110-1x5, 2010 ALA National Design U.S. Christmas Seals Sheet, R11-CSCS-4-05, VF, MNH. Images of Birds, Snowman, Cardinal, and Snowmen, with silver foil border.
Issued 2010 by the American Lung Association. Designed by William Vanderdasson/Applejack Art Partners. Sheet of 56 (8x7) with gift tags, margin on 4 sides, "Fighting for Air." Dated 2010 with "R11-CSCS-4-05" in bottom margin. Seal size: 17x24mm. Silver margin scans much darker than actual color.
"The Christmas Seal Tradition" on the reverse of sheet.
Christmas Seals are also known as TB Seals, and are usually classified as Charity Seals, or Cinderella Stamps.