Keefe is president of the Maryland Thoroughbred Horsemen’s Association (MTHA) and a trainer stabled at Laurel Park in Maryland. Keefe, who began training in Maryland in 1992, has been stabled in the state since that time. He has been a member of the MTHA board since 2005 and was elected president in 2014. Keefe is on the boards of the Maryland Horsemen’s Assistance Foundation and Maryland Million Ltd. Keefe has been heavily involved in cultivating and maintaining relationships among the MTHA, Maryland Jockey Club and Maryland Horse Breeders Association, which has spurred a revitalization of racing in the state. He is extremely hands-on in Annapolis when the legislature is in session, including playing a role in the General Assembly’s passage of the Racing and Community Development Act of 2020. In six years under Keefe’s stewardship, the MTHA has launched initiatives such as the acclaimed Horsemen’s Health System, the Beyond The Wire aftercare program, a new recreation program, a shuttle service for backstretch employees, the Expedited Purse Release Program for owners, a drastically improved communication strategy and improved board participation in MTHA affairs.