The Presidential Citizens Medal is an award bestowed by the president of the United States. It is the second-highest civilian award in the United States and is second only to the Presidential Medal of Freedom. Established by executive order on November 13, 1969, by President Richard Nixon, it recognizes an individual "who has performed exemplary deeds or services for his or her country or fellow citizens." Only United States citizens are eligible for the medal, which may be awarded posthumously.