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SMOM claims continuity with the Knights Hospitaller, a chivalric order that was founded c. 1099 by the Blessed Gerard in the Kingdom of Jerusalem. The order is led by an elected Prince and Grand Master. Its motto is Tuitio fidei et obsequium pauperum ('defence of the faith and assistance to the poor'). The order venerates the Virgin Mary as its patroness, under the title of Our Lady of Philermos. Its modern-day role is largely focused on providing humanitarian assistance and assisting with international humanitarian relations, for which purpose it has had permanent observer status at the United Nations General Assembly since 1994.