountry>
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        <fairValLevel>1</fairValLevel>
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        <name>ResMed Inc</name>
        <lei>529900T3QE5253CCXF22</lei>
        <title>ResMed 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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      <invstOrSec>
        <name>Anthem Inc</name>
        <lei>8MYN82XMYQH89CTMTH67</lei>
        <title>Anthem Inc</title>
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        <curCd>USD</curCd>
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        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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        <name>Biogen Inc</name>
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        <curCd>USD</curCd>
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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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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <curCd>USD</curCd>
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        <fairValLevel>1</fairValLevel>
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        <name>Daiichi Sankyo Co Ltd</name>
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        <title>Daiichi Sankyo Co Ltd</title>
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        <name>ZIMMER BIOMET HOLDINGS</name>
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        <name>Goldman Sachs Bank USA</name>
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        <name>Physicians Realty Trust</name>
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        <title>Physicians Realty Trust</title>
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        <name>Health Care Select Sector SPDR Fund</name>
        <lei>549300EJNY3KKJHPOY44</lei>
        <title>Health Care Select Sector SPDR Fund</title>
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        <fairValLevel>1</fairValLevel>
        <securityLending>
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      <invstOrSec>
        <name>Align Technology Inc</name>
        <lei>549300N5YSE0U3LCP840</lei>
        <title>Align Technology Inc</title>
        <cusip>016255101</cusip>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Becton Dickinson and Co</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>GLAXOSMITHKLINE CAPITAL</name>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>IQVIA Holdings Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Endo International PLC</name>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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        <name>Stryker Corp</name>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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        <name>Iovance Biotherapeutics Inc</name>
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        <assetCat>EC</assetCat>
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        <fairValLevel>1</fairValLevel>
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        <name>HCA Inc</name>
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      <invstOrSec>
        <name>M3 Inc</name>
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        <invCountry>JP</invCountry>
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        <fairValLevel>1</fairValLevel>
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        <name>Merck &amp; Co Inc</name>
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        <fairValLevel>2</fairValLevel>
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        <name>Smith &amp; Nephew PLC</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Johnson &amp; Johnson</name>
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        <name>Verona Pharma PLC</name>
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        <name>Atreca Inc</name>
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        <title>Atreca Inc</title>
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        <name>Diversified Healthcare Trust</name>
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        <name>Celldex Therapeutics Inc</name>
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        <name>Novo Nordisk A/S</name>
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        <name>AstraZeneca PLC</name>
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        <name>Cigna Corp</name>
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        <name>CVS Health Corp</name>
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        <title>CVS Health Corp</title>
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        <fairValLevel>1</fairValLevel>
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        <name>Illumina Inc</name>
        <lei>SQ95QG8SR5Q56LSNF682</lei>
        <title>Illumina Inc</title>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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      <invstOrSec>
        <name>LTC Properties Inc</name>
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      <invstOrSec>
        <name>Astellas Pharma Inc</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Eisai Co Ltd</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Goldman Sachs Bank USA</name>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Rainier Therapeutics Series A PREFERRED STOCK</name>
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        <title>Rainier Therapeutics Series A PREFERRED STOCK</title>
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          <other otherDesc="Internal Identifier" value="976MMT906"/>
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        <fairValLevel>3</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <title>HCA HEALTHCARE INC JUL21 210 CALL</title>
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        <fairValLevel>1</fairValLevel>
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                <issuerName>HCA Healthcare Inc</issuerName>
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      <invstOrSec>
        <name>R1 RCM Inc</name>
        <lei>549300VKOMJ3EM506212</lei>
