I'm pretty sure that DBM is correct (once again) => the orientation of the painted-ribbon seems totally random ... sadly coincollect1, I just went and found a breast cancer quarter in my spare change mug and it has pretty much the same rotation as the example that you've posted (rats) ...
SIDENOTE => "or" I could be wrong and you and I may have found the only two breast cancer quarters with 180 degree die-rotations!
doubtful *sigh* ... but man, it is always exciting when you think you've found a treasure, eh? (keep-up the good treasure-hunting!)
