UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                   FORM N-PX

                      ANNUAL REPORT OF PROXY VOTING RECORD
                                       OF
                   REGISTERED MANAGEMENT INVESTMENT COMPANIES

INVESTMENT COMPANY ACT FILE NUMBER:      811-3916

NAME OF REGISTRANT:                      VANGUARD SPECIALIZED FUNDS

ADDRESS OF REGISTRANT:                   PO BOX 2600, VALLEY FORGE, PA 19482

NAME AND ADDRESS OF AGENT FOR SERVICE:   ANNE E. ROBINSON
                                         PO BOX 876
                                         VALLEY FORGE, PA 19482

REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE:  (610) 669-1000

DATE OF FISCAL YEAR END:                 JANUARY 31

DATE OF REPORTING PERIOD:                JULY 1, 2022 - JUNE 30, 2023



******************************* FORM N-Px REPORT *******************************
ICA File Number: 81103916D
Reporting Period: 07/01/2022 - 06/30/2023
VANGUARD SPECIALIZED FUNDS

Each  investment  advisor's  votes  cast  are  shown  separately below. Sections
without  an  investment advisor listed reflect votes cast by the Fund. The votes
reported do not reflect any votes cast pursuant to a regulatory requirement.




==================== VANGUARD HEALTH CARE FUND - WELLINGTON ====================


2SEVENTY BIO, INC.

Ticker:       TSVT           Security ID:  901384107
Meeting Date: JUN 13, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Daniel S. Lynch                   For       For          Management
1.02  Elect Sarah Glickman                    For       For          Management
1.03  Elect Wei Lin                           For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Amendment to Articles to Limit the      For       Against      Management
      Liability of Certain Officers


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ABBOTT LABORATORIES

Ticker:       ABT            Security ID:  002824100
Meeting Date: APR 28, 2023   Meeting Type: Annual
Record Date:  MAR 01, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Robert J. Alpern                  For       For          Management
1b.   Elect Claire Babineaux-Fontenot         For       For          Management
1c.   Elect Sally E. Blount                   For       For          Management
1d.   Elect Robert B. Ford                    For       For          Management
1e.   Elect Paola Gonzalez                    For       For          Management
1f.   Elect Michelle A. Kumbier               For       For          Management
1g.   Elect Darren W. McDew                   For       For          Management
1h.   Elect Nancy McKinstry                   For       Against      Management
1i.   Elect Michael G. O'Grady                For       For          Management
1j.   Elect Michael F. Roman                  For       For          Management
1k.   Elect Daniel J. Starks                  For       For          Management
1l.   Elect John G. Stratton                  For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
5.    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Call Special Meetings
6.    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair
7.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Lobbying Report
8.    Shareholder Proposal Prohibiting        Against   Against      Shareholder
      Adjustments for Legal and Compliance
      Costs


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ABCAM PLC

Ticker:       ABC            Security ID:  G0060R118
Meeting Date: NOV 11, 2022   Meeting Type: Ordinary
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Delisting                               For       For          Management


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ABCAM PLC

Ticker:       ABC            Security ID:  000380204
Meeting Date: NOV 11, 2022   Meeting Type: Annual
Record Date:  OCT 18, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Delisting                               For       For          Management


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ABCAM PLC

Ticker:       ABCM           Security ID:  000380204
Meeting Date: MAY 17, 2023   Meeting Type: Annual
Record Date:  MAR 31, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Accounts and Reports                    For       For          Management
2.    Remuneration Report                     For       For          Management
3.    Appointment of Auditor                  For       For          Management
4.    Authority to Set Auditor's Fees         For       For          Management
5.    Elect Peter V. Allen                    For       For          Management
6.    Elect Alan Hirzel                       For       For          Management
7.    Elect Michael Baldock                   For       For          Management
8.    Elect Mara G. Aspinall                  For       Against      Management
9.    Elect Giles Kerr                        For       Against      Management
10.   Elect Mark C. Capone                    For       For          Management
11.   Elect Sally W. Crawford                 For       For          Management
12.   Elect Bessie Lee                        For       For          Management
13.   Elect Luba Greenwood                    For       For          Management
14.   Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
15.   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
16.   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
17.   Adoption of New Articles                For       For          Management
18.   Authority to Repurchase Shares          For       For          Management
      Off-Market


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ACADIA HEALTHCARE COMPANY, INC.

Ticker:       ACHC           Security ID:  00404A109
Meeting Date: MAY 18, 2023   Meeting Type: Annual
Record Date:  MAR 23, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Michael J. Fucci                  For       For          Management
1b.   Elect Wade D. Miquelon                  For       For          Management
2.    Amendment to the Incentive              For       For          Management
      Compensation Plan
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Ratification of Auditor                 For       For          Management


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AGILENT TECHNOLOGIES, INC.

Ticker:       A              Security ID:  00846U101
Meeting Date: MAR 15, 2023   Meeting Type: Annual
Record Date:  JAN 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Heidi Kunz                        For       For          Management
1.2   Elect Susan H. Rataj                    For       For          Management
1.3   Elect George A. Scangos                 For       For          Management
1.4   Elect Dow R. Wilson                     For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Permit Shareholders to Call Special     For       For          Management
      Meetings
5.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation


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AGILON HEALTH, INC.

Ticker:       AGL            Security ID:  00857U107
Meeting Date: MAY 24, 2023   Meeting Type: Annual
Record Date:  MAR 31, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Ronald A. Williams                For       For          Management
1b.   Elect Derek L. Strum                    For       For          Management
1c.   Elect Diana L. McKenzie                 For       For          Management
1d.   Elect Karen A. McLoughlin               For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management


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AGIOS PHARMACEUTICALS, INC.

Ticker:       AGIO           Security ID:  00847X104
Meeting Date: JUN 13, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Rahul D. Ballal                   For       For          Management
1.2   Elect Brian Goff                        For       For          Management
1.3   Elect Cynthia Smith                     For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Approval of the 2023 Stock Incentive    For       For          Management
      Plan
4.    Ratification of Auditor                 For       For          Management


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ALCON AG

Ticker:       ALC            Security ID:  H01301128
Meeting Date: MAY 05, 2023   Meeting Type: Annual
Record Date:  APR 18, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Accounts and Reports                    For       TNA          Management
2.    Ratification of Board and Management    For       TNA          Management
      Acts
3.    Allocation of Dividends                 For       TNA          Management
4a.   Compensation Report                     For       TNA          Management
4b.   Board Compensation                      For       TNA          Management
4c.   Executive Compensation                  For       TNA          Management
5a.   Elect F. Michael Ball as Chair          For       TNA          Management
5b.   Elect Lynn Dorsey Bleil                 For       TNA          Management
5c.   Elect Raquel C. Bono                    For       TNA          Management
5d.   Elect Arthur Cummings                   For       TNA          Management
5e.   Elect David J. Endicott                 For       TNA          Management
5f.   Elect Thomas Glanzmann                  For       TNA          Management
5g.   Elect D. Keith Grossman                 For       TNA          Management
5h.   Elect Scott H. Maw                      For       TNA          Management
5i.   Elect Karen J. May                      For       TNA          Management
5j.   Elect Ines Poschel                      For       TNA          Management
5k.   Elect Dieter Spalti                     For       TNA          Management
6a.   Elect Thomas Glanzmann as Compensation  For       TNA          Management
      Committee Member
6b.   Elect Scott H. Maw as Compensation      For       TNA          Management
      Committee Member
6c.   Elect Karen J. May as Compensation      For       TNA          Management
      Committee Member
6d.   Elect Ines Poschel as Compensation      For       TNA          Management
      Committee Member
7.    Appointment of Independent Proxy        For       TNA          Management
8.    Appointment of Auditor                  For       TNA          Management
9a.   Introduction of a Capital Band          For       TNA          Management
9b.   Increase in Conditional Capital         For       TNA          Management
9c.   Amendments to Articles (Share Capital)  For       TNA          Management
9d.   Amendments to Articles (Shareholder     For       TNA          Management
      Meetings)
9e.   Amendments to Articles (Board of        For       TNA          Management
      Directors)
9f.   Amendments to Articles (Compensation)   For       TNA          Management


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ALIGN TECHNOLOGY, INC.

Ticker:       ALGN           Security ID:  016255101
Meeting Date: MAY 17, 2023   Meeting Type: Annual
Record Date:  MAR 23, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Kevin J. Dallas                   For       For          Management
1.2   Elect Joseph M. Hogan                   For       For          Management
1.3   Elect Joseph Lacob                      For       For          Management
1.4   Elect C. Raymond Larkin, Jr.            For       For          Management
1.5   Elect George J. Morrow                  For       For          Management
1.6   Elect Anne M. Myong                     For       For          Management
1.7   Elect Andrea L. Saia                    For       For          Management
1.8   Elect Susan E. Siegel                   For       For          Management
2.    Amendment to Articles Regarding         For       Against      Management
      Officer Exculpation
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
5.    Amendment to the 2005 Incentive Plan    For       For          Management
6.    Ratification of Auditor                 For       For          Management


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ALKERMES PLC

Ticker:       ALKS           Security ID:  G01767105
Meeting Date: JUL 07, 2022   Meeting Type: Annual
Record Date:  JUN 01, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Emily Peterson Alva               For       For          Management
1B.   Elect Cato T. Laurencin                 For       For          Management
1C.   Elect Brian P. McKeon                   For       For          Management
1D.   Elect Christopher I. Wright             For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    2018 Stock Option and Incentive Plan    For       For          Management
5.    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
6.    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights


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ALKERMES PLC

Ticker:       ALKS           Security ID:  G01767105
Meeting Date: JUN 29, 2023   Meeting Type: Proxy Contest
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1A.   Elect Dissident Nominee Patrice         None      TNA          Shareholder
      Bonfiglio
1B.   Elect Dissident Nominee Alexander J.    None      TNA          Shareholder
      Denner
1C.   Elect Dissident Nominee Sarah J.        None      TNA          Shareholder
      Schlesinger
1D.   Elect Management Nominee Emily          None      TNA          Management
      Peterson Alva
1E.   Elect Management Nominee Cato T.        None      TNA          Management
      Laurencin
1F.   Elect Management Nominee Brian P.       None      TNA          Management
      McKeon
1G.   Elect Management Nominee Christopher I. None      TNA          Management
      Wright
1H.   Elect Management Nominee Shane M. Cooke None      TNA          Management
1I.   Elect Management Nominee Richard Gaynor None      TNA          Management
1J.   Elect Management Nominee Richard F.     None      TNA          Management
      Pops
2.    Advisory Vote on Executive Compensation None      TNA          Management
3.    Ratification of Auditor                 None      TNA          Management
4.    Amendment to the 2018 Stock Option and  None      TNA          Management
      Incentive Plan
5.    Authority to Issue Shares w/            None      TNA          Management
      Preemptive Rights
6.    Authority to Issue Shares w/o           None      TNA          Management
      Preemptive Rights
1A.   Elect Management Nominee Emily          For       For          Management
      Peterson Alva
1B.   Elect Management Nominee Shane M. Cooke For       For          Management
1C.   Elect Management Nominee Richard Gaynor For       For          Management
1D.   Elect Management Nominee Cato T.        For       For          Management
      Laurencin
1E.   Elect Management Nominee Brian P.       For       For          Management
      McKeon
1F.   Elect Management Nominee Richard F.     For       For          Management
      Pops
1G.   Elect Management Nominee Christopher I. For       For          Management
      Wright
1H.   Elect Dissident Nominee Patrice         Withhold  Withhold     Shareholder
      Bonfiglio
1I.   Elect Dissident Nominee Alexander J.    Withhold  Withhold     Shareholder
      Denner
1J.   Elect Dissident Nominee Sarah J.        Withhold  Withhold     Shareholder
      Schlesinger
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Amendment to the 2018 Stock Option and  For       For          Management
      Incentive Plan
5.    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
6.    Authority to Issue Shares w/o           For       Against      Management
      Preemptive Rights


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ALMIRALL, S.A.