        <title>R1 RCM Inc</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>DEXCOM INC JUL21 440 CALL</title>
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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                <issuerName>Dexcom Inc</issuerName>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <title>CHARLES RIVER LABORATORIES INT JUL21 380 CALL</title>
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        <name>Merck &amp; Co Inc</name>
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        <name>CVS Health Corp</name>
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        <name>Perrigo Co PLC</name>
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        <name>Incyte Corp</name>
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        <title>Incyte Corp</title>
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        <name>Sabra Health Care REIT Inc</name>
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        <title>Sabra Health Care REIT Inc</title>
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        <name>Roche Holding AG</name>
        <lei>549300U41AUUVOAAOB37</lei>
        <title>Roche Holding AG</title>
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        <fairValLevel>1</fairValLevel>
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        <name>Community Healthcare Trust Inc</name>
        <lei>549300FATSRCMKOV9536</lei>
        <title>Community Healthcare Trust Inc</title>
        <cusip>20369C106</cusip>
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        <name>Intuitive Surgical Inc</name>
        <lei>54930052SRG011710797</lei>
        <title>Intuitive Surgical Inc</title>
        <cusip>46120E602</cusip>
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        <fairValLevel>1</fairValLevel>
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        <name>National Health Investors Inc</name>
        <lei>549300ZPKZIG6DKDEC02</lei>
        <title>National Health Investors Inc</title>
        <cusip>63633D104</cusip>
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        <issuerConditional desc="REIT" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      </invstOrSec>
      <invstOrSec>
        <name>ICON PLC</name>
        <lei>6354008SRQGEMC4XFI67</lei>
        <title>ICON PLC</title>
        <cusip>000000000</cusip>
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          <isin value="IE0005711209"/>
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        <balance>36357.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>7515355.47000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>IE</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>New Senior Investment Group Inc</name>
        <lei>549300H8A719CGNNEW69</lei>
        <title>New Senior Investment Group Inc</title>
        <cusip>648691103</cusip>
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          <isin value="US6486911034"/>
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        <balance>96025.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>843099.50000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerConditional desc="REIT" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Amgen Inc</name>
        <lei>62QBXGPJ34PQ72Z12S66</lei>
        <title>Amgen Inc</title>
        <cusip>031162100</cusip>
        <identifiers>
          <isin value="US0311621009"/>
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        <balance>28276.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>6892275.00000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Sanofi</name>
        <lei>549300E9PC51EN656011</lei>
        <title>Sanofi</title>
        <cusip>80105N105</cusip>
        <identifiers>
          <isin value="US80105N1054"/>
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        <balance>81554.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>4294633.64000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>FR</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>CIGNA CORP</name>
        <lei>549300VIWYMSIGT1U456</lei>
        <title>Cigna Corp</title>
        <cusip>125523BX7</cusip>
        <identifiers>
          <isin value="US125523BX78"/>
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        <balance>2785000.00000000</balance>
        <units>PA</units>
        <curCd>USD</curCd>
        <valUSD>2986216.28000000</valUSD>
        <pctVal>0.514414115712</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>DBT</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
          <maturityDt>2024-06-15</maturityDt>
          <couponKind>Fixed</couponKind>
          <annualizedRt>3.50000000</annualizedRt>
          <isDefault>N</isDefault>
          <areIntrstPmntsInArrs>N</areIntrstPmntsInArrs>
          <isPaidKind>N</isPaidKind>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Pfizer Inc</name>
        <lei>765LHXWGK1KXCLTFYQ30</lei>
        <title>Pfizer Inc</title>
        <cusip>717081ET6</cusip>
        <identifiers>
          <isin value="US717081ET61"/>
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        <balance>5300000.00000000</balance>
        <units>PA</units>
        <curCd>USD</curCd>
        <valUSD>5967090.81000000</valUSD>
        <pctVal>1.027908046366</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>DBT</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
          <maturityDt>2029-03-15</maturityDt>
          <couponKind>Fixed</couponKind>
          <annualizedRt>3.45000000</annualizedRt>
          <isDefault>N</isDefault>
          <areIntrstPmntsInArrs>N</areIntrstPmntsInArrs>
          <isPaidKind>N</isPaidKind>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>ENDO DAC/FIN LLC/FINCO</name>
        <lei>N/A</lei>
        <title>Endo Dac / Endo Finance LLC / Endo Finco Inc</title>
        <cusip>29273DAB6</cusip>
        <identifiers>
          <isin value="US29273DAB64"/>
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        <balance>516000.00000000</balance>
        <units>PA</units>
        <curCd>USD</curCd>
        <valUSD>526320.00000000</valUSD>
        <pctVal>0.090665381203</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>DBT</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>XX</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
