| Role | Name | Name (original language) | Name (translation) | Floruits |
|---|---|---|---|---|
| Grantor | Honorius III, pope (d.1227) | HONORIUS | Honorius, bishop, servant of servants of God | 1216 × 1227 |
| Beneficiary | Order of Vallis Caulium | Priori et fratribus ordinis Vallis Caulium | priors and brethren of the order of Vallis Caulium | 1206 × 1224 |