 In Niagara Falls, Stefano Magaddino had become the figurehead "Chairman of the Mafia's Ruling Commission" in New York but had been suffering health problems.As Chairman of the Commission, Magaddino saw different power grabs from rival bosses in New York that led to several people being murdered or forced to retire.New York Mafia boss Vito Genovese wanted to call a National Conference of all Mafia leaders to sort out the disputes.