The party's executives organize for both local and national election campaigns.

With the exception of 2010, the party has won the biggest share of the vote at the Trinidad and Tobago general elections since 2000 and has governed the Tobago House of Assembly uninterruptedly, winning every Tobago House of Assembly election from 2001 until 2021.

Former Chief Secretary Ancil Dennis is the current and youngest political leader of the PNM after being elected unopposed in the 2020 People's National Movement Tobago leadership election with Kelvon Morris, the party's lone elected assemblymember serving as the party's leader in the THA.

With its predecessor organizations and despite not being a socialist party, it was a member of the democratic socialist West Indies Federal Labour Party in the Federal Parliament of the West Indies Federation from 1957 to 1962, winning the Tobago seat in the 1958 elections.

MaL: Majority Leader MiL: Minority Leader (Elected) (Elected) These are the positions currently held by the Executive of the PNM Tobago Council:[25]