          <maturityDt>2027-07-31</maturityDt>
          <couponKind>Fixed</couponKind>
          <annualizedRt>9.50000000</annualizedRt>
          <isDefault>N</isDefault>
          <areIntrstPmntsInArrs>N</areIntrstPmntsInArrs>
          <isPaidKind>N</isPaidKind>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Novartis Capital Corp</name>
        <lei>5493002KF87V5RSRQS84</lei>
        <title>Novartis Capital Corp</title>
        <cusip>66989HAG3</cusip>
        <identifiers>
          <isin value="US66989HAG39"/>
        </identifiers>
        <balance>2115000.00000000</balance>
        <units>PA</units>
        <curCd>USD</curCd>
        <valUSD>2280293.93000000</valUSD>
        <pctVal>0.392809922517</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>DBT</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
          <maturityDt>2024-05-06</maturityDt>
          <couponKind>Fixed</couponKind>
          <annualizedRt>3.40000000</annualizedRt>
          <isDefault>N</isDefault>
          <areIntrstPmntsInArrs>N</areIntrstPmntsInArrs>
          <isPaidKind>N</isPaidKind>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Ono Pharmaceutical Co Ltd</name>
        <lei>N/A</lei>
        <title>Ono Pharmaceutical Co Ltd</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="JP3197600004"/>
        </identifiers>
        <balance>22660.00000000</balance>
        <units>NS</units>
        <currencyConditional curCd="JPY" exchangeRt="111.09500000"/>
        <valUSD>505640.58000000</valUSD>
        <pctVal>0.087103085456</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>JP</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>SMITH + NEPHEW PLC JUL21 45 CALL</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Bloomberg Identifier" value="BBG01155PKC4"/>
        </identifiers>
        <balance>-155.00000000</balance>
        <units>NC</units>
        <curCd>USD</curCd>
        <valUSD>-5425.00000000</valUSD>
        <pctVal>-0.00093452594</pctVal>
        <payoffProfile>N/A</payoffProfile>
        <assetCat>DE</assetCat>
        <issuerConditional desc="derivative" issuerCat="OTHER"/>
        <invCountry>GB</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <derivativeInfo>
          <optionSwaptionWarrantDeriv derivCat="OPT">
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
              <counterpartyLei>549300CII6SLYGKNHA04</counterpartyLei>
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            <putOrCall>Call</putOrCall>
            <writtenOrPur>Written</writtenOrPur>
            <descRefInstrmnt>
              <otherRefInst>
                <issuerName>Smith &amp; Nephew PLC</issuerName>
                <issueTitle>Smith &amp; Nephew PLC</issueTitle>
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                  <cusip value="83175M205"/>
                  <isin value="US83175M2052"/>
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            </descRefInstrmnt>
            <shareNo>100.00000000</shareNo>
            <exercisePrice>45.00000000</exercisePrice>
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            <expDt>2021-07-16</expDt>
            <delta>XXXX</delta>
            <unrealizedAppr>2169.96000000</unrealizedAppr>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Organon &amp; Co</name>
        <lei>549300AMCKY57OK2CO56</lei>
        <title>Organon &amp; Co</title>
        <cusip>68622V106</cusip>
        <identifiers>
          <isin value="US68622V1061"/>
        </identifiers>
        <balance>14771.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>446970.46000000</valUSD>
        <pctVal>0.076996403599</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>
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      </invstOrSec>
      <invstOrSec>
        <name>Abbott Laboratories</name>
        <lei>HQD377W2YR662HK5JX27</lei>
        <title>Abbott Laboratories</title>
        <cusip>002824100</cusip>
        <identifiers>
          <isin value="US0028241000"/>
        </identifiers>
        <balance>181604.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>21053351.72000000</valUSD>
        <pctVal>3.626710288992</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>
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      </invstOrSec>
      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>DENTSPLY SIRONA INC JUL21 65 CALL</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Bloomberg Identifier" value="BBG00Y99NC13"/>
        </identifiers>
        <balance>-62.00000000</balance>
        <units>NC</units>
        <curCd>USD</curCd>
        <valUSD>-3410.00000000</valUSD>
        <pctVal>-0.00058741630</pctVal>
        <payoffProfile>N/A</payoffProfile>
        <assetCat>DE</assetCat>
        <issuerConditional desc="derivative" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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            <putOrCall>Call</putOrCall>
            <writtenOrPur>Written</writtenOrPur>
            <descRefInstrmnt>
              <otherRefInst>
                <issuerName>DENTSPLY SIRONA Inc</issuerName>
                <issueTitle>DENTSPLY SIRONA Inc</issueTitle>
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                  <cusip value="24906P109"/>
                  <isin value="US24906P1093"/>
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            </descRefInstrmnt>
            <shareNo>100.00000000</shareNo>
            <exercisePrice>65.00000000</exercisePrice>
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            <expDt>2021-07-16</expDt>
            <delta>XXXX</delta>
            <unrealizedAppr>2913.96000000</unrealizedAppr>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>LABORATORY CORP OF AMERICA HOL JUL21 270 CALL</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Bloomberg Identifier" value="BBG0114QGKV8"/>
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        <balance>-14.00000000</balance>
        <units>NC</units>
        <curCd>USD</curCd>
        <valUSD>-12600.00000000</valUSD>
        <pctVal>-0.00217051186</pctVal>
