119-T2x, 2019 ALA Test Design U.S. Christmas Seals Sheet, R20-CSCS-4-09, VF, MNH. Issued 2019 by the American Lung Association (ALA). Designed by Michael Donnelley. Sheet of 42 Christmas Seals. Images of mailbox with birds; plaza with Christmas tree; winter scene; Christmas wreath; snowman near porch; car with Christmas tree; and Santa with presents. Images trimmed in red, all within white border. "Christmas Seals 2019" at bottom of each Christmas Seal.
Image of Cross of Lorraine with text "American Lung Association" on each seal. The Cross of Lorraine is the international symbol of the crusade against TB.
Sheet of 42 (6x7) Christmas Seals, without gift tags, margin on all four sides. Dated 2019 with "R20-CSCS-4-09" in bottom margin.
These are test designs. Since 1979, the American Lung Association has issued test designs to determine the design of the national seal for the following year.
Christmas Seals are also known as TB Charity Seals, and are usually classified as Charity Seals, or Cinderella Stamps.