Ticker:       ALM            Security ID:  E0459H111
Meeting Date: MAY 05, 2023   Meeting Type: Annual
Record Date:  APR 28, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Individual Accounts and Reports         For       For          Management
2     Consolidated Accounts and Reports       For       For          Management
3     Report on Non-Financial Information     For       For          Management
4     Ratification of Board Acts              For       For          Management
5     Allocation of Profits/Dividends         For       For          Management
6     Special Dividend                        For       For          Management
7.1   Board Size                              For       For          Management
7.2   Elect Carlos Gallardo Pique             For       For          Management
7.3   Elect Tom F. McKillop                   For       For          Management
7.4   Elect Karin Louise Doerrepaal           For       For          Management
7.5   Elect Seth Orlow                        For       For          Management
7.6   Elect Enrique de Leyva Perez            For       For          Management
7.7   Elect Alexandra B. Kimball              For       For          Management
7.8   Elect Eva-Lotta Allan                   For       For          Management
7.9   Elect Ruud Dobber                       For       For          Management
7.10  Elect Antonio Gallardo Torrededia       For       For          Management
8.1   Amendments to Articles (Audit           For       For          Management
      Committee)
8.2   Amendments to Articles (Nomination and  For       For          Management
      Remuneration Committee)
8.3   Amendments to Articles (Dermatology     For       For          Management
      Committee)
9     Scrip Dividend                          For       For          Management
10    Authority to Issue Shares w/ or w/o     For       For          Management
      Preemptive Rights
11    Authority to Repurchase and Reissue     For       For          Management
      Shares
12    Authority to Issue Convertible Debt     For       For          Management
      Instruments
13    Remuneration Report                     For       Against      Management
14    Authorisation of Legal Formalities      For       For          Management


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ALNYLAM PHARMACEUTICALS, INC.

Ticker:       ALNY           Security ID:  02043Q107
Meeting Date: MAY 18, 2023   Meeting Type: Annual
Record Date:  MAR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Michael W. Bonney                 For       For          Management
1b.   Elect Yvonne Greenstreet                For       For          Management
1c.   Elect Phillip A. Sharp                  For       For          Management
1d.   Elect Elliott Sigal                     For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management


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AMEDISYS, INC.

Ticker:       AMED           Security ID:  023436108
Meeting Date: JUN 08, 2023   Meeting Type: Annual
Record Date:  APR 11, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Richard M. Ashworth               For       For          Management
1.02  Elect Vickie L. Capps                   For       For          Management
1.03  Elect Molly J. Coye                     For       For          Management
1.04  Elect Julie D. Klapstein                For       For          Management
1.05  Elect Teresa L. Kline                   For       For          Management
1.06  Elect Paul B. Kusserow                  For       For          Management
1.07  Elect Bruce D. Perkins                  For       For          Management
1.08  Elect Jeffrey A. Rideout                For       For          Management
1.09  Elect Ivanetta Davis Samuels            For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation


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AMICUS THERAPEUTICS, INC.

Ticker:       FOLD           Security ID:  03152W109
Meeting Date: JUN 08, 2023   Meeting Type: Annual
Record Date:  APR 14, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Lynn Dorsey Bleil                 For       For          Management
1.2   Elect Bradley L. Campbell               For       For          Management
2     Amendment to the 2007 Equity Incentive  For       For          Management
      Plan
3     Ratification of Auditor                 For       For          Management
4     Advisory Vote on Executive Compensation For       For          Management
5     Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
6     Approval of the 2023 Employee Stock     For       For          Management
      Purchase Plan
7     Amendment to Articles to Limit the      For       Against      Management
      Liability of Certain Officers


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APELLIS PHARMACEUTICALS, INC.

Ticker:       APLS           Security ID:  03753U106
Meeting Date: JUN 01, 2023   Meeting Type: Annual
Record Date:  APR 03, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Gerald L. Chan                    For       For          Management
1.2   Elect Cedric Francois                   For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management


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ARGENX SE

Ticker:       ARGX           Security ID:  N0610Q109
Meeting Date: SEP 08, 2022   Meeting Type: Special
Record Date:  AUG 11, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
2.    Elect Camilla Sylvest to the Board of   For       For          Management
      Directors


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ARGENX SE

Ticker:       ARGX           Security ID:  N0610Q109
Meeting Date: DEC 12, 2022   Meeting Type: Special
Record Date:  NOV 14, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
2     Elect Ana Cespedes                      For       For          Management


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ARGENX SE

Ticker:       ARGX           Security ID:  N0610Q109
Meeting Date: FEB 27, 2023   Meeting Type: Special
Record Date:  JAN 30, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
2.    Elect Steve E. Krognes to the Board Of  For       For          Management
      Directors


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ARGENX SE

Ticker:       ARGX           Security ID:  N0610Q109
Meeting Date: MAY 02, 2023   Meeting Type: Annual
Record Date:  APR 04, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
3.    Remuneration Report                     For       Against      Management
4b.   Accounts and Reports                    For       For          Management
4d.   Allocation of Losses                    For       For          Management
4e.   Ratification of Board Acts              For       For          Management
5.    Elect Joseph Donald deBethizy to the    For       For          Management
      Board of Directors
6.    Authority to Issue Shares w/ or w/o     For       For          Management
      Preemptive Rights
7.    Appointment of Auditor                  For       For          Management


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ASAHI INTECC CO., LTD.

Ticker:       7747           Security ID:  J0279C107
Meeting Date: SEP 29, 2022   Meeting Type: Annual
Record Date:  JUN 30, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2     Amendments to Articles                  For       For          Management
3.1   Elect Masahiko Miyata                   For       For          Management
3.2   Elect Kenji Miyata                      For       For          Management
3.3   Elect Tadakazu Kato                     For       For          Management
3.4   Elect Munechika Matsumoto               For       For          Management
3.5   Elect Yoshinori Terai                   For       For          Management
3.6   Elect Mizuho Ito                        For       For          Management
3.7   Elect Makoto Nishiuchi                  For       For          Management
3.8   Elect Kiyomichi Ito                     For       For          Management
3.9   Elect Takahiro Kusakari                 For       For          Management
4.1   Elect Ryuji Tomida                      For       For          Management
4.2   Elect Yasunari Hanano                   For       For          Management
4.3   Elect Ryoko Fukaya                      For       For          Management
5     Elect Shigeki Moriguchi as Alternate    For       For          Management
      Audit Committee Director


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ASCENDIS PHARMA A/S

Ticker:       ASND           Security ID:  04351P101
Meeting Date: SEP 09, 2022   Meeting Type: Special
Record Date:  AUG 09, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Election of Presiding Chair             For       For          Management
2a.   Elect William Carl Fairey, Jr.          For       For          Management
2b.   Elect Siham Imani                       For       For          Management
3.    Authorize Chair to Register Resolutions For       For          Management


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ASCENDIS PHARMA A/S

Ticker:       ASND           Security ID:  04351P101
Meeting Date: MAY 30, 2023   Meeting Type: Annual
Record Date:  APR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Election of Presiding Chair             For       For          Management
2.    Presentation of Accounts and Reports    For       For          Management
3.    Accounts and Reports; Ratification of   For       For          Management
      Board and Management Acts
4.    Allocation of Profits/Dividends         For       For          Management
5a.   Elect Jan Moller Mikkelsen              For       For          Management
5b.   Elect Lisa Bright                       For       For          Management
5c.   Elect William Carl Fairey, Jr.          For       For          Management
5d.   Elect Siham Imani                       For       For          Management
6.    Appointment of Auditor                  For       For          Management
7.    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights


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ASTRAZENECA PLC

Ticker:       AZN            Security ID:  G0593M107
Meeting Date: APR 27, 2023   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Accounts and Reports                    For       For          Management
2.    Final Dividend                          For       For          Management
3.    Appointment of Auditor                  For       For          Management
4.    Authority to Set Auditor's Fees         For       For          Management
5a.   Elect Michel Demare                     For       For          Management
5b.   Elect Pascal Soriot                     For       For          Management
5c.   Elect Aradhana Sarin                    For       For          Management
5d.   Elect Philip Broadley                   For       For          Management
5e.   Elect Euan Ashley                       For       For          Management
5f.   Elect Deborah DiSanzo                   For       For          Management
5g.   Elect Diana Layfield                    For       For          Management
5h.   Elect Sherilyn S. McCoy                 For       For          Management
5i.   Elect Tony MOK Shu Kam                  For       For          Management
5j.   Elect Nazneen Rahman                    For       For          Management
5k.   Elect Andreas Rummelt                   For       For          Management
5l.   Elect Marcus Wallenberg                 For       Against      Management
6.    Remuneration Report                     For       For          Management
7.    Authorisation of Political Donations    For       For          Management
8.    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
9.    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
10.   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
11.   Authority to Repurchase Shares          For       For          Management
12.   Authority to Set General Meeting        For       For          Management
      Notice Period at 14 Days
13.   Adoption of New Articles                For       For          Management


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BIOGEN INC.

Ticker:       BIIB           Security ID:  09062X103
Meeting Date: JUN 26, 2023   Meeting Type: Annual
Record Date:  APR 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Alexander J. Denner               For       Abstain      Management
1b.   Elect Caroline D. Dorsa                 For       For          Management
1c.   Elect Maria C. Freire                   For       For          Management
1d.   Elect William A. Hawkins                For       For          Management
1e.   Elect William D. Jones                  For       Abstain      Management
1f.   Elect Jesus B. Mantas                   For       For          Management
1g.   Elect Richard C. Mulligan               For       Abstain      Management
1h.   Elect Eric K. Rowinsky                  For       For          Management
1i.   Elect Stephen A. Sherwin                For       For          Management
1j.   Elect Christopher A. Viehbacher         For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
5.    Elect Susan K. Langer                   For       Against      Management


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BLUEPRINT MEDICINES CORPORATION

Ticker:       BPMC           Security ID:  09627Y109
Meeting Date: JUN 21, 2023   Meeting Type: Annual
Record Date:  APR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Alexis A. Borisy                  For       Withhold     Management
1.02  Elect Lonnel Coats                      For       For          Management
1.03  Elect Kathryn Haviland                  For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


--------------------------------------------------------------------------------

BOSTON SCIENTIFIC CORPORATION

Ticker:       BSX            Security ID:  101137107
Meeting Date: MAY 04, 2023   Meeting Type: Annual
Record Date:  MAR 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Nelda J. Connors                  For       For          Management
1b.   Elect Charles J. Dockendorff            For       Against      Management
1c.   Elect Yoshiaki Fujimori                 For       For          Management
1d.   Elect Edward J. Ludwig                  For       For          Management
1e.   Elect Michael F. Mahoney                For       For          Management
1f.   Elect David J. Roux                     For       For          Management
1g.   Elect John E. Sununu                    For       For          Management
1h.   Elect David S. Wichmann                 For       For          Management
1i.   Elect Ellen M. Zane                     For       Against      Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management


--------------------------------------------------------------------------------

CELLDEX THERAPEUTICS, INC.

Ticker:       CLDX           Security ID:  15117B202
Meeting Date: JUN 15, 2023   Meeting Type: Annual
Record Date:  APR 18, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Karen L. Shoos                    For       For          Management
1b.   Elect Anthony S. Marucci                For       For          Management
1c.   Elect Keith L. Brownlie                 For       For          Management
1d.   Elect Cheryl L. Cohen                   For       For          Management
1e.   Elect Herbert J. Conrad                 For       For          Management
1f.   Elect Rita L. Jain                      For       For          Management
1g.   Elect James J. Marino                   For       For          Management
1h.   Elect Garry A. Neil                     For       For          Management
1i.   Elect Harry H. Penner, Jr.              For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Amendment to the 2021 Omnibus Equity    For       For          Management
      Incentive Plan
4.    Advisory Vote on Executive Compensation For       For          Management
5.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation


--------------------------------------------------------------------------------

CENTENE CORPORATION

Ticker:       CNC            Security ID:  15135B101
Meeting Date: SEP 27, 2022   Meeting Type: Special
Record Date:  AUG 10, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Repeal of Classified Board              For       For          Management
2.    Permit Shareholders to Call Special     For       For          Management
      Meetings
3.    Permit Shareholders to Act by Written   For       For          Management
      Consent
4.    Right to Adjourn Meeting                For       For          Management


--------------------------------------------------------------------------------

CENTENE CORPORATION

Ticker:       CNC            Security ID:  15135B101
Meeting Date: MAY 10, 2023   Meeting Type: Annual
Record Date:  MAR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Jessica L. Blume                  For       For          Management
1b.   Elect Kenneth A. Burdick                For       For          Management
1c.   Elect Christopher J. Coughlin           For       For          Management
1d.   Elect H. James Dallas                   For       For          Management
1e.   Elect Wayne S. DeVeydt                  For       For          Management
1f.   Elect Frederick H. Eppinger             For       For          Management
1g.   Elect Monte E. Ford                     For       For          Management
1h.   Elect Sarah M. London                   For       For          Management
1i.   Elect Lori J. Robinson                  For       For          Management
1j.   Elect Theodore R. Samuels, II           For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management
5.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Severance Approval Policy
6.    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Linking Executive Pay to Maternal
      Morbidity Metrics


--------------------------------------------------------------------------------

CHARLES RIVER LABORATORIES INTERNATIONAL, INC.

