Area IV Co-Director is a female for the sisters, and a Recording Secretary that could be either a male or female. A District Grand Household of Ruth is overseen by District Most Noble Governor.

Florida – District Grand Household of Ruth #16
Household
The Lily of The Valley Household No. 3538, Sarasota

Louisiana – District Grand Household of Ruth #26
Household
Hattie Household Ruth No. 6865, Baton Rouge

Mississippi – District Grand Household of Ruth #14
Household
H.M. Thompson Household or Ruth No. 189, Jackson

Georgia – District Household of Ruth #
Household

Alabama – District Grand Household of Ruth #
Household