| Role | Name | Name (original language) | Name (translation) | Floruits |
|---|---|---|---|---|
| Grantor | Innocent III, pope (d.1216) | Innocentius | Innocent, bishop, servant of servants of God | 1198 × 1216 |
| Beneficiary | Holm Cultram Abbey (fd.1150) | abbati et conventui de Holmcoltram | abbot and convent of Holm Cultram | 1158 × 1321 |