The document discusses the results of a study of 622 midmarket CIOs across different countries and industries. It identifies four distinct "CIO mandates" that CIOs take on based on their organization's business needs and goals. The four mandates are: Leverage (focus on managing core IT services and increasing organizational effectiveness), Expand (refine business processes and enhance collaboration to drive growth), Transform (change the industry value chain through improved relationships), and Pioneer (radically innovate products, markets, and business models). The document then provides more details on the typical responsibilities and focus areas of CIOs with the Leverage and Expand mandates.