The division was temporarily/initially established in 1953 as a part of the Golden Ball Tournament for schools whose male enrolment under 225 students. In the initial year, it was held in conjunction with the A draw at Ryerson in Toronto. It was known as Division A from 67-68 thru 71-72. The champion is presented with L.G. Balfour Trophy. AA classification in low density areas is restricted to schools having a student population under 600 or all-boys schools having an enrolment under 300. At one point, it was classified as schools in a population centre under 60,000, with an enrolment under 699.
| YEAR | CHAMPION | COACH | FINAL | RUNNER-UP |
| 52-53 | Belleville Albert | John Hayman | 53-36 | Pembroke HS |
| 53-61 | Not held | ———————- | —– | ————— |
| 61-62 | Brantford St. John’s | Brother Harvey Roach | 50-26 | Whitby Henry Street |
| 62-63 | Brantford St. John’s | Brother Harvey Roach | 42-25 | Athens District |
| 63-64 | Athens District | |||
| 64-65 | Parkhill North Middlesex | Fred Holden | 48-44 | Elora |
| 65-66 | Fenwick Pelham District | Bob Peart | 49-20 | Mitchell District |
| 66-67 | Fenwick Pelham District | J. Holl | 47-37 | Harrow District |
| 67-68 | Sudbury Sacre Coeur | Brother Roland Saumur | 57-42 | St. Catherines Merritton |
| 68-69 | Fenwick Pelham District | Bob Peart | 67-43 | Tecumseh St. Anne’s |
| 69-70 | Sarnia St. Patrick’s | Barry Howson | 60-50 | Bowmanville |
| 70-71 | Guelph Bishop MacDonell | John Lovelock | 70-39 | Ernestown |
| 71-72 | Hamilton Sir Allan MacNabb | R. Bellingham | 58-43 | Windsor William Hands SS |
| 72-73 | Belleville Quinte | J.S. Murray | 64-55 | Grimsby SS |
| 73-74 | Dundas Parkside | Robert Foot | 42-39 | Chatham CI |
| 74-75 | Chatham John McGregor | Larry Lahey | 69-49 | Woodstock College Avenue |
| 75-76 | Welland HVS | Ron Lemon | 57-51 | Strathroy |
| 76-77 | Chatham-Kent SS | Ron Coristine | 70-51 | Georgetown District |
| 77-78 | Fonthill E.L. Crossley | Fred Stock | 73-59 | Belleville Moira |
| 78-79 | Niagara-on-the-Lake Niagara DSS | Don McDougall | 54-38 | Orangeville |
| 79-80 | Chatham CI | Greg Haddock | 57-54 | Milton |
| 80-81 | Belle River St. Anne | Mike Eremic | 58-54 | Owen Sound West Hill |
| 81-82 | Blenheim District | Kevin Farquharson | 55-38 | Essex |
| 82-83 | Etobicoke Alderwood CI | Hank Spencer | ||
| 83-84 | Timmins HVS | Hugh Meyer | 66-61 | Sarnia Northern |
| 84-85 | Timmins HVS | Hugh Meyer | 49-47 | Barrie Eastview |
| 85-86 | Timmins HVS | Hugh Meyer | 57-48 | Sarnia Northern |
| 86-87 | Dundas Parkside | Paul Baker | 67-65 | North York Bathurst Heights |
| 87-88 | Chatham John McGregor | Larry Lahey | 40-32 | Sarnia St. Patrick’s |
| 88-89 | Chatham CI | Greg Haddock | 72-49 | Timmins HVS |
| 89-90 | Chatham John McGregor | Larry Lahey | 67-45 | Windsor John L. Forster |
| 90-91 | Chatham-Kent SS | Greg Haddock | 70-60 | Belleville Nicholson Catholic |
| 91-92 | Chatham-Kent SS | Dan Lewis | 41-34 | Timmins HVS |
| 92-93 | Barrie North CI | Sandy Hosie/Doug Lowther | 49-31 | Windsor St. Joseph’s |
| 93-94 | LaSalle Sandwich | Tim Sanders | 45-34 | Timmins HVS |
| 94-95 | Timmins HVS | Hugh Meyer | 71-60 | Gloucester Louis-Riel |
| 95-96 | Barrie Innisdale | Kelman-Harrington | 75-59 | Windsor John L. Forster |
| 96-97 | Chatham John McGregor | Larry Lahey | 49-38 | Burlington Lord Elgin |
| 97-98 | Timmins HVS | Hugh Meyer | 54-41 | Etobicoke Marian Academy |
| 98-99 | Peterborough | Dave Goulding | 69-50 | Strathroy District |
| 99-00 | Chatham John McGregor | Dan Lewis | Barrie North | |
| 00-01 | Chatham John McGregor | Dan Lewis | 93-63 | Kincardine |
| 01-02 | Scarborough Blessed Mother Teresa | Jay McNeilly | 58-49 | Paris District |
| 02-03 | Scarborough Blessed Mother Teresa | Jay McNeilly | Gloucester Louis Riel | |
| 03-04 | Ernestown | Tom Turnbull | 52-42 | Toronto Vaughan Road |
| 04-05 | Belleville Nicholson | Jim Barbeau | 43-42 | Toronto Central Commerce |
| 05-06 | Belleville Nicholson | Jim Barbeau | 57-38 | St. Catharines St. Francis |
| 06-07 | Belleville Nicholson | Jim Barbeau | 47-39 | St. Catharines St. Francis |
| 07-08 | Kanata A.Y. Jackson | Steve Ashfield | 37-30 | St. Catharines St. Francis |
| 08-09 | Oakville St. Thomas Aquinas | Mark Maga | 55-53 | London Westminster |
| 09-10 | Dundas Parkside | Dan Meyer | 63-51 | Windsor W.F. Herman |
| 10-11 | Smith Falls District | Todd Spencer | 41-38 | Sarnia St. Christopher |
| 11-12 | Toronto Vaughan Road | Wilton Hall | 73-58 | Hamilton Mere-Teresa |
| 12-13 | Scarborough Blessed Mother Teresa | Kirt McNeilly | 54-51 | Hamilton Mere-Teresa |
| 13-14 | Mississauga Ascension of our Lord | Haroslav Stepanenko | 64-53 | Aurora St. Andrews |
| 14-15 | St. Catharines St. Francis | Patrick Sullivan | 59-50 | Toronto Crescent |
| 15-16 | Guelph Bishop Macdonell | Trevor Smith | 66-58 | Rockcliffe Ashbury |
| 16-17 | Rockcliffe Ashbury | Ian MacKinnon | 76-52 | Markham Thornlea |
| 17-18 | London Mother Theresa | Chris Brown | 54-52 | St. Catharines St. Francis |
| 18-19 | Windsor W.C. Kennedy | Patrick Osborne | 64-59 | Toronto Westview Centennial |
| 19-20 | Kingston Frontenac | Duncan Cowan | 47-41 | Toronto Crescent |
| 20-21 | CANCELLED | (covid-19 pandemic) | —– | ———————— |
| 21-22 | CANCELLED | (covid-19 pandemic) | —– | ———————— |
| 22-23 | St. Catharines St. Francis | Rich Anderson | 69-59 | Toronto St. Joan of Arc |
| 23-24 | Barrie St. Joseph’s | Drew Taylor | 58-46 | Rockcliffe Ashbury |