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        <assetCat>DE</assetCat>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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            <putOrCall>Call</putOrCall>
            <writtenOrPur>Written</writtenOrPur>
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              <otherRefInst>
                <issuerName>Laboratory Corp of America Holdings</issuerName>
                <issueTitle>Laboratory Corp of America Holdings</issueTitle>
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                  <isin value="US50540R4092"/>
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            <shareNo>100.00000000</shareNo>
            <exercisePrice>270.00000000</exercisePrice>
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            <expDt>2021-07-16</expDt>
            <delta>XXXX</delta>
            <unrealizedAppr>-8022.03000000</unrealizedAppr>
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      <invstOrSec>
        <name>Lonza Group AG</name>
        <lei>549300EFW4H2TCZ71055</lei>
        <title>Lonza Group AG</title>
        <cusip>000000000</cusip>
        <identifiers>
          <isin value="CH0013841017"/>
        </identifiers>
        <balance>5773.00000000</balance>
        <units>NS</units>
        <currencyConditional curCd="CHF" exchangeRt="0.92525000"/>
        <valUSD>4091795.08000000</valUSD>
        <pctVal>0.704864266480</pctVal>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>CH</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>OCULIS SA SERIES C</name>
        <lei>N/A</lei>
        <title>OCULIS SA SERIES C PREFERRED STOCK</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Internal Identifier" value="942PPC904"/>
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        <balance>41109.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>437399.76000000</valUSD>
        <pctVal>0.075347727577</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EP</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>ZIMMER BIOMET HOLDINGS INC JUL21 170 CALL</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Bloomberg Identifier" value="BBG0115HPKR2"/>
        </identifiers>
        <balance>-56.00000000</balance>
        <units>NC</units>
        <curCd>USD</curCd>
        <valUSD>-1792.00000000</valUSD>
        <pctVal>-0.00030869502</pctVal>
        <payoffProfile>N/A</payoffProfile>
        <assetCat>DE</assetCat>
        <issuerConditional desc="derivative" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
              <counterpartyLei>549300CII6SLYGKNHA04</counterpartyLei>
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            <putOrCall>Call</putOrCall>
            <writtenOrPur>Written</writtenOrPur>
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                <issuerName>Zimmer Biomet Holdings Inc</issuerName>
                <issueTitle>Zimmer Biomet Holdings Inc</issueTitle>
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                  <cusip value="98956P102"/>
                  <isin value="US98956P1021"/>
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            </descRefInstrmnt>
            <shareNo>100.00000000</shareNo>
            <exercisePrice>170.00000000</exercisePrice>
            <exercisePriceCurCd>USD</exercisePriceCurCd>
            <expDt>2021-07-16</expDt>
            <delta>XXXX</delta>
            <unrealizedAppr>6043.47000000</unrealizedAppr>
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          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Goldman Sachs Bank USA</name>
        <lei>KD3XUN7C6T14HNAYLU02</lei>
        <title>PURCHASED USD / SOLD ILS</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Trade Identifier" value="21FSKBB6MTK"/>
        </identifiers>
        <balance>1.00000000</balance>
        <units>NC</units>
        <currencyConditional curCd="ILS" exchangeRt="3.25942250"/>
        <valUSD>3479.88000000</valUSD>
        <pctVal>0.000599454033</pctVal>
        <payoffProfile>N/A</payoffProfile>
        <assetCat>DFE</assetCat>
        <issuerConditional desc="derivative" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <derivativeInfo>
          <fwdDeriv derivCat="FWD">
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              <counterpartyName>Goldman Sachs Bank USA</counterpartyName>
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      <invstOrSec>
        <name>CSL Ltd</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <fairValLevel>1</fairValLevel>
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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            <putOrCall>Call</putOrCall>
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                <issuerName>Eli Lilly &amp; Co</issuerName>
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            <unrealizedAppr>-41653.85000000</unrealizedAppr>
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      <invstOrSec>
        <name>Dexcom Inc</name>
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        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>ENDO DAC/FIN LLC/FINCO</name>
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          <isin value="US29273DAC48"/>
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        <invCountry>XX</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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          <maturityDt>2028-06-30</maturityDt>
          <couponKind>Fixed</couponKind>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Johnson &amp; Johnson</name>
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          <isin value="US478160CK81"/>
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        <fairValLevel>2</fairValLevel>
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          <maturityDt>2028-01-15</maturityDt>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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                <issuerName>UnitedHealth Group Inc</issuerName>
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      <invstOrSec>
        <name>Everest Medicines Ltd</name>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
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        <name>Pfizer Inc</name>
        <lei>765LHXWGK1KXCLTFYQ30</lei>
