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After his election to the [[see]] of the Patriarch of Alexandria Sophronius was [[enthronement|enthroned]] as Sophronius IV on [[June 11]], 1870. He was a compromise candidate in a disputed election. In September 1872, Patr. Sophronius participated in the council in Constantinople that condemned as [[schism|schismatic]] the action by the Bulgarian Exarchate ([[Church of Bulgaria|Bulgarian Orthodox Church]]) declaring itself [[autocephaly|autocephalous]] as recognized by the [[Ottoman Turk Documents|firman]] of Sultan Abdülaziz I of the [[Ottoman empire|Ottoman Empire]].
In 1888, he laid the foundations of the church of the Transfiguration of the Savior in Port Said.
His patriarchy was marred by the persecution and exile of Metropolitan [[Nectarios|Nectarios of Pentapolis]], later recognized as a saint by the Church.
He served in Alexandria as until his death on [[September 3]], 1899.