The delegate’s convention is ultimately responsible for control of all the Association’s activities. The delegates also pass necessary resolutions, amend statutes and approve annual accounts and budgets. With the exception of their legal consultant, all members of the delegate’s convention are disabled artists.

The delegates appoint a managing board, comprised of member artists with a maximum of seven people. The managing board appoints able-bodied professionals to run the publishing houses, which manage the direct mail operations of the organization.

The president of the managing board is also the president of the Association and must be a mouth or foot painting artist who has won recognition as an artist and achieved success in international exhibitions.