The PAPANA meeting at the 2014 APA occurred under the presidency of Dr. Zafar Ahsan in New York. This meeting was attended by the biggest group pf about 60 PAPANA members. Dr. Zafar Ahsan, worked hard to arrange a lunch meeting for a large group of attendees. The following PAPANA meeting in 2015 at the annual APA meeting in Toronto had much fewer members perhaps due to a relatively distant location. Nonetheless, Dr. Azfar Malik was elected as the president and Dr. Mujeeb Shad as the secretary of PAPANA in this meeting. More importantly, this was the meeting where it was, for the first time, proposed to advance PAPANA status to an official organization.