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        <name>Hoya Corp</name>
        <lei>353800X4VR3BHEUCJB42</lei>
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        <fairValLevel>1</fairValLevel>
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        <name>Ardelyx Inc</name>
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        <fairValLevel>1</fairValLevel>
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        <name>Baxalta Inc</name>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Molina Healthcare Inc</name>
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        <name>Medtronic Inc</name>
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      <invstOrSec>
        <name>Edwards Lifesciences Corp</name>
        <lei>YA13X31F3V31L8TMPR58</lei>
        <title>Edwards Lifesciences Corp</title>
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        <name>Biogen Inc</name>
        <lei>W8J5WZB5IY3K0NDQT671</lei>
        <title>Biogen Inc</title>
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        <fairValLevel>2</fairValLevel>
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        <name>Argenx SE</name>
        <lei>7245009C5FZE6G9ODQ71</lei>
        <title>Argenx SE</title>
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          <isin value="US04016X1019"/>
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        <balance>14399.00000000</balance>
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        <invCountry>NL</invCountry>
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        <fairValLevel>1</fairValLevel>
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        <name>BRISTOL-MYERS SQUIBB CO</name>
        <lei>HLYYNH7UQUORYSJQCN42</lei>
        <title>Bristol-Myers Squibb Co</title>
        <cusip>110122CP1</cusip>
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          <isin value="US110122CP17"/>
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        <balance>1400000.00000000</balance>
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        <curCd>USD</curCd>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>1Life Healthcare Inc</name>
        <lei>N/A</lei>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Five Star Senior Living Inc</name>
        <lei>N/A</lei>
        <title>Five Star Senior Living Inc</title>
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        <curCd>USD</curCd>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Healthcare Realty Trust Inc</name>
        <lei>549300CB86LH2IOKHH22</lei>
        <title>Healthcare Realty Trust Inc</title>
        <cusip>421946104</cusip>
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          <isin value="US4219461047"/>
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        <balance>92654.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>2798150.80000000</valUSD>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerConditional desc="REIT" issuerCat="OTHER"/>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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          <isLoanByFund>N</isLoanByFund>
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      <invstOrSec>
        <name>EMD Finance LLC</name>
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        <title>EMD Finance LLC</title>
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          <isin value="US26867LAL45"/>
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        <balance>4000000.00000000</balance>
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        <curCd>USD</curCd>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>DBT</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
        <debtSec>
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          <couponKind>Fixed</couponKind>
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          <areIntrstPmntsInArrs>N</areIntrstPmntsInArrs>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
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          <other otherDesc="Bloomberg Identifier" value="BBG0106FT694"/>
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        <curCd>USD</curCd>
        <valUSD>-3570.00000000</valUSD>
        <pctVal>-0.00061497836</pctVal>
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        <assetCat>DE</assetCat>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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          <optionSwaptionWarrantDeriv derivCat="OPT">
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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            <putOrCall>Call</putOrCall>
            <writtenOrPur>Written</writtenOrPur>
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                <issuerName>Biogen Inc</issuerName>
                <issueTitle>Biogen Inc</issueTitle>
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                  <isin value="US09062X1037"/>
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            <shareNo>100.00000000</shareNo>
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      <invstOrSec>
        <name>DYNACURE SERIES C PREFERRED STOCK</name>
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        <title>DYNACURE SERIES C PREFERRED STOCK</title>
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          <other otherDesc="Internal Identifier" value="935QPK903"/>
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        <invCountry>FR</invCountry>
        <isRestrictedSec>Y</isRestrictedSec>

        <fairValLevel>3</fairValLevel>
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          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Goldman Sachs Bank USA</name>
        <lei>KD3XUN7C6T14HNAYLU02</lei>
        <title>PURCHASED USD / SOLD DKK</title>
        <cusip>000000000</cusip>
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          <other otherDesc="Trade Identifier" value="21FSKBB6MTG"/>
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        <assetCat>DFE</assetCat>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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          <fwdDeriv derivCat="FWD">
