Volunteers who give up their time for communities in Wearside and County Durham are among those recognised in the New Year Honours list.
The MBE for services to communities go to Marie Hazel Clark in Hendon and the east end of Sunderland and Ann Humes in Chester le Street.
Ronald Gardiner Dickie is recognised in Durham and Eric George McGlen in Sunderland North East and overseas.
Robert Jackson, of Burnopfield, becomes an MBE for his service to cricket.
Grahame Pickering, chief executive of the Great North Air Ambulance, receives an MBE for services to emergency healthcare.
He said: "I was absolutely flabbergasted and I am extremely humbled.
"These awards are made to an individual but really it's much more of an organisation thing and the many thousands of supporters we have across the region."
Services to education
Joanne Leng, director of business development and deputy chief executive of NOF Energy, becomes a MBE for services to the oil and gas industries.
Alan Mitchell, community safety co-ordinator for Sunderland City Council, receives an MBE as does Sunderland community pharmacist Umeshchandra Babubhai Patel.
Gillian Southern, director of Wessington Cryogenics Ltd, is appointed MBE for services to industry in the North East.
Ian Mark Marshall Dalton, chief executive of the North East Strategic Health Authority, is appointed CBE along with Anthony Denis Kennan, chairman of the Multiple Sclerosis Society.
Dinah Bennett, from Durham, becomes an OBE for services to women's entrepreneurship in the North East.
John Arthur Cuthbert, from Chester le Street, is also appointed OBE for services to business in the North East.
Former head teacher of Oakley Cross Primary School and Nursery, in County Durham, Elizabeth Ivil, is appointed OBE for services to education.
Gillian Boyle, from Consett, becomes a MBE for her work with HM Revenue and Customs.
Terence Farley, from Newton Aycliffe, becomes a MBE for services to football referees.
Dr David Richard Williams, from Durham, is appointed MBE for services to media studies.