Contact: Ed Jacobson
United States of America
Call for Nominations
Roger L. Kozak Service Above Self Award
“Each year the Roger L. Kozak Service Above Self Award is awarded to one Rotarian in District 5610. 
It was conceived in 2016 and has been awarded four times to date.  It is given in recognition of exceptional
service to Rotarians in Rotary District 5610. The award honors the memory of Roger L. Kozak, long-time
member of the Vermillion Rotary Club, who served as District 5610 Governor, 2009-10.  Roger Kozak
distinguished himself as an exceptionally dedicated servant leader.”
Roger Kozak’s wife, Pat Kozak, once wrote the following:  “I think the Kozak Award should go to someone
who lives the Rotary motto of Service Above Self, and applies the Four-Way Test to all aspects of life. 
The person should have rendered exceptional service to the community lived in and to the Rotarians of
District 5610.”
Application – Limit to one-page and 200 words.
Deadline – September 15, 2021.
Presentation – District Conference in Deadwood, October 14-16, 2021.
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Selection committee consists of PDG Ed Jacobson, Chair; PDGs Dan LittleIna Winter, & Dave Lorenz; the
past three Kozak winners, Chuck LindemannPat Sutliff, & George Twitero; and Kathy Chandler, designee
of the Vermillion club, where she serves as secretary.  Nicole Rawden and Larry Lyngstad serve as
consultants to the committee.
Ed Jacobson
Past District Governor (2016-17)
Rotary District 5610
(605) 224-2433