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              <counterpartyName>Goldman Sachs Bank USA</counterpartyName>
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            <settlementDt>2021-07-30</settlementDt>
            <unrealizedAppr>10391.07000000</unrealizedAppr>
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        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Bayer AG</name>
        <lei>549300J4U55H3WP1XT59</lei>
        <title>Bayer AG</title>
        <cusip>000000000</cusip>
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          <isin value="DE000BAY0017"/>
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        <balance>131684.00000000</balance>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>DE</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>I-Mab</name>
        <lei>549300L1A5T19703RR64</lei>
        <title>I-Mab</title>
        <cusip>44975P103</cusip>
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          <isin value="US44975P1030"/>
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        <balance>38848.00000000</balance>
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        <curCd>USD</curCd>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>KY</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Owens &amp; Minor Inc</name>
        <lei>549300LMT5KQQXCEZ733</lei>
        <title>Owens &amp; Minor Inc</title>
        <cusip>690732102</cusip>
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          <isin value="US6907321029"/>
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        <balance>40906.00000000</balance>
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        <curCd>USD</curCd>
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        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
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      <invstOrSec>
        <name>Goldman Sachs Bank USA</name>
        <lei>KD3XUN7C6T14HNAYLU02</lei>
        <title>PURCHASED USD / SOLD EUR</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Trade Identifier" value="21FSKBB6MSW"/>
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        <balance>1.00000000</balance>
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        <invCountry>US</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Laboratory Corp of America Holdings</name>
        <lei>OZ7UA8IXAIFILY2VZH07</lei>
        <title>Laboratory Corp of America Holdings</title>
        <cusip>50540R409</cusip>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Healthcare Trust of America Inc</name>
        <lei>549300L0I14L7I0VLX84</lei>
        <title>Healthcare Trust of America Inc</title>
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          <isin value="US42225P5017"/>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>BeiGene Ltd</name>
        <lei>549300JFUK6FRD5MH739</lei>
        <title>BeiGene Ltd</title>
        <cusip>07725L102</cusip>
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          <isin value="US07725L1026"/>
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        <balance>5594.00000000</balance>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>KY</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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        <name>Sysmex Corp</name>
        <lei>5299001ZO4CKWACMZI55</lei>
        <title>Sysmex Corp</title>
        <cusip>000000000</cusip>
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        <fairValLevel>1</fairValLevel>
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        <name>MorphoSys AG</name>
        <lei>529900493806K77LRE72</lei>
        <title>MorphoSys AG</title>
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        <invCountry>DE</invCountry>
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        <fairValLevel>1</fairValLevel>
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        <name>Affimed NV</name>
        <lei>5493004V4FSXT1D04610</lei>
        <title>Affimed NV</title>
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        <assetCat>EC</assetCat>
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        <invCountry>NL</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>GLAXOSMITHKLINE CAPITAL</name>
        <lei>549300U0LV41VX7LEP38</lei>
        <title>GlaxoSmithKline Capital PLC</title>
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        <invCountry>GB</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>HCA Healthcare Inc</name>
        <lei>529900PH4ZGUH2MNEU89</lei>
        <title>HCA Healthcare Inc</title>
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      <invstOrSec>
        <name>Fixed Income Clearing Corp</name>
        <lei>549300H47WTHXPU08X20</lei>
        <title>FIXED INC CLEARING CORP.REPO</title>
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        <invCountry>US</invCountry>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Terumo Corp</name>
        <lei>353800JX1R4582QVK932</lei>
        <title>Terumo Corp</title>
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        <name>Takeda Pharmaceutical Co Ltd</name>
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        <name>McKesson Corp</name>
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        <name>Humana Inc</name>
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        <name>PRIOTHERA LIMITED</name>
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        <name>Danaher Corp</name>
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        <name>McKesson Corp</name>
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        <name>Regeneron Pharmaceuticals Inc</name>
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        <name>State Street Institutional US Government Money Market Fund</name>
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        <name>Medical Properties Trust Inc</name>
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        <name>Shionogi &amp; Co Ltd</name>
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        <name>Teleflex Inc</name>
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        <name>SHIRE ACQ INV IRELAND DA</name>
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        <name>Community Health Systems Inc</name>
