This is a 15th Anniversary Commemorative Medallion, stamped with the copyright date of 1993 and also bearing the butterfly mark (indicating production in 1993).

The 3"-across medallion/plaque depicts an angel singing with a bird. This particular piece is very rare as it is signed by 3 significant people:

Sam Butcher: The Precious Moments artist/illustrator
Gene Freedman: The founder of the Enesco Corporation
Yasuhei Fujioka: The Precious Moments Japanese sculptor

This piece comes in its original box.