Presiding Elders are the assistants, like middle management, whom the Bishops appoint to supervise the preachers in a Presiding Elder’s District. A Presiding Elder District is one portion of an Annual Conference, which in turn is one part of the Episcopal District over which a Bishop presides. In the Presiding Elder District, the appointed Presiding Elder meets with the local churches, that comprise the District, at least once every three months for a Quarterly Conference. The Presiding Elder also presides over a District Conference and a Sunday School Convention in his or her District. At the end of an Annual Conference year, the Presiding Elder reports to the Bishop at the Annual Conference and makes recommendations for pastoral appointments.  Source: www.ame-church.com