Ticker:       CRL            Security ID:  159864107
Meeting Date: MAY 09, 2023   Meeting Type: Annual
Record Date:  MAR 16, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect James C. Foster                   For       For          Management
1b.   Elect Nancy C. Andrews                  For       For          Management
1c.   Elect Robert J. Bertolini               For       For          Management
1d.   Elect Deborah T. Kochevar               For       For          Management
1e.   Elect George Llado, Sr.                 For       For          Management
1f.   Elect Martin Mackay                     For       Against      Management
1g.   Elect George E. Massaro                 For       For          Management
1h.   Elect C. Richard Reese                  For       For          Management
1i.   Elect Craig B. Thompson                 For       For          Management
1j.   Elect Richard F. Wallman                For       Against      Management
1k.   Elect Virginia M. Wilson                For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management
5.    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Nonhuman Primate Importation and
      Transportation


--------------------------------------------------------------------------------

CHUGAI PHARMACEUTICAL CO.,LTD.

Ticker:       4519           Security ID:  J06930101
Meeting Date: MAR 30, 2023   Meeting Type: Annual
Record Date:  DEC 31, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2.1   Elect Fumio Tateishi                    For       For          Management
2.2   Elect Hideo Teramoto                    For       For          Management
2.3   Elect Christoph Franz                   For       For          Management
2.4   Elect James H. Sabry                    For       For          Management
2.5   Elect Teresa A. Graham                  For       For          Management
3.1   Elect Shigehiro Yamada                  For       For          Management
3.2   Elect Yumiko Waseda                     For       For          Management


--------------------------------------------------------------------------------

CYTOKINETICS, INCORPORATED

Ticker:       CYTK           Security ID:  23282W605
Meeting Date: MAY 10, 2023   Meeting Type: Annual
Record Date:  MAR 21, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Edward M. Kaye                    For       For          Management
1b.   Elect Wendell Wierenga                  For       For          Management
1c.   Elect Nancy J. Wysenski                 For       For          Management
2.    Amendment to Allow Exculpation of       For       For          Management
      Directors
3.    Amendment to Allow Exculpation of       For       Against      Management
      Officers
4.    Ratification of Auditor                 For       For          Management
5.    Advisory Vote on Executive Compensation For       For          Management
6.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation


--------------------------------------------------------------------------------

DAIICHI SANKYO COMPANY LIMITED

Ticker:       4568           Security ID:  J11257102
Meeting Date: JUN 19, 2023   Meeting Type: Annual
Record Date:  MAR 31, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2.1   Elect Sunao Manabe                      For       For          Management
2.2   Elect Hiroyuki Okuzawa                  For       For          Management
2.3   Elect Shoji Hirashima                   For       For          Management
2.4   Elect Masahiko Ohtsuki                  For       For          Management
2.5   Elect Takashi Fukuoka                   For       For          Management
2.6   Elect Kazuaki Kama                      For       For          Management
2.7   Elect Sawako Nohara                     For       For          Management
2.8   Elect Yasuhiro Komatsu                  For       For          Management
2.9   Elect Takaaki Nishii                    For       For          Management
3.1   Elect Kenji Sato                        For       For          Management
3.2   Elect Miyuki Arai                       For       For          Management
4     Trust Type Equity Plan                  For       For          Management


--------------------------------------------------------------------------------

DANAHER CORPORATION

Ticker:       DHR            Security ID:  235851102
Meeting Date: MAY 09, 2023   Meeting Type: Annual
Record Date:  MAR 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Rainer M. Blair                   For       For          Management
1b.   Elect Feroz Dewan                       For       For          Management
1c.   Elect Linda P. Hefner Filler            For       For          Management
1d.   Elect Teri L. List                      For       Against      Management
1e.   Elect Walter G. Lohr, Jr.               For       For          Management
1f.   Elect Jessica L. Mega                   For       For          Management
1g.   Elect Mitchell P. Rales                 For       For          Management
1h.   Elect Steven M. Rales                   For       For          Management
1i.   Elect Pardis C. Sabeti                  For       For          Management
1j.   Elect A. Shane Sanders                  For       For          Management
1k.   Elect John T. Schwieters                For       For          Management
1l.   Elect Alan G. Spoon                     For       Against      Management
1m.   Elect Raymond C. Stevens                For       For          Management
1n.   Elect Elias A. Zerhouni                 For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
5.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Independent Chair
6.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Diversity and Inclusion Report


--------------------------------------------------------------------------------

DENALI THERAPEUTICS INC

Ticker:       DNLI           Security ID:  24823R105
Meeting Date: JUN 01, 2023   Meeting Type: Annual
Record Date:  APR 04, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Jennifer Cook                     For       For          Management
1.02  Elect David P. Schenkein                For       For          Management
1.03  Elect Ryan J. Watts                     For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory vote on executive compensation For       For          Management


--------------------------------------------------------------------------------

DIASORIN S.P.A.

Ticker:       DIA            Security ID:  T3475Y104
Meeting Date: APR 28, 2023   Meeting Type: Annual
Record Date:  APR 19, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
0010  Accounts and Reports                    For       For          Management
0020  Allocation of Profits/Dividends         For       For          Management
0030  Remuneration Policy                     For       For          Management
0040  Remuneration Report                     For       For          Management
0050  2023 Stock Option Plan                  For       For          Management
0060  Authority to Repurchase and Reissue     For       For          Management
      Shares  to Service 2023 Stock Option
      Plan


--------------------------------------------------------------------------------

EDWARDS LIFESCIENCES CORPORATION

Ticker:       EW             Security ID:  28176E108
Meeting Date: MAY 11, 2023   Meeting Type: Annual
Record Date:  MAR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Kieran T. Gallahue                For       For          Management
1.2   Elect Leslie Stone Heisz                For       For          Management
1.3   Elect Paul A. LaViolette                For       For          Management
1.4   Elect Steven R. Loranger                For       For          Management
1.5   Elect Martha H. Marsh                   For       For          Management
1.6   Elect Michael A. Mussallem              For       For          Management
1.7   Elect Ramona Sequeira                   For       For          Management
1.8   Elect Nicholas J. Valeriani             For       For          Management
1.9   Elect Bernard J. Zovighian              For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management
5.    Amendment to Allow Exculpation of       For       For          Management
      Officers
6.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Independent Chair


--------------------------------------------------------------------------------

EISAI CO.,LTD.

Ticker:       4523           Security ID:  J12852117
Meeting Date: JUN 21, 2023   Meeting Type: Annual
Record Date:  MAR 31, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Haruo Naito                       For       For          Management
1.2   Elect Hideyo Uchiyama                   For       For          Management
1.3   Elect Hideki Hayashi                    For       For          Management
1.4   Elect Yumiko Miwa  Yumiko Shibata       For       For          Management
1.5   Elect Fumihiko Ike                      For       For          Management
1.6   Elect Yoshiteru Kato                    For       For          Management
1.7   Elect Ryota Miura                       For       For          Management
1.8   Elect Hiroyuki Kato                     For       For          Management
1.9   Elect Richard Thornley                  For       For          Management
1.10  Elect Toru Moriyama                     For       For          Management
1.11  Elect Yuko Yasuda                       For       For          Management


--------------------------------------------------------------------------------

ELEVANCE HEALTH, INC.

Ticker:       ELV            Security ID:  036752103
Meeting Date: MAY 10, 2023   Meeting Type: Annual
Record Date:  MAR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Gail K. Boudreaux                 For       For          Management
1b.   Elect R. Kerry Clark                    For       For          Management
1c.   Elect Robert L. Dixon, Jr.              For       For          Management
1d.   Elect Deanna Strable-Soethout           For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management
5.    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Call Special Meetings
6.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Third-Party Political Expenditures
      Reporting


--------------------------------------------------------------------------------

ELI LILLY AND COMPANY

Ticker:       LLY            Security ID:  532457108
Meeting Date: MAY 01, 2023   Meeting Type: Annual
Record Date:  FEB 21, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect William G. Kaelin, Jr.            For       For          Management
1b.   Elect David A. Ricks                    For       For          Management
1c.   Elect Marschall S. Runge                For       For          Management
1d.   Elect Karen Walker                      For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management
5.    Repeal of Classified Board              For       For          Management
6.    Elimination of Supermajority            For       For          Management
      Requirements
7.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Lobbying Report
8.    Shareholder Proposal Regarding Simple   Against   Against      Shareholder
      Majority Vote
9.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Extended Patent Exclusivities and
      Application for Secondary and Tertiary
      Patents
10.   Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Company Response to State Policies
      Regulating Abortion
11.   Shareholder Proposal Regarding          Against   Against      Shareholder
      Lobbying Activities and Values
      Congruency
12.   Shareholder Proposal Regarding          Against   Against      Shareholder
      Diversity and Inclusion Report
13.   Shareholder Proposal Regarding          Against   Against      Shareholder
      Third-Party Political Expenditures
      Reporting


--------------------------------------------------------------------------------

ENCOMPASS HEALTH CORPORATION

Ticker:       EHC            Security ID:  29261A100
Meeting Date: MAY 04, 2023   Meeting Type: Annual
Record Date:  MAR 09, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Greg D. Carmichael                For       For          Management
1b.   Elect John W. Chidsey                   For       For          Management
1c.   Elect Donald L. Correll                 For       For          Management
1d.   Elect Joan E. Herman                    For       For          Management
1e.   Elect Leslye G. Katz                    For       For          Management
1f.   Elect Patricia A. Maryland              For       For          Management
1g.   Elect Kevin J. O'Connor                 For       For          Management
1h.   Elect Christopher R. Reidy              For       For          Management
1i.   Elect Nancy M. Schlichting              For       For          Management
1j.   Elect Mark J. Tarr                      For       For          Management
1k.   Elect Terrance Williams                 For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation


--------------------------------------------------------------------------------

EVEREST MEDICINES LIMITED

Ticker:       1952           Security ID:  G3224E106
Meeting Date: OCT 31, 2022   Meeting Type: Special
Record Date:  OCT 27, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Termination and Transition Services     For       For          Management
      Agreement


--------------------------------------------------------------------------------

EVOLENT HEALTH, INC.

Ticker:       EVH            Security ID:  30050B101
Meeting Date: JUN 08, 2023   Meeting Type: Annual
Record Date:  APR 14, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Craig Barbarosh                   For       Against      Management
1b.   Elect Seth Blackley                     For       For          Management
1c.   Elect Bridget Duffy                     For       For          Management
1d.   Elect Peter J. Grua                     For       For          Management
1e.   Elect Diane Holder                      For       For          Management
1f.   Elect Richard Jelinek                   For       For          Management
1g.   Elect Kim Keck                          For       For          Management
1h.   Elect Cheryl Scott                      For       For          Management
1i.   Elect Tunde Sotunde                     For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Amendment to the 2015 Omnibus           For       For          Management
      Incentive Compensation Plan


--------------------------------------------------------------------------------

EXACT SCIENCES CORPORATION

Ticker:       EXAS           Security ID:  30063P105
Meeting Date: JUN 08, 2023   Meeting Type: Annual
Record Date:  APR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect D. Scott Coward                   For       For          Management
1b.   Elect James E. Doyle                    For       For          Management
1c.   Elect Freda C. Lewis-Hall               For       For          Management
1d.   Elect Kathleen G. Sebelius              For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
5.    Repeal of Classified Board              For       For          Management
6.    Amendment to the 2019 Omnibus           For       For          Management
      Long-Term Incentive Plan


--------------------------------------------------------------------------------

GALAPAGOS NV

Ticker:       GLPG           Security ID:  B44170106
Meeting Date: APR 25, 2023   Meeting Type: Annual
Record Date:  APR 11, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
2.    Accounts and Reports; Allocation of     For       For          Management
      Losses
5.    Remuneration Report                     For       Against      Management
6.    Ratification of Board of Directors,     For       For          Management
      Former Supervisory Board and Auditors'
      Acts
7.    Authority to Set Auditor's Fees         For       For          Management
8.    Appointment of Auditor and Authority    For       For          Management
      to Set Fees
9.    Elect Peter Guenter to the Board of     For       For          Management
      Directors
10.   Elect Daniel P. O'Day to the Board of   For       For          Management
      Directors
11.   Elect Linda Higgins to the Board of     For       For          Management
      Directors


