Abstract: The present disclosure illustrates a fastener with an arrangement on the head of the fastener for receiving a medallion, coin or other flat commemorative or decorative item. A threaded stud is secured to a cap which includes a receptacle on a rear surface, complimentary to the head of the stud, and a display pocket on a forward or outer surface for receiving the medallion or coin. The receptacle on the rear side of the cap includes an upstanding rim or lip having an inside diameter slightly larger than the outside diameter of the head of the stud. In the disclosed embodiments, the cap is secured to the stud by swaging or deforming the rim against the head of the stud to rigidly and permanently attach the cap to the stud, forming a fastener with an enlarged head.