A vintage Elks Lodge medal  from the Benevolent and Protective Order of Elks (B.P.O.E.). 

• The pin commemorates an event in Atlantic City in 1919, as indicated by "ATLANTIC CITY-1919" on the top banner. 

• It features the letters "PER" on the lower medallion, which likely stands for "Past Exalted Ruler," a position within the Elks Lodge. 

• The design also includes an eagle, a clock face with Roman numerals, and a shield with red, white, and blue stripes, symbolizing the organization's patriotism and values. 

• This type of collectible represents a piece of historical memorabilia related to the Elks fraternal organization.