--------------------------------------------------------------------------------

GENMAB A/S

Ticker:       GMAB           Security ID:  K3967W102
Meeting Date: MAR 29, 2023   Meeting Type: Annual
Record Date:  MAR 22, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
2.    Accounts and Reports; Ratification of   For       For          Management
      Board and Management acts
3.    Allocation of Profits/Dividends         For       For          Management
4.    Remuneration Report                     For       For          Management
5a.   Elect Deirdre P. Connelly               For       For          Management
5b.   Elect Pernille Erenbjerg                For       Abstain      Management
5c.   Elect Rolf Hoffman                      For       For          Management
5d.   Elect Elizabeth O'Farrell               For       For          Management
5e.   Elect Paolo Paoletti                    For       For          Management
5f.   Elect Anders Gersel Pedersen            For       For          Management
6.    Appointment of Auditor                  For       For          Management
7a.   Directors' Fees                         For       For          Management
7b.   Amendment to Remuneration Policy        For       For          Management
      (Removal of Nominal Cap)
7c.   Amendments to Remuneration Policy       For       For          Management
      (Other Changes)
7d.   Authority to Repurchase Shares          For       For          Management
8.    Authorization of Legal Formalities      For       For          Management


--------------------------------------------------------------------------------

GENMAB A/S

Ticker:       GMAB           Security ID:  372303206
Meeting Date: MAR 29, 2023   Meeting Type: Annual
Record Date:  FEB 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
2.    Accounts and Reports; Ratification of   For       For          Management
      Board and Management acts
3.    Allocation of Profits/Dividends         For       For          Management
4.    Remuneration Report                     For       For          Management
5a.   Elect Deirdre P. Connelly               For       For          Management
5b.   Elect Pernille Erenbjerg                For       Abstain      Management
5c.   Elect Rolf Hoffman                      For       For          Management
5d.   Elect Elizabeth O'Farrell               For       For          Management
5e.   Elect Paolo Paoletti                    For       For          Management
5f.   Elect Anders Gersel Pedersen            For       For          Management
6.    Appointment of Auditor                  For       For          Management
7a.   Directors' Fees                         For       For          Management
7b.   Amendment to Remuneration Policy        For       For          Management
      (Removal of Nominal Cap)
7c.   Amendments to Remuneration Policy       For       For          Management
      (Other Changes)
7d.   Authority to Repurchase Shares          For       For          Management
8.    Authorization of Legal Formalities      For       For          Management


--------------------------------------------------------------------------------

GENUS PLC

Ticker:       GNS            Security ID:  G3827X105
Meeting Date: NOV 23, 2022   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Remuneration Report                     For       For          Management
3     Remuneration Policy                     For       For          Management
4     Final Dividend                          For       For          Management
5     Elect Iain G.T. Ferguson                For       For          Management
6     Elect Stephen Wilson                    For       For          Management
7     Elect Alison Henriksen                  For       For          Management
8     Elect Lysanne Gray                      For       For          Management
9     Elect Lykele van der Broek              For       For          Management
10    Elect Lesley Knox                       For       For          Management
11    Elect Jason Chin                        For       For          Management
12    Appointment of Auditor                  For       For          Management
13    Authority to Set Auditor's Fees         For       For          Management
14    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
15    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
16    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
17    Authority to Repurchase Shares          For       For          Management
18    Authority to Set General Meeting        For       Against      Management
      Notice Period at 14 Days


--------------------------------------------------------------------------------

GLAUKOS CORPORATION

Ticker:       GKOS           Security ID:  377322102
Meeting Date: JUN 01, 2023   Meeting Type: Annual
Record Date:  APR 05, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Denice M. Torres                  For       For          Management
1.02  Elect Aimee S. Weisner                  For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


--------------------------------------------------------------------------------

GSK PLC

Ticker:       GSK            Security ID:  G3910J179
Meeting Date: MAY 03, 2023   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Accounts and Reports                    For       For          Management
2.    Remuneration Report                     For       For          Management
3.    Elect Julie Brown                       For       For          Management
4.    Elect Vishal Sikka                      For       For          Management
5.    Elect Elizabeth McKee Anderson          For       For          Management
6.    Elect Sir Jonathan R. Symonds           For       For          Management
7.    Elect Emma N. Walmsley                  For       For          Management
8.    Elect Charles A. Bancroft               For       For          Management
9.    Elect Hal V. Barron                     For       For          Management
10.   Elect Anne Beal                         For       For          Management
11.   Elect Harry Dietz                       For       For          Management
12.   Elect Jesse Goodman                     For       For          Management
13.   Elect Urs Rohner                        For       For          Management
14.   Appointment of Auditor                  For       For          Management
15.   Authority to Set Auditor's Fees         For       For          Management
16.   Amendment to Remuneration Policy        For       For          Management
17.   Authorisation of Political Donations    For       For          Management
18.   Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
19.   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
20.   Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
21.   Authority to Repurchase Shares          For       For          Management
22.   Approve Exemption from Statement of     For       For          Management
      the Senior Statutory Auditor's name in
      published Auditors' Reports
23.   Authority to Set General Meeting        For       For          Management
      Notice Period at 14 Days


--------------------------------------------------------------------------------

HAPVIDA PARTICIPACOES INVESTIMENTO SA

Ticker:       HAPV3          Security ID:  P5R526106
Meeting Date: APR 27, 2023   Meeting Type: Annual
Record Date:  APR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Remuneration Policy                     For       Against      Management
3     Request Establishment of Supervisory    None      Abstain      Management
      Council


--------------------------------------------------------------------------------

HAPVIDA PARTICIPACOES INVESTIMENTO SA

Ticker:       HAPV3          Security ID:  P5R526106
Meeting Date: APR 27, 2023   Meeting Type: Special
Record Date:  APR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Ratification of Co-Option of Directors  For       Against      Management


--------------------------------------------------------------------------------

HCA HEALTHCARE, INC.

Ticker:       HCA            Security ID:  40412C101
Meeting Date: APR 19, 2023   Meeting Type: Annual
Record Date:  FEB 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Thomas F. Frist III               For       For          Management
1b.   Elect Samuel N. Hazen                   For       For          Management
1c.   Elect Meg G. Crofton                    For       For          Management
1d.   Elect Robert J. Dennis                  For       For          Management
1e.   Elect Nancy-Ann DeParle                 For       For          Management
1f.   Elect William R. Frist                  For       For          Management
1g.   Elect Hugh F. Johnston                  For       For          Management
1h.   Elect Michael W. Michelson              For       For          Management
1i.   Elect Wayne J. Riley                    For       For          Management
1j.   Elect Andrea B. Smith                   For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Approval of the 2023 Employee Stock     For       For          Management
      Purchase Plan
4.    Advisory Vote on Executive Compensation For       For          Management
5.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Political Contributions and
      Expenditures Report
6.    Shareholder Proposal Regarding Board    Against   Against      Shareholder
      Oversight of Staffing and Patient
      Safety


--------------------------------------------------------------------------------

HIKMA PHARMACEUTICALS PLC

Ticker:       HIK            Security ID:  G4576K104
Meeting Date: APR 28, 2023   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Final Dividend                          For       For          Management
3     Appointment of Auditor                  For       For          Management
4     Authority to Set Auditor's Fees         For       For          Management
5     Elect Laura Balan                       For       For          Management
6     Elect Victoria Hull                     For       For          Management
7     Elect Deneen Vojta                      For       For          Management
8     Elect Said Darwazah                     For       For          Management
9     Elect Mazen Darwazah                    For       For          Management
10    Elect Patrick Butler                    For       For          Management
11    Elect Ali Al-Husry                      For       For          Management
12    Elect John Castellani                   For       For          Management
13    Elect Nina Henderson                    For       For          Management
14    Elect Cynthia Flowers                   For       For          Management
15    Elect Douglas Hurt                      For       For          Management
16    Remuneration Report                     For       For          Management
17    Remuneration Policy                     For       For          Management
18    Authority to Issue Shares w/            For       For          Management
      Preemptive Rights
19    Long Term Incentive Plan                For       For          Management
20    Deferred Bonus Plan                     For       For          Management
21    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
22    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights (Specified Capital
      Investment)
23    Authority to Repurchase Shares          For       For          Management
24    Authority to Set General Meeting        For       For          Management
      Notice Period at 14 Days


--------------------------------------------------------------------------------

HUMANA INC.

Ticker:       HUM            Security ID:  444859102
Meeting Date: APR 20, 2023   Meeting Type: Annual
Record Date:  FEB 28, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a)   Elect Raquel C. Bono                    For       For          Management
1b)   Elect Bruce Broussard                   For       For          Management
1c)   Elect Frank A. D'Amelio                 For       For          Management
1d)   Elect David T. Feinberg                 For       For          Management
1e)   Elect Wayne A.I. Frederick              For       For          Management
1f)   Elect John W. Garratt                   For       For          Management
1g)   Elect Kurt J. Hilzinger                 For       For          Management
1h)   Elect Karen W. Katz                     For       For          Management
1i)   Elect Marcy S. Klevorn                  For       For          Management
1j)   Elect William J. McDonald               For       For          Management
1k)   Elect Jorge S. Mesquita                 For       For          Management
1l)   Elect Brad D. Smith                     For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation


--------------------------------------------------------------------------------

ILLUMINA, INC.

Ticker:       ILMN           Security ID:  452327109
Meeting Date: MAY 25, 2023   Meeting Type: Proxy Contest
Record Date:  APR 03, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Icahn Nominee Vincent J. Intrieri None      TNA          Shareholder
1b.   Elect Icahn Nominee Jesse A. Lynn       None      TNA          Shareholder
1c.   Elect Icahn Nominee Andrew J. Teno      None      TNA          Shareholder
1d.   Elect Management Nominee Frances Arnold None      TNA          Management
1e.   Elect Management Nominee Caroline D.    None      TNA          Management
      Dorsa
1f.   Elect Management Nominee Scott Gottlieb None      TNA          Management
1g.   Elect Management Nominee Gary S.        None      TNA          Management
      Guthart
1h.   Elect Management Nominee Philip W.      None      TNA          Management
      Schiller
1i.   Elect Management Nominee Susan E.       None      TNA          Management
      Siegel
1j.   Elect Management Nominee Francis A.     None      TNA          Management
      deSouza
1k.   Elect Management Nominee Robert S.      None      TNA          Management
      Epstein
1l.   Elect Management Nominee John W.        None      TNA          Management
      Thompson
2.    Ratification of Auditor                 None      TNA          Management
3.    Advisory Vote on Executive Compensation None      TNA          Management
4.    Frequency of Advisory Vote on           None      TNA          Management
      Executive Compensation
5.    Amendment to the 2015 Stock and         None      TNA          Management
      Incentive Plan
1A.   Elect Management Nominee Frances Arnold For       For          Management
1B.   Elect Management Nominee Francis A.     For       Withhold     Management
      deSouza
1C.   Elect Management Nominee Caroline D.    For       For          Management
      Dorsa
1D.   Elect Management Nominee Robert S.      For       Withhold     Management
      Epstein
1E.   Elect Management Nominee Scott Gottlieb For       For          Management
1F.   Elect Management Nominee Gary S.        For       For          Management
      Guthart
1G.   Elect Management Nominee Philip W.      For       For          Management
      Schiller
1H.   Elect Management Nominee Susan E.       For       For          Management
      Siegel
1I.   Elect Management Nominee John W.        For       Withhold     Management
      Thompson
1J.   Elect Icahn Nominee Vincent J. Intrieri Withhold  Withhold     Shareholder
1K.   Elect Icahn Nominee Jesse A. Lynn       Withhold  Withhold     Shareholder
1L.   Elect Icahn Nominee Andrew J. Teno      Withhold  Withhold     Shareholder
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       Against      Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
5.    Amendment to the 2015 Stock and         For       For          Management
      Incentive Plan


--------------------------------------------------------------------------------

IMMUNOCORE HOLDINGS PLC

Ticker:       IMCR           Security ID:  45258D105
Meeting Date: MAY 16, 2023   Meeting Type: Annual
Record Date:  APR 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Accounts and Reports                    For       For          Management
2.    Remuneration Report                     For       For          Management
3.    Elect Robert J. Perez                   For       For          Management
4.    Elect Kristine Peterson                 For       For          Management
5.    Elect Siddharth Kaul                    For       For          Management
6.    Appointment of Auditor                  For       For          Management
7.    Authority to Set Auditor's Fees         For       For          Management
8.    Authorisation of Political Donations    For       For          Management


--------------------------------------------------------------------------------

INSULET CORPORATION

Ticker:       PODD           Security ID:  45784P101
Meeting Date: MAY 23, 2023   Meeting Type: Annual
Record Date:  MAR 27, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Luciana Borio                     For       For          Management
1.02  Elect Michael R. Minogue                For       For          Management
1.03  Elect Corinne H. Nevinny                For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management


--------------------------------------------------------------------------------

INTELLIA THERAPEUTICS, INC.

