| gm. Pielgrzymka, Precinct no. 4 |
| Vote on 21-11-2010 | |
| Office | Wójt Gminy Pielgrzymka |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, Nowa Wieś Grodziska 67 |
| Number of electors | 662 |
| Number of dispensed ballot cards | 306 |
| Number of valid ballot cards | 306 |
| Number of votes valid | 301 |
| Number of votes invalid | 5 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 22-11-2010 00:10 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Votes for | Votes against | Votes % | |
| 1 | Sybis Tomasz Jacek | 36 | wyższe | Czaple, submitted by KOMITET WYBORCZY WYBORCÓW TOMASZ SYBIS GOSPODARNA GMINA, not a member of any political party | 232 | 69 | 77,08% | |