Jose Luis Campo has been re-elected unopposed as the President of the Americas Paralympic Committee (APC) at the organisation's General Assembly in São Paulo in Brazil.
The Argentinian was the only contender for the top job.
Campo became the founding President of the APC in 1997 and served two terms until 2005.
He was then replaced by Brazil's Andrew Parsons who served until 2009.
Colombia's Octavio Londono was in office until 2013, before Campo resumed duties by defeating him in an election, 14 votes to three.
"It is an honour for me to have the support of the region and I am hoping to repay their confidence in me with four more years of hard work and achievements," Campo, who will be in the role for another four years, said.
"I presented myself for a fourth term as APC President because I feel I can still contribute to the progress of different areas that can still be improved.
"Our aim is to help the National Paralympic Committees (NPCs) get stronger and more professional and continue raising awareness of the Paralympic movement across the Americas."
The other four positions on the APC Executive Committee were also filled during the election.
Cuba's Eduardo Montenegro was elected APC vice-president for a second successive term after receiving 10 votes.
He defeated Julie O'Neill of the United States, who was only awarded eight.
O'Neill was, however, elected as one of three new members at large alongside Ecuador’s Bayron Lopez and Pedro Mejia of Colombia.
Alongside the elections a number of reports were given by various Committee members.
Xavier González, the chief executive of the International Paralympic Committee, gave a financial report while outgoing APC members at large, Dionicio Zeledon of Nicaragua and Eladio Agramonte of the Dominican Republic, gave respective reports about the development of Para-sports in Central America and the Caribbean.
O’Neill spoke about how to get more women involved in the Paralympic movement while APC athlete representative Ileana Rodriguez of the US encouraged the continent's NPCs to form an Athlete Council.
Andres Viale of the Lima 2019 Parapan American Games Organising Committee gave an update on preparations.
A campaign to cancel the Games in Lima is gathering momentum due to the floods which are decimating Peru.
According to Peru Reports, the capital city's Mayor Luis Castañeda became the latest to oppose the Games amid the ongoing crisis.
At least 72 people have died following torrential rain and mudslides in the South American nation, with the floods said to have affected at least half of the country.
More than 800 towns and cities have been declared as a state of emergency due to a shortage of food and water, with more than 60,000 homes destroyed in 24 out of Peru's 25 states.
It is claimed that money designated for the Games should be diverted to the relief effort.
The General Assembly in São Paulo was held in the build-up to the 2017 Youth Parapan American Games in the city.
The Games are scheduled to start today and conclude on March 25.