Ticker:       NTLA           Security ID:  45826J105
Meeting Date: JUN 14, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Muna Bhanji                       For       For          Management
1.02  Elect John F. Crowley                   For       For          Management
1.03  Elect Jesse Goodman                     For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Increase in Authorized Common Stock     For       For          Management


--------------------------------------------------------------------------------

INTRA-CELLULAR THERAPIES, INC.

Ticker:       ITCI           Security ID:  46116X101
Meeting Date: JUN 23, 2023   Meeting Type: Annual
Record Date:  APR 27, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect E. Rene Salas                     For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management


--------------------------------------------------------------------------------

IQVIA HOLDINGS INC.

Ticker:       IQV            Security ID:  46266C105
Meeting Date: APR 18, 2023   Meeting Type: Annual
Record Date:  FEB 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Carol J. Burt                     For       For          Management
1b.   Elect Colleen A. Goggins                For       For          Management
1c.   Elect Sheila A. Stamps                  For       Against      Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Permit Shareholders to Call Special     For       Abstain      Management
      Meetings
4.    Shareholder Proposal Regarding Right    Against   For          Shareholder
      to Call Special Meetings
5.    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair
6.    Ratification of Auditor                 For       For          Management


--------------------------------------------------------------------------------

KARUNA THERAPEUTICS, INC.

Ticker:       KRTX           Security ID:  48576A100
Meeting Date: JUN 20, 2023   Meeting Type: Annual
Record Date:  APR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Bill Meury                        For       For          Management
1b.   Elect Laurie Olson                      For       For          Management
1c.   Elect David Wheadon                     For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


--------------------------------------------------------------------------------

KONINKLIJKE PHILIPS N.V.

Ticker:       PHIA           Security ID:  N7637U112
Meeting Date: SEP 30, 2022   Meeting Type: Special
Record Date:  SEP 02, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Elect Roy W.O. Jakobs to the            For       For          Management
      Management Board


--------------------------------------------------------------------------------

KYMERA THERAPEUTICS, INC.

Ticker:       KYMR           Security ID:  501575104
Meeting Date: JUN 15, 2023   Meeting Type: Annual
Record Date:  APR 18, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Bruce Booth                       For       For          Management
1.02  Elect Nello Mainolfi                    For       For          Management
1.03  Elect John M. Maraganore                For       For          Management
1.04  Elect Elena Ridloff                     For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management


--------------------------------------------------------------------------------

LABORATORY CORPORATION OF AMERICA HOLDINGS

Ticker:       LH             Security ID:  50540R409
Meeting Date: MAY 11, 2023   Meeting Type: Annual
Record Date:  MAR 16, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Kerrii B. Anderson                For       Against      Management
1b.   Elect Jean-Luc Belingard                For       For          Management
1c.   Elect Jeffrey A. Davis                  For       For          Management
1d.   Elect D. Gary Gilliland                 For       For          Management
1e.   Elect Kirsten M. Kliphouse              For       For          Management
1f.   Elect Garheng Kong                      For       For          Management
1g.   Elect Peter M. Neupert                  For       For          Management
1h.   Elect Richelle P. Parham                For       For          Management
1i.   Elect Adam H. Schechter                 For       For          Management
1j.   Elect Kathryn E. Wengel                 For       For          Management
1k.   Elect R. Sanders Williams               For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management
5.    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair
6.    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Nonhuman Primate Transportation
7.    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Risks from Abortion-Related
      Information Requests


--------------------------------------------------------------------------------

LEGEND BIOTECH CORPORATION

Ticker:       LEGN           Security ID:  52490G102
Meeting Date: OCT 14, 2022   Meeting Type: Annual
Record Date:  SEP 13, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Financial Statements                    For       For          Management
2     Appointment of Auditor                  For       For          Management
3     Elect Patrick Casey                     For       For          Management
4     Elect Yau Wai Man Philip                For       For          Management
5     Elect Fangliang Zhang                   For       For          Management
6     Authorization of Directors and Officers For       For          Management


--------------------------------------------------------------------------------

MERCK & CO., INC.

Ticker:       MRK            Security ID:  58933Y105
Meeting Date: MAY 23, 2023   Meeting Type: Annual
Record Date:  MAR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Douglas M. Baker, Jr.             For       For          Management
1b.   Elect Mary Ellen Coe                    For       For          Management
1c.   Elect Pamela J. Craig                   For       For          Management
1d.   Elect Robert M. Davis                   For       For          Management
1e.   Elect Thomas H. Glocer                  For       For          Management
1f.   Elect Risa Lavizzo-Mourey               For       For          Management
1g.   Elect Stephen L. Mayo                   For       For          Management
1h.   Elect Paul B. Rothman                   For       For          Management
1i.   Elect Patricia F. Russo                 For       Against      Management
1j.   Elect Christine E. Seidman              For       For          Management
1k.   Elect Inge G. Thulin                    For       For          Management
1l.   Elect Kathy J. Warden                   For       For          Management
1m.   Elect Peter C. Wendell                  For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management
5.    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Corporate Operations with China
6.    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Access to COVID-19 Products
7.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Third-Party Political Expenditures
      Reporting
8.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Extended Patent Exclusivities and
      Application for Secondary and Tertiary
      Patents
9.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Congruency Report of Partnerships with
      Certain Organizations
10.   Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair


--------------------------------------------------------------------------------

MIRATI THERAPEUTICS, INC.

Ticker:       MRTX           Security ID:  60468T105
Meeting Date: MAY 11, 2023   Meeting Type: Annual
Record Date:  MAR 15, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Charles M. Baum                   For       For          Management
1.02  Elect Bruce L.A. Carter                 For       For          Management
1.03  Elect Julie Cherrington                 For       For          Management
1.04  Elect Aaron Davis                       For       For          Management
1.05  Elect Faheem Hasnain                    For       For          Management
1.06  Elect Craig A. Johnson                  For       For          Management
1.07  Elect Maya Martinez-Davis               For       For          Management
1.08  Elect David Meek                        For       For          Management
1.09  Elect Shalini Sharp                     For       For          Management
2.    Advisory Vote on Executive Compensation For       Against      Management
3.    Ratification of Auditor                 For       For          Management
4.    Amendment to the 2013 Employee Stock    For       For          Management
      Purchase Plan


--------------------------------------------------------------------------------

MODERNA, INC.

Ticker:       MRNA           Security ID:  60770K107
Meeting Date: MAY 03, 2023   Meeting Type: Annual
Record Date:  MAR 08, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Stephen Berenson                  For       For          Management
1.02  Elect Sandra J. Horning                 For       For          Management
1.03  Elect Paul Sagan                        For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Intellectual Property


--------------------------------------------------------------------------------

MOLINA HEALTHCARE, INC.

Ticker:       MOH            Security ID:  60855R100
Meeting Date: MAY 03, 2023   Meeting Type: Annual
Record Date:  MAR 08, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Barbara L. Brasier                For       For          Management
1b.   Elect Daniel Cooperman                  For       For          Management
1c.   Elect Stephen H. Lockhart               For       For          Management
1d.   Elect Steven J. Orlando                 For       For          Management
1e.   Elect Ronna E. Romney                   For       For          Management
1f.   Elect Richard M. Schapiro               For       For          Management
1g.   Elect Dale B. Wolf                      For       For          Management
1h.   Elect Richard C. Zoretic                For       For          Management
1i.   Elect Joseph M. Zubretsky               For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management


--------------------------------------------------------------------------------

NIPPON SHINYAKU CO.,LTD.

Ticker:       4516           Security ID:  J55784102
Meeting Date: JUN 29, 2023   Meeting Type: Annual
Record Date:  MAR 31, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2.1   Elect Shigenobu Maekawa                 For       For          Management
2.2   Elect Toru Nakai                        For       For          Management
2.3   Elect Shozo Sano                        For       For          Management
2.4   Elect Takashi Takaya                    For       For          Management
2.5   Elect Takanori Edamitsu                 For       For          Management
2.6   Elect Kazuchika Takagaki                For       For          Management
2.7   Elect Hitoshi Ishizawa                  For       For          Management
2.8   Elect Hitomi Kimura                     For       For          Management
2.9   Elect Miyuki Sakurai                    For       For          Management
2.10  Elect Yoshinao Wada                     For       For          Management
2.11  Elect Yukari Kobayashi                  For       For          Management
2.12  Elect Mayumi Nishi                      For       For          Management
3.1   Elect Hirotsugu Ito                     For       For          Management
3.2   Elect Hiroharu Hara                     For       For          Management


--------------------------------------------------------------------------------

NOVARTIS AG

Ticker:       NOVN           Security ID:  H5820Q150
Meeting Date: MAR 07, 2023   Meeting Type: Annual
Record Date:  MAR 02, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Ratification of Board and Management    For       For          Management
      Acts
3     Allocation of Profits/Dividends         For       For          Management
4     Cancellation of Shares and Reduction    For       For          Management
      in Share Capital
5     Authority to Repurchase Shares          For       For          Management
6A.   Amendments to Articles (Virtual         For       For          Management
      General Meetings)
6B.   Amendments to Articles (Miscellaneous)  For       For          Management
6C.   Amendments to Articles (Alignment with  For       For          Management
      Law)
7A.   Board Compensation                      For       For          Management
7B.   Executive Compensation                  For       For          Management
7C.   Compensation Report                     For       For          Management
8A.   Elect Jorg Reinhardt as Board Chair     For       For          Management
8B.   Elect Nancy C. Andrews                  For       For          Management
8C.   Elect Ton Buchner                       For       For          Management
8D.   Elect Patrice Bula                      For       For          Management
8E.   Elect Elizabeth Doherty                 For       For          Management
8F.   Elect Bridgette P. Heller               For       For          Management
8G.   Elect Daniel Hochstrasser               For       For          Management
8H.   Elect Frans van Houten                  For       For          Management
8I.   Elect Simon Moroney                     For       For          Management
8J.   Elect Ana de Pro Gonzalo                For       For          Management
8K.   Elect Charles L. Sawyers                For       For          Management
8L.   Elect William T. Winters                For       For          Management
8M.   Elect John D. Young                     For       For          Management
9A.   Elect Patrice Bula as Compensation      For       For          Management
      Committee Member
9B.   Elect Bridgette P. Heller as            For       For          Management
      Compensation Committee Member
9C.   Elect Simon Moroney as Compensation     For       For          Management
      Committee Chair
9D.   Elect William T. Winters as             For       For          Management
      Compensation Committee Member
10.   Appointment of Auditor                  For       For          Management
11.   Appointment of Independent Proxy        For       For          Management
12.   Transaction of Other Business           N/A       Against      Management


--------------------------------------------------------------------------------

ONO PHARMACEUTICAL CO.,LTD.

Ticker:       4528           Security ID:  J61546115
Meeting Date: JUN 22, 2023   Meeting Type: Annual
Record Date:  MAR 31, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2.1   Elect Gyo Sagara                        For       For          Management
2.2   Elect Toshihiro Tsujinaka               For       For          Management
2.3   Elect Toichi Takino                     For       For          Management
2.4   Elect Kiyoaki Idemitsu                  For       For          Management
2.5   Elect Masao Nomura                      For       For          Management
2.6   Elect Akiko Okuno                       For       For          Management
2.7   Elect Shusaku Nagae                     For       For          Management
3.1   Elect Hironobu Tanisaka                 For       For          Management
3.2   Elect Akiko Tanabe                      For       For          Management
4     Statutory Auditors' Fees                For       For          Management


--------------------------------------------------------------------------------

PFIZER INC.

Ticker:       PFE            Security ID:  717081103
Meeting Date: APR 27, 2023   Meeting Type: Annual
Record Date:  MAR 01, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Ronald E. Blaylock                For       For          Management
1b.   Elect Albert Bourla                     For       For          Management
1c.   Elect Susan Desmond-Hellmann            For       For          Management
1d.   Elect Joseph J. Echevarria              For       For          Management
1e.   Elect Scott Gottlieb                    For       For          Management
1f.   Elect Helen H. Hobbs                    For       For          Management
1g.   Elect Susan Hockfield                   For       For          Management
1h.   Elect Dan R. Littman                    For       For          Management
1i.   Elect Shantanu Narayen                  For       For          Management
1j.   Elect Suzanne Nora Johnson              For       For          Management
1k.   Elect James Quincey                     For       For          Management
1l.   Elect James C. Smith                    For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
5.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Severance Approval Policy
6.    Shareholder Proposal Regarding          Against   For          Shareholder
      Independent Chair
7.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Intellectual Property
8.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Extended Patent Exclusivities and
      Application for Secondary and Tertiary
      Patents
9.    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Political Expenditures and Values
      Congruency


--------------------------------------------------------------------------------

PROTHENA CORPORATION PLC

Ticker:       PRTA           Security ID:  G72800108
Meeting Date: MAY 16, 2023   Meeting Type: Annual
Record Date:  MAR 06, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Helen S. Kim                      For       For          Management
1b.   Elect Gene G. Kinney                    For       For          Management
1c.   Elect Oleg  Nodelman                    For       For          Management
1d.   Elect Dennis J. Selkoe                  For       For          Management
2.    Appointment of Auditor and Authority    For       For          Management
      to Set Fees
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Amendment to the 2018 Long Term         For       For          Management
      Incentive Plan


--------------------------------------------------------------------------------

PTC THERAPEUTICS, INC.

