Cleveland is a large city in the state of Ohio in the United States and the power base of the Forlenza crime family, run by Don Vincent Forlenza until his death in 1961.

Cleveland witnessed a major event in the history of the American Mafia, when a plane carrying Frank Falcone and Anthony Molinari, the South Coast Dons, were killed in a plane crash sabotaged by the Corleone family. The only survivor was the plane's pilot, Nick Geraci, who survived to wage war on his former family.

Later on, Forlenza himself was killed after suffering a heart attack. The ambulance driving him to the hospital was driven into Lake Erie by Corleone buttonmen.

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