| Role | Name | Name (original language) | Name (translation) | Floruits |
|---|---|---|---|---|
| Grantor | Nicholas, pope (III or IV) | Nicolaus | Nicholas, bishop, servant of servants of God | |
| Beneficiary | Unknown, abbot of Balmerino | abbati Monasterii de Balmurynach | abbot of monastery of Balmerino | 1290 × 1290 |