Ticker:       PTCT           Security ID:  69366J200
Meeting Date: JUN 06, 2023   Meeting Type: Annual
Record Date:  APR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect William F. Bell, Jr               For       For          Management
1.02  Elect Matthew B. Klein                  For       For          Management
1.03  Elect Stephanie S. Okey                 For       For          Management
1.04  Elect Jerome B. Zeldis                  For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management


--------------------------------------------------------------------------------

REATA PHARMACEUTICALS, INC.

Ticker:       RETA           Security ID:  75615P103
Meeting Date: JUN 07, 2023   Meeting Type: Annual
Record Date:  APR 12, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Martin Edwards                    For       For          Management
1.2   Elect R. Kent McGaughy Jr.              For       For          Management
1.3   Elect Christy J. Oliger                 For       For          Management
2.    Advisory Vote on Executive Compensation For       Against      Management
3.    Ratification of Auditor                 For       For          Management


--------------------------------------------------------------------------------

REGENERON PHARMACEUTICALS, INC.

Ticker:       REGN           Security ID:  75886F107
Meeting Date: JUN 09, 2023   Meeting Type: Annual
Record Date:  APR 11, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Joseph L. Goldstein               For       For          Management
1b.   Elect Christine A. Poon                 For       For          Management
1c.   Elect Craig B. Thompson                 For       For          Management
1d.   Elect Huda Y. Zoghbi                    For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
5.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Extended Patent Exclusivities and
      Application for Secondary and Tertiary
      Patents


--------------------------------------------------------------------------------

REMEGEN CO. LTD.

Ticker:       9995           Security ID:  Y7S9CK101
Meeting Date: DEC 28, 2022   Meeting Type: Other
Record Date:  DEC 20, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Adoption of 2022 Restricted A Share     For       For          Management
      Incentive Scheme
2     Assessment Management Measures for the  For       For          Management
      2022 Restricted A Share Incentive
      Scheme
3     Authorization of the Board to Handle    For       For          Management
      Matters Pertaining to the 2022
      Restricted A Share Incentive Scheme


--------------------------------------------------------------------------------

REMEGEN CO. LTD.

Ticker:       9995           Security ID:  Y7S9CK101
Meeting Date: DEC 28, 2022   Meeting Type: Special
Record Date:  DEC 20, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Adoption of 2022 Restricted  A Share    For       For          Management
      Incentive Scheme
2     Assessment Management Measures for the  For       For          Management
      2022 Restricted A Share Incentive
      Scheme
3     Authorization of the Board to Handle    For       For          Management
      Matters Pertaining to the 2022
      Restricted A Share Incentive Scheme


--------------------------------------------------------------------------------

REMEGEN CO. LTD.

Ticker:       9995           Security ID:  Y7S9CK101
Meeting Date: JUN 09, 2023   Meeting Type: Annual
Record Date:  JUN 05, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Directors' Report                       For       For          Management
2     Supervisors' Report                     For       For          Management
3     Accounts and Reports                    For       For          Management
4     Annual Report                           For       For          Management
5     Allocation of Profits/Dividends         For       For          Management
6     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
7     Directors' Fees                         For       For          Management
8     Supervisors' Fees                       For       For          Management
9     Authority to Issue A and H Shares w/o   For       For          Management
      Preemptive Rights
10.1  Elect WANG Weidong as Executive         For       For          Management
      Director
10.2  Elect FANG Jianmin as Executive         For       For          Management
      Director
10.3  Elect HE Ruyi  as Executive Director    For       For          Management
10.4  Elect LIN Jian as Executive Director    For       For          Management
10.5  Elect WANG Liqiang as Non-Executive     For       For          Management
      Director
10.6  Elect SU Xiaodi as Non-Executive        For       For          Management
      Director
11.1  Elect HAO Xianjing as Independent       For       For          Management
      Non-Executive Director
11.2  Elect MA Lan as Independent             For       For          Management
      Non-Executive Director
11.3  Elect CHEN Yunjin as Independent        For       For          Management
      Non-Executive Director
12.1  Elect Ren Guangke as Supervisor         For       Against      Management
12.2  Elect LI Yupeng  as Supervisor          For       For          Management


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REVOLUTION MEDICINES, INC.

Ticker:       RVMD           Security ID:  76155X100
Meeting Date: JUN 08, 2023   Meeting Type: Annual
Record Date:  APR 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Alexis A. Borisy                  For       For          Management
1.02  Elect Mark A. Goldsmith                 For       For          Management
1.03  Elect Barbara Weber                     For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management


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ROCKET PHARMACEUTICALS, INC.

Ticker:       RCKT           Security ID:  77313F106
Meeting Date: NOV 30, 2022   Meeting Type: Special
Record Date:  OCT 24, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Renovacor Transaction                   For       For          Management
2     Right to Adjourn Meeting                For       For          Management


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ROCKET PHARMACEUTICALS, INC.

Ticker:       RCKT           Security ID:  77313F106
Meeting Date: JUN 22, 2023   Meeting Type: Annual
Record Date:  APR 27, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Elisabeth Bjork                   For       For          Management
1b.   Elect Carsten Boess                     For       For          Management
1c.   Elect Pedro P. Granadillo               For       For          Management
1d.   Elect Gotham Makker                     For       For          Management
1e.   Elect Fady Malik                        For       For          Management
1f.   Elect Gaurav Shah                       For       For          Management
1g.   Elect David P. Southwell                For       For          Management
1h.   Elect Roderick Wong                     For       For          Management
1i.   Elect Naveen Yalamanchi                 For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       Against      Management


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SAGE THERAPEUTICS, INC.

Ticker:       SAGE           Security ID:  78667J108
Meeting Date: JUN 15, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Michael F. Cola                   For       For          Management
1.02  Elect Barry E. Greene                   For       For          Management
1.03  Elect Jeffrey M. Jonas                  For       For          Management
1.04  Elect Jessica J. Federer                For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Amendment to the 2014 Employee Stock    For       For          Management
      Purchase Plan


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SAREPTA THERAPEUTICS, INC.

Ticker:       SRPT           Security ID:  803607100
Meeting Date: JUN 08, 2023   Meeting Type: Annual
Record Date:  APR 14, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Richard J. Barry                  For       For          Management
1.2   Elect M. Kathleen Behrens               For       Against      Management
1.3   Elect Stephen L. Mayo                   For       For          Management
1.4   Elect Claude Nicaise                    For       For          Management
2.    Advisory Vote on Executive Compensation For       Against      Management
3.    Amendment to the 2018 Equity Incentive  For       For          Management
      Plan
4.    Amendment to the 2013 Employee Stock    For       For          Management
      Purchase Plan
5.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
6.    Ratification of Auditor                 For       For          Management


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SEAGEN INC.

Ticker:       SGEN           Security ID:  81181C104
Meeting Date: MAY 30, 2023   Meeting Type: Special
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Acquisition by Pfizer                   For       For          Management
2     Advisory Vote on Golden Parachutes      For       Against      Management


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SEAGEN INC.

Ticker:       SGEN           Security ID:  81181C104
Meeting Date: MAY 31, 2023   Meeting Type: Annual
Record Date:  APR 03, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect David W. Gryska                   For       For          Management
1b.   Elect John Orwin                        For       For          Management
1c.   Elect Alpna H. Seth                     For       For          Management
2.    Advisory Vote on Executive Compensation For       Against      Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Amendment to the 2007 Equity Incentive  For       For          Management
      Plan
5.    Ratification of Auditor                 For       For          Management


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SHANDONG WEIGAO GROUP MEDICAL POLYMER COMPANY LIMITED

Ticker:       1066           Security ID:  Y76810103
Meeting Date: SEP 28, 2022   Meeting Type: Special
Record Date:  SEP 20, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect MENG Hong                         For       For          Management
2     Allocation of Interim Dividend          For       For          Management
3     Amendments to Articles                  For       For          Management


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SHANDONG WEIGAO GROUP MEDICAL POLYMER COMPANY LIMITED

Ticker:       1066           Security ID:  Y76810103
Meeting Date: DEC 30, 2022   Meeting Type: Special
Record Date:  DEC 22, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect LI Qiang                          For       For          Management
2     Amendments to Articles                  For       For          Management


--------------------------------------------------------------------------------

SHANDONG WEIGAO GROUP MEDICAL POLYMER COMPANY LIMITED

Ticker:       1066           Security ID:  Y76810103
Meeting Date: MAY 29, 2023   Meeting Type: Annual
Record Date:  MAY 22, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2     Directors' Report                       For       For          Management
3     Supervisors' Report                     For       For          Management
4     Allocation of Profits/Dividends         For       For          Management
5     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
6     Directors' Fees                         For       For          Management
7     Authority to Issue H and Non-Listed     For       Against      Management
      Domestic Shares w/o Preemptive Rights
8     Authority to Repurchase H Shares        For       For          Management
9     Authority to Issue Debt Securities      For       For          Management


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SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO. LTD.

Ticker:       300760         Security ID:  Y774E3101
Meeting Date: MAY 18, 2023   Meeting Type: Annual
Record Date:  MAY 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     2022 Work Report Of The Board Of        For       For          Management
      Directors
2     2022 Work Report Of The Supervisory     For       For          Management
      Committee
3     2022 Annual Accounts                    For       For          Management
4     2022 Profit Distribution Plan: The      For       For          Management
      Detailed Profit Distribution Plan Are
      as Follows: 1) Cash Dividend/10 Shares
      (Tax Included):Cny45.00000000 2) Bonus
      Issue from Profit (Share/10
      Shares):None 3) Bonus Issue from
      Capital Reserve (Share/10 Shares):None
5     2022 Annual Report And Its Summary      For       For          Management
6     2022 Sustainable Development Report     For       For          Management
7     Reappointment Of 2023 Audit Firm        For       For          Management
8     Amendments To The Articles Of           For       For          Management
      Associations Of The Company
9     Amendments to the Remuneration          For       For          Management
      Management System of Directors,
      Supervisors and Senior Management
10.1  Elect LI Xiting                         For       For          Management
10.2  Elect XU Hang                           For       For          Management
10.3  Elect CHENG Minghe                      For       For          Management
10.4  Elect WU Hao                            For       For          Management
10.5  Elect GUO Yanmei                        For       For          Management
11.1  Elect LIANG Huming                      For       For          Management
11.2  Elect ZHOU xianyi                       For       For          Management
11.3  Elect HU Shanrong                       For       For          Management
11.4  Elect GAO Shengping                     For       For          Management
11.5  Elect XU Jing                           For       For          Management
12.1  Elect TANG Zhi                          For       For          Management
12.2  Elect JI Qiang                          For       Against      Management


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SHOCKWAVE MEDICAL, INC.

Ticker:       SWAV           Security ID:  82489T104
Meeting Date: JUN 13, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect C. Raymond Larkin, Jr.            For       For          Management
1.02  Elect Laura Francis                     For       For          Management
1.03  Elect Maria Sainz                       For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management


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STRYKER CORPORATION

Ticker:       SYK            Security ID:  863667101
Meeting Date: MAY 10, 2023   Meeting Type: Annual
Record Date:  MAR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Mary K. Brainerd                  For       For          Management
1b.   Elect Giovanni Caforio                  For       For          Management
1c.   Elect Srikant M. Datar                  For       For          Management
1d.   Elect Allan C. Golston                  For       For          Management
1e.   Elect Kevin A. Lobo                     For       For          Management
1f.   Elect Sherilyn S. McCoy                 For       For          Management
1g.   Elect Andrew K. Silvernail              For       For          Management
1h.   Elect Lisa M. Skeete Tatum              For       For          Management
1i.   Elect Ronda E. Stryker                  For       For          Management
1j.   Elect Rajeev Suri                       For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
5.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Political Contributions and
      Expenditures Report


--------------------------------------------------------------------------------

SURGERY PARTNERS

Ticker:       SGRY           Security ID:  86881A100
Meeting Date: JUN 01, 2023   Meeting Type: Annual
Record Date:  APR 06, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Patricia A. Maryland, Dr.PH       For       For          Management
1.2   Elect T. Devin O'Reilly                 For       For          Management
1.3   Elect Brent Turner                      For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management


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SYNDAX PHARMACEUTICALS, INC.

