Who is in charge of running the day to day operations including all of the finances of the Vatican City State?

Giuseppe Bertello (born 1 October 1942) is an Italian prelate of the Catholic Church, a cardinal since 2012, who has been the President of the Pontifical Commission for Vatican City State and President of the Governorate of Vatican City State since October 2011.

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Continued: The IOR (The institute of Religious Works) is where the real money is and how much they have is a BIG and very closely guarded secret. It is the seat of the one of the worlds most secret financial institutions, also known as the Vatican Bank.