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        <name>UnitedHealth Group Inc</name>
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        <name>Mettler-Toledo International Inc</name>
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        <name>MALLINCKRODT FIN/SB</name>
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        <name>Mallinckrodt PLC</name>
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        <name>Teva Pharmaceutical Industries Ltd</name>
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        <name>Alexion Pharmaceuticals Inc</name>
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        <name>Novartis AG</name>
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        <name>Rainier Therapeutics Series B PREFERRED STOCK</name>
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        <name>Merck &amp; Co Inc</name>
        <lei>4YV9Y5M8S0BRK1RP0397</lei>
        <title>Merck &amp; Co Inc</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Healthpeak Properties Inc</name>
        <lei>PZ9HF5U52KPF0MH0QN75</lei>
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          <isin value="US42250P1030"/>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>STERIS PLC</name>
        <lei>N/A</lei>
        <title>STERIS PLC</title>
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          <isin value="IE00BFY8C754"/>
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        <balance>7211.00000000</balance>
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        <curCd>USD</curCd>
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        <payoffProfile>Long</payoffProfile>
        <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>Waters Corp</name>
        <lei>5T547R1474YC9HOD8Q74</lei>
        <title>Waters Corp</title>
        <cusip>941848103</cusip>
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          <isin value="US9418481035"/>
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        <balance>13745.00000000</balance>
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        <curCd>USD</curCd>
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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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          <isLoanByFund>N</isLoanByFund>
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      </invstOrSec>
      <invstOrSec>
        <name>Eli Lilly &amp; Co</name>
        <lei>FRDRIPF3EKNDJ2CQJL29</lei>
        <title>Eli Lilly &amp; Co</title>
        <cusip>532457108</cusip>
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          <isin value="US5324571083"/>
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        <balance>65095.00000000</balance>
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        <curCd>USD</curCd>
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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>Galera Therapeutics Inc</name>
        <lei>N/A</lei>
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          <isin value="US36338D1081"/>
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        <curCd>USD</curCd>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>MEDTRONIC PLC JUL21 127 CALL</title>
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          <other otherDesc="Bloomberg Identifier" value="BBG011JQ4QH8"/>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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        <name>uniQure NV</name>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Becton Dickinson and Co</name>
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          <isin value="US075887BF51"/>
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        <balance>1200000.00000000</balance>
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        <invCountry>US</invCountry>
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        <fairValLevel>2</fairValLevel>
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          <couponKind>Fixed</couponKind>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>CIGNA CORP JUL21 237.5 CALL</title>
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          <other otherDesc="Bloomberg Identifier" value="BBG011JKQTQ1"/>
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        <balance>-53.00000000</balance>
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        <fairValLevel>1</fairValLevel>
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                <issuerName>Cigna Corp</issuerName>
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      <invstOrSec>
        <name>IDEXX Laboratories Inc</name>
        <lei>OGMTXK0LUU1HKV2P0J84</lei>
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        <cusip>45168D104</cusip>
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          <isin value="US45168D1046"/>
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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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      <invstOrSec>
        <name>THERMO FISHER SCIENTIFIC</name>
        <lei>HCHV7422L5HDJZCRFL38</lei>
        <title>Thermo Fisher Scientific Inc</title>
        <cusip>883556BX9</cusip>
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          <isin value="US883556BX98"/>
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        <balance>1400000.00000000</balance>
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        <curCd>USD</curCd>
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        <invCountry>US</invCountry>
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        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Hologic Inc</name>
        <lei>549300DYP6F5ZJL0LB74</lei>
        <title>Hologic Inc</title>
        <cusip>436440101</cusip>
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        <balance>4217.00000000</balance>
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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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      <invstOrSec>
        <name>Par Pharmaceutical Inc</name>
        <lei>549300KK5WR4MGN4YT97</lei>
        <title>Par Pharmaceutical Inc</title>
