| Role | Name | Name (original language) | Name (translation) | Floruits |
|---|---|---|---|---|
| Grantor | Gamelin, bishop of St Andrews (d.1271) | Gamelus | Gamelin, minister of church of St Andrew | 1242 × 1271 |
| Beneficiary | Hospital of Soutra | magistro et fratribus de Soltre | master and brethren of Soutra | 1164 × 1306 |