 Eventually, in 1908, he left the Roman Catholic Church.Carfora assumed leadership of a group of parishioners who broke away from St. Anthony of Padua Catholic Church, in Youngstown, Ohio, to found St. Rocco's Independent National Catholic Church on May 17, 1907.He later formed mission congregations which ministered to various ethnic immigrant groups whom he perceived as unable to gain adequate pastoral support from the Roman Catholic authorities.