        <cusip>69888XAA7</cusip>
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          <isin value="US69888XAA72"/>
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        <balance>193000.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>197342.50000000</valUSD>
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        <issuerCat>CORP</issuerCat>
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        <fairValLevel>2</fairValLevel>
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          <maturityDt>2027-04-01</maturityDt>
          <couponKind>Fixed</couponKind>
          <annualizedRt>7.50000000</annualizedRt>
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        <securityLending>
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      <invstOrSec>
        <name>Bristol-Myers Squibb Co</name>
        <lei>HLYYNH7UQUORYSJQCN42</lei>
        <title>Bristol-Myers Squibb Co</title>
        <cusip>110122108</cusip>
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          <isin value="US1101221083"/>
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        <balance>124748.00000000</balance>
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        <curCd>USD</curCd>
        <valUSD>8335661.36000000</valUSD>
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        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>
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        <fairValLevel>1</fairValLevel>
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        <name>GLAXOSMITHKLINE CAP INC</name>
        <lei>5493007Q8VD7Q3ZYZS59</lei>
        <title>GlaxoSmithKline Capital Inc</title>
        <cusip>377372AH0</cusip>
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          <isin value="US377372AH03"/>
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        <balance>2000000.00000000</balance>
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        <curCd>USD</curCd>
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        <issuerCat>CORP</issuerCat>
        <invCountry>US</invCountry>

        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>2</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>MOLINA HEALTHCARE INC JUL21 260 CALL</title>
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      <invstOrSec>
        <name>Gilead Sciences Inc</name>
        <lei>549300WTZWR07K8MNV44</lei>
        <title>Gilead Sciences Inc</title>
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        <fairValLevel>1</fairValLevel>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>HUMANA INC JUL21 450 CALL</title>
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        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
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              <counterpartyName>Options Clearing Corp.</counterpartyName>
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                <issuerName>Humana Inc</issuerName>
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            <shareNo>100.00000000</shareNo>
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      <invstOrSec>
        <name>Options Clearing Corp.</name>
        <lei>549300CII6SLYGKNHA04</lei>
        <title>ASTRAZENECA PLC JUL21 60 CALL</title>
        <cusip>000000000</cusip>
        <identifiers>
          <other otherDesc="Bloomberg Identifier" value="BBG00Y7M3TH4"/>
        </identifiers>
        <balance>-480.00000000</balance>
        <units>NC</units>
        <curCd>USD</curCd>
        <valUSD>-38400.00000000</valUSD>
        <pctVal>-0.00661489329</pctVal>
        <payoffProfile>N/A</payoffProfile>
        <assetCat>DE</assetCat>
        <issuerConditional desc="derivative" issuerCat="OTHER"/>
        <invCountry>GB</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <derivativeInfo>
          <optionSwaptionWarrantDeriv derivCat="OPT">
            <counterparties>
              <counterpartyName>Options Clearing Corp.</counterpartyName>
              <counterpartyLei>549300CII6SLYGKNHA04</counterpartyLei>
            </counterparties>
            <putOrCall>Call</putOrCall>
            <writtenOrPur>Written</writtenOrPur>
            <descRefInstrmnt>
              <otherRefInst>
                <issuerName>ASTRAZENECA PLC</issuerName>
                <issueTitle>ASTRAZENECA PLC</issueTitle>
                <identifiers>
                  <cusip value="046353108"/>
                  <isin value="US0463531089"/>
                </identifiers>
              </otherRefInst>
            </descRefInstrmnt>
            <shareNo>100.00000000</shareNo>
            <exercisePrice>60.00000000</exercisePrice>
            <exercisePriceCurCd>USD</exercisePriceCurCd>
            <expDt>2021-07-16</expDt>
            <delta>XXXX</delta>
            <unrealizedAppr>-23664.08000000</unrealizedAppr>
          </optionSwaptionWarrantDeriv>
        </derivativeInfo>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
      <invstOrSec>
        <name>Koninklijke Philips NV</name>
        <lei>H1FJE8H61JGM1JSGM897</lei>
        <title>Koninklijke Philips NV</title>
        <cusip>500472303</cusip>
        <identifiers>
          <isin value="US5004723038"/>
        </identifiers>
        <balance>56927.00000000</balance>
        <units>NS</units>
        <curCd>USD</curCd>
        <valUSD>2829271.90000000</valUSD>
        <pctVal>0.487378430121</pctVal>
        <payoffProfile>Long</payoffProfile>
        <assetCat>EC</assetCat>
        <issuerCat>CORP</issuerCat>
        <invCountry>NL</invCountry>
        <isRestrictedSec>N</isRestrictedSec>

        <fairValLevel>1</fairValLevel>
        <securityLending>
          <isCashCollateral>N</isCashCollateral>
          <isNonCashCollateral>N</isNonCashCollateral>
          <isLoanByFund>N</isLoanByFund>
        </securityLending>
      </invstOrSec>
    </invstOrSecs>
    <signature>
      <ncom:dateSigned>2021-07-30</ncom:dateSigned>
      <ncom:nameOfApplicant>Tekla World Healthcare Fund</ncom:nameOfApplicant>
      <ncom:signature>Laura Woodward</ncom:signature>
      <ncom:signerName>Laura Woodward</ncom:signerName>
      <ncom:title>CCO</ncom:title>
    </signature>
  </formData>
  <documents>XXXX</documents>
</edgarSubmission>
