PAAMA USA is led by a National President, three Vice Presidents and a National Executive, as well as Regional Presidents and their Executives. The women have a parallel structure led by the National Lajna President who is also under the leadership of the National PAAMA President.

PAAMA is fortunate to be under the direct supervision and guidance of the Supreme Head of the worldwide Ahmadiyya Muslim Community – His Holiness Hazrat Mirza Masroor Ahmad, Khalifatul Masih V (May Allah strengthen his hands), who takes a keen interest in the affairs of the Association.