Before the Commission was formed, the American Mafia crime families were under control of one man known as the capo di tutti capi ("boss of all bosses", literally "head of all heads").
在委員會成立之前，美國黑手黨犯罪家族是受到一個名為「Capo di tutti capi（英语：Capo di tutti capi）」（「所有老大的老大」，字面意思是「所有首腦的首腦」）的人所控制。