Ticker:       SNDX           Security ID:  87164F105
Meeting Date: MAY 17, 2023   Meeting Type: Annual
Record Date:  MAR 22, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Pierre Legault                    For       For          Management
1.2   Elect Michael A. Metzger                For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Increase in Authorized Common Stock     For       For          Management


--------------------------------------------------------------------------------

TECAN GROUP AG

Ticker:       TECN           Security ID:  H84774167
Meeting Date: APR 18, 2023   Meeting Type: Annual
Record Date:  APR 05, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       TNA          Management
2.A   Allocation of Profits                   For       TNA          Management
2.B   Dividend from Reserves                  For       TNA          Management
3     Ratification of Board and Management    For       TNA          Management
      Acts
4     Elect Matthias Gillner                  For       TNA          Management
5.A   Elect Lukas Braunschweiler              For       TNA          Management
5.B   Elect Myra Eskes                        For       TNA          Management
5.C   Elect Oliver S. Fetzer                  For       TNA          Management
5.D   Elect  Karen Hubscher                   For       TNA          Management
5.E   Elect Christa Kreuzburg                 For       TNA          Management
5.F   Elect Daniel R. Marshak                 For       TNA          Management
6     Appoint Lukas Braunschweiler as Board   For       TNA          Management
      Chair
7.A   Elect Myra Eskes as Compensation        For       TNA          Management
      Committee Member
7.B   Elect Oliver S. Fetzer as Compensation  For       TNA          Management
      Committee Member
7.C   Elect Christa Kreuzburg as              For       TNA          Management
      Compensation Committee Member
7.D   Elect Daniel R. Marshak as              For       TNA          Management
      Compensation Committee Member
8     Appointment of Auditor                  For       TNA          Management
9     Appointment of Independent Proxy        For       TNA          Management
10.1  Compensation Report                     For       TNA          Management
10.2  Board Compensation                      For       TNA          Management
10.3  Executive Compensation                  For       TNA          Management


--------------------------------------------------------------------------------

TELEFLEX INCORPORATED

Ticker:       TFX            Security ID:  879369106
Meeting Date: MAY 05, 2023   Meeting Type: Annual
Record Date:  MAR 03, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Gretchen R. Haggerty              For       For          Management
1b.   Elect Liam J. Kelly                     For       For          Management
1c.   Elect Jaewon Ryu                        For       For          Management
2.    Approval of the 2023 Stock Incentive    For       For          Management
      Plan
3.    Elimination of Supermajority            For       For          Management
      Requirements
4.    Advisory Vote on Executive Compensation For       For          Management
5.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
6.    Ratification of Auditor                 For       For          Management
7.    Shareholder Proposal Regarding Right    Against   Against      Shareholder
      to Call Special Meetings


--------------------------------------------------------------------------------

TERUMO CORPORATION

Ticker:       4543           Security ID:  J83173104
Meeting Date: JUN 27, 2023   Meeting Type: Annual
Record Date:  MAR 31, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Allocation of Profits/Dividends         For       For          Management
2     Amendments to Articles                  For       For          Management
3.1   Elect Toshiaki Takagi                   For       For          Management
3.2   Elect Shinjiro Sato                     For       For          Management
3.3   Elect Shoji Hatano                      For       For          Management
3.4   Elect Kazunori Hirose                   For       For          Management
3.5   Elect Norimasa Kunimoto                 For       For          Management
3.6   Elect Yukiko Kuroda  Yukiko Matsumoto   For       For          Management
3.7   Elect Hidenori Nishi                    For       For          Management
3.8   Elect Keiya Ozawa                       For       For          Management
4.1   Elect Takanori Shibazaki                For       For          Management
4.2   Elect Masaichi Nakamura                 For       For          Management
4.3   Elect Soichiro Uno                      For       For          Management
5     Elect Koichi Sakaguchi as Alternate     For       For          Management
      Audit Committee Director


--------------------------------------------------------------------------------

TG THERAPEUTICS, INC.

Ticker:       TGTX           Security ID:  88322Q108
Meeting Date: JUN 14, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Laurence N. Charney               For       Withhold     Management
1.02  Elect Yann Echelard                     For       Withhold     Management
1.03  Elect Kenneth Hoberman                  For       Withhold     Management
1.04  Elect Daniel Hume                       For       Withhold     Management
1.05  Elect Sagar Lonial                      For       Withhold     Management
1.06  Elect Michael S. Weiss                  For       Withhold     Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       Against      Management
4.    Increase in Authorized Common Stock     For       For          Management


--------------------------------------------------------------------------------

THERMO FISHER SCIENTIFIC INC.

Ticker:       TMO            Security ID:  883556102
Meeting Date: MAY 24, 2023   Meeting Type: Annual
Record Date:  MAR 27, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Marc N. Casper                    For       For          Management
1b.   Elect Nelson J. Chai                    For       For          Management
1c.   Elect Ruby R. Chandy                    For       For          Management
1d.   Elect C. Martin Harris                  For       For          Management
1e.   Elect Tyler Jacks                       For       For          Management
1f.   Elect R. Alexandra Keith                For       For          Management
1g.   Elect James C. Mullen                   For       For          Management
1h.   Elect Lars R. Sorensen                  For       For          Management
1i.   Elect Debora L. Spar                    For       For          Management
1j.   Elect Scott M. Sperling                 For       For          Management
1k.   Elect Dion J. Weisler                   For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management
5.    Amendment to the 2013 Stock Incentive   For       For          Management
      Plan
6.    Approval of the 2023 Employee Stock     For       For          Management
      Purchase Plan


--------------------------------------------------------------------------------

UCB SA

Ticker:       UCB            Security ID:  B93562120
Meeting Date: APR 27, 2023   Meeting Type: Mix
Record Date:  APR 13, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
4.    Accounts and Reports; Allocation of     For       For          Management
      Dividends
5.    Remuneration Report                     For       For          Management
6.    Ratification of Board Acts              For       For          Management
7.    Ratification of Auditor's Acts          For       For          Management
8.1.A Elect Jan Berger to the Board of        For       For          Management
      Directors
8.1.B Ratification of Independence of Jan     For       For          Management
      Berger
8.2.  Elect Cyril Janssen to the Board of     For       For          Management
      Directors
8.3.A Elect Maelys Castella to the Board of   For       For          Management
      Directors
8.3.B Ratification of Independence of Maelys  For       For          Management
      Castella
9.    Long Term Incentive Plan (Free          For       For          Management
      Allocation of Shares)
10.1  Change in Control Clause (EMTN Program) For       For          Management
10.2  Change in Control Clause (European      For       For          Management
      Investment Bank Facility Agreement)
10.3  Change in Control Clause (Term          For       For          Management
      Facility Agreement)


--------------------------------------------------------------------------------

ULTRAGENYX PHARMACEUTICAL INC.

Ticker:       RARE           Security ID:  90400D108
Meeting Date: JUN 07, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Emil D. Kakkis, M.D., Ph.D.       For       For          Management
1b.   Elect Shehnaaz Suliman, M.D.            For       For          Management
1c.   Elect Daniel G. Welch                   For       For          Management
2.    Approval of the 2023 Incentive Plan     For       For          Management
3.    Amendment to the 2014 Employee Stock    For       For          Management
      Purchase Plan
4.    Ratification of Auditor                 For       For          Management
5.    Advisory Vote on Executive Compensation For       For          Management


--------------------------------------------------------------------------------

UNITED THERAPEUTICS CORPORATION

Ticker:       UTHR           Security ID:  91307C102
Meeting Date: JUN 26, 2023   Meeting Type: Annual
Record Date:  APR 27, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Christopher Causey                For       For          Management
1b.   Elect Raymond Dwek                      For       For          Management
1c.   Elect Richard Giltner                   For       For          Management
1d.   Elect Katherine Klein                   For       For          Management
1e.   Elect Raymond Kurzweil                  For       For          Management
1f.   Elect Linda Maxwell                     For       For          Management
1g.   Elect Nilda Mesa                        For       For          Management
1h.   Elect Judy Olian                        For       For          Management
1i.   Elect Christopher Patusky               For       For          Management
1j.   Elect Martine  Rothblatt                For       For          Management
1k.   Elect Louis Sullivan                    For       For          Management
1l.   Elect Thomas G. Thompson                For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Amendment to the 2015 Stock Incentive   For       For          Management
      Plan
5.    Ratification of Auditor                 For       For          Management


--------------------------------------------------------------------------------

UNITEDHEALTH GROUP INCORPORATED

Ticker:       UNH            Security ID:  91324P102
Meeting Date: JUN 05, 2023   Meeting Type: Annual
Record Date:  APR 10, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Timothy P. Flynn                  For       For          Management
1b.   Elect Paul R. Garcia                    For       For          Management
1c.   Elect Kristen Gil                       For       For          Management
1d.   Elect Stephen J. Hemsley                For       For          Management
1e.   Elect Michele J. Hooper                 For       For          Management
1f.   Elect F. William McNabb, III            For       For          Management
1g.   Elect Valerie C. Montgomery Rice        For       For          Management
1h.   Elect John H. Noseworthy                For       For          Management
1i.   Elect Andrew Witty                      For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation
4.    Ratification of Auditor                 For       For          Management
5.    Shareholder Proposal Regarding Racial   Against   For          Shareholder
      Equity Audit
6.    Shareholder Proposal Regarding Report   Against   Against      Shareholder
      on Political Expenditures and Values
      Congruency
7.    Shareholder Proposal Regarding          Against   Against      Shareholder
      Severance Approval Policy


--------------------------------------------------------------------------------

VAXCYTE, INC.

Ticker:       PCVX           Security ID:  92243G108
Meeting Date: JUN 13, 2023   Meeting Type: Annual
Record Date:  APR 17, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.01  Elect Halley E. Gilbert                 For       For          Management
1.02  Elect Michael E. Kamarck                For       For          Management
1.03  Elect Grant E. Pickering                For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management


--------------------------------------------------------------------------------

VERTEX PHARMACEUTICALS INCORPORATED

Ticker:       VRTX           Security ID:  92532F100
Meeting Date: MAY 17, 2023   Meeting Type: Annual
Record Date:  MAR 23, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Sangeeta N. Bhatia                For       For          Management
1.2   Elect Lloyd A. Carney                   For       Against      Management
1.3   Elect Alan M. Garber                    For       For          Management
1.4   Elect Terrence C. Kearney               For       For          Management
1.5   Elect Reshma Kewalramani                For       For          Management
1.6   Elect Jeffrey M. Leiden                 For       For          Management
1.7   Elect Diana L. McKenzie                 For       For          Management
1.8   Elect Bruce I. Sachs                    For       For          Management
1.9   Elect Suketu  Upadhyay                  For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation


--------------------------------------------------------------------------------

WATERS CORPORATION

Ticker:       WAT            Security ID:  941848103
Meeting Date: MAY 23, 2023   Meeting Type: Annual
Record Date:  MAR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Flemming Ornskov                  For       For          Management
1.2   Elect Linda Baddour                     For       For          Management
1.3   Elect Udit Batra                        For       For          Management
1.4   Elect Daniel Brennan                    For       For          Management
1.5   Elect Richard H. Fearon                 For       For          Management
1.6   Elect Pearl S. Huang                    For       For          Management
1.7   Elect Wei Jiang                         For       For          Management
1.8   Elect Christopher A. Kuebler            For       For          Management
1.9   Elect Mark P. Vergnano                  For       For          Management
2.    Ratification of Auditor                 For       For          Management
3.    Advisory Vote on Executive Compensation For       For          Management
4.    Frequency of Advisory Vote on           1 Year    1 Year       Management
      Executive Compensation


--------------------------------------------------------------------------------

WUXI APPTEC CO. LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: OCT 13, 2022   Meeting Type: Special
Record Date:  OCT 07, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Adoption of the 2022 H Share Award and  For       For          Management
      Trust Scheme
2     Grant of Awards to the Connected        For       For          Management
      Selected Participants under the 2022 H
      Share Award and Trust Scheme
3     Board Authorization to Implement H      For       For          Management
      Share Award and Trust Scheme
4     Change in Registered Capital            For       For          Management
5     Amendments to Articles                  For       For          Management


--------------------------------------------------------------------------------

WUXI APPTEC CO. LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: MAY 31, 2023   Meeting Type: Other
Record Date:  MAY 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
19    Authority to Repurchase Shares          For       For          Management


--------------------------------------------------------------------------------

WUXI APPTEC CO. LTD.

