It is assumed that the other crime families in New York are fictional; however, there have been references to real-life mob figures Joe Profaci, John Gotti, Joe Massino and Paul Castellano as well as to the Colombo crime family.
One was run by George Paglieri until his retirement, and another is controlled by John Sacrimoni's brother-in-law, Andy, whose last name and family is not known.
He may be the brother of Ginny Sacrimoni and Anthony Infante, or the husband of an unnamed sister of John's.
In the winter of 2006, Boss John "Johnny Sack" Sacrimoni plead guilty to 47 RICO predicates, receiving a 15-year sentence.
As part of the plea, he admitted that he was a member of La Cosa Nostra.
Leotardo responded by attacking Soprano associate Benny Fazio, sending him to the hospital with a skull fracture.