This design features a black and white illustration of a hand with a middle finger gesture, accompanied by the text "I AM 65+". The hand is drawn in a cartoon style, with the middle finger prominently displayed. The text is written in a casual, handwritten font, suggesting a playful or rebellious tone. The overall design is simple and clear, with the hand and text being the main focus. The use of black and white gives the image a stark and bold appearance.