Ticker:       2359           Security ID:  Y971B1118
Meeting Date: MAY 31, 2023   Meeting Type: Annual
Record Date:  MAY 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Directors' Report                       For       For          Management
2     Supervisors' Report                     For       For          Management
3     Accounts and Reports                    For       For          Management
4     Allocation of Profits/Dividends         For       For          Management
5     Authority to Give Guarantees            For       For          Management
6     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
7     Approval of the Foreign Exchange        For       For          Management
      Hedging Limit
8.1   Elect GE Li                             For       For          Management
8.2   Elect Edward Hu                         For       For          Management
8.3   Elect Steve Qing Yang                   For       For          Management
8.4   Elect Mingzhang Chen                    For       For          Management
8.5   Elect Zhaohui Zhang                     For       For          Management
8.6   Elect NING Zhao                         For       For          Management
8.7   Elect Xiaomeng Tong                     For       For          Management
8.8   Elect YIBING Wu                         For       For          Management
9.1   Elect Dai Feng                          For       For          Management
9.2   Elect Christine Shaohua Lu-Wong         For       For          Management
9.3   Elect Wei Yu                            For       For          Management
9.4   Elect Xin Zhang                         For       For          Management
9.5   Elect Zhiling Zhan                      For       For          Management
10    Directors' Fees                         For       For          Management
11.1  Elect Harry Liang He                    For       For          Management
11.2  Elect Baiyang Wu                        For       For          Management
12    Supervisors' Fees                       For       For          Management
13    Adoption of the 2023 H Share Award and  For       For          Management
      Trust Scheme
14    Grant of Awards Under the 2023 H Share  For       For          Management
      Award and Trust Scheme
15    Board Authorization to Handle Matters   For       For          Management
      Pertaining to the 2023 H Share Award
      and Trust Scheme
16    Increase in Registered Capital          For       For          Management
17    Amendments to Articles                  For       For          Management
18    Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
19    Authority to Repurchase Shares          For       For          Management


--------------------------------------------------------------------------------

WUXI BIOLOGICS (CAYMAN) INC.

Ticker:       2269           Security ID:  G97008117
Meeting Date: JUN 27, 2023   Meeting Type: Annual
Record Date:  JUN 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accounts and Reports                    For       For          Management
2.A   Elect Ge LI                             For       Against      Management
2.B   Elect CHEN Zhisheng                     For       For          Management
2.C   Elect Kenneth Walton Hitchner III       For       For          Management
2.D   Elect Jackson Peter Tai                 For       For          Management
3     Directors' Fees                         For       For          Management
4     Appointment of Auditor and Authority    For       For          Management
      to Set Fees
5.A   Amendments to the Restricted Share      For       For          Management
      Award Scheme
5.B   Amendments to the Share Award Scheme    For       For          Management
      for Global Partner Program
6     Adoption of the Scheme Mandate Limit    For       For          Management
7     Authority to Issue Shares w/o           For       For          Management
      Preemptive Rights
8     Authority to Repurchase Shares          For       For          Management
9     Amendments to Articles                  For       For          Management


--------------------------------------------------------------------------------

YIFENG PHARMACY CHAIN CO.LTD.

Ticker:       603939         Security ID:  Y982AC104
Meeting Date: AUG 04, 2022   Meeting Type: Special
Record Date:  JUL 27, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Change of a Project Financed with       For       For          Management
      Funds Raised from the 2022 Convertible
      Bonds
2     Change of Another Project Financed      For       For          Management
      with Funds Raised from the 2022
      Convertible Bonds


--------------------------------------------------------------------------------

YIFENG PHARMACY CHAIN CO.LTD.

Ticker:       603939         Security ID:  Y982AC104
Meeting Date: SEP 05, 2022   Meeting Type: Special
Record Date:  AUG 25, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Draft and Summary of            For       For          Management
      Performance Shares Incentive Plan
2     Approve Methods to Assess the           For       For          Management
      Performance of Plan Participants
3     Approve Authorization of the Board to   For       For          Management
      Handle All Related Matters


--------------------------------------------------------------------------------

YIFENG PHARMACY CHAIN CO.LTD.

Ticker:       603939         Security ID:  Y982AC104
Meeting Date: SEP 14, 2022   Meeting Type: Special
Record Date:  SEP 06, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     The Company's Eligibility for Public    For       For          Management
      Issuance of Convertible  Bonds
2     Name Change for Public Offering of      For       For          Management
      Convertible Bonds
3.1   Type of Securities to Be Issued         For       For          Management
3.2   Issuing Scale                           For       For          Management
3.3   Bond Duration                           For       For          Management
3.4   Par Value and Issue Price               For       For          Management
3.5   Interest Rate of the Bond               For       For          Management
3.6   Time Limit and Method for Repaying the  For       For          Management
      Principal and Interest
3.7   Conversion Period                       For       For          Management
3.8   Determination of the Conversion Price   For       For          Management
3.9   Adjustment to the Conversion Price      For       For          Management
3.1   Provisions on Downward Adjustment of    For       For          Management
      the Conversion Price
3.11  Determining Method for the Number of    For       For          Management
      Converted Shares
3.12  Redemption Clauses                      For       For          Management
3.13  Resale Clauses                          For       For          Management
3.14  Attribution of Related Dividends for    For       For          Management
      Conversion Years
3.15  Issuing Targets and Method              For       For          Management
3.16  Arrangement for Placing to Original     For       For          Management
      Shareholders
3.17  Matters Regarding the Meetings of       For       For          Management
      Bondholders
3.18  Purpose of the Raised Funds             For       For          Management
3.19  Guarantee Matters                       For       For          Management
3.2   Rating Matters                          For       For          Management
3.21  Management and Deposit of Raised Funds  For       For          Management
3.22  The Valid Period of the Issuing Plan    For       For          Management
4     Preplan for Public Issuance of          For       For          Management
      Convertible Bonds
5     Feasibility Analysis Report on the Use  For       For          Management
      of Funds to Be Raised from the Public
      Issuance of Convertible Bonds
6     Report on the Use of Previously-raised  For       For          Management
      Funds
7     Diluted Immediate Return After the      For       For          Management
      Public Issuance of Convertible Bonds
      and Filling Measures
8     Commitments of Controlling              For       For          Management
      Shareholders, De Facto Controller,
      Directors and Senior Management to
      Ensure the Implementation of Filling
      Measures of Diluted Immediate Return
      After the Public Issuance of
      Convertible  Bonds
9     Establishment of Procedural Rules:      For       For          Management
      Meetings of Bondholders of the
      Company's Convertible Bonds
10    Authorization to the Board to Handle    For       For          Management
      Matters Regarding the Public Issuance
      of Convertible Bonds
11    Report on Weighted Return on Net        For       For          Management
      Assets for the Last Three Years and
      Non-Recurring Profits or Losses
12    Shareholders' Return Plan for 2022 to   For       For          Management
      2024
13    Amendments to Management System for     For       For          Management
      Raised Funds
14    Authority to Give Guarantees            For       For          Management


--------------------------------------------------------------------------------

YIFENG PHARMACY CHAIN CO.LTD.

Ticker:       603939         Security ID:  Y982AC104
Meeting Date: NOV 18, 2022   Meeting Type: Special
Record Date:  NOV 10, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Amendments to Articles                  For       For          Management
2     Authority to Give Guarantees to a       For       For          Management
      Subsidiary


--------------------------------------------------------------------------------

YIFENG PHARMACY CHAIN CO.LTD.

Ticker:       603939         Security ID:  Y982AC104
Meeting Date: DEC 15, 2022   Meeting Type: Special
Record Date:  DEC 07, 2022

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Adjustment on Validity Period of        For       For          Management
      Convertible Bonds
2     Plan on Issuance of Convertible Bonds   For       For          Management
      (Second Revised Draft)
3     Report on the Usage of Previously       For       For          Management
      Raised Funds
4     Authorization of Board to Handle All    For       For          Management
      Related Matters
5     Provision of Guarantee for Application  For       For          Management
      of Bank Credit Lines to Subsidiary


--------------------------------------------------------------------------------

YIFENG PHARMACY CHAIN CO.LTD.

Ticker:       603939         Security ID:  Y982AC104
Meeting Date: MAR 13, 2023   Meeting Type: Special
Record Date:  MAR 03, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Demonstration Analysis Report on        For       For          Management
      Convertible Corporate Bonds
2     Authorization to the Board to Handle    For       For          Management
      Matters Regarding the Convertible
      Corporate Bonds
3     Amendments to Articles                  For       For          Management


--------------------------------------------------------------------------------

ZAI LAB LIMITED

Ticker:       ZLAB           Security ID:  G9887T116
Meeting Date: JUN 20, 2023   Meeting Type: Annual
Record Date:  APR 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Elect Samantha Du                       For       For          Management
2.    Elect Kai-Xian Chen                     For       For          Management
3.    Elect John D. Diekman                   For       For          Management
4.    Elect Richard Gaynor                    For       For          Management
5.    Elect Nisa Bernice LEUNG Wing-Yu        For       For          Management
6.    Elect William Lis                       For       For          Management
7.    Elect Scott W. Morrison                 For       Against      Management
8.    Elect Leon O. Moulder, Jr.              For       For          Management
9.    Elect Michel Vounatsos                  For       For          Management
10.   Elect Peter Wirth                       For       For          Management
11.   Ratification of Auditor                 For       For          Management
12.   Authority to Set Auditor's Fees         For       For          Management
13.   Advisory Vote on Executive Compensation For       Against      Management
14.   General Mandate to Issue Shares         For       Against      Management
15.   General Mandate to Issue Shares         For       Against      Management


--------------------------------------------------------------------------------

ZAI LAB LIMITED

Ticker:       ZLAB           Security ID:  98887Q104
Meeting Date: JUN 20, 2023   Meeting Type: Annual
Record Date:  APR 20, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.    Elect Samantha Du                       For       For          Management
2.    Elect Kai-Xian Chen                     For       For          Management
3.    Elect John D. Diekman                   For       For          Management
4.    Elect Richard Gaynor                    For       For          Management
5.    Elect Nisa Bernice LEUNG Wing-Yu        For       For          Management
6.    Elect William Lis                       For       For          Management
7.    Elect Scott W. Morrison                 For       Against      Management
8.    Elect Leon O. Moulder, Jr.              For       For          Management
9.    Elect Michel Vounatsos                  For       For          Management
10.   Elect Peter Wirth                       For       For          Management
11.   Ratification of Auditor                 For       For          Management
12.   Authority to Set Auditor's Fees         For       For          Management
13.   Advisory Vote on Executive Compensation For       Against      Management
14.   General Mandate to Issue Shares         For       Against      Management
15.   General Mandate to Issue Shares         For       Against      Management


--------------------------------------------------------------------------------

ZOETIS INC.

Ticker:       ZTS            Security ID:  98978V103
Meeting Date: MAY 18, 2023   Meeting Type: Annual
Record Date:  MAR 24, 2023

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a.   Elect Paul M. Bisaro                    For       For          Management
1b.   Elect Vanessa Broadhurst                For       For          Management
1c.   Elect Frank A. D'Amelio                 For       For          Management
1d.   Elect Michael B. McCallister            For       For          Management
1e.   Elect Gregory Norden                    For       For          Management
1f.   Elect Louise M. Parent                  For       For          Management
1g.   Elect Kristin C. Peck                   For       For          Management
1h.   Elect Robert W. Scully                  For       For          Management
2.    Advisory Vote on Executive Compensation For       For          Management
3.    Ratification of Auditor                 For       For          Management
4.    Amendment Regarding Ownership           For       Abstain      Management
      Threshold for Shareholders to Call a
      Special Meeting
5.    Shareholder Proposal Regarding Right    Against   For          Shareholder
      to Call Special Meeting

========== END NPX REPORT



                                   SIGNATURES

Pursuant to the requirements of the Investment Company Act of 1940, the
registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.

VANGUARD SPECIALIZED FUNDS

By:  /s/Mortimer J. Buckley
        Mortimer J. Buckley*
        Chief Executive Officer, President, and Trustee

Date:   August 28, 2023
*By:    /s/Anne E. Robinson

Anne E. Robinson, pursuant to a Power of Attorney filed on July 21, 2023 (see
File Number 33-53683) and to a Power of Attorney filed on March 29, 2023 (see
File Number 2-11444), Incorporated by Reference.